HESI NSG 322 EXAM / LATEST EXAM 2024-2025
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS.
Which snack food is best for the nurse to provide a client with myasthenia gravis who is at risk for altered
nutritional status?
A. Chocolate pudding.
B. Graham crackers.
C. Sugar free gelatin.
D. Apple slices. - ANSWER - A. Chocolate pudding
The client with myasthenia gravis is at high risk for altered nutrition because of fatigue & muscle
weakness resulting in dysphagia. Snacks that are semisolid, such as pudding (A) are easy to swallow &
require minimal chewing effort, & provide calories & protein (C) does not provide any nutritional value,
(B & D) require energy to chew & are more difficult to swallow than pudding.
The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction.
After ensuring correct tube placement, what action should the nurse take next? A.
Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - ANSWER - B. Flush the tube with water
The NGT should be flushed before, after in between each medication administer (B). Once all
medications are administered, the NGT should be clamped for 20 minutes (A). (C & D) may be
implemented only after the tubing has been flushed.
An unlicensed assistive personnel (UAP) places a client in a left lateral position prior to administering a
soap suds enema. Which instruction should the nurse provide the UAP?
pg. 1
, A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist level. - ANSWER - C.
Reposition in a Sim's position with the client's weight on the anterior ilium
The lef t sided Sims' position allows the enema solution to follow the anatomical course of the intestines
and allows the best overall results, so the UAP should reposition the client in the Sim's position, which
distributes the client's weight to the anterior (C). (A) is inaccurate. (B & D) should be implemented once
the client is positioned.
An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of 30 mcg/min prescribed
for a client in premature labor. How many ml/hr should the nurse set the infusion pump? A. 30
B. 60
C. 120
D. 180 - ANSWER - D. 180
(D) is correct calculation: 180 ml/hr = 500 ml/5 mg x 1 mg/1000 mcg x 30 mcg/min x 60 min/hr
Examination of a client complaining of itching on his right arm reveals a rash made up of multiple flat
areas of redness ranging from pinpoint to 0.5 cm in diameter. How should the nurse record this finding?
A. Multiple vesicular areas surrounded by redness, ranging in size from 1 mm to 0.5 cm.
B. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
C. Several areas of red, papular lesions from pinpoint to 0.5 cm in size.
D. Localized petechial areas, ranging in size from pinpoint to 0.5 cm in diameter. - ANSWER - B. Localized
red rash comprised of flat areas, pinpoint to 0.5 cm in diameter
Macules are localized flt skin discolorations less than 1 cm in diameter. However, when recording such a
finding the nurse should describe the appearance (B) rather than simply naming the condition. (A)
indentifies vesicles - fluid filled blisters - an incorrect description given the symptoms listed. (C) identifies
papules - solid elevated lesions, again not correctly identifying the symptoms. (D) identifies petechiae -
pinpoint red to purple skin discolorations that do not itch, again an incorrect identification.
pg. 2
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS.
Which snack food is best for the nurse to provide a client with myasthenia gravis who is at risk for altered
nutritional status?
A. Chocolate pudding.
B. Graham crackers.
C. Sugar free gelatin.
D. Apple slices. - ANSWER - A. Chocolate pudding
The client with myasthenia gravis is at high risk for altered nutrition because of fatigue & muscle
weakness resulting in dysphagia. Snacks that are semisolid, such as pudding (A) are easy to swallow &
require minimal chewing effort, & provide calories & protein (C) does not provide any nutritional value,
(B & D) require energy to chew & are more difficult to swallow than pudding.
The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction.
After ensuring correct tube placement, what action should the nurse take next? A.
Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - ANSWER - B. Flush the tube with water
The NGT should be flushed before, after in between each medication administer (B). Once all
medications are administered, the NGT should be clamped for 20 minutes (A). (C & D) may be
implemented only after the tubing has been flushed.
An unlicensed assistive personnel (UAP) places a client in a left lateral position prior to administering a
soap suds enema. Which instruction should the nurse provide the UAP?
pg. 1
, A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist level. - ANSWER - C.
Reposition in a Sim's position with the client's weight on the anterior ilium
The lef t sided Sims' position allows the enema solution to follow the anatomical course of the intestines
and allows the best overall results, so the UAP should reposition the client in the Sim's position, which
distributes the client's weight to the anterior (C). (A) is inaccurate. (B & D) should be implemented once
the client is positioned.
An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of 30 mcg/min prescribed
for a client in premature labor. How many ml/hr should the nurse set the infusion pump? A. 30
B. 60
C. 120
D. 180 - ANSWER - D. 180
(D) is correct calculation: 180 ml/hr = 500 ml/5 mg x 1 mg/1000 mcg x 30 mcg/min x 60 min/hr
Examination of a client complaining of itching on his right arm reveals a rash made up of multiple flat
areas of redness ranging from pinpoint to 0.5 cm in diameter. How should the nurse record this finding?
A. Multiple vesicular areas surrounded by redness, ranging in size from 1 mm to 0.5 cm.
B. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
C. Several areas of red, papular lesions from pinpoint to 0.5 cm in size.
D. Localized petechial areas, ranging in size from pinpoint to 0.5 cm in diameter. - ANSWER - B. Localized
red rash comprised of flat areas, pinpoint to 0.5 cm in diameter
Macules are localized flt skin discolorations less than 1 cm in diameter. However, when recording such a
finding the nurse should describe the appearance (B) rather than simply naming the condition. (A)
indentifies vesicles - fluid filled blisters - an incorrect description given the symptoms listed. (C) identifies
papules - solid elevated lesions, again not correctly identifying the symptoms. (D) identifies petechiae -
pinpoint red to purple skin discolorations that do not itch, again an incorrect identification.
pg. 2
