New HESI Adult Health Exam Prep Test Bank 2026 with
360 Questions and Correct Answers with Rationales/ Adult
Health Hesi Exam Test Bank 2026-2027 (A Review of
Correctly Answered Real Exam Questions)
A Korean-American client, who speaks very little English, is being discharged
following surgery. Which nurse should the nurse manager assign to provide the
discharge instructions for the client?
A. A graduate registered nurse (RN) with three weeks of experience.
B. The registered nurse (RN) case-manager for the unit with 1 year's experience.
C. A "floating" registered nurse (RN) with five years of nursing experience.
D. A Korean-American practical nurse (PN) with six years of nursing experience.
B. The registered nurse (RN) case-manager for the unit with 1 year's experience.
Rationale
The RN case-manager is the best qualified nurse to assess and provide discharge
educational needs, obtain resources for the client, enhance coordination of care,
and prevent fragmentation of care.
The nurse is caring for a client with multiple trauma after a motor vehicle collision.
The nurse learns that the client has secondary syphilis. What precaution should the
nurse implement?
A. A mask should be worn by anyone entering the client's room.
B. Handwashing is required before and after contact with the client.
C. Gloves should be worn during direct contact with the client's skin.
D. No precautions in addition to standard precautions are necessary.
C. Gloves should be worn during direct contact with the client's skin.
Rationale
The secondary stage of syphilis is a systemic blood-borne disease that presents
with skin lesions and rashes that may drain the highly contagious spirochete, so
gloves should be worn during direct contact with the client's skin. The client
should be placed on "contact precautions".
1
,A client with sickle cell anemia is admitted with severe abdominal pain and the
diagnosis is sickle cell crisis. What is the most important nursing action to
implement?
A. Limit the client's intake of oral fluids and food.
B. Evaluate the effectiveness of narcotic analgesics.
C. Encourage the client to ambulate as tolerated.
D. Teach the client about prevention of crises.
B. Evaluate the effectiveness of narcotic analgesics.
Rationale
Pain management is the priority for a client during sickle cell crisis. Continuous
narcotic analgesics are the mainstay of pain control, which should be evaluated
frequently to determine if the client's pain is adequately controlled.
A client with a chronic infection of Hepatitis C virus (HCV) is scheduled for a
liver biopsy. Which intervention should the nurse perform after the procedure?
A. Progress activity as soon as possible.
B. Assess for signs of bleeding and hypovolemia.
C. Place the client in the left lateral position.
D. Monitor blood pressure, pulse and breathing every 4 hours.
B. Assess for signs of bleeding and hypovolemia.
Rationale
Assessment for signs of bleeding should be implemented because internal bleeding
is the greatest risk following a liver biopsy. Having the client placed a right lateral
position, not left the left side applies pressure at the biopsy site.
A college student who is diagnosed with a vaginal infection and vulva irritation
describes the vaginal discharge as having a "cottage-cheese " appearance. Which
prescription should the nurse implement first?
A. Cleanse perineum with warm soapy water 3 times per day.
B. Instill the first dose of nystatin (Mycostatin) vaginally per applicator.
C. Perform glucose measurement using a capillary blood sample.
D. Obtain a blood specimen for sexually transmitted diseases (STDs).
B. Instill the first dose of nystatin (Mycostatin) vaginally per applicator.
Rationale
2
,Candidiasis, also known as a yeast infection, is characterized by a white, vaginal
discharge with a "cottage-cheese" appearance and vaginal nystatin (Mycostatin)
should be implemented first to initiate treatment to provide relief of symptoms.
The nurse is obtaining a health history from a new client who has a history of
kidney stones. Which statement by the client indicates an increased risk for renal
calculi?
a. eats a vegetarian diet with cheese 2 to 3 times a day
b. experiences additional stress since adopting a child
c. jogs more frequently than usual daily routine
d. drinks several bottles of carbonated water daily
a. eats a vegetarian diet with cheese 2 to 3 times a day
The nurse is caring for an immobile client after spinal surgery. Which action is
most important for the nurse to take to prevent postoperative complications?
C. Apply intermittent pneumatic compression devices
An adult client is admitted with flank pain and is diagnosed with acute
pyelonephritis. What is the priority nursing action?
a. Auscultate for the presence of bowel sounds.
b. Monitor hemoglobin and hematocrit
c. Encourage turning and deep breathing
d. Administer IV antibiotics as prescribed
d. Administer IV antibiotics as prescribed
What assessment finding should the nurse identify that indicates a client with an
acute asthma exacerbation is beginning to improve after treatment?
