HESI MIDPOINT EXAM|COMPLETE 130 QUESTIONS &
ANSWERS WITH RATIONALES | LATEST 2026 STUDY
GUIDE | GUARANTEED PASS PREP.
1. While caring for a small bowel resection, the nurse is informed that the client has a history of MRSA.
To reduce the risk of recurrence of the MRSA in the postoperative wound, which intervention is most
important to implement?-NEW NAXLEX HESI
a. Report any increase in the white blood cell count
b. Change the surgical dressing readily when soiled-
c. Instruct the family to adhere to contact precautions
d. Wear a face mask while performing wound care.
2. A client with foul smelling drainage from an incision on the upper left arm is admitted with a
suspected MRSA. Which nursing interventions should the nurse include in the plan of care? SATA-
diagnostic exam,
a. Use standard precautions and wear a mask
b. Explain the purpose of a low bacteria diet
c. Send wound drainage for culture and sensitivity
d. Institute contact precautions for staff and visitors
3. A client is admitted to the surgical intensive care unit following the removal of a large portion of the
intestines due to a gunshot wound to the abdomen. The client begins to display signs of septic shock
and a sepsis protocol is initiated. Which intervention is most important for the nurse to include in the
plan of care? (HESI DX EXAM 1)
a. Maintain strict intake and output
b. Assess warmth of extremities
c. Keep head of bead raised 45 degrees
d. Monitor blood glucose level
4. What lab values are critical for the nurse to monitor for a client who is experiencing a thyrotoxic
crisis?
a. Glucose and calcium levels
b. Electrolytes and hgb
c. Renal and liver function tests
d. Blood and urine cultures
5. To evaluate the effectiveness of a male client’s new prescription for ezetimbe (cholesterol med), which
action should the clinic nurse implement?
a. Remind the client to keep his appointments to have his cholesterol level checked
b. Teach the client to weigh himself weekly and keep a log of the measurements
c. Encourage the client to keep a diary of his food intake until his next visit to the clinic
d. Assess the elasticity of the client’s skin at the next scheduled clinic appointment
6. The nurse provides sliding scale insulin administration instructions to an adult who was recently
diagnosed with Diabetes mellitus. The client demonstrates an understanding of the instructions
provided by performing the procedure in which order?
a. Obtain blood glucose level. Determine the amount of insulin needed based on the sliding scale
b. Verify the insulin prescription
c. Draw insulin into insulin syringe.
d. Cleanse the selected site.
7. A client who has a borderline personality disorder is being discharged today. When the nurse makes
morning rounds, the client begins the interaction by claiming the night shift nurse is aloof and expresses joy
to see that, “My favorite nurse is on duty now.” Which response is best for the nurse to provide to this
client’s dichotomous tendency.
a. I am happy that you are getting better and will be able to go home
, b. Tomorrow I will talk to that nurse about how you were treated last night
c. What did the night nurse do that makes you think the nurse is aloof.
d. I am glad you are like me which nurse was acting aloof to you
8. After receiving report on an inpatient acute care unit, which client should the nurse assess first?
a. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
b. The client with a small bowel obstruction who has a NG tube that is draining greenish fluid
c. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel
sounds
d. The client with an obstruction of the large intestine who is experiencing abdominal distention
9. A client with heart failure is admitted to the medical surgical unit with pneumonia. To reduce cardiac
workload, which intervention should the nurse include in the plan of care?
a. Provide a bedside commode for toileting
b. Assist with ambulation in the hallway
c. Teach to sleep in a side laying position
d. Encourage active range of motion exercise
10. The nurse is developing a teaching plan for a client with acute gastritis caused by drinking
contaminated water. The nurse should emphasize the need to report the onset of which problem?
a. Blood emesis
b. Abdominal cramping
c. Low grade fever
d. Bruising of the skin
11. Which instruction should the nurse delegate to an unlicensed assistive personnel (UAP) member?
a. Bring a sterile chest drainage unit from central supply to the unit.
