HESI NSG 123 EXAM 2024/2025 TEST BANK
COMPLETE 200 REAL EXAM QUESTIONS
WITH 100% CORRECT VERIFIED ANSWERS/
GRADED A+
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract
infection (UTI). Prescriptions for intravenous antibiotics and an insulin infusion
are initiated. Which serum laboratory value warrants the most immediate
intervention by the nurse?
A. Glucose of 350 mg/dl
B. White blood cell count of 15, 000 mm3
C. Blood PH of 7.30
D. Potassium of 2.5 mEq/L - Correct Answer - D. Potassium of 2.5 mEq/L
A client with acute renal injury (AKI) who weighs 50 kg and has potassium level of
6.7 mEq/L (6.7 mmol/l) is admitted to the hospital. Which prescribed medication
should the nurse administer first
A. Sevelamer (RenaGel) one tablet PO.
B. Epoetin alfa, recombinant (Epogen) 2, 500 units SUBQ
C. Sodium polystyrene (Kayexalate) 15 grams PO
D. Calcium acetate (Phos-Lo) one tablet PO - Correct Answer - C. Sodium polystyrene
(Kayexalate) 15 grams PO
Two days after a nephrectomy, the client reports abdominal pressure and nausea,
which assessment should the nurse implement?
pg. 1
,A. Palpate the abdomen
B. Measure hourly urine output
C. Ambulate client in hallway
D. Auscultate bowels sounds. - Correct Answer - D. Auscultate bowels sounds.
An older female client with long term type 2 diabetes mellitus (DM) is seen in the
clinic for a routine health assessment. To determine if the client is experiencing
any long-term complication of DM, which assessments should the nurse obtain?
(select all that apply)
A. Serum creatinine and blood urea nitrogen (BUN)
B. Sensation in feet and legs
C. Skin condition of lower extremities
D. Visual acuity
E Signs of respiratory tract infection - Correct Answer - A. Serum creatinine and blood
urea nitrogen (BUN)
B. Sensation in feet and legs
C. Skin condition of lower extremities
D. Visual acuity
A hospitalized client with chemotherapy-induced stomatitis complains of mouth
pain. What is the best initial nursing action?
A. Encourage frequent mouth care
B. Cleanse the tongue and mouth with glycerin swabs
C. Obtain a soft diet for the client
D. Administer a topical analgesic per PRN protocol. - Correct Answer - D. Administer a
topical analgesic per PRN protocol.
pg. 2
,The nurse is preparing a client for discharge who recently diagnosed with
Addison's disease. Which instruction is most important for the nurse to include in
the client's discharge teaching plan?
A. Use a walker when weakness occurs
B. Avoid extreme environmental temperatures
C. Increase daily intake of sodium in diet
D. Take prescribed cortisone accurately - Correct Answer - C. Increase daily intake of
sodium in diet
To reduce the risk for pulmonary complication for a client with Amyotrophic
Lateral Sclerosis (ALS), what interventions should the nurse implement? (Select
all that apply)
A. Initiate passive range of motion exercises
B. Establish a regular bladder routine
C. Teach the client breathing exercises
D. Perform chest physiotherapy
E. Encourage use of incentive spirometer - Correct Answer - C. Teach the client
breathing exercises
D. Perform chest physiotherapy
E. Encourage use of incentive spirometer
A male client who reports feeling chronically fatigued has a hemoglobin of 11.0
grams/dl (110mmol/L), hematocrit of 34%, and microcytic and hypochromic red
blood cells (RBCs). Based on these findings, which dinner selection should the
nurse suggest to the client?
A. Cheese pasta and a lettuce and tomato salad
B. Beef steak with steamed broccoli and orange slices
C. Broiled white fish with a baked sweet potato
D. Grilled shrimp and season rice with asparagus salad - Correct Answer - B. Beef
steak with steamed broccoli and orange slices
pg. 3
, A client who suffered an electrical injury with the entrance site on the left hand
and the exit site on the left foot is admitted to the burn unit. Which intervention is
most important for the nurse to include in this client plan of care?
A. Continuous cardiac monitoring
B. Perform passive range of motion
C. Evaluate level of consciousness
D. Assess lung sounds q4 hours. - Correct Answer - A. Continuous cardiac monitoring
An adult female with multiple sclerosis (MS) fells while walking to the bathroom.
On transfer to the intensive care unit, she is confused and has had projectile
vomiting twice. Which intervention should the nurse implement first?
A. Determine clients last dose of corticosteroids
B. Determine neurological baseline prior to the fall
C. Administer a PRN IV antiemetic as prescribed
D. Complete head to toe neurological assessment. - Correct Answer - D. Complete
head to toe neurological assessment.
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?
A. Consult with surgeon about increasing methadone in lieu of parenteral opioids.
B. Use minimal parenteral opioids for surgical pain, in addition to oral methadone
C. Maintain client's methadone, and medicate surgical pain based on pain rating
D. Make no changes in the standard pain management for the surgery and hold
methadone. - Correct Answer - C. Maintain client's methadone, and medicate surgical
pain based on pain rating
pg. 4
COMPLETE 200 REAL EXAM QUESTIONS
WITH 100% CORRECT VERIFIED ANSWERS/
GRADED A+
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract
infection (UTI). Prescriptions for intravenous antibiotics and an insulin infusion
are initiated. Which serum laboratory value warrants the most immediate
intervention by the nurse?
