HESI NSG 123 EXAM / NSG 123 HESI FINAL EXAM
2024-2025 COMPLETE ACTUAL TEST QUESTIONS
AND CORRECT DETAILED ANSWERS (CORRECT
VERIFIED ANSWERS) A NEW UPDATED VERSION
|GUARANTEED PASS A+
A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with thickened tenacious
mucous, and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important for the
nurse to instruct the client about self-care?
A. Increase the daily intake of oral fluids to liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects of mediations occur
D. Teach anxiety reduction methods for feelings of suffocation -
Answer-A. Increase the daily intake of oral fluids to liquefy secretions
A cardiac catherterization of a client with heart disease indicates the
following blockages: 95% proximal left anterior descending (LAD), 99%
proximal circumflex, and ? % proximal right coronary artery (RCA). The
client later asks the nurse "what does all this mean for me?" What
information should the nurse provide?
A. Blood supply to the heart is diminished by artherosclerotic lesions,
which necessitate lifestyle changes.
,B. Blood vessels supplying the pumping chamber have blockages
indicating a past heart attack.
C. Three main arteries have major blockages, with only 1 to 5% of blood
flow getting through to the heart muscle.
D. The heart is not receiving enough blood, so there is a risk of heart
failure and fluid retention. - Answer-C. Three main arteries have major
blockages, with only 1 to 5% of blood flow getting through to the heart
muscle.
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80
units/kg. The heparin is available in a 2 ml vial, labeled 10,000 units/ml.
How many ml should the nurse administer? (Enter numeric value only.
If rounding is required, round to the nearest tenth.) - Answer-0.6 ml
What information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck alignment.
B. Adjust food intake to three full meals per day and no snacks.
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid participation in any aerobic exercise programs - Answer-C.
Minimize symptoms by wearing loose, comfortable clothing
The nurse is caring for a client with a lower left lobe pulmonary abscess.
Which position should the nurse instruct the client to maintain?
,A. left lateral
B. Supine, knees flexed
C. Dorsal recumbent
D. Knee-chest - Answer-A. left lateral
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.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - Answer-C. Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the
nurse performs a neurological assessment every four hours. Which
assessment finding warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
, D. Asymmetrical weakness - Answer-C. Weakened cough effort
The nurse is providing preoperative education for a Jewish client
scheduled to receive a xenograft graft to promote burn healing. Which
information should the nurse provide this client?
A. Grafting increases the risk for bacterial infections
B. The xenograft is taken from nonhuman sources
C. Grafts are later removed by a debriding procedure
D. As the burn heals, the graft permanently attaches - Answer-B. The
xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and
requesting assistance to reposition. While the nurse is turning him, the
wound dehiscences and eviscerates. The nurse moistens an available
sterile dressing and places it over the wound. What intervention should
the nurse implement next?
A. Bring additional sterile dressing supplies to the room
B. Prepare the client to return to the operating room
C. Obtain a sample of the drainage to send to the lab
D. Auscultate the abdomen for bowel sound activity - Answer-B.
Prepare the client to return to the operating room
2024-2025 COMPLETE ACTUAL TEST QUESTIONS
AND CORRECT DETAILED ANSWERS (CORRECT
VERIFIED ANSWERS) A NEW UPDATED VERSION
|GUARANTEED PASS A+
A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with thickened tenacious
mucous, and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important for the
nurse to instruct the client about self-care?
A. Increase the daily intake of oral fluids to liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects of mediations occur
D. Teach anxiety reduction methods for feelings of suffocation -
Answer-A. Increase the daily intake of oral fluids to liquefy secretions
A cardiac catherterization of a client with heart disease indicates the
following blockages: 95% proximal left anterior descending (LAD), 99%
proximal circumflex, and ? % proximal right coronary artery (RCA). The
client later asks the nurse "what does all this mean for me?" What
information should the nurse provide?
A. Blood supply to the heart is diminished by artherosclerotic lesions,
which necessitate lifestyle changes.
,B. Blood vessels supplying the pumping chamber have blockages
indicating a past heart attack.
C. Three main arteries have major blockages, with only 1 to 5% of blood
flow getting through to the heart muscle.
D. The heart is not receiving enough blood, so there is a risk of heart
failure and fluid retention. - Answer-C. Three main arteries have major
blockages, with only 1 to 5% of blood flow getting through to the heart
muscle.
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80
units/kg. The heparin is available in a 2 ml vial, labeled 10,000 units/ml.
How many ml should the nurse administer? (Enter numeric value only.
If rounding is required, round to the nearest tenth.) - Answer-0.6 ml
What information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck alignment.
B. Adjust food intake to three full meals per day and no snacks.
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid participation in any aerobic exercise programs - Answer-C.
Minimize symptoms by wearing loose, comfortable clothing
The nurse is caring for a client with a lower left lobe pulmonary abscess.
Which position should the nurse instruct the client to maintain?
,A. left lateral
B. Supine, knees flexed
C. Dorsal recumbent
D. Knee-chest - Answer-A. left lateral
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.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - Answer-C. Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the
nurse performs a neurological assessment every four hours. Which
assessment finding warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
, D. Asymmetrical weakness - Answer-C. Weakened cough effort
The nurse is providing preoperative education for a Jewish client
scheduled to receive a xenograft graft to promote burn healing. Which
information should the nurse provide this client?
A. Grafting increases the risk for bacterial infections
B. The xenograft is taken from nonhuman sources
C. Grafts are later removed by a debriding procedure
D. As the burn heals, the graft permanently attaches - Answer-B. The
xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and
requesting assistance to reposition. While the nurse is turning him, the
wound dehiscences and eviscerates. The nurse moistens an available
sterile dressing and places it over the wound. What intervention should
the nurse implement next?
A. Bring additional sterile dressing supplies to the room
B. Prepare the client to return to the operating room
C. Obtain a sample of the drainage to send to the lab
D. Auscultate the abdomen for bowel sound activity - Answer-B.
Prepare the client to return to the operating room