A. Wheezing becomes louder.
B. Cough remains unproductive.
C. Vesicular breath sounds decrease.
D. Bronchodilators stimulate coughing.
A. Wheezing becomes louder.
Rationale
In an acute asthma attack, air flow may be so significantly restricted that breath
3
, sounds and wheezing is diminished. If the client is successfully responding to
bronchodilators and respiratory treatments, wheezing should become louder as the
air flow increases in the airways. As the airways open and mucous is mobilized in
response to treatment, the cough should become more productive. Vesicular breath
sounds are soft, low-pitched sounds heard throughout the lungs. These are normal.
A client with rheumatoid arthritis is prescribed piroxicam (Feldene), a nonsteroidal
anti-inflammatory drug (NSAID). Which effect is characteristic of (NSAIDs) used
for treating rheumatoid arthritis?
A. Production of replacement cartilage is stimulated.
B. Further destruction of the articular cartilage is prevented.
C. Inflammation is reduced by inhibiting prostaglandin synthesis.
D. Bradykinin is inhibited, thereby reducing acute and chronic pain.
C. Inflammation is reduced by inhibiting prostaglandin synthesis.
Rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs), used for treating rheumatoid
arthritis, by inhibiting the synthesis of prostaglandins and providing relief from the
associated pain.
When planning care for a client with right renal calculi, which nursing diagnosis
has the highest priority?
A. Acute pain related to movement of the stone.
B. Impaired urinary elimination related to obstructed flow of urine.
C. Risk for infection related to urinary stasis.
D. Deficient knowledge related to need for prevention of recurrence of calculi.
A. Acute pain related to movement of the stone.
Rationale
The nursing diagnosis of the highest priority is "Acute pain related the renal
calculi's movement".
The nurse is caring for a client who is admitted with a hemorrhagic stroke. Which
nursing action should be included in the plan of care?
A. Perform active range of motion three times daily
B. Monitor for Battle's sign every four hours
C. Teach measures to avoid the Valsalva maneuver
D. Maintain the head of bed in a flat position
4
360 Questions and Correct Answers with Rationales/ Adult
Health Hesi Exam Test Bank 2026-2027 (A Review of
Correctly Answered Real Exam Questions)
A Korean-American client, who speaks very little English, is being discharged
following surgery. Which nurse should the nurse manager assign to provide the
discharge instructions for the client?
A. A graduate registered nurse (RN) with three weeks of experience.
B. The registered nurse (RN) case-manager for the unit with 1 year's experience.
C. A "floating" registered nurse (RN) with five years of nursing experience.
D. A Korean-American practical nurse (PN) with six years of nursing experience.
B. The registered nurse (RN) case-manager for the unit with 1 year's experience.
Rationale
The RN case-manager is the best qualified nurse to assess and provide discharge
educational needs, obtain resources for the client, enhance coordination of care,
and prevent fragmentation of care.
The nurse is caring for a client with multiple trauma after a motor vehicle collision.
The nurse learns that the client has secondary syphilis. What precaution should the
nurse implement?
A. A mask should be worn by anyone entering the client's room.
B. Handwashing is required before and after contact with the client.
C. Gloves should be worn during direct contact with the client's skin.
D. No precautions in addition to standard precautions are necessary.
C. Gloves should be worn during direct contact with the client's skin.
Rationale
The secondary stage of syphilis is a systemic blood-borne disease that presents
with skin lesions and rashes that may drain the highly contagious spirochete, so
gloves should be worn during direct contact with the client's skin. The client
should be placed on "contact precautions".
1
,A client with sickle cell anemia is admitted with severe abdominal pain and the
diagnosis is sickle cell crisis. What is the most important nursing action to
implement?
A. Limit the client's intake of oral fluids and food.
B. Evaluate the effectiveness of narcotic analgesics.
C. Encourage the client to ambulate as tolerated.
D. Teach the client about prevention of crises.
B. Evaluate the effectiveness of narcotic analgesics.
Rationale
Pain management is the priority for a client during sickle cell crisis. Continuous
narcotic analgesics are the mainstay of pain control, which should be evaluated
frequently to determine if the client's pain is adequately controlled.
