Nurs 310 HESI ACTUAL EXAM 120 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.
A female client who has breast cancer with metastasis to the liver and spine is admitted with
constant, severe pain despite around-the-clock use of oxycodone (Percodan) and amitriptyline
,(Elavil) for pain control at home. During the admission assessment, which information is most
important for the nurse to obtain?
Sensory pattern, area, intensity, and nature of the pain.
Trigger points identified by palpation and manual pressure of painful areas.
Schedule and total dosages of drugs currently used for breakthrough pain.
Sympathetic responses consistent with onset of acute pain. - ANSWER-Sensory pattern, area,
intensity, and nature of the pain.
A client is demonstrating a positive Chvostek's sign. What action should the nurse take?
Observe the client's pupil size and response to light.
Ask the client about numbness or tingling in the hands.
Assess the client's serum potassium level.
Restrict dietary intake of calcium-rich foods. - ANSWER-Ask the client about numbness or tingling
in the hands.
A positive Chvostek's sign is an indication of hypocalcemia, so the client should be assessed for the
subjective symptoms of hypocalcemia, such as numbness or tingling of the hands (B) or feet. (A and
C) are unrelated assessment data. (D) is contraindicated because the client is hypocalcemic and
needs additional dietary calcium.
An older client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the
client's nursing care?
Massage any reddened areas for at least five minutes.
Encourage active range of motion exercises on extremities.
Position the client laterally, prone, and dorsally in sequence.
Gently lift the client when moving into a desired position. - ANSWER-Gently lift the client when
moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted gently across a surface.
Reddened areas should not be massaged since this may increase the damage to already traumatized
skin. To control pain and muscle spasms, active range of motion may be limited on the affected leg.
A Sub-Saharan African widowed immigrant woman lives with her deceased husband's brother and
his family, which includes the brother-in-law's children and the widow's adult children. Each family
, member speaks fluent English. Surgery is recommended for this client. What is the best plan to
obtain consent for surgery for this client?
Obtain an interpreter to explain the procedure to the client.
Encourage the client to make her own decision regarding surgery.
Ask the family members to provide a clarification of the surgeon's explanation to the client.
Tell the surgeon that the brother-in-law will decide after explanation of the proposed surgery is
provided to him and the widow. - ANSWER-Tell the surgeon that the brother-in-law will decide
after explanation of the proposed surgery is provided to him and the widow.
A client who is in hospice care reports increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
Give an around-the-clock schedule for administration of analgesics.
Administer analgesic medication as needed when the pain is severe.
Provide medication to keep the client sedated and unaware of stimuli.
Offer a medication-free period so that the client can do daily activities. - ANSWER-Give an
aroundthe-clock schedule for administration of analgesics.
On admission, a client presents a signed living will that includes a Do Not Resuscitate (DNR)
prescription. When the client stops breathing, the nurse performs cardiopulmonary resuscitation
(CPR) and successfully revives the client. What legal issues could be brought against the nurse?
Assault.
Battery.
Malpractice.
False imprisonment. - ANSWER-Battery.
Civil laws protect individual rights and include intentional torts, such as assault (an intentional threat
to engage in harmful contact with another) or battery (unwanted touching).Performing any
procedure against the client's wishes can potentially create a legal issue, such as battery, even if the
procedure is of questionable benefit to the client.
The nurse is examining a male client who reports itching on his right arm, The nurse observes a rash
made up of multiple flat areas of redness ranging from pinpoint to 0.5 cm in diameter. How should
the nurse record this finding?
Multiple vesicular areas surrounded by redness, ranging in size from 1 mm to 0.5 cm.
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.
A female client who has breast cancer with metastasis to the liver and spine is admitted with
constant, severe pain despite around-the-clock use of oxycodone (Percodan) and amitriptyline
,(Elavil) for pain control at home. During the admission assessment, which information is most
important for the nurse to obtain?
Sensory pattern, area, intensity, and nature of the pain.
Trigger points identified by palpation and manual pressure of painful areas.
Schedule and total dosages of drugs currently used for breakthrough pain.
Sympathetic responses consistent with onset of acute pain. - ANSWER-Sensory pattern, area,
intensity, and nature of the pain.
A client is demonstrating a positive Chvostek's sign. What action should the nurse take?
Observe the client's pupil size and response to light.
Ask the client about numbness or tingling in the hands.
Assess the client's serum potassium level.
Restrict dietary intake of calcium-rich foods. - ANSWER-Ask the client about numbness or tingling
in the hands.
A positive Chvostek's sign is an indication of hypocalcemia, so the client should be assessed for the
subjective symptoms of hypocalcemia, such as numbness or tingling of the hands (B) or feet. (A and
C) are unrelated assessment data. (D) is contraindicated because the client is hypocalcemic and
needs additional dietary calcium.
An older client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the
client's nursing care?
Massage any reddened areas for at least five minutes.
Encourage active range of motion exercises on extremities.
Position the client laterally, prone, and dorsally in sequence.
Gently lift the client when moving into a desired position. - ANSWER-Gently lift the client when
moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted gently across a surface.
Reddened areas should not be massaged since this may increase the damage to already traumatized
skin. To control pain and muscle spasms, active range of motion may be limited on the affected leg.
A Sub-Saharan African widowed immigrant woman lives with her deceased husband's brother and
his family, which includes the brother-in-law's children and the widow's adult children. Each family
, member speaks fluent English. Surgery is recommended for this client. What is the best plan to
obtain consent for surgery for this client?
Obtain an interpreter to explain the procedure to the client.
Encourage the client to make her own decision regarding surgery.
Ask the family members to provide a clarification of the surgeon's explanation to the client.
Tell the surgeon that the brother-in-law will decide after explanation of the proposed surgery is
provided to him and the widow. - ANSWER-Tell the surgeon that the brother-in-law will decide
after explanation of the proposed surgery is provided to him and the widow.
A client who is in hospice care reports increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
Give an around-the-clock schedule for administration of analgesics.
Administer analgesic medication as needed when the pain is severe.
Provide medication to keep the client sedated and unaware of stimuli.
Offer a medication-free period so that the client can do daily activities. - ANSWER-Give an
aroundthe-clock schedule for administration of analgesics.
On admission, a client presents a signed living will that includes a Do Not Resuscitate (DNR)
prescription. When the client stops breathing, the nurse performs cardiopulmonary resuscitation
(CPR) and successfully revives the client. What legal issues could be brought against the nurse?
Assault.
Battery.
Malpractice.
False imprisonment. - ANSWER-Battery.
Civil laws protect individual rights and include intentional torts, such as assault (an intentional threat
to engage in harmful contact with another) or battery (unwanted touching).Performing any
procedure against the client's wishes can potentially create a legal issue, such as battery, even if the
procedure is of questionable benefit to the client.
The nurse is examining a male client who reports itching on his right arm, The nurse observes a rash
made up of multiple flat areas of redness ranging from pinpoint to 0.5 cm in diameter. How should
the nurse record this finding?
Multiple vesicular areas surrounded by redness, ranging in size from 1 mm to 0.5 cm.
