HESI RN 3,HESI RN Mental Health & HESI-RN Fundamentals Overview
ACCOMBINATION EXAMINATION 2025 - 2026 QUESTIONS WITH CORRECT
ANSWERS VERIFIED 100% GRADED A+
HESI RN 3
The healthcare provider prescribes acarbose, an alpha-glucosidase inhibitor,
for a client with type two diabetes. Which information provides the best
indicator of the drugs effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%.
D) Hemoglobin A1c readings less than 7%.
After receiving report on an inpatient acute care unit which client should the
nurse assess first?
A) The client who had surgery yesterday and is experiencing a paralytic ileus
with absent bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric tube that is
draining greenish fluid.
C) The client with an obstruction of the large intestine who is experiencing
abdominal distention.
D) The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity.
D) The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity.
Client presents at the emergency department reporting a raspy voice, cold
intolerance, and fatigue. Laboratory tests indicate an elevated thyroid
stimulating hormone and a low T3 and T4 levels. After the client is admitted to
the telemetary unit, which intervention is most appropriate for the nurse to
implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema.
A) administer prescribed dose of level thyroxine.
While caring for a client post operative dressing, the nurse observes purulent
wound drainage. Previously, the wound was inflamed and tender but without
drainage. Which is the most important action for the nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
,C) Monitor the clients white blood cell count.
D) Request a culture and sensitivity of the wound.
D) Request a culture and sensitivity of the wound.
The school nurse is screening students for scoliosis and notes that one
student has lordosis. Which finding should the nurse document in the student
screening record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
C) Excessive concave curvature of the lumbar spine.
D) Rounded spine from head to hips without concave curbs.
C) Excessive concave curvature of the lumbar spine.
The nurse is assigned to care for for surgical clients. After receiving report,
which client should the nurse see first?
A) An older client who is receiving packed red blood cells on the third day post
operative for colon resection.
B) An older client with continuous bladder irrigation who is two days post
operative for bladder surgery.
C) An adult who is in bucks traction, and scheduled for hip arthroplasty within
the just 12 hours.
D) An adult one day post operative laparoscopic cholecystectomy requesting
pain medication.
A) An older client who is receiving packed red blood cells on the third day post
operative for colon resection.
The nurse is providing education to a client who experiences recurrent levels
of moderate anxiety to situation and perceived stress. In addition to
information about prescribe medication and administration, which instruction
should the nurse include in the teaching?
A) Think about reasons the episodes occur.
B) Center attention on positive upbeat music.
C) Practice using muscle relaxation techniques.
D) Find outlets for more social interaction.
C) Practice using muscle relaxation techniques.
The nurse is preparing a client who had a below the knee amputation for
discharge to home. Which recommendations should the nurse provide this
client? SATA.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
C) Apply alcohol to the residual limb after bathing.
D) Wash the residual limb with soap and water.
E) Avoid range of motion exercises.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
D) Wash the residual limb with soap and water.
The nurse is assessing the feet of a client with type one diabetes mellitis.
Which finding requires immediate intervention by the nurse?
,A) Hard, painless nodule over metatarsophalangeal joint of first toe.
B) Painful corns and calluses over hammer toes on both feet.
C) Erythema and edema at the base of the left great toe.
D) Decreased response to pain discrimination on dorsal surface of foot.
D) Decreased response to pain discrimination on dorsal surface of foot.
The school nurse is called to the soccer field because a child has epistaxis. In
which position should the nurse place the child?
A) Side-lying with the head slightly elevated.
B) Sitting up and leaning forward.
C) Standing with the head leaning backwards.
D) Supine with the legs raised.
B) Sitting up and leaning forward.
The nurse is auscultating a clients lung sounds. Which description should the
nurse use to document this sound? Please listen to the audio file to select the
option that applies.
A) High pitch squeeze.
B) Rhonchi.
C) High-pitched or fine crackles.
D) Stridor.
C) High-pitched or fine crackles.
NGN: Flow Sheet, vital signs, heart rate 104 bpm, respiratory rate 31 bpm.
The client is experiencing __________________ and ____________________.
Tachypnea , tachycardia
NGN: Orders, 1300 admit to the surgical unit, vital signs every four hours,
advanced diet as tolerated, administer lactated ringers IV at 85 mL per hour,
ibuprofen 800 mg PO every eight hours PRN for pain.
(the nurse would anticipate which of the following could be affecting the
clients current condition? SATA.
A) stress.
B) Medication.
C) Anemia.
D) Fever.
E) Hypothermia.
F) Hypertension.
G) Pain.
A) stress.
B) Medication.
G) Pain.
When preparing to administer a prescribed medication to a homeless client at
a community psychiatric clinic. The client tells the nurse that the usual dosage
taken is different from the dose the nurse is giving. Which action should the
nurse take?
A) Inform the client that he may refuse the medication and document whether
or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
, C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.
B) Withhold the medication until the dosage can be confirmed.
The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients.
Which client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10
to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
B) Viral meningitis whose temperature change from 101 S to 102F.
The nurse is caring for a client with pneumonia who now develops initial signs
of septic shock and multi organ failure. The healthcare provider prescribes a
sepsis protocol. Which intervention is most important for the nurse to include
in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide
note to a teacher at school. On the second day of hospitalization, the nurse
asked the client to meet with the treatment team. After the team meeting, the
client leaves in tears and goes to their room. Which nursing intervention is
best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
D) Go to the clients room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The medication
is available and 25,000 units per milliliter vial. How many milliliters should the
nurse administer? (Enter numerical value only. If rounding is required, round
to the nearest 10th.)
