HESI Comprehensive Review for RN – Fundamentals ,
HESI Comprehensive Exam & RN HESI Maternity
C0MBINATION EXAMINATION 2025 – 2026 WITH
QUESTIONS WITH CORRECT ANSWERS VERIFIED
100% GRADED A+
HESI Comprehensive Review for RN - Fundamentals
Which serum laboratory value should the nurse monitor carefully for a client
who has a nasogastric (NG) tube to suction for the past week?
A. White blood cell count
B. Albumin
C. Calcium
D. Sodium
D
Rationale: Monitoring serum sodium levels for hyponatremia is indicated during
prolonged NG suctioning because of loss of fluids. Changes in levels of option A, B,
or C are not typically associated with prolonged NG suctioning.
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis,
about reducing the risk of a heart attack or stroke. Which health promotion
brochure is most important for the nurse to provide to this client?
A. "Monitoring Your Blood Pressure at Home"
B. "Smoking Cessation as a Lifelong Commitment"
C. "Decreasing Cholesterol Levels Through Diet"
D. "Stress Management for a Healthier You"
C
Rationale: A health promotion brochure about decreasing cholesterol is most
important to provide this client, because the most significant risk factor contributing
to development of arteriosclerosis is excess dietary fat, particularly saturated fat and
cholesterol. Option A does not address the underlying causes of arteriosclerosis.
Options B and D are also important factors for reversing arteriosclerosis but are not
as important as lowering cholesterol.
,The nurse is performing an intake interview for a newly admitted client to the
rehabilitation unit. Which questions will the nurse include in the interview?
(Select all that apply.)
A. "When do you usually go to bed? And, when do you usually wake up?"
B. "Do you usually bathe/shower in the morning or in the evening?"
C. "Do you have any intolerance to food that we need to know about?"
D. "How long do you think you will be here on the rehabilitation unit?"
E. "Do you urinate every hour, on the hour, when you are awake?"
ABCD
Rationale: The goal of the intake interview is to understand the client's daily routines
so those routines can be observed and upheld while residing on the rehabilitation
unit. Asking about how long the client will be on the rehabilitation unit helps the nurse
to understand the client's expectations of the duration of the stay. Urinary and bowel
patterns are important to understand, but the issue with this assessment is the
frequency of urination. The better question is, "How often do you urinate when you
are awake?"
Which steps should the nurse take when administering ear drops to an adult
client? (Select all that apply.)
A. Place the client in a side-lying position.
B. Pull the auricle upward and outward.
C. Hold the dropper 6 cm above the ear canal.
D. Place a cotton ball into the inner canal.
E. Pull the auricle down and back.
AB
Rationale: The correct answers (A and B) are the appropriate administration of ear
drops. The dropper should be held 1 cm (½ inch) above the ear canal (C). A cotton
ball should be placed in the outermost canal (D). The auricle is pulled down and
back for a child younger than 3 years of age, but not an adult (E).
A client has a nasogastric tube connected to low intermittent suction. When
administering medications through the nasogastric tube, which action should
the nurse do first?
A. Clamp the nasogastric tube.
B. Confirm placement of the tube.
C. Use a syringe to instill the medications.
D. Turn off the intermittent suction device.
D
Rationale: The nurse should first turn off the suction and then confirm placement of
the tube in the stomach before instilling the medications. To prevent immediate
removal of the instilled medications and allow absorption, the tube should be
clamped for a period of time before reconnecting the suction.
During evacuation of a group of clients from a medical unit because of a fire,
the nurse observes an ambulatory client walking alone toward the stairway at
the end of the hall. Which action should the nurse take?
,A.
Assign an unlicensed assistive personnel to transport the client via a
wheelchair.
B.
Remind the client to walk carefully down the stairs until reaching a lower floor.
C.
Ask the client to help by assisting a wheelchair-bound client to a nearby
elevator.
D.
Open the closest fire doors so that ambulatory clients can evacuate more
rapidly.
B
Rationale: During evacuation of a unit because of fire, ambulatory clients should be
evacuated via the stairway if at all possible and reminded to walk carefully.
Ambulatory clients do not require the assistance of a wheelchair to be evacuated.
Elevators should not be used during a fire, and fire doors should be kept closed to
help contain the fire.
The client 12 hours after a laparotomy reports to the nurse a pain rating of 7 to
10. The nurse reviews the medication orders and it is another hour before the
client can have another dose of pain medication. What actions can the nurse
take to assist the client? (Select all that apply.)
A. Administer the IV pain medication an hour early.
B. Assist the client into side-lying, curled position.
C. Obtain a warm pack to apply to the site of the incision.
D. Suggest to the client taking 10 deep breaths, in through the nose and out
through the mouth.
E. Help the client with sustained concentration of a personally pleasant topic.
BCDE
Rationale: The nurse would be not following the health care provider's prescription if
the pain medication were delivered an hour early. The nurse could call for an
additional dose of medication for break-through pain, but administering medication
early is prescribing without authority. The remaining selections are all non-
pharmacologic measures for pain relief.
