NUR 304 HESI – Study Guide and Exam Review Material
A female client with a nasogastric tube attached to low suction states that she is nauseated. The
nurse assesses that there has been no drainage through the nasogastric tube in the last two
hours. What action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. - correct answer ✔✔B
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours. The
infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to administer
approximately how many drops per minute?
A. 80
B. 8
C. 21
D. 25 - correct answer ✔✔C
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What
question is most important for the nurse to include during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?
C. Do you feel that you are overweight?
D. Will a clear liquid diet be okay after surgery? - correct answer ✔✔B
Which assessment data would provide the most accurate determination of proper placement of
a nasogastric tube?
A. Aspirating gastric contents to assure a pH value of 4 or less.
, B. Hearing air pass in the stomach after injecting air into the tubing.
C. Examining a chest x-ray obtained after the tubing was inserted.
D. Checking the remaining length of tubing to ensure that the correct length was inserted. -
correct answer ✔✔C
When assessing a client with wrist restraints, the nurse observes that the fingers on the right
hand are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - correct answer ✔✔A
The nurse plans to obtain health assessment information from a primary source. Which option
is a primary source for the completion of the health assessment? - correct answer ✔✔client
a young mother of three children complains of increased anxiety during her annual physical
exam. what information should the nurse obtain first - correct answer ✔✔nutritional history
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what rate
should the nurse set the client's intravenous infusion pump?
A. 13 ml/hour.
B. 63 ml/hour.
C. 80 ml/hour.
D. 125 ml/hour. - correct answer ✔✔B
The nurse notices that the mother a 9-year-old Vietnamese child always looks at the floor when
she talks to the nurse. What action should the nurse take?
A. Talk directly to the child instead of the mother.
A female client with a nasogastric tube attached to low suction states that she is nauseated. The
nurse assesses that there has been no drainage through the nasogastric tube in the last two
hours. What action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. - correct answer ✔✔B
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours. The
infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to administer
approximately how many drops per minute?
A. 80
B. 8
C. 21
D. 25 - correct answer ✔✔C
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What
question is most important for the nurse to include during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?
C. Do you feel that you are overweight?
D. Will a clear liquid diet be okay after surgery? - correct answer ✔✔B
Which assessment data would provide the most accurate determination of proper placement of
a nasogastric tube?
A. Aspirating gastric contents to assure a pH value of 4 or less.
, B. Hearing air pass in the stomach after injecting air into the tubing.
C. Examining a chest x-ray obtained after the tubing was inserted.
D. Checking the remaining length of tubing to ensure that the correct length was inserted. -
correct answer ✔✔C
When assessing a client with wrist restraints, the nurse observes that the fingers on the right
hand are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - correct answer ✔✔A
The nurse plans to obtain health assessment information from a primary source. Which option
is a primary source for the completion of the health assessment? - correct answer ✔✔client
a young mother of three children complains of increased anxiety during her annual physical
exam. what information should the nurse obtain first - correct answer ✔✔nutritional history
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what rate
should the nurse set the client's intravenous infusion pump?
A. 13 ml/hour.
B. 63 ml/hour.
C. 80 ml/hour.
D. 125 ml/hour. - correct answer ✔✔B
The nurse notices that the mother a 9-year-old Vietnamese child always looks at the floor when
she talks to the nurse. What action should the nurse take?
A. Talk directly to the child instead of the mother.
