PRACTICE EXAM: NURSING 246
HESI, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
An infant with heart failure receives a prescription, digoxin 35
mcg PO. The registered nurse (RN) calcuates the desired dose
for administration using the available concentration of digoxin
labeled, 0.05 mg/mL. How many millilitersshould the registered
nurse (RN) prepare for administration?(Enter the numerical
value only. If rounding is required round to the nearest tenth.)
0.7
Rationale
Desired dose, 35 mcg converts to 0.035 mg because the
equivalent is 1 mg = 1,000 mcg
Using the formula, D/H x A = 0.035 mg / 0.05 mg x 1 mL = 0.7
mL
the ratio proportion method of: 35mcg/X ml :: 1000mcg/1mL =
0.035mg; 0.035mg/XmL :: 0.05mg/mL =0.035mg/0.7mL
The registered nurse (RN) is evaluating a client who presents
with symptoms of viral gastroenteritis. Which assessment
finding should the RN report to the healthcare provider?
Dry mucous membranes and lips.
Rebound abdominal tenderness over right lower quadrant.
Dizziness when client ambulates from a sitting position.
Poor skin turgor over client's wrist.
Rebound abdominal tenderness over right lower quadrant.
,Rationale
RLQ rebound abdominal tenderness may be related to acute
appendicitis and should be reported to the healthcare provider.
While reviewing the client's electronic medical record (EMR),
the registered nurse (RN) assesses a client who is at risk for a
possible interaction with an over-the-counter (OTC)
decongestant. Which client health history should the RN report
to the healthcare provider concerning the OTC medication?
(Select all that apply).
Select all that apply
Type I diabetes mellitus (DM).
Closed angle glaucoma.
Chronic hypertension.
Rheumatoid arthritis.
Crohn's disease.
Closed angle glaucoma.
Chronic hypertension.
Rationale
OTC decongestants can increase intraocular pressure and
should be avoided in clients with closed angle glaucoma.
Decongestants also can increase the heart rate and elevate
blood pressure which can impact the client's management of
chronic hypertension.
The registered nurse (RN) is caring for a young adult who is
having an oral glucose tolerance tests (OGTT). Which laboratory
result should the RN assess as a normal value for the two hour
postprandial result?
140 mg/dl.
160 mg/dl.
, 180 mg/dl.
200 mg/dl.
140 mg/dl.
Rationale
The two hour postprandial level should be less 140 mg/dl for a
young adult client.
A client in an ambulatory clinic describes awaking in the middle
of the night with difficulty breathing and shortness of breath
related to paroxysmal nocturnal dyspnea. Which underlying
condition should the registered nurse (RN) identify in the
client's history?
Chronic bronchitis.
Gastroesophageal reflux disease (GERD).
Heart failure (HF).
Chronic pancreatitis.
Heart failure (HF).
Rationale
Paroxysmal nocturnal dyspnea is classic sign of heart failure
and is secondary to fluid overload associated with heart failure
which causes pulmonary edema.
The registered nurse (RN) is assisting the healthcare provider
(HCP) with the removal of a chest tube. Which intervention has
the highest priority and should be anticipated by the RN after
the removal of the chest tube?
Prepare the client for chest x-ray at the bedside.
Review arterial blood gases after removal.
HESI, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
An infant with heart failure receives a prescription, digoxin 35
mcg PO. The registered nurse (RN) calcuates the desired dose
for administration using the available concentration of digoxin
labeled, 0.05 mg/mL. How many millilitersshould the registered
nurse (RN) prepare for administration?(Enter the numerical
value only. If rounding is required round to the nearest tenth.)
0.7
Rationale
Desired dose, 35 mcg converts to 0.035 mg because the
equivalent is 1 mg = 1,000 mcg
Using the formula, D/H x A = 0.035 mg / 0.05 mg x 1 mL = 0.7
mL
the ratio proportion method of: 35mcg/X ml :: 1000mcg/1mL =
0.035mg; 0.035mg/XmL :: 0.05mg/mL =0.035mg/0.7mL
The registered nurse (RN) is evaluating a client who presents
with symptoms of viral gastroenteritis. Which assessment
finding should the RN report to the healthcare provider?
Dry mucous membranes and lips.
Rebound abdominal tenderness over right lower quadrant.
Dizziness when client ambulates from a sitting position.
Poor skin turgor over client's wrist.
Rebound abdominal tenderness over right lower quadrant.
,Rationale
RLQ rebound abdominal tenderness may be related to acute
appendicitis and should be reported to the healthcare provider.
While reviewing the client's electronic medical record (EMR),
the registered nurse (RN) assesses a client who is at risk for a
possible interaction with an over-the-counter (OTC)
decongestant. Which client health history should the RN report
to the healthcare provider concerning the OTC medication?
(Select all that apply).
Select all that apply
Type I diabetes mellitus (DM).
Closed angle glaucoma.
Chronic hypertension.
Rheumatoid arthritis.
Crohn's disease.
Closed angle glaucoma.
Chronic hypertension.
Rationale
OTC decongestants can increase intraocular pressure and
should be avoided in clients with closed angle glaucoma.
Decongestants also can increase the heart rate and elevate
blood pressure which can impact the client's management of
chronic hypertension.
The registered nurse (RN) is caring for a young adult who is
having an oral glucose tolerance tests (OGTT). Which laboratory
result should the RN assess as a normal value for the two hour
postprandial result?
140 mg/dl.
160 mg/dl.
, 180 mg/dl.
200 mg/dl.
140 mg/dl.
Rationale
The two hour postprandial level should be less 140 mg/dl for a
young adult client.
A client in an ambulatory clinic describes awaking in the middle
of the night with difficulty breathing and shortness of breath
related to paroxysmal nocturnal dyspnea. Which underlying
condition should the registered nurse (RN) identify in the
client's history?
Chronic bronchitis.
Gastroesophageal reflux disease (GERD).
Heart failure (HF).
Chronic pancreatitis.
Heart failure (HF).
Rationale
Paroxysmal nocturnal dyspnea is classic sign of heart failure
and is secondary to fluid overload associated with heart failure
which causes pulmonary edema.
The registered nurse (RN) is assisting the healthcare provider
(HCP) with the removal of a chest tube. Which intervention has
the highest priority and should be anticipated by the RN after
the removal of the chest tube?
Prepare the client for chest x-ray at the bedside.
Review arterial blood gases after removal.
