HESI VERSION 2 LATEST TEST EXAM 2025/2026 COMPLETE
STUDY QUESTIONS WITH CORRECT VERIFIED ANSWERS
GUARANTEED PASS | RATED A+
An older adult who is in his early 70s is admitted to the emergency department because of a
COPD exacerbation. The client is struggling to breathe and the healthcare team is preparing for
endotracheal intubation. The spouse's wife, who is 30 years younger than the client, asks the
nurse to stop the procedure and provides the nurse a copy of the client's living well. Which
action should the nurse take?
A. Facilitate a family meeting with the palliative care team
B. Notify the healthcare provider of the clients wishes
C. Place a certified copy of the living well in the client's room
D. Alert the nursing staff of the clients do not resuscitate status - Answer>>> B. Notify the
healthcare provider of the clients wishes
An unlicensed assistive personnel (UAP) is a sign to provide personal care for a client whose
prescribed activity is bed rest in a bedside commode use. The UAP reports to the nurse that the
client is so obese that the UAP feels unable to safely assist the client in transferring from the bed
to the bedside commode. How should the nurse respond?
A. Determine the client's level of mobility and need for assistance
B. Instruct the UAP that all clients deserve equal care
C. Advise the client to maintain bedrest so that safety can be insured
D. Assign another UAP to care for the client - Answer>>> A. Determine the client's level of
mobility and need for assistance
After an inservice about electronic health record (EHR) security and safeguarding client
information, the nurse observes a colleague going home with printed copies of client information
and a uniform packet. Which action should the nurse take?
A. File a detailed incident report with the specific hiring facility
,B. Why did the colleague that their actions are unprofessional
C. Comment anonymously about the action on a staff discussion board
D. Communicate the colleague's actions to the unit charge nurse - Answer>>> A. File a detailed
incident report with the specific hiring facility
An adult male who fell 20 feet from the roof of his home has multiple injuries, including a right
pneumothorax. Chest tubes were inserted in the emergency department prior to his transfer to the
intensive care unit (ICU). The nurse notes that the suction control chamber is bubbling at the -10
cm H2O mark with fluctuation in the water seal, and over the past hour 75 mL of bright red
blood is measured in the collection chamber. Which intervention should the nurse implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusion
C. Manipulate blood in tubing to drain into the chamber
D. Increase wall suction to eliminate fluctuation in water seal - Answer>>> A. Add sterile water
to the suction control chamber.
The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease
implemented in a rural health clinic. Which outcomes indicate the program is effective?
A. At risk clients received an increase number of routine health screenings
B. Clients reported having new confidence in making healthy food choices
C. Clients who incurred disease complications promptly received rehabilitation
D. Client relapse rate of 30% in a 5-year community-wide anti-smoking campaign - Answer>>>
C. Clients who incurred disease complications promptly received rehabilitation
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife approaches
the nurse and asks how she will know that her husband's death is imminent because their two
adult children want to be there when he dies. Which is the *best* response by the nurse?
A. Gather information regarding how long it will take for the children to arrive
, B. Explain that the client will start to lose consciousness and the body systems will slow down.
C. Reassure the spouse that the healthcare provider will notify when to call the children.
D. Offer to discuss the client's health status with each of the adult children. - Answer>>> B.
Explain that the client will start to lose consciousness and the body systems will slow down.
A male client who fell off a roof has right and left femur fractures and crushing injuries to both
ankles. He is supine with bilateral skin traction applied to the lower extremities while awaiting
surgery within the next 4 hours. When asked to evaluate his pain on a scale of 1 to 10, he
screams that it is 20. For the last 4 hours, he has received morphine 2 mg IV hourly. His vital
signs are heart rate 130 beats/minute, respirations 32 breaths/minute, blood pressure 180/90
mmHg. Which intervention is most important for the nurse to implement?
A. Request the healthcare provider to consider a different analgesic
B. Evaluate the traction for amount of tension applied to each extremity
C. Determine if client is experiencing cumulative effects of the total dosage
D. Assess the extremities for signs of compartment syndrome q2 hours - Answer>>> D. Assess
the extremities for signs of compartment syndrome q2 hours
An older male was recently admitted to the rehabilitation unit with unilateral neglect syndrome
as a result of a cerebral vascular accident (CVA). Which action should the nurse include in the
plan of care?
A. Use hands and arm gestures to improve communication and comprehension
B. Provide additional light in the room to promote sensory stimulation
C. Place a clock and calendar in the room to improve orientation
D. Teach the client to turn his head from side to side to visual scanning - Answer>>> D. Teach
the client to turn his head from side to side to visual scanning
The charge nurse of a critical carry unit is informed at the beginning of the shift that lesss than
the optical number of registered nurses will be working that shift and planning assignments
which client should receive the most care hours by registered nurse (RN)?