0.6
NGN: The client is a 49-year-old male who reports flu like symptoms including
fever and chest congestion for four days. He came to the emergency
department last night when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years. He has no significant
medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
ACCOMBINATION EXAMINATION 2025 - 2026 QUESTIONS WITH CORRECT
ANSWERS VERIFIED 100% GRADED A+
HESI RN 3
The healthcare provider prescribes acarbose, an alpha-glucosidase inhibitor,
for a client with type two diabetes. Which information provides the best
indicator of the drugs effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%.
D) Hemoglobin A1c readings less than 7%.
After receiving report on an inpatient acute care unit which client should the
nurse assess first?
A) The client who had surgery yesterday and is experiencing a paralytic ileus
with absent bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric tube that is
draining greenish fluid.
C) The client with an obstruction of the large intestine who is experiencing
abdominal distention.
D) The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity.
D) The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity.
Client presents at the emergency department reporting a raspy voice, cold
intolerance, and fatigue. Laboratory tests indicate an elevated thyroid
stimulating hormone and a low T3 and T4 levels. After the client is admitted to
the telemetary unit, which intervention is most appropriate for the nurse to
implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema.
A) administer prescribed dose of level thyroxine.
While caring for a client post operative dressing, the nurse observes purulent
wound drainage. Previously, the wound was inflamed and tender but without
drainage. Which is the most important action for the nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
,C) Monitor the clients white blood cell count.
D) Request a culture and sensitivity of the wound.
D) Request a culture and sensitivity of the wound.
The school nurse is screening students for scoliosis and notes that one
student has lordosis. Which finding should the nurse document in the student
screening record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
C) Excessive concave curvature of the lumbar spine.
D) Rounded spine from head to hips without concave curbs.
C) Excessive concave curvature of the lumbar spine.
The nurse is assigned to care for for surgical clients. After receiving report,
which client should the nurse see first?
A) An older client who is receiving packed red blood cells on the third day post
operative for colon resection.
B) An older client with continuous bladder irrigation who is two days post
operative for bladder surgery.
C) An adult who is in bucks traction, and scheduled for hip arthroplasty within
the just 12 hours.
D) An adult one day post operative laparoscopic cholecystectomy requesting
pain medication.
A) An older client who is receiving packed red blood cells on the third day post
operative for colon resection.
The nurse is providing education to a client who experiences recurrent levels
of moderate anxiety to situation and perceived stress. In addition to
information about prescribe medication and administration, which instruction
should the nurse include in the teaching?
A) Think about reasons the episodes occur.
B) Center attention on positive upbeat music.
C) Practice using muscle relaxation techniques.
D) Find outlets for more social interaction.
C) Practice using muscle relaxation techniques.
The nurse is preparing a client who had a below the knee amputation for
discharge to home. Which recommendations should the nurse provide this
client? SATA.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
C) Apply alcohol to the residual limb after bathing.
D) Wash the residual limb with soap and water.
E) Avoid range of motion exercises.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
D) Wash the residual limb with soap and water.
The nurse is assessing the feet of a client with type one diabetes mellitis.
Which finding requires immediate intervention by the nurse?
,A) Hard, painless nodule over metatarsophalangeal joint of first toe.
B) Painful corns and calluses over hammer toes on both feet.
C) Erythema and edema at the base of the left great toe.
D) Decreased response to pain discrimination on dorsal surface of foot.
D) Decreased response to pain discrimination on dorsal surface of foot.
The school nurse is called to the soccer field because a child has epistaxis. In
which position should the nurse place the child?
A) Side-lying with the head slightly elevated.
B) Sitting up and leaning forward.
C) Standing with the head leaning backwards.
D) Supine with the legs raised.
B) Sitting up and leaning forward.
The nurse is auscultating a clients lung sounds. Which description should the
nurse use to document this sound? Please listen to the audio file to select the
option that applies.
A) High pitch squeeze.
B) Rhonchi.
C) High-pitched or fine crackles.
D) Stridor.
C) High-pitched or fine crackles.
NGN: Flow Sheet, vital signs, heart rate 104 bpm, respiratory rate 31 bpm.
The client is experiencing __________________ and ____________________.
Tachypnea , tachycardia
NGN: Orders, 1300 admit to the surgical unit, vital signs every four hours,
advanced diet as tolerated, administer lactated ringers IV at 85 mL per hour,
ibuprofen 800 mg PO every eight hours PRN for pain.
(the nurse would anticipate which of the following could be affecting the
clients current condition? SATA.
A) stress.
B) Medication.
C) Anemia.
D) Fever.
E) Hypothermia.
F) Hypertension.
G) Pain.
A) stress.
B) Medication.
G) Pain.
When preparing to administer a prescribed medication to a homeless client at
a community psychiatric clinic. The client tells the nurse that the usual dosage
taken is different from the dose the nurse is giving. Which action should the
nurse take?
A) Inform the client that he may refuse the medication and document whether
or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
, C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.
B) Withhold the medication until the dosage can be confirmed.
The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients.
Which client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10
to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
B) Viral meningitis whose temperature change from 101 S to 102F.
The nurse is caring for a client with pneumonia who now develops initial signs
of septic shock and multi organ failure. The healthcare provider prescribes a
sepsis protocol. Which intervention is most important for the nurse to include
in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide
note to a teacher at school. On the second day of hospitalization, the nurse
asked the client to meet with the treatment team. After the team meeting, the
client leaves in tears and goes to their room. Which nursing intervention is
best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
D) Go to the clients room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The medication
is available and 25,000 units per milliliter vial. How many milliliters should the
nurse administer? (Enter numerical value only. If rounding is required, round
to the nearest 10th.)
0.6
NGN: The client is a 49-year-old male who reports flu like symptoms including
fever and chest congestion for four days. He came to the emergency
department last night when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years. He has no significant
medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
