NSG 123-HESI FINAL EXAM
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% CORRECT | 2026
UPDATE!!
A client with urolithiasis is preparing for discharge after lithotripsy.
Which intervention should the nurse include in the client's
postoperative discharge instructions?
A. Report when hematuria becomes pink tinged
B. Use incentive spirometer
C. Restrict physical activities
D. Monitor urinary stream for decrease in output
Answer > D. Monitor urinary stream for decrease in output
A client with unstable asthma had an emergent cardiac catheterization.
Which complication should the nurse monitor for in the initial 24 hours
after the procedure? ANSWER Thrombus formation
A male client tells the clinic nurse that he is experiencing burning on
urination, and assessment reveals that he had sexual intercourse four
days ago with a woman he casually met. Which action should the nurse
implement?
,A. Observe the perineal area for a chancroid-like lesion
B. Obtain a specimen of urethral drainage for culture
C. Assess for perineal itching, erythema and excoriation
D. Identify all sexual partners in the last four days - ✔✔✔ Correct
Answer > B. Obtain a specimen of urethral drainage for culture
An older male client with long-standing lung disease is admitted to the
medical unit for treatment of pulmonary infection. In assessing for signs
of increasing hypoxia, which action should the nurse include? (select all
that apply)
A. Monitor dryness of mucous membranes
B. Check for changes in mentation
C. Observe color of skin and nailbeds
D. Note appearance of jugular veins
E. Assess breathing patterns ANSWER B. Check for changes in
mentation.
C. Observe color of skin and mucous.
E. Assess breathing patterns
An adult client is admitted with flank pain and is diagnosed with acute
pyelonephritis. What is the priority nursing action?
,A. Auscultate for presence of bowl sounds.
B. Monitor hemoglobin and hematocrit
C. Encourage turning and deep breathing
D. Administer IV antibiotics as prescribed. ANSWER D. Administer IV
antibiotics as prescribed
A client with Addison's disease started taking hydrocortisone in a
divided daily dose last week. It is most important for the nurse to
monitor which serum laboratory value?
A. Osmolarity
B. Glucose
C. Albumin
D. Platelets ANSWER B. Glucose
A male client with a history of asthma reports having episodes of
bronchoconstriction and increased mucous production while exercising.
Which action should the nurse implement? ANSWER
Determine if the client is using an inhaler before exercising
After a transurethral resection of the prostate (TURP), a client has
bloody urine output with large clots. The nurse implements the
postoperative prescription to irrigate the indwelling catheter PRN to
, maintain the catheter's patency. Which action should the nurse
implement? ANSWER Clamp the catheter for 30 minutes prior to
irrigating with saline
A fair-skinned female client who is an avid runner is diagnosed with
malignant melanoma, which is located on the lateral surface of the
lower leg. After wide margin resection, the nurse provides discharge
teaching. I t is most important for the nurse to emphasize the need to
observe for changes in which characteristic?
A. Elasticity of the skin
B. Appearance of any moles
C. Muscle aches and pains
D. Pigmentation of the skin ANSWER B. Appearance of any moles
A healthcare worker with no known exposure to tuberculosis has
received a Mantoux tuberculosis skin test. The nurse's assessment of
the test after 62 hours indicates 5 mm of erythema without induration.
What is the best initial nursing action? ANSWER
Document negative results in the client's medical record
The nurse is teaching the importance of an exercise regime that
includes walking daily for a group of clients with asthma, chronic
bronchitis, and emphysema at a pulmonary rehabilitation clinic. Which
rationale should the nurse include when motivating the clients? -
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% CORRECT | 2026
UPDATE!!
A client with urolithiasis is preparing for discharge after lithotripsy.
Which intervention should the nurse include in the client's
postoperative discharge instructions?
A. Report when hematuria becomes pink tinged
B. Use incentive spirometer
C. Restrict physical activities
D. Monitor urinary stream for decrease in output
Answer > D. Monitor urinary stream for decrease in output
A client with unstable asthma had an emergent cardiac catheterization.
Which complication should the nurse monitor for in the initial 24 hours
after the procedure? ANSWER Thrombus formation
A male client tells the clinic nurse that he is experiencing burning on
urination, and assessment reveals that he had sexual intercourse four
days ago with a woman he casually met. Which action should the nurse
implement?
,A. Observe the perineal area for a chancroid-like lesion
B. Obtain a specimen of urethral drainage for culture
C. Assess for perineal itching, erythema and excoriation
D. Identify all sexual partners in the last four days - ✔✔✔ Correct
Answer > B. Obtain a specimen of urethral drainage for culture
An older male client with long-standing lung disease is admitted to the
medical unit for treatment of pulmonary infection. In assessing for signs
of increasing hypoxia, which action should the nurse include? (select all
that apply)
A. Monitor dryness of mucous membranes
B. Check for changes in mentation
C. Observe color of skin and nailbeds
D. Note appearance of jugular veins
E. Assess breathing patterns ANSWER B. Check for changes in
mentation.
C. Observe color of skin and mucous.
E. Assess breathing patterns
An adult client is admitted with flank pain and is diagnosed with acute
pyelonephritis. What is the priority nursing action?
,A. Auscultate for presence of bowl sounds.
B. Monitor hemoglobin and hematocrit
C. Encourage turning and deep breathing
D. Administer IV antibiotics as prescribed. ANSWER D. Administer IV
antibiotics as prescribed
A client with Addison's disease started taking hydrocortisone in a
divided daily dose last week. It is most important for the nurse to
monitor which serum laboratory value?
A. Osmolarity
B. Glucose
C. Albumin
D. Platelets ANSWER B. Glucose
A male client with a history of asthma reports having episodes of
bronchoconstriction and increased mucous production while exercising.
Which action should the nurse implement? ANSWER
Determine if the client is using an inhaler before exercising
After a transurethral resection of the prostate (TURP), a client has
bloody urine output with large clots. The nurse implements the
postoperative prescription to irrigate the indwelling catheter PRN to
, maintain the catheter's patency. Which action should the nurse
implement? ANSWER Clamp the catheter for 30 minutes prior to
irrigating with saline
A fair-skinned female client who is an avid runner is diagnosed with
malignant melanoma, which is located on the lateral surface of the
lower leg. After wide margin resection, the nurse provides discharge
teaching. I t is most important for the nurse to emphasize the need to
observe for changes in which characteristic?
A. Elasticity of the skin
B. Appearance of any moles
C. Muscle aches and pains
D. Pigmentation of the skin ANSWER B. Appearance of any moles
A healthcare worker with no known exposure to tuberculosis has
received a Mantoux tuberculosis skin test. The nurse's assessment of
the test after 62 hours indicates 5 mm of erythema without induration.
What is the best initial nursing action? ANSWER
Document negative results in the client's medical record
The nurse is teaching the importance of an exercise regime that
includes walking daily for a group of clients with asthma, chronic
bronchitis, and emphysema at a pulmonary rehabilitation clinic. Which
rationale should the nurse include when motivating the clients? -
