NR226 HESI study Exam
NR226 HESI STUDY EXAM NEWEST 2025/2026 COMPLETE ALL
100 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
A nurse uses the Braden Scale to predict a client's risk for developing pressure
ulcers. Which data should the nurse use to determine a client's score on this
scale? Select all that apply.
1
Age
2
Anorexia
3
Hemiplegia
4
History of diabetes
5
Urinary incontinence
2,3,4,5
Anorexia causes nutritional problems; nutrition is a category on the Braden Scale.
Hemiplegia causes mobility problems; this affects the categories of mobility,
activity, and friction on the Braden Scale. Clients with a history of diabetes can
also have peripheral neuropathy, causing numbness or loss of sensation in the
hands in feet; sensory perception is a category on the Braden Scale. Urinary
incontinence causes moisture, a category on the Braden Scale. Age is not used in
the Braden Scale.
When donning sterile gloves, how should the second glove be handled?
1
Grasp by cuff and place on remaining hand.
1|Page
, NR226 HESI study Exam
2
Place sterile glove under cuff, and slide hand in glove.
3
Grasp inside second glove and place on nondominant hand.
4
Don glove on nondominant hand first, then hold below waist and slide on.
2
Sterile gloves can only be handled by sterile equipment, or they are contaminated.
The sterile glove that has been donned may touch under the cuff on the sterile
surface as the nondominant hand is inserted. The sterile glove may not touch the
inside of the glove. Donning a sterile glove and placing below the waist means
contamination, as under the waist or in back is contaminated. Grasping by the cuff
means the inside of the glove has been touched.
A hospice nurse is caring for a dying client while several family members are in the
room. When the client dies, the initial nursing intervention during the shock phase
of a grief reaction is focused on what?
1
Staying with the individuals involved
2
Directing the individual's' activities at this time
3
Mobilizing the support systems of the individuals
4
Presenting the full reality of the loss to the individuals
1
Staying with the individuals involved provides support until the individuals' coping
mechanisms and personal support systems can be mobilized. Directing the
individuals' activities at this time is not the role of the nurse. The individuals, not
the nurse, must mobilize their support systems. The individuals need time before
the full reality of the loss can be accepted.
2|Page
, NR226 HESI study Exam
A dehydrated 2-month-old infant with a history of diarrhea is admitted to the
pediatric unit. Oral rehydration therapy is instituted. What is the most accurate
method of monitoring the infant's hydration status?
1
Counting wet diapers
2
Obtaining daily weights
3
Measuring intake and output
4
Checking tissue turgor of the abdomen
2
Daily weighing provides an objective measurement, because a weight loss
indicates a loss of fluid; approximately 1 kg (2.2 lb) is equal to 1 L of fluid.
Although a wet diaper count is an objective measure, it is necessary to weigh the
diapers before and after the infant voids to estimate the amount of fluid loss.
Intake can be measured accurately; however, output, especially with diarrhea, is
difficult to measure. Tissue turgor is a subjective assessment, open to a variety of
interpretations. Also, the site that should be assessed is over the sternum, not the
abdomen.
A nurse is assessing a client with a diagnosis of primary insomnia. Which findings
from the client's history may be the cause of this disorder? Select all that apply.
1
Chronic stress
2
Severe anxiety
3
Generalized pain
4
3|Page
NR226 HESI STUDY EXAM NEWEST 2025/2026 COMPLETE ALL
100 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
A nurse uses the Braden Scale to predict a client's risk for developing pressure
ulcers. Which data should the nurse use to determine a client's score on this
scale? Select all that apply.
1
Age
2
Anorexia
3
Hemiplegia
4
History of diabetes
5
Urinary incontinence
2,3,4,5
Anorexia causes nutritional problems; nutrition is a category on the Braden Scale.
Hemiplegia causes mobility problems; this affects the categories of mobility,
activity, and friction on the Braden Scale. Clients with a history of diabetes can
also have peripheral neuropathy, causing numbness or loss of sensation in the
hands in feet; sensory perception is a category on the Braden Scale. Urinary
incontinence causes moisture, a category on the Braden Scale. Age is not used in
the Braden Scale.
When donning sterile gloves, how should the second glove be handled?
1
Grasp by cuff and place on remaining hand.
1|Page
, NR226 HESI study Exam
2
Place sterile glove under cuff, and slide hand in glove.
3
Grasp inside second glove and place on nondominant hand.
4
Don glove on nondominant hand first, then hold below waist and slide on.
2
Sterile gloves can only be handled by sterile equipment, or they are contaminated.
The sterile glove that has been donned may touch under the cuff on the sterile
surface as the nondominant hand is inserted. The sterile glove may not touch the
inside of the glove. Donning a sterile glove and placing below the waist means
contamination, as under the waist or in back is contaminated. Grasping by the cuff
means the inside of the glove has been touched.
A hospice nurse is caring for a dying client while several family members are in the
room. When the client dies, the initial nursing intervention during the shock phase
of a grief reaction is focused on what?
1
Staying with the individuals involved
2
Directing the individual's' activities at this time
3
Mobilizing the support systems of the individuals
4
Presenting the full reality of the loss to the individuals
1
Staying with the individuals involved provides support until the individuals' coping
mechanisms and personal support systems can be mobilized. Directing the
individuals' activities at this time is not the role of the nurse. The individuals, not
the nurse, must mobilize their support systems. The individuals need time before
the full reality of the loss can be accepted.
2|Page
, NR226 HESI study Exam
A dehydrated 2-month-old infant with a history of diarrhea is admitted to the
pediatric unit. Oral rehydration therapy is instituted. What is the most accurate
method of monitoring the infant's hydration status?
1
Counting wet diapers
2
Obtaining daily weights
3
Measuring intake and output
4
Checking tissue turgor of the abdomen
2
Daily weighing provides an objective measurement, because a weight loss
indicates a loss of fluid; approximately 1 kg (2.2 lb) is equal to 1 L of fluid.
Although a wet diaper count is an objective measure, it is necessary to weigh the
diapers before and after the infant voids to estimate the amount of fluid loss.
Intake can be measured accurately; however, output, especially with diarrhea, is
difficult to measure. Tissue turgor is a subjective assessment, open to a variety of
interpretations. Also, the site that should be assessed is over the sternum, not the
abdomen.
A nurse is assessing a client with a diagnosis of primary insomnia. Which findings
from the client's history may be the cause of this disorder? Select all that apply.
1
Chronic stress
2
Severe anxiety
3
Generalized pain
4
3|Page
