HESI RN 2026 EXAM MOST ACTUAL AND TESTED EXAM QUESTIONS
AND ANSWERS GRADED A+ ASSURED SUCCESS LATEST
UPDATE!!!!!!!!
The nurse discovers that an older adult client with no history of cardiac or renal
disease has an elevated serum magnesium level. To further investigate the cause of
this electrolyte imbalance, which information is most important for the nurse to
obtain from the clients medical history?
A) length and frequency of the clients tobacco use.
B) Genetically inherited disorders of family members.
C) Frequency of laxative use for chronic constipation.
D) Ingestion of shellfish or fish oil capsules daily. - ANS... -D) Ingestion of
shellfish or fish oil capsules daily.
Client who underwent an uncomplicated gastric bypass surgery is having difficulty
with diet management. Which dietary instruction is most important for the nurse to
explain to the client?
A) To food slowly and thoroughly before attempting to swallow.
B) Plan volume controlled, evenly space meals throughout the day.
C) Sip fluids Chloe with each meal and between meals.
D) Eliminate or reduce intake a fatty and gas forming foods. - ANS... -B) Plan
volume controlled, evenly space meals throughout the day.
A client with an acute myocardial infarction is given a thrombolytic medication,
aspirin, and IV heparin in the emergency department. Which finding indicates the
client is having a satisfactory response?
A) Activated partial thromboplastin (aPTT) time is two times the control value.
B) Cardiac tracing shows 1.2 MM wide Q waves half the height of the complex.
C) Guiac test of the stools is positive.
D) S3 heart sounds are present with auscultation - ANS... -A) Activated partial
thromboplastin (aPTT) time is two times the control value.
An adolescent client who has been treated in the past for a seizure disorder is
admitted to the hospital immediately after admission the client begins to have a
grand mal seizure. Which action should the nurse implement?
,A) Place a padded tongue blade between the clients teeth.
B) Observe the client carefully.
C) Obtain assistance in holding the client to prevent injury.
D) Call a rapid response team. - ANS... -B) Observe the client carefully.
Client with leukemia who is receiving a myelosuppressive chemotherapy has a
platelet count of 25,000. Which intervention is most important for the nurse to
include in the clients plan of care?
A) Obtain a clients temperature every four hours.
B) Assess urine and stool for occult blood.
C) Require visitors to wear respiratory masks.
D) Monitor for signs of activity intolerance. - ANS... -B) Assess urine and stool for
occult blood.
A client with diabetes insipidus has an average urinary output of 500 ML of dilute
urine every hour for the past four hours. Which laboratory test is most important
for the nurse to monitor?
A) Urine specific gravity.
B) Capillary glucose.
C) Serum sodium.
D) White blood count. - ANS... -C) Serum sodium.
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage taken
is different from the dose the nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or
not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting. - ANS... -B) Withhold the medication until the dosage
can be confirmed.
The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients. Which
client with which change in status is best to assign to the PN?
,A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - ANS... -B)
Viral meningitis whose temperature change from 101 S to 102F.
The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan
of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - ANS... -A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide note
to a teacher at school. On the second day of hospitalization, the nurse asked the
client to meet with the treatment team. After the team meeting, the client leaves in
tears and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - ANS... -D) Go to the clients
room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous
once a day for a client who weighs 154 pounds. The medication is available and
25,000 units per milliliter vial. How many milliliters should the nurse administer?
(Enter numerical value only. If rounding is required, round to the nearest 10th.) -
ANS... -0.6
NGN: The client is a 49-year-old male who reports flu like symptoms including
fever and chest congestion for four days. He came to the emergency department
last night when he was having more difficulty breathing he has a history of 1/2
pack a day cigarette smoking for 20 years. He has no significant medical or
surgical history.
Which two orders should the nurse complete first?
, A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. - ANS... -B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture,
start a peripheral IV infusion, start oxygen 3 L per minute via nasal cannula, begin
0.9% sodium chloride IV infusion at 150 mL per hour, acetaminophen 350 mg PO
every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse collects from
the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. - ANS... -D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has decreased
breath sounds in the left lower low. His mucus membranes are dry. He has a
productive cough with thick, yellow secretions. His capillary refill is four seconds.
Vital signs, temperature 100.2. Heart rate 101 bpm, respiratory rate 28 breaths per
minute, blood pressure 145/89, oxygen saturation 90% on room air.
(for each body system click to specify the assessment findings that indicates
hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure
145/89.
