HESI Study Set 366 Comprehensive – Practice
Questions with Verified Answers (A+ Guide
Solution) 2025-2026
INTRODUCTION:
This document contains a complete set of 366 HESI practice
questions with verified, detailed answers, specifically designed for
the 2025–2026 academic year. It covers a wide range of nursing
topics such as maternal health, pharmacology, medical-surgical
nursing, pediatrics, psychiatric care, and health promotion. Each
question is followed by an explanation of the correct answer, making
this a thorough study guide for exam preparation.
EXAM QUESTIONS AND ANSWERS:
31. A client who is one day postpartum tells the nurse that her
baby cannot latch
onto the breast. The nurse determines that the client's nipples are
inverted. Which action should the nurse implement?
A Offer supplemental formula feedings.
B Recommend using a breast shield.
C Encourage the use of ice on the areola.
,D Teach about the use of a breast pump--- correct answer --- B
Recommend using a breast shield. - A breast shield can be
recommended to help draw out the nipple and create a more
optimal shape for latching. It can also provide a larger surface area
for the baby to grasp onto, making breastfeeding more successful
for both the mother and the baby.
32. An older resident of an extended care facility has recurrent
urinary tract
infections. The nursing care plan includes the goal, "Increase daily
intake of fluids." Which nursing intervention is most useful in
assisting the resident to meet this goal?
A Maintain a full pitcher of water at the bedside.
B Record the client's intake and output every shift.
C Offer a glass of fluid every hour while awake.
D Increase fluids provided with the client's meals--- correct answer
--- C Otter a glass of fluid every hour while awake.
While all the options provided can contribute to increasing the
resident's fluid intake, option C is the most proactive and direct
approach. Ottering fluids frequently throughout the day when the
resident is awake is an ettective behavioral strategy to promote
increased fluid intake and hydration. The regular prompting and
availability of fluids can help
overcome barriers to adequate hydration, such as forgetfulness or
limited mobility, which are common in older adults residing in care
facilities.
,33. A client presents to the emergency department (ED) with
complaints of
abdominal pain. The nurse observes the client's right cheek and eye
are bruised and suspects possible domestic violence. Which
approach is best for the nurse to use when interviewing the client?
A Ask questions in a vague, non-specific format.
B Begin with questions that are less sensitive in nature.
C Get the most difficult questions over with fist.
D Share personal values to put the client at ease--- correct answer -
-- B Begin with questions that are less sensitive in nature.
- By beginning with less sensitive, open-ended questions, the nurse
can gradually build rapport, identify potential domestic violence
issues, and create a supportive environment for the client to share
their experiences, ultimately enabling more ettective screening and
intervention.
34. A client with right-sided weakness calls for assistance with
ambulating to the
bathroom. Which action should the nurse implement?
A Bring a bedside commode to the client.
B Stand on the client's right side while walking.
C Walk directly behind the client to prevent a fall.
D Give the client a cane to hold in the right hand--- correct answer
--- B Stand on the client's right side while walking.
, -By positioning themselves on the client's right (weaker) side
during ambulation, the nurse can provide the necessary support,
stability, and guidance to promote safe mobility and prevent falls or
further injury.
35. A client who recently received a prescription for ramelteon to
treat sleep
deprivation reports experiencing several side effects since taking
the drug. Which side effect should the nurse report to the health
care provider?
A A change in the sleep-wake cycle.
B Mild sedation.
C Somnambulism.
D Dizziness reported after initial dose--- correct answer --- C
Somnambulism. - Somnambulism, also known as sleep- walking, is
a potentially dangerous side ettect that needs immediate attention
from the healthcare provider. The client's safety is at risk due to
the potential for injury during sleepwalking episodes.
36. The nurse is caring for a client who receives a prescription for
parenteral lidocaine. Prior to administering the medication, the
nurse should review the medical record for which condition?
A Heart block.
B Glaucoma.
C Gastric ulcers.
