HESI Practice Exam Questions With 100%Correct Answer.

A female client with an NG tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the NG tube in the last two hours. What action should the nurse take first? A. Irrigate the NG tub with sterile normal saline. B. Reposition the client on her side. C. Advance the NG tube an extra 5 centimeters. D. Administer an IV antiemetic prescribed PRN. -correct answer Reposition the client on her side. The immediate priority is to determine if the tube is functioning correctly, which would then relieve the clients 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 the client may require antiemetic. After a bout of coughing, what does the nurse need to do regarding the clients NG tube? -correct answer Coughing, vomiting, and suctioning can alter the placement of the NG tube, it can cause it to lift up into the esophagus. You would need to clear the tube with 30mL of air then check the pH to make sure it is in the stomach. A client with chronic kidney disease (CKD) selects scrambled eggs for his breakfast. What action should the nurse take? A. Commend the client for selecting a high biologic protein. B. Remind the client that protein in the diet should be avoided. C. Suggest that the client also select OJ to promote absorption. D. Encourage the client to attend classes on dietary management of CKD. -correct answer Commend the client for selecting a high biologic protein.