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NURS 310 HESI NEWEST 2026 ACTUAL EXAM TEST
BANK| HESI NURS310 EXAM REVIEW WITH
COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)
Prior to administering a newly prescribed medication to a client, the
nurse reviews the adverse effects of the medication listed in a drug
reference guide and determines the priority risks to the client. While
performing this action, the nurse is engaged in which step of the nursing
process?
a) Assessment.
b) Analysis.
c) Implementation.
d) Evaluation. - Correct Answer - Analysis.
The nurse is analyzing (B) data to establish an individualized nursing
diagnosis, such as, "Risk for injury related to side effects of drugs." This
analysis is based on assessment (A) and guides the planning and
implementation (C) of care, such as the decision to monitor the client
frequently. (D) provides the nurse with information about the
effectiveness of the plan of care.
The nurse is discussing dietary preferences with a client who adheres to
a vegan diet. Which dietary supplement should the nurse encourage the
client to include in the dietary plan?
a) Fiber.
b) Folate.
c) Ascorbic acid.
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d) Vitamin B12. - Correct Answer - Vitamin B12.
Vitamin B12 is normally found in liver, kidney, meat, fish and dairy
products. A vegan who consumes only vegetables without careful dietary
planning and supplementation may develop peripheral neuropathy due to
a deficiency in vitamin B12 (D). (A, B, and C) are commonly adequate
in vegetables and fruits.
A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test indicates
the client's protein status for the longest length of time?
a) Transferrin.
b) Prealbumin.
c) Serum albumin.
d) Urine urea nitrogen. - Correct Answer - Serum albumin.
Serum albumin has a long half-life and is the best long-term indicator of
the body's entry into a catabolic state following protein depletion from
malnutrition or stress of chronic illness (C). While (A) is a good
indicator of iron-binding capacity in a healthy adult, it is an unreliable
measure in the client with a chronic illness. (B) has a short half-life, and
is a sensitive indicator of recent catabolic changes, but it is not as
effective as (C) in indicating long-term protein depletion. While (D) is a
good indicator of a negative nitrogen balance, it is not as good an
indicator of long-term protein catabolism as is (C).
A male client with venous incompetence stands up and his blood
pressure subsequently drops. Which finding should the nurse identify as
a compensatory response?
a) Bradycardia.
b) Increase in pulse rate.
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c) Peripheral vasodilation.
d) Increase in cardiac output. - Correct Answer - Increase in pulse rate.
The nurse is preparing to irrigate a client's indwelling urinary catheter
using an open technique. What action should the nurse take after
applying gloves?
a) Empty the client's urinary drainage bag.
b) Draw up the irrigating solution into the syringe.
c) Secure the client's catheter to the drainage tubing.
d) Use aseptic technique to instill the irrigating solution. - Correct
Answer - Draw up the irrigating solution into the syringe.
To irrigate an indwelling urinary catheter, the nurse should first apply
gloves, then draw up the irrigating solution into the syringe (B). The
syringe is then attached to the catheter and the fluid instilled, using
aseptic technique (D). Once the irrigating solution is instilled, the client's
catheter should be secured to the drainage tubing (C). The urinary
drainage bag can be emptied (A) whenever intake and output
measurement is indicated, and the instilled irrigating fluid can be
subtracted from the output at that time.
A medication is prescribed to be given QID. What schedule should the
nurse use to administer this prescription?
a) 0800, 1200, 1600, 2000.
b) 0800.
c) Every other day at 0800.
d) 0800, 1200, 1600, 2000, 0000, 0400. - Correct Answer - (A) 0800,
1200, 1600, 2000.
provides the best schedule, because QID means four times per day.
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A client who has moderate, persistent, chronic neuropathic pain due to
diabetic neuropathy takes gabapentin (Neurontin) and ibuprofen
(Motrin, Advil) daily. If Step 2 of the World Health Organization (WHO)
pain relief ladder is prescribed, which drug protocol should be
implemented?
a) Continue gabapentin.
b) Discontinue ibuprofen.
c) Add aspirin to the protocol.
d) Add oral methadone to the protocol. - Correct Answer - Continue
gabapentin.
Based on the WHO pain relief ladder, adjunct medications, such as
gabapentin (Neurontin), an antiseizure medication, may be used at any
step for anxiety and pain management, so (A) should be implemented.
Nonopiod analgesics, such as ibuprofen (A) and aspirin (C) are Step 1
drugs. Step 2 and 3 include opioid narcotics (D), and to maintain
freedom from pain, drugs should be given "around the clock" rather than
by the client's PRN requests.
A female nurse who sometimes tries to save time by putting medications
in her uniform pocket to deliver to clients, confides that after arriving
home she found a hydrocodone (Vicodin) tablet in her pocket. Which
possible outcome of this situation should be the nurse's greatest concern?
a) Accused of diversion.
b) Reported for stealing.
c) Reported for a HIPAA violation.
d) Accused of unprofessional conduct. - Correct Answer - Accused of
diversion.
