HESI HEALTH ASSESSMENT PRACTICE EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+|BRAND NEW VERSION!!
The registered nurse (RN) is assisting the healthcare provider (HCP) with the
removal of a chest tube. Which intervention has the highest priority and should be
anticipated by the RN after removal of the chest tube?
A. Prepare the client for chest x-ray at the bedside.
B. Review arterial blood gases after removal.
C. Elevate the head of the bed to 45 degrees.
D. Assist with disassembling the drainage system. - Correct Answer-A. Prepare the
client for a chest x-ray at the bedside.
A chest x-ray (A) should be performed immediately after the procedure to ensure
lung expansion has been maintained after removal of the chest tube. (B) provides
additional data after removal of the CT. (C) may assist the client to breathe easily,
but the priority after chest tube removal is to ensure that the procedure was
successful. The entire system, including the chest tube is discarded and not taken
apart (D).
A male client is admitted after falling from his bed. The healthcare provider (HCP)
tells the family that he has an incomplete fracture of the humerus. The family asks
the nurse what this means. Which type of fracture should the RN explain from
these findings?
A. Straight fracture line that is also a simple, closed fracture.
B. Nondisplaced fracture line that wraps around the bone.
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C. A complete fracture that also punctures the skin.
D. A fracture that bends or splinters part of the bone. - Correct Answer-D. A
fracture that bends or splinters part of the bone.
An incomplete fracture (D) occurs through part of the thickness of bone. A linear
(A) and a spiral fracture (B) describe the direction of the fracture line. An open
fracture (C) is a compound fracture that breaks through the skin.
The registered nurse (RN) is caring for a client with peptic ulcer disease (PUD).
What assessment should the RN identify that is consistent with PUD? (Select all
that apply)
A. Hematemesis
B. Gastric pain on an empty stomach
C. Colic-like pain with fatty food ingestion
D. Intolerance of spicy foods
E. Diarrhea and stearrhea - Correct Answer-A. Hematemesis
B. Gastric pain on an empty stomach
D. Intolerance of spicy foods
(A, B and D) correct. Manifestations of PUD include hematemesis (A), gastric pain
(B), and spicy food intolerance. (C) is consistent with cholecystitis (D). (E) is not
consistent with PUD.
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is
assessing the client's basic knowledge about the disease process. Which
statement by the client conveys the client's understanding of the etiology of
diverticula?
A. Over use of laxatives for bowel regularity result in loss of peristaltic tone.
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B. Inflammation of the colon mucosa that cause growths that protrude into the
lumen.
C. Diverticulosis is the result of high fiber diet and sedentary life style.
D. Chronic constipation causes weakening of colon wall which result in out-
pouching sacs. - Correct Answer-D.
A client who has chronic constipation (D) often strains to pass constipated stool
which increases intestinal pressure that weakens the intestinal walls and causes
out-pouching sacs, called diverticula which commonly occur in the signmoid.
Regular use of laxatives (A) can result in the bowel's dependency on the laxative to
stimulate intestinal motility, but constipation due to lack of fiver in diet, not (C), is
a predisposing factor for formation of diverticula. Growths that protrude into the
colon lumen are polyps (B), which are often pre-cancerous lesions.
The registered nurse (RN) is caring for an Asian client who refuses to make eye
contact during conversations. How should the RN assess this client's response?
A. The client cannot understand the nurse.
B. The client is uncomfortable with the nurse.
C. The client is treating the nurse with respect.
D. The client is purposefully disrespecting the nurse. - Correct Answer-C.
In some Asian cultures, it is not appropriate to look a person of authority in the
eyes, so the client is being respectful bu looking down while speaking with the
nurse (C). (A, B, and D) does not reflect behaviors common to Asian culture.
The registered nurse (RN) is caring for a client who developed oliguria and was
diagnosed with sepsis and dehydration 48 hours ago. Which assessment finding
indicates to the RN that the client is stabilizing?
A. Urine output of 40 ml/hour
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B. Apical pulse 100 and blood pressure 76/42.
C. Urine specific gravity of 1.001.
D. Tented skin on the dorsal surface of the hands. - Correct Answer-A.
A decrease in urine output is a sign of dehydration. When the urine output returns
to a normal range, 40 ml/hour (A), the client's kidneys are perfusing adequately
and indicates the client's status is stabilizing. A blood pressure of 76/42 (B) and
tented skin (D) are consistent with dehydration and possible hypovolemia,
however the client's urine output is improving. Specific gravity of 1.001 is
indicative of the kidney's ability to concentrate urine adequately.
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking
a combination drug regimen. The client complains about taking "so many pills."
What information should the RN provide to the client about the prescribed
treatment?
A. The development of resistant strains of TB are decreased with a combination of
drugs.
B. Compliance to the medication regimen is challenging but should be maintained.
C. Side effects are minimized with the use of a single medication but is less
effective.
D. The treatment time is decreased from 6 months to 3 months with this standard
regimen. - Correct Answer-A
Combination therapy is necessary to decrease the development of resistant strains
of TB (A) and ensure treatment effectiveness. (B, C, and D) are not the rationales
for multiple drug protocol for TB.
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