b. Evaluate a clients urinary catheter for proper drainage
c. Call the pharmacy to obtain a clients next antibiotic dose
d. Observe a clients gait to determine the need for assistance
12. When performing suctioning for a client with a tracheostomy, which action should the nurse include?
a. Wear protective goggles while performing the procedure
b. Instruct the client to cough as the suction tip is removed
c. Instill 3 mL of 0.9% sodium chloride before suctioning
d. Apply a water-soluble lubricant to the catheter
13. A young adult is brought to the emergency department after taking a handful of drugs. The client is
unresponsive, so an endotracheal tube is inserted. How should the nurse determine if the ETT is
correctly placed? SATA
a. Auscultate for presence of bilateral breath sounds
b. Obtain a portable chest X ray to verify ETT
c. Assess for symmetrical chest movement
d. Monitor ETT markings between 22 and 26cm at teeth line
e. Check for capillary refill of 3 seconds or less
14. An older adult client is referred to a rehabilitation facility following a cerebrovascular accident CVA.
The client is aphasic with left sided paresis and is having difficulty swallowing. Which intervention is
most important for the nurse to include in the client’s plan of care?
a. Facilitate a consultation for speech therapy
b. Arrange for daily home care assistance
c. Use pictures and gestures to communicate
d. Initiate passive range of motion exercises
15. A healthcare provider prescribes the antibiotic cefdinir 300 mg PO Q12hr for a client with a
postoperative wound infection. Which foods should the nurse encourage this client to eat?
, a. Yogurt and buttermilk
b. Avocadoes and cheese
c. Fresh fruit
d. Green leafy vegetables
16. The nurse is administering multiple prescribed vaccines to a toddler. Which strategy should the
nurse prioritize to reduce the duration of pain?
a. Simultaneous injections
b. Supine positioning
c. Verbal reassurance
d. Physical soothing
17. The nurse is caring for a client with chronic kidney disease. Which meal selection should the nurse
recommend to the client?
a. Pasta with fish and an orange
b. Chicken, yams, pinto beans and pecans
c. Steak and baked potato with butter and cheese topping
d. Canned ham and green beans
18. A male client in the final stages of terminal cancer tells his nurse that he wishes he could just be
allowed to die. The client verbalizes that he is tired of fighting this illness and is only continuing
treatments because his family wants him to live. Which action should the nurse take?
a. Ask the chaplain to discuss death issues with the client
b. Notify the family that treatments have been discontinued
c. Request a consultation with the hospital social worker
d. Arrange a meeting with the family, healthcare provider, and client
19. A 15-year-old male client was recently diagnosed with type 1 diabetes mellitus. He tells the nurse that
he is having difficulty adhering to his meal plan when he is with his friends. Which nursing
intervention is best for the nurse to implement?
a. Recommend that he avoid fast food restaurants until he is familiar with his prescribed diet
b. Encourage him to find activities to do with his friends and do not involve eating
c. Advise him to take his own food with him when going to fast food restaurants with his friends
d. Assist him in identifying popular fast foods that are within his meal plan for diabetes.
20. The nurse is performing a musculoskeletal assessment with a client. Which action should the nurse
implement when performing passive range of motion (PROM) exercises wit ha client? SATA
a. Continue prom if joints muscle spasms to relax muscle
b. Slowly stretch the joints muscles if pain is present
c. Move the joint slowly until resistance is felt
d. Instruct the client to relax during the exercises
e. Support the extremity of the joint being exercised
21. An unresponsive victim of a diving accident is brought to the emergency department where it is
determined that immediate surgery is required to save the client’s life. The client is accompanied by a
close friend, but no family members are available. Which action should the nurse take first?
a. Carry on with surgical preparation of the client without a signed informed consent
b. Notify the unit manager that an emergency court order is needed to allow surgery
c. Continue to provide life support until a thorough search for a guardian is completed
d. Ask the clients friend to sign the informed consent since the client is unresponsive
22. A client in labor begins bleeding profusely from the vagina. Which findings should the nurse report
to the healthcare provider? Midpoint ONLY
a. Sharp fundal pain and uterine tenderness
b. Increase in pulse and fetal rate reactivity
ANSWERS WITH RATIONALES | LATEST 2026 STUDY
GUIDE | GUARANTEED PASS PREP.