Even if this is only one incident, the nurse may be suspected of taking
medications on a regular basis and the incident could be interpreted as
diversion (A), or diverting narcotics for her own use, which should be
NURS 310 HESI NEWEST 2026 ACTUAL EXAM TEST
BANK| HESI NURS310 EXAM REVIEW WITH
COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)
Prior to administering a newly prescribed medication to a client, the
nurse reviews the adverse effects of the medication listed in a drug
reference guide and determines the priority risks to the client. While
performing this action, the nurse is engaged in which step of the nursing
process?
a) Assessment.
b) Analysis.
c) Implementation.
d) Evaluation. - Correct Answer - Analysis.
The nurse is analyzing (B) data to establish an individualized nursing
diagnosis, such as, "Risk for injury related to side effects of drugs." This
analysis is based on assessment (A) and guides the planning and
implementation (C) of care, such as the decision to monitor the client
frequently. (D) provides the nurse with information about the
effectiveness of the plan of care.
The nurse is discussing dietary preferences with a client who adheres to
a vegan diet. Which dietary supplement should the nurse encourage the
client to include in the dietary plan?
a) Fiber.
b) Folate.
c) Ascorbic acid.
,2|Page
d) Vitamin B12. - Correct Answer - Vitamin B12.
Vitamin B12 is normally found in liver, kidney, meat, fish and dairy
products. A vegan who consumes only vegetables without careful dietary
planning and supplementation may develop peripheral neuropathy due to
a deficiency in vitamin B12 (D). (A, B, and C) are commonly adequate
in vegetables and fruits.
A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test indicates
the client's protein status for the longest length of time?
a) Transferrin.
b) Prealbumin.
c) Serum albumin.
d) Urine urea nitrogen. - Correct Answer - Serum albumin.
Serum albumin has a long half-life and is the best long-term indicator of
the body's entry into a catabolic state following protein depletion from
malnutrition or stress of chronic illness (C). While (A) is a good
indicator of iron-binding capacity in a healthy adult, it is an unreliable
measure in the client with a chronic illness. (B) has a short half-life, and
is a sensitive indicator of recent catabolic changes, but it is not as
effective as (C) in indicating long-term protein depletion. While (D) is a
good indicator of a negative nitrogen balance, it is not as good an
indicator of long-term protein catabolism as is (C).
A male client with venous incompetence stands up and his blood
pressure subsequently drops. Which finding should the nurse identify as
a compensatory response?
a) Bradycardia.
b) Increase in pulse rate.
,3|Page
c) Peripheral vasodilation.
d) Increase in cardiac output. - Correct Answer - Increase in pulse rate.
The nurse is preparing to irrigate a client's indwelling urinary catheter
using an open technique. What action should the nurse take after
applying gloves?
a) Empty the client's urinary drainage bag.
b) Draw up the irrigating solution into the syringe.
c) Secure the client's catheter to the drainage tubing.
d) Use aseptic technique to instill the irrigating solution. - Correct
Answer - Draw up the irrigating solution into the syringe.
To irrigate an indwelling urinary catheter, the nurse should first apply
gloves, then draw up the irrigating solution into the syringe (B). The
syringe is then attached to the catheter and the fluid instilled, using
aseptic technique (D). Once the irrigating solution is instilled, the client's
catheter should be secured to the drainage tubing (C). The urinary
drainage bag can be emptied (A) whenever intake and output
measurement is indicated, and the instilled irrigating fluid can be
subtracted from the output at that time.
A medication is prescribed to be given QID. What schedule should the
nurse use to administer this prescription?
a) 0800, 1200, 1600, 2000.
b) 0800.
c) Every other day at 0800.
d) 0800, 1200, 1600, 2000, 0000, 0400. - Correct Answer - (A) 0800,
1200, 1600, 2000.
provides the best schedule, because QID means four times per day.
, 4|Page
A client who has moderate, persistent, chronic neuropathic pain due to
diabetic neuropathy takes gabapentin (Neurontin) and ibuprofen
(Motrin, Advil) daily. If Step 2 of the World Health Organization (WHO)
pain relief ladder is prescribed, which drug protocol should be
implemented?
a) Continue gabapentin.
b) Discontinue ibuprofen.
c) Add aspirin to the protocol.
d) Add oral methadone to the protocol. - Correct Answer - Continue
gabapentin.
Based on the WHO pain relief ladder, adjunct medications, such as
gabapentin (Neurontin), an antiseizure medication, may be used at any
step for anxiety and pain management, so (A) should be implemented.
Nonopiod analgesics, such as ibuprofen (A) and aspirin (C) are Step 1
drugs. Step 2 and 3 include opioid narcotics (D), and to maintain
freedom from pain, drugs should be given "around the clock" rather than
by the client's PRN requests.
A female nurse who sometimes tries to save time by putting medications
in her uniform pocket to deliver to clients, confides that after arriving
home she found a hydrocodone (Vicodin) tablet in her pocket. Which
possible outcome of this situation should be the nurse's greatest concern?
a) Accused of diversion.
b) Reported for stealing.
c) Reported for a HIPAA violation.
d) Accused of unprofessional conduct. - Correct Answer - Accused of
diversion.
Even if this is only one incident, the nurse may be suspected of taking
medications on a regular basis and the incident could be interpreted as
diversion (A), or diverting narcotics for her own use, which should be
