HESI 223 EXAM QUESTIONS
AND ANSWERS LATEST 2026-
2027
The nurse hears a client calling out for help, hurries down the hallway to the client's room, and
finds the client lying down on the floor. The nurse performs an assessment, assists the client
back to bed, notifies the primary health care provider, and completes an occurrence report.
Which statement should the nurse document on the occurrence report?
A)The client fell out of bed
B)The client climbed over the side rails
C)The client was found lying on the floor
D)The client became restless and tried to het out of bed - CORRECT ANSWER-The client was
found lying on the floor
A client is brought to the emergency department by EMS after being hit by a car. The name of
the client is unknown, and the client has sustained a severe head injury and multiple fractures
and is unconscious. An emergency craniotomy is required. Regarding informed consent for the
surgical procedure, which is the best action?
A)Obtain a court order for the surgical procedure
B)Ask the EMS team to sign the informed consent
C)Transport the victim to the operating room for surgery
D)Call the police to identify the client and locate the family - CORRECT ANSWER-Transport the
victim to the operating room for surgery
The nurse has just assisted a client back to bed after a fall. The nurse and primary health care
provider have assessed the client and have determined that the client is not injured. After
completing the occurrence report, the nurse should implement which action next?
,A)Reassess the client
B)Conduct a staff meeting to describe the fall
C)Contact the nursing supervisor to update information regarding the fall
D)Document in the nurse's notes that an occurrence report was completed - CORRECT
ANSWER-Reassess the client
The nurse arrives at work and is told to report (float) to the ICU for the day because the ICU is
understaffed and needs additional nurses to care for the clients. The nurse has never worked in
the ICU. The nurse should take which BEST action?
A)Refuse to float to the ICU based on lack of unit orientation
B)Clarify the ICU client assignment with the team leader to ensure that it is a safe assignment
C)Ask the nursing supervisor to review the hospital policy on floating
D)Submit a written protest to nursing administration and then call the hospital lawyer -
CORRECT ANSWER-Clarify the ICU client assignment with the team leader to ensure that it is a
safe assignment
The nurse who works on the night shift enters the medication room and finds a coworker with a
tourniquet wrapped around the upper arm. The coworker is about to insert a needle, attacked
to a syringe containing a clear liquid, into the antecubital area. Which is MOST APPROPRIATE
action by the nurse?
A)Call sercuity
B)Call the police
C)Call the nursing supervisor
D)Lock the coworker in the medication room until help is obtained - CORRECT ANSWER-Call the
nursing supervisor
A hospitalized client tells the nurse that instructional directive is being prepared and that the
lawyer will be bringing the document to the hospital today for witness signatures. The client
asks the nurse for assistance in obtaining a witness to the will. Which is the MOST APPROPRIATE
response to the client?
, A)"I will sign as a witness to your signature"
B)"You will need to find a witness on your own"
C)"Whoever is available at the time will sign as a witness for you"
D)"I will call the nursing supervisor to seek assistance regarding your request" - CORRECT
ANSWER-"I will call the nursing supervisor to seek assistance regarding your request"
The nurse has made an error in documentation of the does administered of an opioid pain
medication in the client's record. The nurse draws 1 mg from the vial and another RN witnesses
wasting of the remaining 1 mg. When scanning the medication, the nurse entered into the MAR
that 2 mg of hydro-morphone was administered, which was 1 mg. The nurse should take which
action to correct the error in the MAR? SELECT ALL THE APPLY
A)Complete and file an occurrence report
B)Right-click on the entry and modify it to reflect the correct information
C)Document the correct information and end with the nurse's signature and title
D)Obtain a cosignature for the RN who witnessed the waste of the remaining 1 mg
E)Document in a nurse's note in the client's record detailing the corrected information -
CORRECT ANSWER-Right-click on the entry and modify it to reflect the correct information,
Document the correct information and end with the nurse's signature and title, Obtain a
cosignature for the RN who witnessed the waste of the remaining 1 mg, Document in a nurse's
note in the client's record detailing the corrected information
Which identifies accurate nursing documentation notation(s)? SELECT ALL THAT APPLY
A)The client slept through the night
B)Abdominal wound dressing is dry and intact without drainage
C)The client seemed angry when awakened for vital sign measurement
D)The client appears to become anxious when it is time for respiratory treatments
E)The client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema
- CORRECT ANSWER-The client slept through the night, Abdominal wound dressing is dry and
intact without drainage, The client's left lower medial leg wound is 3 cm in length without
redness, drainage, or edema
AND ANSWERS LATEST 2026-
2027
The nurse hears a client calling out for help, hurries down the hallway to the client's room, and
finds the client lying down on the floor. The nurse performs an assessment, assists the client
back to bed, notifies the primary health care provider, and completes an occurrence report.
