NSG 123 HESI FINAL EXAM NEWEST 2025
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
|ALREADY GRADED
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132 Multiple choice questions
Term 1 of 132
Following surgical repair of the bladder, a female client is being discharged from the hospital to home with an
indwelling urinary catheter. Which instruction is most important for the nurse to
provide to this client?
Avoid coiling the tubing and keep if free of kinks
Cleanse the perineal area with soap and water twice daily
Keep the drainage bag lower than the level of the bladder
Drink 1,000 ml of fluids daily to irrigate catheter
Term 2 of 132
An adult woman with primary Raynaud phenomenon develops pallor and then cyanosis of her
fingers. After warming her hands, the fingers turn red and the client reports a burning sensation. What action should
the nurse take?
Apply a cool compress to the affected fingers for 20 minutes
Secure a pulse oximeter to monitor the client's oxygen saturation
Report the finding to the healthcare provider as soon as possible
Continue to monitor the fingers until color returns to normal
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Term 3 of 132
A male client complains of pain in his right calf, and the nurse determines that his calf is edematous and deep red.
What intervention has the highest priority?
Encourage the client to walk around to relieve discomfort
Tell the client to remain in bed
Suggest the client elevate the leg to reduce swelling
Apply a warm compress to the affected area
Term 4 of 132
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink without becoming
nauseated and vomiting. Which finding should the nurse report to the
healthcare provider.
Belching
Amber urine
Yellow sclera
Flatulence
Term 5 of 132
A female client who was involved in a motor vehicle collision with a fractured left femur which is immobilized using
a fracture traction splint in preparation for an open reduction internal fixation (ORIF). The nurse determines that
her distal pulses are diminished in the left foot. Which
interventions should the nurse implement? Select all that apply
A. Reorient client to his room
D. Continue to monitor the fingers until color returns to normal
Monitor left leg for pain, pallor, paresthesia, paralysis, pressure. Verify pedal pulses using a doppler pulse device.
Evaluate the application of the splint to the left leg
B. Has his weight changed in the last several days?
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Term 6 of 132
A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied
the client from the postanasthesia unit. Before selecting which medication to administer, which action should the
nurse implement?
Document the client's report of pain in the electronic medical record
Determine which prescription will have the quickest onset of action
Compare the client's pain scale rating with the prescribed dosing
Ask the client to choose which mediation is needed for pain
Term 7 of 132
A client with unstable asthma had an emergent cardiac catheterization. Which complication should the nurse
monitor for in the initial 24 hours after the procedure?
Ventricular dysrhythmia
Vasoconstriction
Hypostatic pneumonia
Thrombus formation
Term 8 of 132
A client who has a history of long-standing back pain treated with methadone (Dolophines), is
admitted to the surgical unit following urological surgery. Which modifications in the plan of care should the nurse make
for this client's pain management during the postoperative period?
Consult with surgeon about increasing methadone in lieu of parenteral opioids.
Use minimal parenteral opioids for surgical pain, in addition to oral methadone
Maintain client's methadone, and medicate surgical pain based on pain rating
Make no changes in the standard pain management for the surgery and hold methadone.
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ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
|ALREADY GRADED
written by
legittdocument
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At Stuvia, you will find the best notes, summaries, flashcards & other study material. Search for your school or uni and find
the study material you need.
www.stuvia.com
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Name: Score:
132 Multiple choice questions
Term 1 of 132
Following surgical repair of the bladder, a female client is being discharged from the hospital to home with an
indwelling urinary catheter. Which instruction is most important for the nurse to
provide to this client?
Avoid coiling the tubing and keep if free of kinks
Cleanse the perineal area with soap and water twice daily
Keep the drainage bag lower than the level of the bladder
Drink 1,000 ml of fluids daily to irrigate catheter
Term 2 of 132
An adult woman with primary Raynaud phenomenon develops pallor and then cyanosis of her
fingers. After warming her hands, the fingers turn red and the client reports a burning sensation. What action should
the nurse take?
Apply a cool compress to the affected fingers for 20 minutes
Secure a pulse oximeter to monitor the client's oxygen saturation
Report the finding to the healthcare provider as soon as possible
Continue to monitor the fingers until color returns to normal
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Term 3 of 132
A male client complains of pain in his right calf, and the nurse determines that his calf is edematous and deep red.
What intervention has the highest priority?
Encourage the client to walk around to relieve discomfort
Tell the client to remain in bed
Suggest the client elevate the leg to reduce swelling
Apply a warm compress to the affected area
Term 4 of 132
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink without becoming
nauseated and vomiting. Which finding should the nurse report to the
healthcare provider.
Belching
Amber urine
Yellow sclera
Flatulence
Term 5 of 132
A female client who was involved in a motor vehicle collision with a fractured left femur which is immobilized using
a fracture traction splint in preparation for an open reduction internal fixation (ORIF). The nurse determines that
her distal pulses are diminished in the left foot. Which
interventions should the nurse implement? Select all that apply
A. Reorient client to his room
D. Continue to monitor the fingers until color returns to normal
Monitor left leg for pain, pallor, paresthesia, paralysis, pressure. Verify pedal pulses using a doppler pulse device.
Evaluate the application of the splint to the left leg
B. Has his weight changed in the last several days?
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Term 6 of 132
A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied
the client from the postanasthesia unit. Before selecting which medication to administer, which action should the
nurse implement?
Document the client's report of pain in the electronic medical record
Determine which prescription will have the quickest onset of action
Compare the client's pain scale rating with the prescribed dosing
Ask the client to choose which mediation is needed for pain
Term 7 of 132
A client with unstable asthma had an emergent cardiac catheterization. Which complication should the nurse
monitor for in the initial 24 hours after the procedure?
Ventricular dysrhythmia
Vasoconstriction
Hypostatic pneumonia
Thrombus formation
Term 8 of 132
A client who has a history of long-standing back pain treated with methadone (Dolophines), is
admitted to the surgical unit following urological surgery. Which modifications in the plan of care should the nurse make
for this client's pain management during the postoperative period?
Consult with surgeon about increasing methadone in lieu of parenteral opioids.
Use minimal parenteral opioids for surgical pain, in addition to oral methadone
Maintain client's methadone, and medicate surgical pain based on pain rating
Make no changes in the standard pain management for the surgery and hold methadone.
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