A nurse is working in an occupational health clinic when an employee walks in
and states, "I was walking outside and I believe I was just struck by lightning."
The client is alert but reports feeling faint. Which assessment will the nurse
perform first?
A. Pulse characteristics
B. Open airway
C. Entrance and exit wounds
D. Cervical spine injury
A
Rationale: Lightning is a jolt of electrical current and can produce a "natural"
, defibrillation, so assessment of the pulse rate and regularity is a priority. Because the
client is talking, he has an open airway so that assessment is not necessary.
Assessing for options C and D should occur after assessing for adequate circulation.
The nurse is talking with the spouse of a client admitted to the long-term care
center. The client has end-stage renal cancer and is admitted for palliative care
while awaiting hospice placement. The client often moans and groans, but is
otherwise non-communicative and somnolent. What will the nurse include in
the spouse's teaching regarding the care of the client? (Select all that apply.)
A. Repositioning every 2 hours
B. Round-the-clock pain medication administration
C. Assessment for skin breakdown
D. Back rubs three times a day
E. Bathing twice a day
ABCD
Rationale: The nurse must cleanse soiled areas to remove any irritants; a bath twice
a day can dry out the skin. The goal of palliative care is to make the client
comfortable, and not treat the cause of the condition. The client will be on bed rest
because of the client's debilitated condition. Skin breakdown is a nursing concern.
Measures to prevent skin breakdown should be included in this client's plan of care.
The nurse is preparing to administer a bolus tube feeding. What steps must
the nurse include prior to administering the feeding? (Select all that apply.)
A. Aspirate the stomach contents.
B. Assess bowel sounds.
C. Position the client in semi-Fowler's position.
D. Irrigate the lumen after the contents are replaced.
E. Warm the feeding to room temperature.
F. Assess the pH of the stomach contents.
ABEF
Rationale: The client needs to be in high Fowler's position to decrease the risk of
aspiration. Irrigation of the lumen is only necessary if there is an obstruction. The
contents were replaced, so there is no suspicion of obstruction. The remaining steps
are correct.
The nurse is preparing to administer a new medication through an existing IV
line containing a vasopressor. What action must the nurse take first?
A. Flush the line with normal saline at the same rate as the vasopressor
B. Administer the medication at the prescribed IV rate
C. Start a second IV line to administer the new medication
D. Call the health care provider to change the order for the new medication to
po.
A
Rationale: The medication in the IV line between the post and the patient contains
the vasopressor medication. The nurse must continue to administer the vasopressor
medication at the prescribed rate by injecting normal saline at that rate. Once the line
HESI Comprehensive Exam & RN HESI Maternity
C0MBINATION EXAMINATION 2025 – 2026 WITH
QUESTIONS WITH CORRECT ANSWERS VERIFIED
100% GRADED A+
HESI Comprehensive Review for RN - Fundamentals
Which serum laboratory value should the nurse monitor carefully for a client
who has a nasogastric (NG) tube to suction for the past week?
A. White blood cell count
B. Albumin
C. Calcium
D. Sodium
D
Rationale: Monitoring serum sodium levels for hyponatremia is indicated during
prolonged NG suctioning because of loss of fluids. Changes in levels of option A, B,
or C are not typically associated with prolonged NG suctioning.
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis,
about reducing the risk of a heart attack or stroke. Which health promotion
brochure is most important for the nurse to provide to this client?
A. "Monitoring Your Blood Pressure at Home"
B. "Smoking Cessation as a Lifelong Commitment"
C. "Decreasing Cholesterol Levels Through Diet"
D. "Stress Management for a Healthier You"
C
Rationale: A health promotion brochure about decreasing cholesterol is most
important to provide this client, because the most significant risk factor contributing
to development of arteriosclerosis is excess dietary fat, particularly saturated fat and
cholesterol. Option A does not address the underlying causes of arteriosclerosis.
Options B and D are also important factors for reversing arteriosclerosis but are not
as important as lowering cholesterol.
,The nurse is performing an intake interview for a newly admitted client to the
rehabilitation unit. Which questions will the nurse include in the interview?
(Select all that apply.)
A. "When do you usually go to bed? And, when do you usually wake up?"
B. "Do you usually bathe/shower in the morning or in the evening?"
C. "Do you have any intolerance to food that we need to know about?"
D. "How long do you think you will be here on the rehabilitation unit?"
E. "Do you urinate every hour, on the hour, when you are awake?"
ABCD
Rationale: The goal of the intake interview is to understand the client's daily routines
so those routines can be observed and upheld while residing on the rehabilitation
unit. Asking about how long the client will be on the rehabilitation unit helps the nurse
to understand the client's expectations of the duration of the stay. Urinary and bowel
patterns are important to understand, but the issue with this assessment is the
frequency of urination. The better question is, "How often do you urinate when you
are awake?"
Which steps should the nurse take when administering ear drops to an adult
client? (Select all that apply.)