Neurological: anxious, awake and alert, restless.
AND ANSWERS GRADED A+ ASSURED SUCCESS LATEST
UPDATE!!!!!!!!
The nurse discovers that an older adult client with no history of cardiac or renal
disease has an elevated serum magnesium level. To further investigate the cause of
this electrolyte imbalance, which information is most important for the nurse to
obtain from the clients medical history?
A) length and frequency of the clients tobacco use.
B) Genetically inherited disorders of family members.
C) Frequency of laxative use for chronic constipation.
D) Ingestion of shellfish or fish oil capsules daily. - ANS... -D) Ingestion of
shellfish or fish oil capsules daily.
Client who underwent an uncomplicated gastric bypass surgery is having difficulty
with diet management. Which dietary instruction is most important for the nurse to
explain to the client?
A) To food slowly and thoroughly before attempting to swallow.
B) Plan volume controlled, evenly space meals throughout the day.
C) Sip fluids Chloe with each meal and between meals.
D) Eliminate or reduce intake a fatty and gas forming foods. - ANS... -B) Plan
volume controlled, evenly space meals throughout the day.
A client with an acute myocardial infarction is given a thrombolytic medication,
aspirin, and IV heparin in the emergency department. Which finding indicates the
client is having a satisfactory response?
A) Activated partial thromboplastin (aPTT) time is two times the control value.
B) Cardiac tracing shows 1.2 MM wide Q waves half the height of the complex.
C) Guiac test of the stools is positive.
D) S3 heart sounds are present with auscultation - ANS... -A) Activated partial
thromboplastin (aPTT) time is two times the control value.
An adolescent client who has been treated in the past for a seizure disorder is
admitted to the hospital immediately after admission the client begins to have a
grand mal seizure. Which action should the nurse implement?
,A) Place a padded tongue blade between the clients teeth.
B) Observe the client carefully.
C) Obtain assistance in holding the client to prevent injury.
D) Call a rapid response team. - ANS... -B) Observe the client carefully.
Client with leukemia who is receiving a myelosuppressive chemotherapy has a
platelet count of 25,000. Which intervention is most important for the nurse to
include in the clients plan of care?
A) Obtain a clients temperature every four hours.
B) Assess urine and stool for occult blood.
C) Require visitors to wear respiratory masks.
D) Monitor for signs of activity intolerance. - ANS... -B) Assess urine and stool for
occult blood.
A client with diabetes insipidus has an average urinary output of 500 ML of dilute
urine every hour for the past four hours. Which laboratory test is most important
for the nurse to monitor?
A) Urine specific gravity.
B) Capillary glucose.
C) Serum sodium.
D) White blood count. - ANS... -C) Serum sodium.
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage taken
is different from the dose the nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or
not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting. - ANS... -B) Withhold the medication until the dosage
can be confirmed.
The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients. Which
client with which change in status is best to assign to the PN?
,A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - ANS... -B)
Viral meningitis whose temperature change from 101 S to 102F.
The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan
of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - ANS... -A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide note
to a teacher at school. On the second day of hospitalization, the nurse asked the
client to meet with the treatment team. After the team meeting, the client leaves in
tears and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - ANS... -D) Go to the clients
room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous
once a day for a client who weighs 154 pounds. The medication is available and
25,000 units per milliliter vial. How many milliliters should the nurse administer?
(Enter numerical value only. If rounding is required, round to the nearest 10th.) -
ANS... -0.6
NGN: The client is a 49-year-old male who reports flu like symptoms including
fever and chest congestion for four days. He came to the emergency department
last night when he was having more difficulty breathing he has a history of 1/2
pack a day cigarette smoking for 20 years. He has no significant medical or
surgical history.
Which two orders should the nurse complete first?
, A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. - ANS... -B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture,
start a peripheral IV infusion, start oxygen 3 L per minute via nasal cannula, begin
0.9% sodium chloride IV infusion at 150 mL per hour, acetaminophen 350 mg PO
every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse collects from
the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. - ANS... -D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has decreased
breath sounds in the left lower low. His mucus membranes are dry. He has a
productive cough with thick, yellow secretions. His capillary refill is four seconds.
Vital signs, temperature 100.2. Heart rate 101 bpm, respiratory rate 28 breaths per
minute, blood pressure 145/89, oxygen saturation 90% on room air.
(for each body system click to specify the assessment findings that indicates
hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure
145/89.
Neurological: anxious, awake and alert, restless.
