NSG 123 HESI FINAL EXAM NEWEST
2024 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+ 2024-2025
The nurse is teaching a client with glomerulonephritis
about self-care. Which dietary recommendations should
the nurse encourage the client to follow?
A. Increase intake of high-fiber foods, such as bran cereal
B. Restrict protein intake by limiting meats and other high-
protein foods
C. Limit oral fluid intake to 500 ml per day
D. Increase intake of potassium-rich foods such as
bananas or cantaloupe Correct Answer B. Restrict protein
intake by limiting meats and other high-protein foods
An overweight, young adult made who was recently
diagnosed with type 2 diabetes mellitus is admitted for a
hernia repair. He tells the nurse that he is feeling very
weak and jittery. Which actions should the nurse
implement? (Select all that apply.)
A. Check his fingerstick glucose level
B. Assess his skin temperature and moisture
C. Measure his pulse and blood pressure
D. Document anxiety on the surgical checklist
,E. Administer a PRN dose of regular insulin Correct
Answer A. Check his fingerstick glucose level
B. Assess his skin temperature and moisture
C. Measure his pulse and blood pressure
A client with Cushing's syndrome is recovering from an
elective laparoscopic procedure. Which assessment
finding warrants immediate intervention by the nurse?
A. Irregular apical pulse
B. Purple marks on the skin of the abdomen
C. Quarter size blood spot on dressing
D. Pitting ankle edema Correct Answer A. Irregular apical
pulse
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?
A. Apply a cool compress to the affected fingers for 20
minutes
B. Secure a pulse oximeter to monitor the client's oxygen
saturation
C. Report the finding to the healthcare provider as soon as
possible
D. Continue to monitor the fingers until color returns to
normal Correct Answer D. Continue to monitor the fingers
until color returns to normal
,A male client with muscular dystrophy fell in his home and
is admitted with a right hip fracture. His right foot is cool,
with palpable pedal pulses. Lungs are coarse with
diminished bibasilar breath sounds. Vital signs are
temperature 101F, heart rate 128 beats/minute,
respirations 28 breaths/minute, and blood pressure
122/82. Which intervention is most important for the nurse
to implement first?
A. Obtain oxygen saturation level
B. Encourage incentive spirometry
C. Assess lower extremity circulation
D. Administer PRN oral antipyretic Correct Answer D.
Administer PRN oral antipyretic
The nurse is completing the preoperative assessment of a
client who is scheduled for a laparoscopic
cholecystectomy under general anesthesia. Which finding
warrants notification of the healthcare provider prior to
proceeding with the scheduled procedure?
A. Light yellow coloring of the client's skin and eyes
B. The client's blood pressure reading is 184/88 mm Hg.
C. The client vomits 20 ml of clear yellowish fluid
D. The IV insertion site is red, swollen, and leaking IV fluid
Correct Answer B. The client's blood pressure reading is
184/88 mm Hg
A client who has a history of hypothyroidism was initially
admitted with lethargy and confusion. Which additional
finding warrants the most immediate action by the nurse?
, A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
C. Cold and dry skin
D. Further decline in level of consciousness Correct
Answer D. Further decline in level of consciousness
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?
A. Avoid coiling the tubing and keep if free of kinks
B. Cleanse the perineal area with soap and water twice
daily
C. Keep the drainage bag lower than the level of the
bladder
D. Drink 1,000 ml of fluids daily to irrigate catheter Correct
Answer C. Keep the drainage bag lower than the level of
the bladder
Which client has the highest risk for developing skin
cancer?
A. A 16-year old dark-skinned female who tans in tanning
beds once a week
B. A 65 year-old fair-skinned male who is a construction
worker
C. A 25 year-old dark-skinned male whose mother had
skin cancer
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