DANC 2325 HESI NURSING VERSION UPDATED ACTUAL EXAM QUESTIONS CORRECT
ANSWERS GRADED A PLUS
Question:
● The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans to administer the solution at a
rate of 5 mcg/kg/min to a client weighting 182 lbs. Using a drip factor of 60 gtt/mL, how many
drops per minute should the client receive?
Answer:
124 gtt/min
Question:
● The healthcare provider prescribes an IV infusion of 1000 ml of Ringer's Lactate w/ 30 units of
Pitocin to run in over 4 hours for a client who has just delivered a 10 pound infant by cesarean
section. The tubing has been changed to a 20 gtt/ml administration set. The nurse plans to set the
flow rate at how many gtt/min?
Answer:
83 gtt/min
Question:
● Which assessment data provides the most accurate determination of proper placement of a
nasogastric tube?
Answer:
Examining a chest x-ray obtained after the tubing was inserted
Question:
● Three days following a surgery, a male client observes his colostomy for the first time. He
becomes quite upset and tells the nurse that it is much bigger than he expected. What is the best
response by the nurse? A. Reassure the client that he will become accustomed to the stoma
,appearance in time. B. Instruct the client that the stoma will become much smaller when the initial
swelling diminishes. C. Offer to contact a member of the local ostomy support group to help him
with his concerns. D. Encourage the client to handle the stoma equipment to gain confidence with
the procedure.
Answer:
B. Instruct the client that the stoma will become smaller when the initial swelling diminishes
(Postoperative swelling causes enlargement of the stoma. The nurse can teach the client that the
stoma will become smaller when swelling is diminished (B). This will help reduce the client's
anxiety and promote acceptance of the colostomy. (A) does not provide helpful teaching or support.
(C) is a useful action, and may be taken after the nurse provides pertinent teaching. The client is not
yet demonstrating readiness to learn colostomy care. (D)
Question:
● 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.
Answer:
B. Reposition the client on her side. (The immediate priority is to determine if the tube is
functioning correctly, which would then relieve the client's nausea. The least invasive intervention
(B) should be attempted first, followed by (A and C), unless either of these interventions is
contraindicated. If these measures are unsuccessful, the client may require an antiemetic (D))
Question:
● A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago,
but feels fine now. What action is best for the nurse to take? A. Record the coughing incident. No
further action is required at this time. B. Stop the feeding, explain to the family why it is being
stopped, and notify the HCP. C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube. D. Inject 30 ml of air into the tube while auscultating the epigastrium for
gurgling.
Answer:
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
, Question:
● A male client tells the nurse that he does not know where he is or what year it is. What data
should the nurse document that is most accurate? A. demonstrates loss of remote memory B.
exhibits expressive dysphasia C. has a diminished attention span D. is disoriented to place and time
Answer:
D. is disoriented to place and time (The client is exhibiting disorientation (D). (A) refers to memory
of the distant past. The client is able to express himself without difficulty (B), and does not
demonstrate diminished attention span. (C).
Question:
● A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. What
action should the nurse take? A. Commend the client for selecting a high biologic value protein. B.
Remind the client that protein in the diet should be avoided. C. Suggest that the client also select
orange juice, to promote absorption. D. Encourage the client to attend classes on dietary
management of CKD.
Answer:
A. Commend the client for selecting a high biologic value protein. (Foods such as eggs and milk (A)
are high biologic proteins which are allowed because they are complete proteins and supply the
essential amino acids that are necessary for growth and cell repair. Orange juice is rich in potassium
and should not be encouraged. The client has made a good diet choice so (D) is not necessary.) ●
When assisting an 82 year old client to ambulate, it is important for the nurse to realize that the
center of gravity for an elderly person is the-
Question:
Answer:
Upper torso (The center of gravity for adults is the hips. However, as the person grows older, a
stooped posture is common because of the changes from osteoporosis and normal bone
degeneration, and the knees, hips, and elbows flex. This stooped posture results in the upper torso
becoming the center of gravity for older persons.)