Which statement should the nurse document on the occurrence report?
A)The client fell out of bed
B)The client climbed over the side rails
C)The client was found lying on the floor
D)The client became restless and tried to het out of bed - CORRECT ANSWER-The client was
found lying on the floor
A client is brought to the emergency department by EMS after being hit by a car. The name of
the client is unknown, and the client has sustained a severe head injury and multiple fractures
and is unconscious. An emergency craniotomy is required. Regarding informed consent for the
surgical procedure, which is the best action?
A)Obtain a court order for the surgical procedure
B)Ask the EMS team to sign the informed consent
C)Transport the victim to the operating room for surgery
D)Call the police to identify the client and locate the family - CORRECT ANSWER-Transport the
victim to the operating room for surgery
The nurse has just assisted a client back to bed after a fall. The nurse and primary health care
provider have assessed the client and have determined that the client is not injured. After
completing the occurrence report, the nurse should implement which action next?
,A)Reassess the client
B)Conduct a staff meeting to describe the fall
C)Contact the nursing supervisor to update information regarding the fall
D)Document in the nurse's notes that an occurrence report was completed - CORRECT
ANSWER-Reassess the client
The nurse arrives at work and is told to report (float) to the ICU for the day because the ICU is
understaffed and needs additional nurses to care for the clients. The nurse has never worked in
the ICU. The nurse should take which BEST action?
A)Refuse to float to the ICU based on lack of unit orientation
B)Clarify the ICU client assignment with the team leader to ensure that it is a safe assignment
C)Ask the nursing supervisor to review the hospital policy on floating
D)Submit a written protest to nursing administration and then call the hospital lawyer -
CORRECT ANSWER-Clarify the ICU client assignment with the team leader to ensure that it is a
safe assignment
The nurse who works on the night shift enters the medication room and finds a coworker with a
tourniquet wrapped around the upper arm. The coworker is about to insert a needle, attacked
to a syringe containing a clear liquid, into the antecubital area. Which is MOST APPROPRIATE
action by the nurse?
A)Call sercuity
B)Call the police
C)Call the nursing supervisor
D)Lock the coworker in the medication room until help is obtained - CORRECT ANSWER-Call the
nursing supervisor
A hospitalized client tells the nurse that instructional directive is being prepared and that the
lawyer will be bringing the document to the hospital today for witness signatures. The client
asks the nurse for assistance in obtaining a witness to the will. Which is the MOST APPROPRIATE
response to the client?
, A)"I will sign as a witness to your signature"
B)"You will need to find a witness on your own"
C)"Whoever is available at the time will sign as a witness for you"
D)"I will call the nursing supervisor to seek assistance regarding your request" - CORRECT
ANSWER-"I will call the nursing supervisor to seek assistance regarding your request"
The nurse has made an error in documentation of the does administered of an opioid pain
medication in the client's record. The nurse draws 1 mg from the vial and another RN witnesses
wasting of the remaining 1 mg. When scanning the medication, the nurse entered into the MAR
that 2 mg of hydro-morphone was administered, which was 1 mg. The nurse should take which
action to correct the error in the MAR? SELECT ALL THE APPLY
A)Complete and file an occurrence report
B)Right-click on the entry and modify it to reflect the correct information
C)Document the correct information and end with the nurse's signature and title
D)Obtain a cosignature for the RN who witnessed the waste of the remaining 1 mg
E)Document in a nurse's note in the client's record detailing the corrected information -
CORRECT ANSWER-Right-click on the entry and modify it to reflect the correct information,
Document the correct information and end with the nurse's signature and title, Obtain a
cosignature for the RN who witnessed the waste of the remaining 1 mg, Document in a nurse's
note in the client's record detailing the corrected information
Which identifies accurate nursing documentation notation(s)? SELECT ALL THAT APPLY
A)The client slept through the night
B)Abdominal wound dressing is dry and intact without drainage
C)The client seemed angry when awakened for vital sign measurement
D)The client appears to become anxious when it is time for respiratory treatments
E)The client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema
- CORRECT ANSWER-The client slept through the night, Abdominal wound dressing is dry and
intact without drainage, The client's left lower medial leg wound is 3 cm in length without
redness, drainage, or edema
