BSN 225 HESI FINAL EXAM NEWEST
ACTUAL EXAM 2025 QUESTIONS AND
DETAILED CORRECT ANSWERS
(VERIFIED ANSWERS) | A+ GRADE
The nurse identifies a patient w/ diabetes has been
skipping the prescribed hypoglycemic drugs and is
noncompliant with the diet schedule provided by the
dietician. Which cues suggests peripheral neuropathy in
this patient?
A. thickend toenails
B. decreased temperature sensitivity
C. decreased hair growth on the feet
D. paleness of the skin on limb elevation Correct Answer
B. decreased temperature sensitivity
Rationale: when blood sugar is poorly controlled,
diabetic patients may develop peripheral neuropathy.
Patients w/ neurologic deficits, such as peripheral
neuropathy secondary to diabetes, may not be able to
identify extremes of hot and cold. Thickened toenails,
decreased hair growth on the feet, and paleness of
skin on elevating the limb are signs of vascular
insufficiency. These symptoms are caused when the
circulation to the extremities is compromised.
Which need is a PRIORITY, according to Maslow's
hierarchy of needs, for a patient who is an active
,businessperson who is worried about getting back to work
and is admitted to an acute care area with severe
diarrhea, vomiting, dyspnea, and weakness?
A. safety
B. self-actualization
C. air, water, and nutrition
D. esteem, and self-esteem needs Correct Answer C. Air,
Water, and Nutrition
Rationale: the patient's physiologic needs are priorit:
air, water, and nutrition. The patient needs to have
sufficient air exchange, which may require oxygen
administration. In addition, the patient needs to have
appropriate fluid balance and some nutritional
supplement. Safey and security should be the secon
tier of Masolw's hierarchy of needs. This would
include safety from threats, protection, stability, and
lack of danger. Self-actualization is the recognition
and realization of one's potential growth, health, and
autonomy. Self-esteem or self-worth is the fourth tier
of Maslow's hierarchy of needs.
Doctor's Order: Kanamycin 7.5 mg/kg IM q 12 hr;
Available: Kanamycin 0.35 Gm/mL. How many mL will you
administer for each dose to a 157 lb patient? Round to 1
decimal place. Correct Answer 7.5 mg/Kg x 1 gm/1000mg
x 1mL/0.35gm x 1 kg/2.2lbs x 157 lbs/1 =
1.5 mL
,Doctor's order says; "0.4 L of D5W in NS to infuse over 3
hours." Drip factor: 10 gtt/mL. What is the drop per min
rate? Round to the nearst whole number. Correct Answer
0.4L/3hrs x 1000mL/ 1L x 10 gtts/ 1mL x 1 hr/60min =
22gtt/min
Doctor orders a Lidocaine infusion to be started at
30mcg/kg/min. The patient weighs 298 lbs. You are
supplied w/ a bag of Lidocaine that reads 4 mg/mL. How
many mL/hr will you administer? Round to the nearest
whole number. Correct Answer 30mcg/Kg x 1 g/2.2 lbs x
298 lbs/1 x 1mg/1000 mcg x 1mL/4mg x 1/1min x 60 min/
1hr =
61mL/hr
A client tells the nurse that she enjoys talking with others
and sharing experiences but often falls asleep when
reading. Which teaching strategy would be most effective
w/ this client?
A. role playing
B. group teaching
C. Lecture-discussion
D. Web-based programs Correct Answer B. Group
teaching
Which is the priotrity client teaching strategy when limited
time is available?
A. setting realistic goals that have high priority for the
client
, B. Reffering the clinet to a nurse educator in private
practive for teaching
C. Observing more experienced nurse-teachers to learn
how to teach faster and more efficiently
D. Providing reading materials for the client instead of
discussing information the client needs to learn. Correct
Answer A. Setting realistic goals that have high priority for
the client
a 61 y/o man is undergoing an emergency cardiac
catheterization when the nurse gives his wife a packet of
registration paperwork and asks her to complete the
forms. Which observed actions may indicate a health
literacy issue? Select all that apply.
A. Putting on glasses before beginning the paperwork
B. Asking someone in the waiting area to read the forms to
her "becuase I need to get new glasses-- these just don't
work"
C. Waiting until her daughter arrives to begin the
paperwork so that her daughter can complete the forms
D. Setting the clipboard aside and staring tearfully out the
window
E. Returning the forms only partially filled out, with missing
or inaccurate information. Correct Answer B. Asking
someone in the waiting area to read the forms to her
"becuase I need to get new glasses-- these just don't
work"
C. Waiting until her daughter arrives to begin the
paperwork so that her daughter can complete the forms
E. Returning the forms only partially filled out, with missing
or inaccurate information.