A. Place the client in a side-lying position.
B. Pull the auricle upward and outward.
C. Hold the dropper 6 cm above the ear canal.
D. Place a cotton ball into the inner canal.
E. Pull the auricle down and back.
AB
Rationale: The correct answers (A and B) are the appropriate administration of ear
drops. The dropper should be held 1 cm (½ inch) above the ear canal (C). A cotton
ball should be placed in the outermost canal (D). The auricle is pulled down and
back for a child younger than 3 years of age, but not an adult (E).
A client has a nasogastric tube connected to low intermittent suction. When
administering medications through the nasogastric tube, which action should
the nurse do first?
A. Clamp the nasogastric tube.
B. Confirm placement of the tube.
C. Use a syringe to instill the medications.
D. Turn off the intermittent suction device.
D
Rationale: The nurse should first turn off the suction and then confirm placement of
the tube in the stomach before instilling the medications. To prevent immediate
removal of the instilled medications and allow absorption, the tube should be
clamped for a period of time before reconnecting the suction.
During evacuation of a group of clients from a medical unit because of a fire,
the nurse observes an ambulatory client walking alone toward the stairway at
the end of the hall. Which action should the nurse take?
,A.
Assign an unlicensed assistive personnel to transport the client via a
wheelchair.
B.
Remind the client to walk carefully down the stairs until reaching a lower floor.
C.
Ask the client to help by assisting a wheelchair-bound client to a nearby
elevator.
D.
Open the closest fire doors so that ambulatory clients can evacuate more
rapidly.
B
Rationale: During evacuation of a unit because of fire, ambulatory clients should be
evacuated via the stairway if at all possible and reminded to walk carefully.
Ambulatory clients do not require the assistance of a wheelchair to be evacuated.
Elevators should not be used during a fire, and fire doors should be kept closed to
help contain the fire.
The client 12 hours after a laparotomy reports to the nurse a pain rating of 7 to
10. The nurse reviews the medication orders and it is another hour before the
client can have another dose of pain medication. What actions can the nurse
take to assist the client? (Select all that apply.)
A. Administer the IV pain medication an hour early.
B. Assist the client into side-lying, curled position.
C. Obtain a warm pack to apply to the site of the incision.
D. Suggest to the client taking 10 deep breaths, in through the nose and out
through the mouth.
E. Help the client with sustained concentration of a personally pleasant topic.
BCDE
Rationale: The nurse would be not following the health care provider's prescription if
the pain medication were delivered an hour early. The nurse could call for an
additional dose of medication for break-through pain, but administering medication
early is prescribing without authority. The remaining selections are all non-
pharmacologic measures for pain relief.
A nurse is working in an occupational health clinic when an employee walks in
and states, "I was walking outside and I believe I was just struck by lightning."
The client is alert but reports feeling faint. Which assessment will the nurse
perform first?
A. Pulse characteristics
B. Open airway
C. Entrance and exit wounds
D. Cervical spine injury
A
Rationale: Lightning is a jolt of electrical current and can produce a "natural"
, defibrillation, so assessment of the pulse rate and regularity is a priority. Because the
client is talking, he has an open airway so that assessment is not necessary.
Assessing for options C and D should occur after assessing for adequate circulation.
The nurse is talking with the spouse of a client admitted to the long-term care
center. The client has end-stage renal cancer and is admitted for palliative care
while awaiting hospice placement. The client often moans and groans, but is
otherwise non-communicative and somnolent. What will the nurse include in
the spouse's teaching regarding the care of the client? (Select all that apply.)
A. Repositioning every 2 hours
B. Round-the-clock pain medication administration
C. Assessment for skin breakdown
D. Back rubs three times a day
E. Bathing twice a day
ABCD
Rationale: The nurse must cleanse soiled areas to remove any irritants; a bath twice
a day can dry out the skin. The goal of palliative care is to make the client
comfortable, and not treat the cause of the condition. The client will be on bed rest
because of the client's debilitated condition. Skin breakdown is a nursing concern.
Measures to prevent skin breakdown should be included in this client's plan of care.
The nurse is preparing to administer a bolus tube feeding. What steps must
the nurse include prior to administering the feeding? (Select all that apply.)
A. Aspirate the stomach contents.
B. Assess bowel sounds.
C. Position the client in semi-Fowler's position.
D. Irrigate the lumen after the contents are replaced.
E. Warm the feeding to room temperature.
F. Assess the pH of the stomach contents.
ABEF
Rationale: The client needs to be in high Fowler's position to decrease the risk of
aspiration. Irrigation of the lumen is only necessary if there is an obstruction. The
contents were replaced, so there is no suspicion of obstruction. The remaining steps
are correct.
The nurse is preparing to administer a new medication through an existing IV
line containing a vasopressor. What action must the nurse take first?
A. Flush the line with normal saline at the same rate as the vasopressor
B. Administer the medication at the prescribed IV rate
C. Start a second IV line to administer the new medication
D. Call the health care provider to change the order for the new medication to
po.
A
Rationale: The medication in the IV line between the post and the patient contains
the vasopressor medication. The nurse must continue to administer the vasopressor
medication at the prescribed rate by injecting normal saline at that rate. Once the line
