1
NUR 4687 PN HESI Exit V1 Exam 160 Questions and
answers Rated A+ Guaranteed Success Latest update
2025/2026 DOWNLOAD A+
A school-age client with diabetes is placed on an intermediate-acting
insulin and regular insulin before breakfast and before dinner. She will
receive a snack of milk and cereal at bedtime.What does the nurse tell the
client the snack is intended to do?
You Selected:
• Prevent late night hypoglycemia.
Correct response:
• Prevent late night hypoglycemia.
A nurse is preparing to administer an I.V. containing dextrose 10%in ¼
normal saline solution to a 6-month-old infant. The nurse should select
which tubing to safely administer the solution?
You Selected:
• I.V. tubing with a macrodrip chamber
Correct response:
• I.V. tubing with a volume-control chamber
What is the priority nursing intervention in the postictal phase of a seizure?
pg. 1
,2
You Selected:
• Assess the client's breathing pattern.
Correct response:
• Assess the client's breathing pattern.
The fire alarm sounds on the maternal-neonatal unit at 0200. Howcan a
nurse best care for the unit's clients during a fire alarm?
You Selected:
• Immediately evacuate the unit.
Correct response:
• Close all of the doors on the unit.
Which activity should the nurse recommend to the client on aninpatient unit
when thoughts of suicide occur?
You Selected:
• playing a card game with other clients
Correct response:
• talking with the nurse
The nurse is suctioning a client’s tracheostomy. For what reasonduring the
procedure does the nurse complete the above action?
pg. 2
,3
You Selected:
• to lubricate the outside of the suction catheter
Correct response:
• to clear secretions from the tubing
A primiparous client is on a regular diet 24 hours postpartum. Theclient’s
mother asks the nurse if she can bring her daughter some “special foods from
home.” The nurse responds, based on the understanding about which
principle?
You Selected:
• The client’s health care provider (HCP) needs to give
permission for the foods.
Correct response:
• The mother can bring the daughter any foods that she desires.
A parent brings a 5-year-old child to a weekend vaccination clinic toprepare
for school entry. The nurse notes that the child has not had any vaccinations
since 4 months of age. What is the best way for thenurse to determine how
to catch-up the child’s vaccinations?
You Selected:
• Contact the child’s health care provider (HCP) during officehours.
Correct response:
pg. 3
, 4
• Review nationally published immunization guidelines.
A client is admitted to the labor and delivery unit in labor with blood
flowing down her legs. What would be the priority nursingintervention?
You Selected:
• Monitor fetal heart tones.
Correct response:
• Monitor fetal heart tones.
A nurse administers incorrect medication to a client. After assessingthe client,
and completing an incident report, which is
the priority action by the nurse?
You Selected:
• Complete an adverse drug reaction (ADR) report.
Correct response:
Report the incident to risk management
A well-known public official of a small community is admitted tothe
emergency department following an episode of chest pain.
Several nurses from the medical unit are aware of the admission andaccess
the official’s electronic medical record to obtain a status update. What is
the best response for the nurse manager to make to the nurses regarding this
situation?
pg. 4
NUR 4687 PN HESI Exit V1 Exam 160 Questions and
answers Rated A+ Guaranteed Success Latest update
2025/2026 DOWNLOAD A+
A school-age client with diabetes is placed on an intermediate-acting
insulin and regular insulin before breakfast and before dinner. She will
receive a snack of milk and cereal at bedtime.What does the nurse tell the
client the snack is intended to do?
You Selected:
• Prevent late night hypoglycemia.
Correct response:
• Prevent late night hypoglycemia.
A nurse is preparing to administer an I.V. containing dextrose 10%in ¼
normal saline solution to a 6-month-old infant. The nurse should select
which tubing to safely administer the solution?
You Selected:
• I.V. tubing with a macrodrip chamber
Correct response:
• I.V. tubing with a volume-control chamber
What is the priority nursing intervention in the postictal phase of a seizure?
pg. 1
,2
You Selected:
• Assess the client's breathing pattern.
Correct response:
• Assess the client's breathing pattern.
The fire alarm sounds on the maternal-neonatal unit at 0200. Howcan a
nurse best care for the unit's clients during a fire alarm?
You Selected:
• Immediately evacuate the unit.
Correct response:
• Close all of the doors on the unit.
Which activity should the nurse recommend to the client on aninpatient unit
when thoughts of suicide occur?
You Selected:
• playing a card game with other clients
Correct response:
• talking with the nurse
The nurse is suctioning a client’s tracheostomy. For what reasonduring the
procedure does the nurse complete the above action?
pg. 2
,3
You Selected:
• to lubricate the outside of the suction catheter
Correct response:
• to clear secretions from the tubing
A primiparous client is on a regular diet 24 hours postpartum. Theclient’s
mother asks the nurse if she can bring her daughter some “special foods from
home.” The nurse responds, based on the understanding about which
principle?
You Selected:
• The client’s health care provider (HCP) needs to give
permission for the foods.
Correct response:
• The mother can bring the daughter any foods that she desires.
A parent brings a 5-year-old child to a weekend vaccination clinic toprepare
for school entry. The nurse notes that the child has not had any vaccinations
since 4 months of age. What is the best way for thenurse to determine how
to catch-up the child’s vaccinations?
You Selected:
• Contact the child’s health care provider (HCP) during officehours.
Correct response:
pg. 3
, 4
• Review nationally published immunization guidelines.
A client is admitted to the labor and delivery unit in labor with blood
flowing down her legs. What would be the priority nursingintervention?
You Selected:
• Monitor fetal heart tones.
Correct response:
• Monitor fetal heart tones.
A nurse administers incorrect medication to a client. After assessingthe client,
and completing an incident report, which is
the priority action by the nurse?
You Selected:
• Complete an adverse drug reaction (ADR) report.
Correct response:
Report the incident to risk management
A well-known public official of a small community is admitted tothe
emergency department following an episode of chest pain.
Several nurses from the medical unit are aware of the admission andaccess
the official’s electronic medical record to obtain a status update. What is
the best response for the nurse manager to make to the nurses regarding this
situation?
pg. 4
