BSN 225 HESI Practice Exam ACTUAL
QUESTIONS AND CORRECT ANSWERS
A nurse is preparing to give medications through a nasogastric feeding tube. Which nursing
action should prevent complications during administration?
a.)Mix each medication individually.
b.)Use sterile gloves for the procedure.
c.)Monitor vital signs before giving medications.
d.)Mix all medications together to facilitate administration. - CORRECT ANSWER a.)
Mix each medication individually.
Rationale: When administering medications through a nasogastric feeding tube, the
medications should be mixed separately to prevent clumping.
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
a.) A college-age track runner with a sprained ankle.
b.) A lactating woman nursing her 3-day-old infant.
c.) A school-aged child with Type 2 diabetes.
d.) An elderly man being treated for a peptic ulcer. - CORRECT ANSWER B.) A
lactating woman nursing her 3-day-old infant.
Rationale: A lactating woman has the greatest need for additional protein intake. Orthopedic
injuries, type 2 diabetes, and peptic ulcers are all conditions that require protein, but do not
have the increased metabolic protein demands of lactation.
, A female client with a nasogastric tube attached to low suction states that she is nauseated.
The nurse assesses that there has been no drainage through the nasogastric tube in the last two
hours. Which action should the nurse take first?
A.) Irrigate the nasogastric tube with sterile normal saline.
B.) Reposition the client on her side.
C.) Advance the nasogastric tube an additional five centimeters.
D.) Administer an intravenous antiemetic prescribed for PRN use. - CORRECT
ANSWER b.) Reposition the client on her side.
Rationale: The nurse has identified two things suggesting the the nasogastric tube is not
functioning properly; the client is nauseated and no drainage from the tube in 2 hours. The
immediate priority is to determine if the tube is functioning correctly, which would then
relieve the client's nausea. The least invasive intervention should be attempted first. This
includes repositioning the client to her side. The tube may need to be irrigated or advanced
but these actions should follow repositioning the client.
The nurse notices that the Hispanic parents of a toddler who returns from surgery offer the
child only the broth that comes on the clear liquid tray. Other liquids, including gelatin,
popsicles, and juices, remain untouched. What explanation is most appropriate for this
behavior?
A.) The belief is held that the "evil eye" enters the child if anything cold is ingested.
B.) After surgery the child probably has refused all foods except broth.
C.) Eating broth strengthens the child's innate energy called "chi."
D.) "Hot" remedies restore balance after surgery, which is considered a "cold" condition. -
CORRECT ANSWER d.) "Hot" remedies restore balance after surgery, which is
considered a "cold" condition.
Rationale: Common parental practices and health beliefs among Hispanic, Chinese, Filipino,
and Arab cultures classify diseases, areas of the body, and illnesses as "hot" or "cold" and
must be balanced to maintain health and prevent illness. The perception that surgery is a
QUESTIONS AND CORRECT ANSWERS
A nurse is preparing to give medications through a nasogastric feeding tube. Which nursing
action should prevent complications during administration?
a.)Mix each medication individually.
b.)Use sterile gloves for the procedure.
c.)Monitor vital signs before giving medications.
d.)Mix all medications together to facilitate administration. - CORRECT ANSWER a.)
Mix each medication individually.
Rationale: When administering medications through a nasogastric feeding tube, the
medications should be mixed separately to prevent clumping.
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
a.) A college-age track runner with a sprained ankle.
b.) A lactating woman nursing her 3-day-old infant.
c.) A school-aged child with Type 2 diabetes.
d.) An elderly man being treated for a peptic ulcer. - CORRECT ANSWER B.) A
lactating woman nursing her 3-day-old infant.
Rationale: A lactating woman has the greatest need for additional protein intake. Orthopedic
injuries, type 2 diabetes, and peptic ulcers are all conditions that require protein, but do not
have the increased metabolic protein demands of lactation.
, A female client with a nasogastric tube attached to low suction states that she is nauseated.
The nurse assesses that there has been no drainage through the nasogastric tube in the last two
hours. Which action should the nurse take first?
A.) Irrigate the nasogastric tube with sterile normal saline.
B.) Reposition the client on her side.
C.) Advance the nasogastric tube an additional five centimeters.
D.) Administer an intravenous antiemetic prescribed for PRN use. - CORRECT
ANSWER b.) Reposition the client on her side.
Rationale: The nurse has identified two things suggesting the the nasogastric tube is not
functioning properly; the client is nauseated and no drainage from the tube in 2 hours. The
immediate priority is to determine if the tube is functioning correctly, which would then
relieve the client's nausea. The least invasive intervention should be attempted first. This
includes repositioning the client to her side. The tube may need to be irrigated or advanced
but these actions should follow repositioning the client.
The nurse notices that the Hispanic parents of a toddler who returns from surgery offer the
child only the broth that comes on the clear liquid tray. Other liquids, including gelatin,
popsicles, and juices, remain untouched. What explanation is most appropriate for this
behavior?
A.) The belief is held that the "evil eye" enters the child if anything cold is ingested.
B.) After surgery the child probably has refused all foods except broth.
C.) Eating broth strengthens the child's innate energy called "chi."
D.) "Hot" remedies restore balance after surgery, which is considered a "cold" condition. -
CORRECT ANSWER d.) "Hot" remedies restore balance after surgery, which is
considered a "cold" condition.
Rationale: Common parental practices and health beliefs among Hispanic, Chinese, Filipino,
and Arab cultures classify diseases, areas of the body, and illnesses as "hot" or "cold" and
must be balanced to maintain health and prevent illness. The perception that surgery is a
