HESI EXAM NUR3410 BLUEPRINT V-2
QUESTIONS AND ANSWERS 100% PASS
2026/2027
The nurse is providing discharge teaching to an elderly client hospitalized for treatment of
venous leg ulcers. Which instructions should the nurse include in the teaching plan? SATA -
ANS -Eat a diet that is high in protein and vitamins A and C
-Inspect ankles daily for areas of darkening skin
-Keep legs elevated when sitting or lying down
A client with renal calculus is complaining of severe right flank pain, nausea, and vomiting.
Which nursing problem has the highest priority? - ANS Acute pain related to real calculus
A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How
should the nurse respond? - ANS Describe the use of an elimination diet to find trigger foods
The nurse is assessing clients in an outpatient diabetic clinic. Which entry provides the best
indication that the client is adhering to the prescribed diabetic regimen? - ANS Hemoglobin
A1C of 6.2%per
2026/2027 ALLRIGHTS RESERVED 1
,The nurse is developing a plan of care for a client undergoing peritoneal dialysis. Which nursing
intervention is of highest priority? - ANS Maintain accurate intake and output record
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI)
Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum
laboratory value warrants the most immediate intervention by the nurse? - ANS potassium of
2.5 meq/l
The family suspects that acquired immune deficiency syndrome (AIDS) dementia is occuring in
their son who is HIV positive. Which symptom confirms their suspicion? - ANS A change has
recently occurred in his handwriting
A client with a history of asthma reports having episodes of bronchoconstriction and increased
mucus production while exercising. Which action should the nurse implement? -
ANS Determine if the client is using an inhaler before exercising
An overweight, young adult client who was recently diagnosed with type 2 diabetes mellitus is
admitted for a hernia repair. The client reports feeling very weak and jittery. Which actions
should the nurse implement? SATA - ANS Check fingerstick glucose level
Assess skin temperature and moisture
Measure pulse and blood pressure
The nurse is assessing a client who is one-day post parathyroidectomy and finds that the client
is experiencing stridor. After notifying the healthcare provider, the nurse should prepare for
which procedure? - ANS Tracheostomy placement
2026/2027 ALLRIGHTS RESERVED 2
, A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile
duct. Which finding is most important for the nurse to report to the healthcare provider? -
ANS Distended, hard, and rigid abdomen
While caring for a client with Guillain Barre syndrome, the nurse performs a neurological
assessment every four hours. Which assessment finding warrants immediate intervention by
the nurse? - ANS Profuse diaphoresis
The healthcare provider prescribes streptomycin 500 mg IM q12 hours for clients with
tuberculosis. The available vial is labeled: Streptomycin 1 gram 2.5ml. How many milliliters
should the nurse administer? (Enter numerical value only. If rounding is required, round to the
nearest tenth.) - ANS 0.8
An IV infusion of normal saline 250ml with KCL 30 mEq to be administered over 4 hours is
prescribed for a postoperative patient. The nurse should regulate the infusion pump to deliver
many ml/hour? - ANS 63
The nurse mixes diphenhydramine 25 mg in a 100 ml bag of normal saline, which is to be
administered over 30 minutes. The IV pump should be set to administer how many ml/hours?
(Enter numeric value only) - ANS 200
The nurse brings a scheduled dose of docusate calcium to a male client who has cirrhosis of the
liver. The client states he has never had bowel problems and does not need a stool softener.
Which action should the nurse take? - ANS Whit hold the medication until consulting the
healthcare provider
The nurse is evaluating a male client's understanding of diet teaching about DASH (dietary
approaches to stop hypertension) eating plan. Which behavior indicates that the client is
adhering to the eating plan - ANS Enjoys fat free yogurt as an occasional snack food
2026/2027 ALLRIGHTS RESERVED 3
QUESTIONS AND ANSWERS 100% PASS
2026/2027
The nurse is providing discharge teaching to an elderly client hospitalized for treatment of
venous leg ulcers. Which instructions should the nurse include in the teaching plan? SATA -
ANS -Eat a diet that is high in protein and vitamins A and C
-Inspect ankles daily for areas of darkening skin
-Keep legs elevated when sitting or lying down
A client with renal calculus is complaining of severe right flank pain, nausea, and vomiting.
Which nursing problem has the highest priority? - ANS Acute pain related to real calculus
A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How
should the nurse respond? - ANS Describe the use of an elimination diet to find trigger foods
The nurse is assessing clients in an outpatient diabetic clinic. Which entry provides the best
indication that the client is adhering to the prescribed diabetic regimen? - ANS Hemoglobin
A1C of 6.2%per
2026/2027 ALLRIGHTS RESERVED 1
,The nurse is developing a plan of care for a client undergoing peritoneal dialysis. Which nursing
intervention is of highest priority? - ANS Maintain accurate intake and output record
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI)
Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum
laboratory value warrants the most immediate intervention by the nurse? - ANS potassium of
2.5 meq/l
The family suspects that acquired immune deficiency syndrome (AIDS) dementia is occuring in
their son who is HIV positive. Which symptom confirms their suspicion? - ANS A change has
recently occurred in his handwriting
A client with a history of asthma reports having episodes of bronchoconstriction and increased
mucus production while exercising. Which action should the nurse implement? -
ANS Determine if the client is using an inhaler before exercising
An overweight, young adult client who was recently diagnosed with type 2 diabetes mellitus is
admitted for a hernia repair. The client reports feeling very weak and jittery. Which actions
should the nurse implement? SATA - ANS Check fingerstick glucose level
Assess skin temperature and moisture
Measure pulse and blood pressure
The nurse is assessing a client who is one-day post parathyroidectomy and finds that the client
is experiencing stridor. After notifying the healthcare provider, the nurse should prepare for
which procedure? - ANS Tracheostomy placement
2026/2027 ALLRIGHTS RESERVED 2
, A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile
duct. Which finding is most important for the nurse to report to the healthcare provider? -
ANS Distended, hard, and rigid abdomen
While caring for a client with Guillain Barre syndrome, the nurse performs a neurological
assessment every four hours. Which assessment finding warrants immediate intervention by
the nurse? - ANS Profuse diaphoresis
The healthcare provider prescribes streptomycin 500 mg IM q12 hours for clients with
tuberculosis. The available vial is labeled: Streptomycin 1 gram 2.5ml. How many milliliters
should the nurse administer? (Enter numerical value only. If rounding is required, round to the
nearest tenth.) - ANS 0.8
An IV infusion of normal saline 250ml with KCL 30 mEq to be administered over 4 hours is
prescribed for a postoperative patient. The nurse should regulate the infusion pump to deliver
many ml/hour? - ANS 63
The nurse mixes diphenhydramine 25 mg in a 100 ml bag of normal saline, which is to be
administered over 30 minutes. The IV pump should be set to administer how many ml/hours?
(Enter numeric value only) - ANS 200
The nurse brings a scheduled dose of docusate calcium to a male client who has cirrhosis of the
liver. The client states he has never had bowel problems and does not need a stool softener.
Which action should the nurse take? - ANS Whit hold the medication until consulting the
healthcare provider
The nurse is evaluating a male client's understanding of diet teaching about DASH (dietary
approaches to stop hypertension) eating plan. Which behavior indicates that the client is
adhering to the eating plan - ANS Enjoys fat free yogurt as an occasional snack food
2026/2027 ALLRIGHTS RESERVED 3
