HESI RN CAT Exam
LATEST HESI EXAM REAL QUESTIONS & ANSWERS (VERIFIED) 2026 A+
Question 1
At a routine prenatal visit, a client at 24-weeks gestation complains of nasal stuffiness and
occasional nosebleeds. Which hormone is responsible for these changes?
A. Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin.
D. Estrogen.
✓ CORRECT ANSWER
D. Estrogen.
Question 2
A client who has localized eczematous eruptions on b oth hands is diagnosed as having contact
dermatitis. What instruction should the nurse include in this client's discharge teaching plan?
A. Wear latex gloves whenever outdoors.
B. Apply an oil-based ointment to the affected areas.
C. Take prescribed antihistamine near bedtime.
D. Soak hands in warm soapy water three times a day.
✓ CORRECT ANSWER
B. Apply an oil-based ointment to the affected areas
Question 3
While transcribing a new prescription, the nurse notes that the prescribed dosage is much lower
than the recommended dosage listed in the drug reference guide. Which client data supports the
dosage reduction?
A. Decreased serum creatinine
B. Increased serum protein.
C. Increased liver enzymes.
D. Prolonged prothrombin time.
✓ CORRECT ANSWER
C. Increased liver enzymes.
Question 4
The nurse assigns an unlicensed assistive personnel (UAP) to take the vital signs of a client who
is positive for Human Immunodeficiency Virus (HIV). What protective apparel should the nurse
counsel the UAP to wear when carrying out this assignment?
, A. None.
B. Gown, gloves, mask.
C. Gloves and mask.
D. Gloves only.
✓ CORRECT ANSWER
A. None. the client, develop a system of eye blinks to communicate "yes" or "no."
Question 5
A client with Guillain-Barre syndrome requires a tracheostomy and mechanical ventilation due to
the progression of the disease. What nursing intervention is most helpful in aiding this clinet to
communicate with the staff and family?
A. Speak slowly and disntinctly while in direct view of the client. D. With
B. Teach the client to point to a letter board word chart to communicate needs.
C. Provide the client with a pencil and tablet of paper.
D. With the client, develop a system of eye blinks to communicate "yes" or "no."
✓ CORRECT ANSWER
A. Preparing the client for emergency abdominal surgery.
Question 6
A client with peptic ulcer disease (PUD) is admitted to the emergency room complaining of sudden
severe upper abdominal pain. Assessment indicates an extremely tender and rigid abdomen, B/P
of 90/60 mmHg, and pulse of 110 beat/minute. The emergency department nurse should anticipate
implementation of which intervention?
A. Preparing the client for emergency abdominal surgery.
B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel.
✓ CORRECT ANSWER
B. Disruption in sleep patterns.
Question 7
Which finding should the nurse expect a client to exhibit who is newly diagnosed with
fibromyalgia?
A. Recent joint trauma.
B. Disruption in sleep patterns.
C. Unexplained weight gain.
D. Itching and rash.
✓ CORRECT ANSWER
D. Review the findings of his glycosylated hemoglobin test.
, Question 8
A male client with diabetes mellitus reports that he has had trouble following his diet, and the
result of his fasting blood glucose test is 90 mg/dl. What action should the nurse implement first?
A. Obtain a urine specimen from the client to test for ketonuria.
B. Assure the client that his diabetes control is within normal limits.
C. Schedule the client to attend classes about diet management.
D. Review the findings of his glycosylated hemoglobin test.
✓ CORRECT ANSWER
C. Take a prescribed analgesic an hour prior to breastfeeding. purpose of the dressing is to
protect the incision from fecal contamination."
Question 9
A multipara postpartum client complain intense cramping while breastfeeding. What instruc- tion
should the nurse provide to the client?
A. Change the infant's position during the next feeding.
B. Void and completely empty bladder before each feeding.
C. Take a prescribed analgesic an hour prior to breastfeeding.
D. Drink two glasses of water 30 minutes prior to breastfeeding.
✓ CORRECT ANSWER
B. Assess the client's ability to independently turn to his left side.
Question 10
A nurse is preparing to teach the parents of a child who had a surgical repair of myelomeningocele
how to change an occlusive dressing on the child's back. Which statement by the parents
indicates that they understand this procedure?
A. "We should rapidly remove the tape from the edges of the dressing when changing it." D. " The
B. "The dressing should be wetted periodically to keep the skin incision moist."
C. "The dressing will help dry the sutures for ease of removal."
D. " The purpose of the dressing is to protect the incision from fecal contamination."
✓ CORRECT ANSWER
C. Prepare to administer adenosine, an antidysrhythmic. 8 mL/hour
Question 11
While the nurse is preparing to administer a high volume saline enema to a male client, the client
appears anxious and states that he is not able to turn on his right side without help because of a
recent stroke. What action should the nurse take first?
