Leadership HESI (with NGN) Comprehensive Study Guide –
Expert Strategies, Review of Key Quizzes, And Practice
Questions And Correct Answers for Guaranteed Success /
2025/2026 Newest!!
A charge nurse is observing a newly licensed nurse administer
enteral feedings via NG tube. Which of the following actions by
the newly licensed nurse indicates an understanding of the
procedure?
a. Instills 100 mL of air into the NG tube after checking for
residual
b. Flushes the NG tube with 0.9% sodium chloride irrigation
every 2 hr
c. Adds 20 mL of blue dye to each feeding to help detect
aspiration
d. Keeps the head of the bed elevated to 45° for 1 hr after
feedings - ANSWER-
d. Keeps the head of the bed elevated to 45° for 1 hr after
feedings
,RATIONALE: The nurse should keep the client's head elevated
to 30° to 45° for 1 to 2 hr after feedings to decrease the risk for
aspiration.
______________________________________________________
_________
_________
a. The nurse should inject 10 to 30 mL of air into the NG tube
before checking for residual to clear the tube of any feeding.
Instilling excessive air into the tube can cause abdominal
distention and discomfort.
b. The nurse should use 20 mL of tap water to flush the NG
tube before and after each feeding. Using 0.9% sodium chloride
irrigation can lead to hypernatremia.
c. The nurse should avoid adding dye to the feeding to
detect aspiration because using dye can increase the risk of
complications.
A nurse is caring for a client who has a closed-head injury and
is receiving mechanical ventilation. The nurse should expect to
administer which of the following medications to reduce
intracranial pressure?
, a. Propranolol
b. Phenytoin
c. Lorazepam
d. Mannitol - ANSWER-d. Mannitol
RATIONALE: The client should receive mannitol, an osmotic
diuretic, to reduce intracranial pressure caused by cerebral
edema.
______________________________________________________
_________
_________
a. A client should receive propranolol, a beta blocker, to
decrease blood pressure.
b. A client should receive phenytoin, an antiepileptic, to prevent
seizures.
c. A client should receive lorazepam, a short-acting sedative, to
manage discomfort and agitation.
Expert Strategies, Review of Key Quizzes, And Practice
Questions And Correct Answers for Guaranteed Success /
2025/2026 Newest!!
A charge nurse is observing a newly licensed nurse administer
enteral feedings via NG tube. Which of the following actions by
the newly licensed nurse indicates an understanding of the
procedure?
a. Instills 100 mL of air into the NG tube after checking for
residual
b. Flushes the NG tube with 0.9% sodium chloride irrigation
every 2 hr
c. Adds 20 mL of blue dye to each feeding to help detect
aspiration
d. Keeps the head of the bed elevated to 45° for 1 hr after
feedings - ANSWER-
d. Keeps the head of the bed elevated to 45° for 1 hr after
feedings
,RATIONALE: The nurse should keep the client's head elevated
to 30° to 45° for 1 to 2 hr after feedings to decrease the risk for
aspiration.
______________________________________________________
_________
_________
a. The nurse should inject 10 to 30 mL of air into the NG tube
before checking for residual to clear the tube of any feeding.
Instilling excessive air into the tube can cause abdominal
distention and discomfort.
b. The nurse should use 20 mL of tap water to flush the NG
tube before and after each feeding. Using 0.9% sodium chloride
irrigation can lead to hypernatremia.
c. The nurse should avoid adding dye to the feeding to
detect aspiration because using dye can increase the risk of
complications.
A nurse is caring for a client who has a closed-head injury and
is receiving mechanical ventilation. The nurse should expect to
administer which of the following medications to reduce
intracranial pressure?
, a. Propranolol
b. Phenytoin
c. Lorazepam
d. Mannitol - ANSWER-d. Mannitol
RATIONALE: The client should receive mannitol, an osmotic
diuretic, to reduce intracranial pressure caused by cerebral
edema.
______________________________________________________
_________
_________
a. A client should receive propranolol, a beta blocker, to
decrease blood pressure.
b. A client should receive phenytoin, an antiepileptic, to prevent
seizures.
c. A client should receive lorazepam, a short-acting sedative, to
manage discomfort and agitation.
