GI, ENDOCRINE AND HEMATOLOGY HESI EXAM
NEWEST 2026 ACTUAL EXAM TEST BANK| COMPLETE
200 REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
(BRAND NEW!!)
Question 1
A nurse is caring for a client with a nasogastric (NG) tube
attached to continuous suction. Which electrolyte imbalance is this
client at greatest risk for?
A) Hyperkalemia
B) Hyponatremia
C) Hypercalcemia
D) Hypomagnesemia
Answer: B
1
,Rationale: NG suction removes gastric acid (hydrochloric acid),
which contains sodium, potassium, and chloride. Loss of sodium
can lead to hyponatremia. Hyperkalemia (A), hypercalcemia (C),
and hypomagnesemia (D) are less directly associated with NG
suction .
Question 2
A client with diverticulitis is being discharged. Which dietary
instruction should the nurse include for the acute phase?
A) High-fiber diet
B) Clear liquid diet
C) Low-fiber diet
D) Full liquid diet
Answer: B
Rationale: During the acute phase of diverticulitis, the bowel is
rested with a clear liquid diet to reduce inflammation. A high-
2
,fiber diet (A) is recommended for prevention after the acute
phase resolves .
Question 3
A nurse is assessing a client with acute pancreatitis. Which finding
is most consistent with this condition?
A) Right upper quadrant pain radiating to the right shoulder
B) Epigastric pain radiating to the back
C) Left lower quadrant pain with rebound tenderness
D) Periumbilical pain that migrates to the right lower quadrant
Answer: B
Rationale: Acute pancreatitis typically presents with epigastric
pain that radiates to the back. The pain may be relieved by
leaning forward. Option A describes cholecystitis. Option C
describes diverticulitis. Option D describes appendicitis .
3
, Question 4
A client with cirrhosis has ascites. Which nursing intervention is
most important to include in the plan of care?
A) Restrict dietary sodium
B) Restrict daily fluid intake
C) Encourage high-protein snacks
D) Administer diuretics with meals
Answer: A
Rationale: Ascites in cirrhosis is managed with sodium restriction
to reduce fluid retention. Fluid restriction may also be used but is
secondary to sodium restriction. High-sodium diet would worsen
ascites .
4
NEWEST 2026 ACTUAL EXAM TEST BANK| COMPLETE
200 REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
(BRAND NEW!!)
Question 1
A nurse is caring for a client with a nasogastric (NG) tube
attached to continuous suction. Which electrolyte imbalance is this
client at greatest risk for?
A) Hyperkalemia
B) Hyponatremia
C) Hypercalcemia
D) Hypomagnesemia
Answer: B
1
,Rationale: NG suction removes gastric acid (hydrochloric acid),
which contains sodium, potassium, and chloride. Loss of sodium
can lead to hyponatremia. Hyperkalemia (A), hypercalcemia (C),
and hypomagnesemia (D) are less directly associated with NG
suction .
Question 2
A client with diverticulitis is being discharged. Which dietary
instruction should the nurse include for the acute phase?
A) High-fiber diet
B) Clear liquid diet
C) Low-fiber diet
D) Full liquid diet
Answer: B
Rationale: During the acute phase of diverticulitis, the bowel is
rested with a clear liquid diet to reduce inflammation. A high-
2
,fiber diet (A) is recommended for prevention after the acute
phase resolves .
Question 3
A nurse is assessing a client with acute pancreatitis. Which finding
is most consistent with this condition?
A) Right upper quadrant pain radiating to the right shoulder
B) Epigastric pain radiating to the back
C) Left lower quadrant pain with rebound tenderness
D) Periumbilical pain that migrates to the right lower quadrant
Answer: B
Rationale: Acute pancreatitis typically presents with epigastric
pain that radiates to the back. The pain may be relieved by
leaning forward. Option A describes cholecystitis. Option C
describes diverticulitis. Option D describes appendicitis .
3
, Question 4
A client with cirrhosis has ascites. Which nursing intervention is
most important to include in the plan of care?
A) Restrict dietary sodium
B) Restrict daily fluid intake
C) Encourage high-protein snacks
D) Administer diuretics with meals
Answer: A
Rationale: Ascites in cirrhosis is managed with sodium restriction
to reduce fluid retention. Fluid restriction may also be used but is
secondary to sodium restriction. High-sodium diet would worsen
ascites .
4
