ACTUAL EXAM 2026 | NSG 120 PATHOPHYSIOLOGY HESI EXAM 1
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ACCURATE ANSWERS (NURSING PATHOPHYSIOLOGY) | 100%
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MULTIPLE CHOICES
A nurse answers a call light and finds the client anxious, short of breath, and reporting chest pain. The client
states it's a stabbing pain". What action by the nurse takes priority?
A.
Take a full set of vital signs and document
B.
Reassure the patient that the appropriate measures will be taken
C.
Notify the rapid response team
D.
Listen to the patient's breath sounds - ✔✔✔ Ans- C.
Notify the rapid response team
The MD order states: Administer 50mg of Metoprolol PO
Available: Metoprolol 100mg/tab
How many tablets will the nurse administer?
A.
0.5 tab
B.
1 tab
C.
1.5 tabs
D.
2 tabs - ✔✔✔ Ans- A. 0.5 tabs
The nurse is providing nutritional education to a client with a new diagnosis of heart failure (HF). What will the
nurse be sure to include in her teaching?
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,A.
"Take a salt supplement in order to keep your sodium (N+) level normal"
B.
"Be sure and add any salt flavoring to food while it is cooking"
C.
"You will need to strictly limit your salt intake"
D.
"You can have all the salt you want, as long as you are voiding regularly" - ✔✔✔ Ans- C.
"You will need to strictly limit your salt intake"
The MD order states: Administer 1000ml of NS IV over 20 hours
What will the nurse set as the pump infusion rate?
A.
65 mL/hr
B.
50 mL/hr
C.
120 mL/hr
D.
70 mL/hr - ✔✔✔ Ans- B. 50 mL/hr
The nurse knows that which client is at the highest risk for developing varicose veins?
A.
The 30 y/o male who works in construction
B.
The 55 y/o retired female who is considering hormone replacement
C.
A 25 y/o male who works out 6 times a week
D.
The 42 y/o overweight female who works standing in retail sales - ✔✔✔ Ans- D.
The 42 y/o overweight female who works standing in retail sales
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,The nursing student is caring for a client with peripheral vascular disease (PVD). When speaking with the
student, the nursing instructor asks him/her to explain the difference between arterial and venous insufficiency.
The student nurse would be correct in stating that:
A.
Arterial insufficiency causes bounding pulses while venous insufficiency causes absent pulses
B.
Venous insufficiency causes congestion and blood stasis while arterial insufficiency can lead to ischemic ulcers
and gangrene
C.
Venous insufficiency is characterized by pain with activity
D.
Arterial insufficiency is caused by varicose veins and blood clots - ✔✔✔ Ans- B.
Venous insufficiency causes congestion and blood stasis while arterial insufficiency can lead to ischemic ulcers
and gangrene
The student nurse correctly identifies the different types of heart failure as which of the following:
A.
Multi-system, Hypovolemic, and Right-sided
B.
Left-sided, High Output, and Multi-system
C.
High output, Left-sided, and Right-sided
D.
Right-sided, Left-sided, and Hypovolemic - ✔✔✔ Ans- C.
High output, Left-sided, and Right-sided
A nurse is assessing a client who has just arrived to the emergency department. During the assessment, she
notes pulmonary crackles, anxiety and restlessness, and cough. Which diagnosis would she expect to see?
A.
Left- sided Heart Failure
B.
Digitalis Toxicity
C.
Right- sided Heart Failure
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, D.
Hypertensive Crisis - ✔✔✔ Ans- A.
Left- sided Heart Failure
A nurse is caring for a client with right-sided heart failure who is complaining about having to weigh every day.
How should the nurse respond?
A.
"Daily weights allow us to adequately monitor edema in your extremities"
B.
"You will need to lose weight to decrease the incidence of heart failure"
C.
"Daily weights allow us to monitor whether or not you are eating properly"
D.
"Daily weights allow us to monitor whether or not you are gaining or losing fluid" - ✔✔✔ Ans- D.
"Daily weights allow us to monitor whether or not you are gaining or losing fluid"
The nurse is caring for a client diagnosed with primary hypertension (HTN). What risk factors contribute to
primary HTN? Select all that apply
A.
Smoking
B.
Kidney Disease
C.
African American
D.
High Caffeine Consumption - ✔✔✔ Ans- A.
Smoking
C.
African American
D.
High Caffeine Consumption
What is the most common site of origin for a blood clot to occur, causing a pulmonary embolism (PE)?
A.
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