ACTUAL EXAM 2025 QUESTIONS AND
DETAILED CORRECT ANSWERS
(VERIFIED ANSWERS) | A+ GRADE
The nurse identifies a patient w/ diabetes has been
skipping the prescribed hypoglycemic drugs and is
noncompliant with the diet schedule provided by the
dietician. Which cues suggests peripheral neuropathy in
this patient?
A. thickend toenails
B. decreased temperature sensitivity
C. decreased hair growth on the feet
D. paleness of the skin on limb elevation Correct Answer
B. decreased temperature sensitivity
Rationale: when blood sugar is poorly controlled,
diabetic patients may develop peripheral neuropathy.
Patients w/ neurologic deficits, such as peripheral
neuropathy secondary to diabetes, may not be able to
identify extremes of hot and cold. Thickened toenails,
decreased hair growth on the feet, and paleness of
skin on elevating the limb are signs of vascular
insufficiency. These symptoms are caused when the
circulation to the extremities is compromised.
Which need is a PRIORITY, according to Maslow's
hierarchy of needs, for a patient who is an active
,businessperson who is worried about getting back to work
and is admitted to an acute care area with severe
diarrhea, vomiting, dyspnea, and weakness?
A. safety
B. self-actualization
C. air, water, and nutrition
D. esteem, and self-esteem needs Correct Answer C. Air,
Water, and Nutrition
Rationale: the patient's physiologic needs are priorit:
air, water, and nutrition. The patient needs to have
sufficient air exchange, which may require oxygen
administration. In addition, the patient needs to have
appropriate fluid balance and some nutritional
supplement. Safey and security should be the secon
tier of Masolw's hierarchy of needs. This would
include safety from threats, protection, stability, and
lack of danger. Self-actualization is the recognition
and realization of one's potential growth, health, and
autonomy. Self-esteem or self-worth is the fourth tier
of Maslow's hierarchy of needs.
Doctor's Order: Kanamycin 7.5 mg/kg IM q 12 hr;
Available: Kanamycin 0.35 Gm/mL. How many mL will you
administer for each dose to a 157 lb patient? Round to 1
decimal place. Correct Answer 7.5 mg/Kg x 1 gm/1000mg
x 1mL/0.35gm x 1 kg/2.2lbs x 157 lbs/1 =
1.5 mL
,Doctor's order says; "0.4 L of D5W in NS to infuse over 3
hours." Drip factor: 10 gtt/mL. What is the drop per min
rate? Round to the nearst whole number. Correct Answer
0.4L/3hrs x 1000mL/ 1L x 10 gtts/ 1mL x 1 hr/60min =
22gtt/min
Doctor orders a Lidocaine infusion to be started at
30mcg/kg/min. The patient weighs 298 lbs. You are
supplied w/ a bag of Lidocaine that reads 4 mg/mL. How
many mL/hr will you administer? Round to the nearest
whole number. Correct Answer 30mcg/Kg x 1 g/2.2 lbs x
298 lbs/1 x 1mg/1000 mcg x 1mL/4mg x 1/1min x 60 min/
1hr =
61mL/hr
A client tells the nurse that she enjoys talking with others
and sharing experiences but often falls asleep when
reading. Which teaching strategy would be most effective
w/ this client?
A. role playing
B. group teaching
C. Lecture-discussion
D. Web-based programs Correct Answer B. Group
teaching
Which is the priotrity client teaching strategy when limited
time is available?
A. setting realistic goals that have high priority for the
client
, B. Reffering the clinet to a nurse educator in private
practive for teaching
C. Observing more experienced nurse-teachers to learn
how to teach faster and more efficiently
D. Providing reading materials for the client instead of
discussing information the client needs to learn. Correct
Answer A. Setting realistic goals that have high priority for
the client
a 61 y/o man is undergoing an emergency cardiac
catheterization when the nurse gives his wife a packet of
registration paperwork and asks her to complete the
forms. Which observed actions may indicate a health
literacy issue? Select all that apply.
A. Putting on glasses before beginning the paperwork
B. Asking someone in the waiting area to read the forms to
her "becuase I need to get new glasses-- these just don't
work"
C. Waiting until her daughter arrives to begin the
paperwork so that her daughter can complete the forms
D. Setting the clipboard aside and staring tearfully out the
window
E. Returning the forms only partially filled out, with missing
or inaccurate information. Correct Answer B. Asking
someone in the waiting area to read the forms to her
"becuase I need to get new glasses-- these just don't
work"
C. Waiting until her daughter arrives to begin the
paperwork so that her daughter can complete the forms
E. Returning the forms only partially filled out, with missing
or inaccurate information.