A. Glucose of 350 mg/dl
B. White blood cell count of 15, 000 mm3
C. Blood PH of 7.30
D. Potassium of 2.5 mEq/L - Correct Answer - D. Potassium of 2.5 mEq/L
A client with acute renal injury (AKI) who weighs 50 kg and has potassium level of
6.7 mEq/L (6.7 mmol/l) is admitted to the hospital. Which prescribed medication
should the nurse administer first
A. Sevelamer (RenaGel) one tablet PO.
B. Epoetin alfa, recombinant (Epogen) 2, 500 units SUBQ
C. Sodium polystyrene (Kayexalate) 15 grams PO
D. Calcium acetate (Phos-Lo) one tablet PO - Correct Answer - C. Sodium polystyrene
(Kayexalate) 15 grams PO
Two days after a nephrectomy, the client reports abdominal pressure and nausea,
which assessment should the nurse implement?
pg. 1
,A. Palpate the abdomen
B. Measure hourly urine output
C. Ambulate client in hallway
D. Auscultate bowels sounds. - Correct Answer - D. Auscultate bowels sounds.
An older female client with long term type 2 diabetes mellitus (DM) is seen in the
clinic for a routine health assessment. To determine if the client is experiencing
any long-term complication of DM, which assessments should the nurse obtain?
(select all that apply)
A. Serum creatinine and blood urea nitrogen (BUN)
B. Sensation in feet and legs
C. Skin condition of lower extremities
D. Visual acuity
E Signs of respiratory tract infection - Correct Answer - A. Serum creatinine and blood
urea nitrogen (BUN)
B. Sensation in feet and legs
C. Skin condition of lower extremities
D. Visual acuity
A hospitalized client with chemotherapy-induced stomatitis complains of mouth
pain. What is the best initial nursing action?
A. Encourage frequent mouth care
B. Cleanse the tongue and mouth with glycerin swabs
C. Obtain a soft diet for the client
D. Administer a topical analgesic per PRN protocol. - Correct Answer - D. Administer a
topical analgesic per PRN protocol.
pg. 2
,The nurse is preparing a client for discharge who recently diagnosed with
Addison's disease. Which instruction is most important for the nurse to include in
the client's discharge teaching plan?
A. Use a walker when weakness occurs
B. Avoid extreme environmental temperatures
C. Increase daily intake of sodium in diet
D. Take prescribed cortisone accurately - Correct Answer - C. Increase daily intake of
sodium in diet
To reduce the risk for pulmonary complication for a client with Amyotrophic
Lateral Sclerosis (ALS), what interventions should the nurse implement? (Select
all that apply)
A. Initiate passive range of motion exercises
B. Establish a regular bladder routine
C. Teach the client breathing exercises
D. Perform chest physiotherapy
E. Encourage use of incentive spirometer - Correct Answer - C. Teach the client
breathing exercises
D. Perform chest physiotherapy
E. Encourage use of incentive spirometer
A male client who reports feeling chronically fatigued has a hemoglobin of 11.0
grams/dl (110mmol/L), hematocrit of 34%, and microcytic and hypochromic red
blood cells (RBCs). Based on these findings, which dinner selection should the
nurse suggest to the client?
A. Cheese pasta and a lettuce and tomato salad
B. Beef steak with steamed broccoli and orange slices
C. Broiled white fish with a baked sweet potato
D. Grilled shrimp and season rice with asparagus salad - Correct Answer - B. Beef
steak with steamed broccoli and orange slices
pg. 3
, A client who suffered an electrical injury with the entrance site on the left hand
and the exit site on the left foot is admitted to the burn unit. Which intervention is
most important for the nurse to include in this client plan of care?
A. Continuous cardiac monitoring
B. Perform passive range of motion
C. Evaluate level of consciousness
D. Assess lung sounds q4 hours. - Correct Answer - A. Continuous cardiac monitoring
An adult female with multiple sclerosis (MS) fells while walking to the bathroom.
On transfer to the intensive care unit, she is confused and has had projectile
vomiting twice. Which intervention should the nurse implement first?
A. Determine clients last dose of corticosteroids
B. Determine neurological baseline prior to the fall
C. Administer a PRN IV antiemetic as prescribed
D. Complete head to toe neurological assessment. - Correct Answer - D. Complete
head to toe neurological assessment.
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?
A. Consult with surgeon about increasing methadone in lieu of parenteral opioids.
B. Use minimal parenteral opioids for surgical pain, in addition to oral methadone
C. Maintain client's methadone, and medicate surgical pain based on pain rating
D. Make no changes in the standard pain management for the surgery and hold
methadone. - Correct Answer - C. Maintain client's methadone, and medicate surgical
pain based on pain rating
pg. 4