STUDY QUESTIONS WITH CORRECT VERIFIED ANSWERS
GUARANTEED PASS | RATED A+
An older adult who is in his early 70s is admitted to the emergency department because of a
COPD exacerbation. The client is struggling to breathe and the healthcare team is preparing for
endotracheal intubation. The spouse's wife, who is 30 years younger than the client, asks the
nurse to stop the procedure and provides the nurse a copy of the client's living well. Which
action should the nurse take?
A. Facilitate a family meeting with the palliative care team
B. Notify the healthcare provider of the clients wishes
C. Place a certified copy of the living well in the client's room
D. Alert the nursing staff of the clients do not resuscitate status - Answer>>> B. Notify the
healthcare provider of the clients wishes
An unlicensed assistive personnel (UAP) is a sign to provide personal care for a client whose
prescribed activity is bed rest in a bedside commode use. The UAP reports to the nurse that the
client is so obese that the UAP feels unable to safely assist the client in transferring from the bed
to the bedside commode. How should the nurse respond?
A. Determine the client's level of mobility and need for assistance
B. Instruct the UAP that all clients deserve equal care
C. Advise the client to maintain bedrest so that safety can be insured
D. Assign another UAP to care for the client - Answer>>> A. Determine the client's level of
mobility and need for assistance
After an inservice about electronic health record (EHR) security and safeguarding client
information, the nurse observes a colleague going home with printed copies of client information
and a uniform packet. Which action should the nurse take?
A. File a detailed incident report with the specific hiring facility
,B. Why did the colleague that their actions are unprofessional
C. Comment anonymously about the action on a staff discussion board
D. Communicate the colleague's actions to the unit charge nurse - Answer>>> A. File a detailed
incident report with the specific hiring facility
An adult male who fell 20 feet from the roof of his home has multiple injuries, including a right
pneumothorax. Chest tubes were inserted in the emergency department prior to his transfer to the
intensive care unit (ICU). The nurse notes that the suction control chamber is bubbling at the -10
cm H2O mark with fluctuation in the water seal, and over the past hour 75 mL of bright red
blood is measured in the collection chamber. Which intervention should the nurse implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusion
C. Manipulate blood in tubing to drain into the chamber
D. Increase wall suction to eliminate fluctuation in water seal - Answer>>> A. Add sterile water
to the suction control chamber.
The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease
implemented in a rural health clinic. Which outcomes indicate the program is effective?
A. At risk clients received an increase number of routine health screenings
B. Clients reported having new confidence in making healthy food choices
C. Clients who incurred disease complications promptly received rehabilitation
D. Client relapse rate of 30% in a 5-year community-wide anti-smoking campaign - Answer>>>
C. Clients who incurred disease complications promptly received rehabilitation
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife approaches
the nurse and asks how she will know that her husband's death is imminent because their two
adult children want to be there when he dies. Which is the *best* response by the nurse?
A. Gather information regarding how long it will take for the children to arrive
, B. Explain that the client will start to lose consciousness and the body systems will slow down.
C. Reassure the spouse that the healthcare provider will notify when to call the children.
D. Offer to discuss the client's health status with each of the adult children. - Answer>>> B.
Explain that the client will start to lose consciousness and the body systems will slow down.
A male client who fell off a roof has right and left femur fractures and crushing injuries to both
ankles. He is supine with bilateral skin traction applied to the lower extremities while awaiting
surgery within the next 4 hours. When asked to evaluate his pain on a scale of 1 to 10, he
screams that it is 20. For the last 4 hours, he has received morphine 2 mg IV hourly. His vital
signs are heart rate 130 beats/minute, respirations 32 breaths/minute, blood pressure 180/90
mmHg. Which intervention is most important for the nurse to implement?
A. Request the healthcare provider to consider a different analgesic
B. Evaluate the traction for amount of tension applied to each extremity
C. Determine if client is experiencing cumulative effects of the total dosage
D. Assess the extremities for signs of compartment syndrome q2 hours - Answer>>> D. Assess
the extremities for signs of compartment syndrome q2 hours
An older male was recently admitted to the rehabilitation unit with unilateral neglect syndrome
as a result of a cerebral vascular accident (CVA). Which action should the nurse include in the
plan of care?
A. Use hands and arm gestures to improve communication and comprehension
B. Provide additional light in the room to promote sensory stimulation
C. Place a clock and calendar in the room to improve orientation
D. Teach the client to turn his head from side to side to visual scanning - Answer>>> D. Teach
the client to turn his head from side to side to visual scanning
The charge nurse of a critical carry unit is informed at the beginning of the shift that lesss than
the optical number of registered nurses will be working that shift and planning assignments
which client should receive the most care hours by registered nurse (RN)?