D Diabetes mellitus--- correct answer --- A Heart block. - Lidocaine
is as a local anesthetic and an as an antiarrhythmic. It is
Questions with Verified Answers (A+ Guide
Solution) 2025-2026
INTRODUCTION:
This document contains a complete set of 366 HESI practice
questions with verified, detailed answers, specifically designed for
the 2025–2026 academic year. It covers a wide range of nursing
topics such as maternal health, pharmacology, medical-surgical
nursing, pediatrics, psychiatric care, and health promotion. Each
question is followed by an explanation of the correct answer, making
this a thorough study guide for exam preparation.
EXAM QUESTIONS AND ANSWERS:
31. A client who is one day postpartum tells the nurse that her
baby cannot latch
onto the breast. The nurse determines that the client's nipples are
inverted. Which action should the nurse implement?
A Offer supplemental formula feedings.
B Recommend using a breast shield.
C Encourage the use of ice on the areola.
,D Teach about the use of a breast pump--- correct answer --- B
Recommend using a breast shield. - A breast shield can be
recommended to help draw out the nipple and create a more
optimal shape for latching. It can also provide a larger surface area
for the baby to grasp onto, making breastfeeding more successful
for both the mother and the baby.
32. An older resident of an extended care facility has recurrent
urinary tract
infections. The nursing care plan includes the goal, "Increase daily
intake of fluids." Which nursing intervention is most useful in
assisting the resident to meet this goal?
A Maintain a full pitcher of water at the bedside.
B Record the client's intake and output every shift.
C Offer a glass of fluid every hour while awake.
D Increase fluids provided with the client's meals--- correct answer
--- C Otter a glass of fluid every hour while awake.
While all the options provided can contribute to increasing the
resident's fluid intake, option C is the most proactive and direct
approach. Ottering fluids frequently throughout the day when the
resident is awake is an ettective behavioral strategy to promote
increased fluid intake and hydration. The regular prompting and
availability of fluids can help
overcome barriers to adequate hydration, such as forgetfulness or
limited mobility, which are common in older adults residing in care
facilities.
,33. A client presents to the emergency department (ED) with
complaints of
abdominal pain. The nurse observes the client's right cheek and eye
are bruised and suspects possible domestic violence. Which
approach is best for the nurse to use when interviewing the client?
A Ask questions in a vague, non-specific format.
B Begin with questions that are less sensitive in nature.
C Get the most difficult questions over with fist.
D Share personal values to put the client at ease--- correct answer -
-- B Begin with questions that are less sensitive in nature.
- By beginning with less sensitive, open-ended questions, the nurse
can gradually build rapport, identify potential domestic violence
issues, and create a supportive environment for the client to share
their experiences, ultimately enabling more ettective screening and
intervention.
34. A client with right-sided weakness calls for assistance with
ambulating to the
bathroom. Which action should the nurse implement?
A Bring a bedside commode to the client.
B Stand on the client's right side while walking.
C Walk directly behind the client to prevent a fall.
D Give the client a cane to hold in the right hand--- correct answer
--- B Stand on the client's right side while walking.
, -By positioning themselves on the client's right (weaker) side
during ambulation, the nurse can provide the necessary support,
stability, and guidance to promote safe mobility and prevent falls or
further injury.
35. A client who recently received a prescription for ramelteon to
treat sleep
deprivation reports experiencing several side effects since taking
the drug. Which side effect should the nurse report to the health
care provider?
A A change in the sleep-wake cycle.
B Mild sedation.
C Somnambulism.
D Dizziness reported after initial dose--- correct answer --- C
Somnambulism. - Somnambulism, also known as sleep- walking, is
a potentially dangerous side ettect that needs immediate attention
from the healthcare provider. The client's safety is at risk due to
the potential for injury during sleepwalking episodes.
36. The nurse is caring for a client who receives a prescription for
parenteral lidocaine. Prior to administering the medication, the
nurse should review the medical record for which condition?
A Heart block.
B Glaucoma.
C Gastric ulcers.
D Diabetes mellitus--- correct answer --- A Heart block. - Lidocaine
is as a local anesthetic and an as an antiarrhythmic. It is
