NGN PN HESI EXAM QUESTIONS AND ANSWERS
GRADED A+ ASSURED SUCCESS NEW UPDATE
2025/2026 (MULTIPLE CHOICES) WITH RATIONALES.
TEST
A nurse is caring for a client who is taking lithium and reports persistent nausea
and vomiting for 2 days. Which of the following laboratory values should the
nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - ...(ANSWERS)....D. Sodium 132 mEq/L
Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within the
expected reference range of 136 to 145 mEq/L. This finding indicates
hyponatremia, which can lead to lithium accumulation and places the client at risk
for lithium toxicity. The nurse should report this finding to the provider.
A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm3.
Which of the following
actions should the nurse take?
,a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products. - ...(ANSWERS)....A.
Cleanse the client's toothbrush with hydrogen peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low
WBC count can be caused by cancer or cancer treatment. The nurse should
instruct the client to cleanse their toothbrush with hydrogen peroxide. People
with leukemia or leukopenia should avoid using disposable razors, which can
cause cuts and bleeding that can lead to infections. Instead, they recommend
using an electric razor to reduce the risk of injury. Encouraging the client to eat
unpasteurized dairy products is not recommended as they can contain harmful
bacteria that can cause infections. Decreasing the client's protein intake is not
recommended as protein is important for wound healing and immune function
TEST
A nurse enters a client's room and sees smoke coming from the bathroom. Which
of the following actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
,c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. - ...(ANSWERS)....C. Assist the client to a nearby common area.
Rationale:
use
Rescue
Alarm
Contain
Extinguish
TEST
A nurse is contributing to the plan of care for a client who reports difficulty eating
due to chronic arthritis. Which of the following interventions should the nurse
include in the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet. - ...(ANSWERS)....A. Apply
foam handles to the client's eating utensils.
, Rationale:
To help a client with chronic arthritis who experiences difficulty eating, applying
foam handles to the eating utensils can provide a larger, more comfortable grip
and reduce strain on the joints. Asking for a puree diet may not be necessary
unless swallowing difficulties are present. Having an assistive personnel feed the
client may not promote independence. While obtaining a referral for physical
therapy may be beneficial for overall mobility, it does not directly address the
client's difficulty with eating.
A nurse is providing directions to an assistive personnel about moving a client up
in bed.
a. "Place a pillow under the client's head prior to repositioning."
b. "Keep your feet close together while moving the client"
c "Face in the direction of the client's movement"
d. "Move the client's arms to his sides prior to repositioning." - ...(ANSWERS)....C.
"Face in the direction of the client's movement."
Rational:
When moving a client up in bed, it is important for the nurse to face in the
direction of the client's movement to maintain proper body mechanics and
ensure safe transfer.
GRADED A+ ASSURED SUCCESS NEW UPDATE
2025/2026 (MULTIPLE CHOICES) WITH RATIONALES.
TEST
A nurse is caring for a client who is taking lithium and reports persistent nausea
and vomiting for 2 days. Which of the following laboratory values should the
nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - ...(ANSWERS)....D. Sodium 132 mEq/L
Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within the
expected reference range of 136 to 145 mEq/L. This finding indicates
hyponatremia, which can lead to lithium accumulation and places the client at risk
for lithium toxicity. The nurse should report this finding to the provider.
A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm3.
Which of the following
actions should the nurse take?
,a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products. - ...(ANSWERS)....A.
Cleanse the client's toothbrush with hydrogen peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low
WBC count can be caused by cancer or cancer treatment. The nurse should
instruct the client to cleanse their toothbrush with hydrogen peroxide. People
with leukemia or leukopenia should avoid using disposable razors, which can
cause cuts and bleeding that can lead to infections. Instead, they recommend
using an electric razor to reduce the risk of injury. Encouraging the client to eat
unpasteurized dairy products is not recommended as they can contain harmful
bacteria that can cause infections. Decreasing the client's protein intake is not
recommended as protein is important for wound healing and immune function
TEST
A nurse enters a client's room and sees smoke coming from the bathroom. Which
of the following actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
,c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. - ...(ANSWERS)....C. Assist the client to a nearby common area.
Rationale:
use
Rescue
Alarm
Contain
Extinguish
TEST
A nurse is contributing to the plan of care for a client who reports difficulty eating
due to chronic arthritis. Which of the following interventions should the nurse
include in the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet. - ...(ANSWERS)....A. Apply
foam handles to the client's eating utensils.
, Rationale:
To help a client with chronic arthritis who experiences difficulty eating, applying
foam handles to the eating utensils can provide a larger, more comfortable grip
and reduce strain on the joints. Asking for a puree diet may not be necessary
unless swallowing difficulties are present. Having an assistive personnel feed the
client may not promote independence. While obtaining a referral for physical
therapy may be beneficial for overall mobility, it does not directly address the
client's difficulty with eating.
A nurse is providing directions to an assistive personnel about moving a client up
in bed.
a. "Place a pillow under the client's head prior to repositioning."
b. "Keep your feet close together while moving the client"
c "Face in the direction of the client's movement"
d. "Move the client's arms to his sides prior to repositioning." - ...(ANSWERS)....C.
"Face in the direction of the client's movement."
Rational:
When moving a client up in bed, it is important for the nurse to face in the
direction of the client's movement to maintain proper body mechanics and
ensure safe transfer.