A. Reassure the client that he can remain in any position of comfort during the enema.
B. Assess the client's ability to independently turn to his left side.
C. Instruct the client that the procedure will only last about ten minutes.
D. Ask a UAP to assist the client to maintain a right lateral position.
LATEST HESI EXAM REAL QUESTIONS & ANSWERS (VERIFIED) 2026 A+
Question 1
At a routine prenatal visit, a client at 24-weeks gestation complains of nasal stuffiness and
occasional nosebleeds. Which hormone is responsible for these changes?
A. Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin.
D. Estrogen.
✓ CORRECT ANSWER
D. Estrogen.
Question 2
A client who has localized eczematous eruptions on b oth hands is diagnosed as having contact
dermatitis. What instruction should the nurse include in this client's discharge teaching plan?
A. Wear latex gloves whenever outdoors.
B. Apply an oil-based ointment to the affected areas.
C. Take prescribed antihistamine near bedtime.
D. Soak hands in warm soapy water three times a day.
✓ CORRECT ANSWER
B. Apply an oil-based ointment to the affected areas
Question 3
While transcribing a new prescription, the nurse notes that the prescribed dosage is much lower
than the recommended dosage listed in the drug reference guide. Which client data supports the
dosage reduction?
A. Decreased serum creatinine
B. Increased serum protein.
C. Increased liver enzymes.
D. Prolonged prothrombin time.
✓ CORRECT ANSWER
C. Increased liver enzymes.
Question 4
The nurse assigns an unlicensed assistive personnel (UAP) to take the vital signs of a client who
is positive for Human Immunodeficiency Virus (HIV). What protective apparel should the nurse
counsel the UAP to wear when carrying out this assignment?
, A. None.
B. Gown, gloves, mask.
C. Gloves and mask.
D. Gloves only.
✓ CORRECT ANSWER
A. None. the client, develop a system of eye blinks to communicate "yes" or "no."
Question 5
A client with Guillain-Barre syndrome requires a tracheostomy and mechanical ventilation due to
the progression of the disease. What nursing intervention is most helpful in aiding this clinet to
communicate with the staff and family?
A. Speak slowly and disntinctly while in direct view of the client. D. With
B. Teach the client to point to a letter board word chart to communicate needs.
C. Provide the client with a pencil and tablet of paper.
D. With the client, develop a system of eye blinks to communicate "yes" or "no."
✓ CORRECT ANSWER
A. Preparing the client for emergency abdominal surgery.
Question 6
A client with peptic ulcer disease (PUD) is admitted to the emergency room complaining of sudden
severe upper abdominal pain. Assessment indicates an extremely tender and rigid abdomen, B/P
of 90/60 mmHg, and pulse of 110 beat/minute. The emergency department nurse should anticipate
implementation of which intervention?
A. Preparing the client for emergency abdominal surgery.
B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel.
✓ CORRECT ANSWER
B. Disruption in sleep patterns.
Question 7
Which finding should the nurse expect a client to exhibit who is newly diagnosed with
fibromyalgia?
A. Recent joint trauma.
B. Disruption in sleep patterns.
C. Unexplained weight gain.
D. Itching and rash.
✓ CORRECT ANSWER
D. Review the findings of his glycosylated hemoglobin test.
, Question 8
A male client with diabetes mellitus reports that he has had trouble following his diet, and the
result of his fasting blood glucose test is 90 mg/dl. What action should the nurse implement first?
A. Obtain a urine specimen from the client to test for ketonuria.
B. Assure the client that his diabetes control is within normal limits.
C. Schedule the client to attend classes about diet management.
D. Review the findings of his glycosylated hemoglobin test.
✓ CORRECT ANSWER
C. Take a prescribed analgesic an hour prior to breastfeeding. purpose of the dressing is to
protect the incision from fecal contamination."
Question 9
A multipara postpartum client complain intense cramping while breastfeeding. What instruc- tion
should the nurse provide to the client?
A. Change the infant's position during the next feeding.
B. Void and completely empty bladder before each feeding.
C. Take a prescribed analgesic an hour prior to breastfeeding.
D. Drink two glasses of water 30 minutes prior to breastfeeding.
✓ CORRECT ANSWER
B. Assess the client's ability to independently turn to his left side.
Question 10
A nurse is preparing to teach the parents of a child who had a surgical repair of myelomeningocele
how to change an occlusive dressing on the child's back. Which statement by the parents
indicates that they understand this procedure?
A. "We should rapidly remove the tape from the edges of the dressing when changing it." D. " The
B. "The dressing should be wetted periodically to keep the skin incision moist."
C. "The dressing will help dry the sutures for ease of removal."
D. " The purpose of the dressing is to protect the incision from fecal contamination."
✓ CORRECT ANSWER
C. Prepare to administer adenosine, an antidysrhythmic. 8 mL/hour
Question 11
While the nurse is preparing to administer a high volume saline enema to a male client, the client
appears anxious and states that he is not able to turn on his right side without help because of a
recent stroke. What action should the nurse take first?
A. Reassure the client that he can remain in any position of comfort during the enema.
B. Assess the client's ability to independently turn to his left side.
C. Instruct the client that the procedure will only last about ten minutes.
D. Ask a UAP to assist the client to maintain a right lateral position.