1. While caring for a small bowel resection, the nurse is informed that the client has a history of MRSA.
To reduce the risk of recurrence of the MRSA in the postoperative wound, which intervention is most
important to implement?-NEW NAXLEX HESI
a. Report any increase in the white blood cell count
b. Change the surgical dressing readily when soiled-
c. Instruct the family to adhere to contact precautions
d. Wear a face mask while performing wound care.
2. A client with foul smelling drainage from an incision on the upper left arm is admitted with a
suspected MRSA. Which nursing interventions should the nurse include in the plan of care? SATA-
diagnostic exam,
a. Use standard precautions and wear a mask
b. Explain the purpose of a low bacteria diet
c. Send wound drainage for culture and sensitivity
d. Institute contact precautions for staff and visitors
3. A client is admitted to the surgical intensive care unit following the removal of a large portion of the
intestines due to a gunshot wound to the abdomen. The client begins to display signs of septic shock
and a sepsis protocol is initiated. Which intervention is most important for the nurse to include in the
plan of care? (HESI DX EXAM 1)
a. Maintain strict intake and output
b. Assess warmth of extremities
c. Keep head of bead raised 45 degrees
d. Monitor blood glucose level
4. What lab values are critical for the nurse to monitor for a client who is experiencing a thyrotoxic
crisis?
a. Glucose and calcium levels
b. Electrolytes and hgb
c. Renal and liver function tests
d. Blood and urine cultures
5. To evaluate the effectiveness of a male client’s new prescription for ezetimbe (cholesterol med), which
action should the clinic nurse implement?
a. Remind the client to keep his appointments to have his cholesterol level checked
b. Teach the client to weigh himself weekly and keep a log of the measurements
c. Encourage the client to keep a diary of his food intake until his next visit to the clinic
d. Assess the elasticity of the client’s skin at the next scheduled clinic appointment
6. The nurse provides sliding scale insulin administration instructions to an adult who was recently
diagnosed with Diabetes mellitus. The client demonstrates an understanding of the instructions
provided by performing the procedure in which order?
a. Obtain blood glucose level. Determine the amount of insulin needed based on the sliding scale
b. Verify the insulin prescription
c. Draw insulin into insulin syringe.
d. Cleanse the selected site.
7. A client who has a borderline personality disorder is being discharged today. When the nurse makes
morning rounds, the client begins the interaction by claiming the night shift nurse is aloof and expresses joy
to see that, “My favorite nurse is on duty now.” Which response is best for the nurse to provide to this
client’s dichotomous tendency.
a. I am happy that you are getting better and will be able to go home
, b. Tomorrow I will talk to that nurse about how you were treated last night
c. What did the night nurse do that makes you think the nurse is aloof.
d. I am glad you are like me which nurse was acting aloof to you
8. After receiving report on an inpatient acute care unit, which client should the nurse assess first?
a. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
b. The client with a small bowel obstruction who has a NG tube that is draining greenish fluid
c. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel
sounds
d. The client with an obstruction of the large intestine who is experiencing abdominal distention
9. A client with heart failure is admitted to the medical surgical unit with pneumonia. To reduce cardiac
workload, which intervention should the nurse include in the plan of care?
a. Provide a bedside commode for toileting
b. Assist with ambulation in the hallway
c. Teach to sleep in a side laying position
d. Encourage active range of motion exercise
10. The nurse is developing a teaching plan for a client with acute gastritis caused by drinking
contaminated water. The nurse should emphasize the need to report the onset of which problem?
a. Blood emesis
b. Abdominal cramping
c. Low grade fever
d. Bruising of the skin
11. Which instruction should the nurse delegate to an unlicensed assistive personnel (UAP) member?
a. Bring a sterile chest drainage unit from central supply to the unit.
