Nurs 310 HESI ACTUAL EXAM 70 QUESTIONS AND CORRECT
ANSWERS 2025 LATEST UPDATE//ALL YOU NEED TO PASS
NURS 310 EXAM//GRADED A+
A 75-year-old client who has a history of end stage renal failure and advanced lung cancer, recently
had a stroke. Two days ago the healthcare provider discontinued the client's dialysis treatments,
stating that death is inevitable, but the client is disoriented and will not sign a DNR directive. What is
the priority nursing intervention?
Review the client's most recent laboratory reports.
Refer the client and family members for hospice care.
Notify the hospital ethics committee of the client situation.
Determine who is legally empowered to make decisions. - ANSWER-Determine who is legally
empowered to make decisions.
A male client with an infected wound tells the nurse that he follows a macrobiotic diet. Which type
of foods should the nurse recommend that the client select from the hospital menu?
Low fat and low sodium foods.
Combination of plant proteins to provide essential amino acids.
Limited complex carbohydrates and fiber.
Increased amount of vitamin C and beta carotene rich foods. - ANSWER-Combination of plant
proteins to provide essential amino acids.
A client who has moderate, persistent, chronic neuropathic pain due to diabetic neuropathy takes
gabapentin (Neurontin) and ibuprofen (Motrin, Advil) daily. If Step 2 of the World Health
Organization (WHO) pain relief ladder is prescribed, which drug protocol should be implemented?
Continue gabapentin.
Discontinue ibuprofen.
Add aspirin to the protocol.
Add oral methadone to the protocol. - ANSWER-Continue gabapentin.
Based on the WHO pain relief ladder, adjunct medications, such as gabapentin (Neurontin), an
antiseizure medication, may be used at any step for anxiety and pain management, so (A) should be
,implemented. Nonopiod analgesics, such as ibuprofen (A) and aspirin (C) are Step 1 drugs. Step 2 and
3 include opioid narcotics (D), and to maintain freedom from pain, drugs should be given "around
the clock" rather than by the client's PRN requests.
A female nurse who sometimes tries to save time by putting medications in her uniform pocket to
deliver to clients, confides that after arriving home she found a hydrocodone (Vicodin) tablet in her
pocket. Which possible outcome of this situation should be the nurse's greatest concern?
Accused of diversion.
Reported for stealing.
Reported for a HIPAA violation.
Accused of unprofessional conduct. - ANSWER-Accused of diversion.
Even if this is only one incident, the nurse may be suspected of taking medications on a regular basis
and the incident could be interpreted as diversion (A), or diverting narcotics for her own use, which
should be reported to the peer review committee and to the State Board of Nursing. (B, C, and D) are
also of concern, but (A) is the most serious possible outcome.
The nurse encounters resistance when inserting the tubing into a client's rectum for a tap water
enema. What action should the nurse implement?
Withdraw the tube and apply additional lubricant to the tube.
Encourage the client to bear down and continue to insert the tube.
Remove the tube and check the client for a fecal impaction.
Ask the client to relax and run a small amount of fluid into the rectum. - ANSWER-Ask the client to
relax and run a small amount of fluid into the rectum.
If resistance is encountered during the initial insertion of an enema tube, the client should be
instructed to relax while a small amount of solution runs through the tube into the rectum (D) to
promote dilation. (A) is unlikely to resolve the problem. (B) may cause injury. (C) should not be
implemented until other, less invasive actions, such as (D) have been taken.
The nurse removes the dressing on a client's heel that is covering a pressure sore one-inch in
diameter and finds that there is straw-colored drainage seeping from the wound. What description
of this finding should the nurse include in the client's record?
Stage 1 pressure sore draining sero-sanguineous drainage.
Pressure sore at bony prominence with exudate noted.
, One-inch pressure sore draining serous fluid.
Pressure sore on heel with a small amount of purulent drainage. - ANSWER-One-inch pressure
sore draining serous fluid.
A middle-aged woman who enjoys being a teacher and mentor feels that she should pass down her
legacy of knowledge and skills to the younger generation. According to Erikson, she is involved in
what developmental stage?
Generativity.
Ego integrity.
Identification.
Valuing wisdom. - ANSWER-Generativity.
After a client has been premedicated for surgery with an opioid analgesic, the nurse discovers that
the operative permit has not been signed. What action should the nurse implement?
Notify the surgeon that the consent form has not been signed.
Read the conent form to the client before witnessing the client's signature.
Determine if the client's spouse is willing to sign the consent form.
Administer an opioid antagonist prior to obtaining the client's signature. - ANSWER-Notify the
surgeon that the consent form has not been signed
Once a client has been premedicated for surgery with any type of sedative, legal informed consent is
not possible, so the nurse must notify the surgeon (A). (B, C, and D) are not legally viable options for
ensuring informed consent.
When preparing to administer an intravenous medication through a central venous catheter, the
nurse aspirates a blood return in one of the lumens of the triple lumen catheter. Which action should
the nurse implement?
Flush the lumen with the saline solution and administer the medication through the lumen.
Determine if a PRN prescription for a thrombolytic agent is listed on the medication record.