ANSWERS GRADED A PLUS
Question:
● The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans to administer the solution at a
rate of 5 mcg/kg/min to a client weighting 182 lbs. Using a drip factor of 60 gtt/mL, how many
drops per minute should the client receive?
Answer:
124 gtt/min
Question:
● The healthcare provider prescribes an IV infusion of 1000 ml of Ringer's Lactate w/ 30 units of
Pitocin to run in over 4 hours for a client who has just delivered a 10 pound infant by cesarean
section. The tubing has been changed to a 20 gtt/ml administration set. The nurse plans to set the
flow rate at how many gtt/min?
Answer:
83 gtt/min
Question:
● Which assessment data provides the most accurate determination of proper placement of a
nasogastric tube?
Answer:
Examining a chest x-ray obtained after the tubing was inserted
Question:
● Three days following a surgery, a male client observes his colostomy for the first time. He
becomes quite upset and tells the nurse that it is much bigger than he expected. What is the best
response by the nurse? A. Reassure the client that he will become accustomed to the stoma
,appearance in time. B. Instruct the client that the stoma will become much smaller when the initial
swelling diminishes. C. Offer to contact a member of the local ostomy support group to help him
with his concerns. D. Encourage the client to handle the stoma equipment to gain confidence with
the procedure.
Answer:
B. Instruct the client that the stoma will become smaller when the initial swelling diminishes
(Postoperative swelling causes enlargement of the stoma. The nurse can teach the client that the
stoma will become smaller when swelling is diminished (B). This will help reduce the client's
anxiety and promote acceptance of the colostomy. (A) does not provide helpful teaching or support.
(C) is a useful action, and may be taken after the nurse provides pertinent teaching. The client is not
yet demonstrating readiness to learn colostomy care. (D)
Question:
● 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.
Answer:
B. Reposition the client on her side. (The immediate priority is to determine if the tube is
functioning correctly, which would then relieve the client's nausea. The least invasive intervention
(B) should be attempted first, followed by (A and C), unless either of these interventions is
contraindicated. If these measures are unsuccessful, the client may require an antiemetic (D))
Question:
● A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago,
but feels fine now. What action is best for the nurse to take? A. Record the coughing incident. No
further action is required at this time. B. Stop the feeding, explain to the family why it is being
stopped, and notify the HCP. C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube. D. Inject 30 ml of air into the tube while auscultating the epigastrium for
gurgling.
Answer:
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
, Question:
● A male client tells the nurse that he does not know where he is or what year it is. What data
should the nurse document that is most accurate? A. demonstrates loss of remote memory B.
exhibits expressive dysphasia C. has a diminished attention span D. is disoriented to place and time
Answer:
D. is disoriented to place and time (The client is exhibiting disorientation (D). (A) refers to memory
of the distant past. The client is able to express himself without difficulty (B), and does not
demonstrate diminished attention span. (C).
Question:
● A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. What
action should the nurse take? A. Commend the client for selecting a high biologic value protein. B.
Remind the client that protein in the diet should be avoided. C. Suggest that the client also select
orange juice, to promote absorption. D. Encourage the client to attend classes on dietary
management of CKD.
Answer:
A. Commend the client for selecting a high biologic value protein. (Foods such as eggs and milk (A)
are high biologic proteins which are allowed because they are complete proteins and supply the
essential amino acids that are necessary for growth and cell repair. Orange juice is rich in potassium
and should not be encouraged. The client has made a good diet choice so (D) is not necessary.) ●
When assisting an 82 year old client to ambulate, it is important for the nurse to realize that the
center of gravity for an elderly person is the-
Question:
Answer:
Upper torso (The center of gravity for adults is the hips. However, as the person grows older, a
stooped posture is common because of the changes from osteoporosis and normal bone
degeneration, and the knees, hips, and elbows flex. This stooped posture results in the upper torso
becoming the center of gravity for older persons.)
