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Final HESI - Nsg123 Questions and
Correct Answers/ Latest Update /
Already Graded
A client with a productive cough has obtained a sputum specimen
for culture as instructed. What is the best initial nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum
C. Encourage the client to consume plenty of warm liquids
D. Send the specimen to the lab fo
Ans: B. Observe the color, consistency, and amount of sputum
A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is
intubated and is receiving 100% oxygen per self-inflating (ambu)
bag. The nurse determines that the client is cyanotic, cold, and
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diaphoretic. Which assessment is most important for the nurse to
obtain?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature
Ans: A. Breath sounds over bilateral lung fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
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D. Perform range of motion exercises
Ans: A. Reorient client to his room
A male client with heart failure (HF) calls the clinic and reports that
he cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night?
Ans: B. Has his weight changed in the last several days?
An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive shortness of
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breath and a persistent cough. She is anxious and is complaining of
a dry mouth. Which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position
Ans: D. Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic
with shortness of breath, productive cough with thickened tenacious
mucous, and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important for the
nurse to instruct the client about self-care?
A. Increase the daily intake of oral fluids to liquefy secretions
Final HESI - Nsg123 Questions and
Correct Answers/ Latest Update /
Already Graded
A client with a productive cough has obtained a sputum specimen
for culture as instructed. What is the best initial nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum
C. Encourage the client to consume plenty of warm liquids
D. Send the specimen to the lab fo
Ans: B. Observe the color, consistency, and amount of sputum
A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is
intubated and is receiving 100% oxygen per self-inflating (ambu)
bag. The nurse determines that the client is cyanotic, cold, and
,2 | Page
diaphoretic. Which assessment is most important for the nurse to
obtain?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature
Ans: A. Breath sounds over bilateral lung fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
,3 | Page
D. Perform range of motion exercises
Ans: A. Reorient client to his room
A male client with heart failure (HF) calls the clinic and reports that
he cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night?
Ans: B. Has his weight changed in the last several days?
An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive shortness of
, 4 | Page
breath and a persistent cough. She is anxious and is complaining of
a dry mouth. Which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position
Ans: D. Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic
with shortness of breath, productive cough with thickened tenacious
mucous, and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important for the
nurse to instruct the client about self-care?
A. Increase the daily intake of oral fluids to liquefy secretions