Clamp the lumen and obtain a syringe of a dilute heparin solution to flush through the tubing.
ANSWERS 2025 LATEST UPDATE//ALL YOU NEED TO PASS
NURS 310 EXAM//GRADED A+
A 75-year-old client who has a history of end stage renal failure and advanced lung cancer, recently
had a stroke. Two days ago the healthcare provider discontinued the client's dialysis treatments,
stating that death is inevitable, but the client is disoriented and will not sign a DNR directive. What is
the priority nursing intervention?
Review the client's most recent laboratory reports.
Refer the client and family members for hospice care.
Notify the hospital ethics committee of the client situation.
Determine who is legally empowered to make decisions. - ANSWER-Determine who is legally
empowered to make decisions.
A male client with an infected wound tells the nurse that he follows a macrobiotic diet. Which type
of foods should the nurse recommend that the client select from the hospital menu?
Low fat and low sodium foods.
Combination of plant proteins to provide essential amino acids.
Limited complex carbohydrates and fiber.
Increased amount of vitamin C and beta carotene rich foods. - ANSWER-Combination of plant
proteins to provide essential amino acids.
A client who has moderate, persistent, chronic neuropathic pain due to diabetic neuropathy takes
gabapentin (Neurontin) and ibuprofen (Motrin, Advil) daily. If Step 2 of the World Health
Organization (WHO) pain relief ladder is prescribed, which drug protocol should be implemented?
Continue gabapentin.
Discontinue ibuprofen.
Add aspirin to the protocol.
Add oral methadone to the protocol. - ANSWER-Continue gabapentin.
Based on the WHO pain relief ladder, adjunct medications, such as gabapentin (Neurontin), an
antiseizure medication, may be used at any step for anxiety and pain management, so (A) should be
,implemented. Nonopiod analgesics, such as ibuprofen (A) and aspirin (C) are Step 1 drugs. Step 2 and
3 include opioid narcotics (D), and to maintain freedom from pain, drugs should be given "around
the clock" rather than by the client's PRN requests.
A female nurse who sometimes tries to save time by putting medications in her uniform pocket to
deliver to clients, confides that after arriving home she found a hydrocodone (Vicodin) tablet in her
pocket. Which possible outcome of this situation should be the nurse's greatest concern?
Accused of diversion.
Reported for stealing.
Reported for a HIPAA violation.
Accused of unprofessional conduct. - ANSWER-Accused of diversion.
Even if this is only one incident, the nurse may be suspected of taking medications on a regular basis
and the incident could be interpreted as diversion (A), or diverting narcotics for her own use, which
should be reported to the peer review committee and to the State Board of Nursing. (B, C, and D) are
also of concern, but (A) is the most serious possible outcome.
The nurse encounters resistance when inserting the tubing into a client's rectum for a tap water
enema. What action should the nurse implement?
Withdraw the tube and apply additional lubricant to the tube.
Encourage the client to bear down and continue to insert the tube.
Remove the tube and check the client for a fecal impaction.
Ask the client to relax and run a small amount of fluid into the rectum. - ANSWER-Ask the client to
relax and run a small amount of fluid into the rectum.
If resistance is encountered during the initial insertion of an enema tube, the client should be
instructed to relax while a small amount of solution runs through the tube into the rectum (D) to
promote dilation. (A) is unlikely to resolve the problem. (B) may cause injury. (C) should not be
implemented until other, less invasive actions, such as (D) have been taken.
The nurse removes the dressing on a client's heel that is covering a pressure sore one-inch in
diameter and finds that there is straw-colored drainage seeping from the wound. What description
of this finding should the nurse include in the client's record?
Stage 1 pressure sore draining sero-sanguineous drainage.
Pressure sore at bony prominence with exudate noted.
, One-inch pressure sore draining serous fluid.
Pressure sore on heel with a small amount of purulent drainage. - ANSWER-One-inch pressure
sore draining serous fluid.
A middle-aged woman who enjoys being a teacher and mentor feels that she should pass down her
legacy of knowledge and skills to the younger generation. According to Erikson, she is involved in
what developmental stage?
Generativity.
Ego integrity.
Identification.
Valuing wisdom. - ANSWER-Generativity.
After a client has been premedicated for surgery with an opioid analgesic, the nurse discovers that
the operative permit has not been signed. What action should the nurse implement?
Notify the surgeon that the consent form has not been signed.
Read the conent form to the client before witnessing the client's signature.
Determine if the client's spouse is willing to sign the consent form.
Administer an opioid antagonist prior to obtaining the client's signature. - ANSWER-Notify the
surgeon that the consent form has not been signed
Once a client has been premedicated for surgery with any type of sedative, legal informed consent is
not possible, so the nurse must notify the surgeon (A). (B, C, and D) are not legally viable options for
ensuring informed consent.
When preparing to administer an intravenous medication through a central venous catheter, the
nurse aspirates a blood return in one of the lumens of the triple lumen catheter. Which action should
the nurse implement?
Flush the lumen with the saline solution and administer the medication through the lumen.
Determine if a PRN prescription for a thrombolytic agent is listed on the medication record.
Clamp the lumen and obtain a syringe of a dilute heparin solution to flush through the tubing.