b. Evaluate a clients urinary catheter for proper drainage
c. Call the pharmacy to obtain a clients next antibiotic dose
d. Observe a clients gait to determine the need for assistance
12. When performing suctioning for a client with a tracheostomy, which action should the nurse include?
a. Wear protective goggles while performing the procedure
b. Instruct the client to cough as the suction tip is removed
c. Instill 3 mL of 0.9% sodium chloride before suctioning
d. Apply a water-soluble lubricant to the catheter
13. A young adult is brought to the emergency department after taking a handful of drugs. The client is
unresponsive, so an endotracheal tube is inserted. How should the nurse determine if the ETT is
correctly placed? SATA
a. Auscultate for presence of bilateral breath sounds
b. Obtain a portable chest X ray to verify ETT
c. Assess for symmetrical chest movement
d. Monitor ETT markings between 22 and 26cm at teeth line
e. Check for capillary refill of 3 seconds or less
14. An older adult client is referred to a rehabilitation facility following a cerebrovascular accident CVA.
The client is aphasic with left sided paresis and is having difficulty swallowing. Which intervention is
most important for the nurse to include in the client’s plan of care?
a. Facilitate a consultation for speech therapy
b. Arrange for daily home care assistance
c. Use pictures and gestures to communicate
d. Initiate passive range of motion exercises
15. A healthcare provider prescribes the antibiotic cefdinir 300 mg PO Q12hr for a client with a
postoperative wound infection. Which foods should the nurse encourage this client to eat?
, a. Yogurt and buttermilk
b. Avocadoes and cheese
c. Fresh fruit
d. Green leafy vegetables
16. The nurse is administering multiple prescribed vaccines to a toddler. Which strategy should the
nurse prioritize to reduce the duration of pain?
a. Simultaneous injections
b. Supine positioning
c. Verbal reassurance
d. Physical soothing
17. The nurse is caring for a client with chronic kidney disease. Which meal selection should the nurse
recommend to the client?
a. Pasta with fish and an orange
b. Chicken, yams, pinto beans and pecans
c. Steak and baked potato with butter and cheese topping
d. Canned ham and green beans
18. A male client in the final stages of terminal cancer tells his nurse that he wishes he could just be
allowed to die. The client verbalizes that he is tired of fighting this illness and is only continuing
treatments because his family wants him to live. Which action should the nurse take?
a. Ask the chaplain to discuss death issues with the client
b. Notify the family that treatments have been discontinued
c. Request a consultation with the hospital social worker
d. Arrange a meeting with the family, healthcare provider, and client
19. A 15-year-old male client was recently diagnosed with type 1 diabetes mellitus. He tells the nurse that
he is having difficulty adhering to his meal plan when he is with his friends. Which nursing
intervention is best for the nurse to implement?
a. Recommend that he avoid fast food restaurants until he is familiar with his prescribed diet
b. Encourage him to find activities to do with his friends and do not involve eating
c. Advise him to take his own food with him when going to fast food restaurants with his friends
d. Assist him in identifying popular fast foods that are within his meal plan for diabetes.
20. The nurse is performing a musculoskeletal assessment with a client. Which action should the nurse
implement when performing passive range of motion (PROM) exercises wit ha client? SATA
a. Continue prom if joints muscle spasms to relax muscle
b. Slowly stretch the joints muscles if pain is present
c. Move the joint slowly until resistance is felt
d. Instruct the client to relax during the exercises
e. Support the extremity of the joint being exercised
21. An unresponsive victim of a diving accident is brought to the emergency department where it is
determined that immediate surgery is required to save the client’s life. The client is accompanied by a
close friend, but no family members are available. Which action should the nurse take first?
a. Carry on with surgical preparation of the client without a signed informed consent
b. Notify the unit manager that an emergency court order is needed to allow surgery
c. Continue to provide life support until a thorough search for a guardian is completed
d. Ask the clients friend to sign the informed consent since the client is unresponsive
22. A client in labor begins bleeding profusely from the vagina. Which findings should the nurse report
to the healthcare provider? Midpoint ONLY
a. Sharp fundal pain and uterine tenderness
b. Increase in pulse and fetal rate reactivity