A client with a chronic infection of Hepatitis C virus (HCV) is scheduled for a
liver biopsy. Which intervention should the nurse perform after the procedure?
A. Progress activity as soon as possible.
B. Assess for signs of bleeding and hypovolemia.
C. Place the client in the left lateral position.
D. Monitor blood pressure, pulse and breathing every 4 hours.
B. Assess for signs of bleeding and hypovolemia.
Rationale
Assessment for signs of bleeding should be implemented because internal bleeding
is the greatest risk following a liver biopsy. Having the client placed a right lateral
position, not left the left side applies pressure at the biopsy site.
A college student who is diagnosed with a vaginal infection and vulva irritation
describes the vaginal discharge as having a "cottage-cheese " appearance. Which
prescription should the nurse implement first?
A. Cleanse perineum with warm soapy water 3 times per day.
B. Instill the first dose of nystatin (Mycostatin) vaginally per applicator.
C. Perform glucose measurement using a capillary blood sample.
D. Obtain a blood specimen for sexually transmitted diseases (STDs).
B. Instill the first dose of nystatin (Mycostatin) vaginally per applicator.
Rationale
2
,Candidiasis, also known as a yeast infection, is characterized by a white, vaginal
discharge with a "cottage-cheese" appearance and vaginal nystatin (Mycostatin)
should be implemented first to initiate treatment to provide relief of symptoms.
The nurse is obtaining a health history from a new client who has a history of
kidney stones. Which statement by the client indicates an increased risk for renal
calculi?
a. eats a vegetarian diet with cheese 2 to 3 times a day
b. experiences additional stress since adopting a child
c. jogs more frequently than usual daily routine
d. drinks several bottles of carbonated water daily
a. eats a vegetarian diet with cheese 2 to 3 times a day
The nurse is caring for an immobile client after spinal surgery. Which action is
most important for the nurse to take to prevent postoperative complications?
C. Apply intermittent pneumatic compression devices
An adult client is admitted with flank pain and is diagnosed with acute
pyelonephritis. What is the priority nursing action?
a. Auscultate for the presence of bowel sounds.
b. Monitor hemoglobin and hematocrit
c. Encourage turning and deep breathing
d. Administer IV antibiotics as prescribed
d. Administer IV antibiotics as prescribed
What assessment finding should the nurse identify that indicates a client with an
acute asthma exacerbation is beginning to improve after treatment?
A. Wheezing becomes louder.
B. Cough remains unproductive.
C. Vesicular breath sounds decrease.
D. Bronchodilators stimulate coughing.
A. Wheezing becomes louder.
Rationale
In an acute asthma attack, air flow may be so significantly restricted that breath
3
, sounds and wheezing is diminished. If the client is successfully responding to
bronchodilators and respiratory treatments, wheezing should become louder as the
air flow increases in the airways. As the airways open and mucous is mobilized in
response to treatment, the cough should become more productive. Vesicular breath
sounds are soft, low-pitched sounds heard throughout the lungs. These are normal.
A client with rheumatoid arthritis is prescribed piroxicam (Feldene), a nonsteroidal
anti-inflammatory drug (NSAID). Which effect is characteristic of (NSAIDs) used
for treating rheumatoid arthritis?
A. Production of replacement cartilage is stimulated.
B. Further destruction of the articular cartilage is prevented.
C. Inflammation is reduced by inhibiting prostaglandin synthesis.
D. Bradykinin is inhibited, thereby reducing acute and chronic pain.
C. Inflammation is reduced by inhibiting prostaglandin synthesis.
Rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs), used for treating rheumatoid
arthritis, by inhibiting the synthesis of prostaglandins and providing relief from the
associated pain.
When planning care for a client with right renal calculi, which nursing diagnosis
has the highest priority?
A. Acute pain related to movement of the stone.
B. Impaired urinary elimination related to obstructed flow of urine.
C. Risk for infection related to urinary stasis.
D. Deficient knowledge related to need for prevention of recurrence of calculi.
A. Acute pain related to movement of the stone.
Rationale
The nursing diagnosis of the highest priority is "Acute pain related the renal
calculi's movement".
The nurse is caring for a client who is admitted with a hemorrhagic stroke. Which
nursing action should be included in the plan of care?
A. Perform active range of motion three times daily
B. Monitor for Battle's sign every four hours
C. Teach measures to avoid the Valsalva maneuver
D. Maintain the head of bed in a flat position
4
