HESI RN Fundamentals,HESI rn & HESI RN Pharmacology COMBINATION
EXAMINATION 2025 - 2026 QUESTIONS WITH CORRECT ANSWERS VERIFIED
100% GRADED A+
HESI rn
The nurse is caring for a client who is in the late stage of multiple myeloma.
Which of
the following should be included in the plan of care?
A) Monitor for hyperkalemia
B) Place in protective isolation
C) Precautions with position changes
D) Administer diuretics as ordered
C) Precautions with position changes
The nurse is making a home visit to a client with chronic obstructive
pulmonary disease (COPD). The client tells the nurse that he used to be able to
walk from the house to the mailbox without difficulty. Now, he has to pause to
catch his breath halfway through the trip. Which diagnosis would be most
appropriate for this client based on this assessment?
A) Activity intolerance caused by fatigue related to chronic tissue hypoxia
B) Impaired mobility related to chronic obstructive pulmonary disease
C) Self-care deficit caused by fatigue related to dyspnea
D) Ineffective airway clearance related to increased bronchial secretions
A) Activity intolerance caused by fatigue related to chronic tissue hypoxia
The nurse admits a client newly diagnosed with hypertension. What is the best
method for assessing the blood pressure?
A) Standing and sitting
B) In both arms
C) After exercising
D) Supine position
B) In both arms
The nurse is caring for residents in a long term care setting for the elderly.
Which of the following activities will be most effective in meeting the growth
and development needs for persons in this age group?
A) Aerobic exercise classes
B) Transportation for shopping trips
C) Reminiscence groups
D) Regularly scheduled social activities
C) Reminiscence groups
Post-procedure nursing interventions for electroconvulsive therapy include
A) Applying hard restraints if seizure occurs
B) Expecting client to sleep for 4 to 6 hours
C) Remaining with client until oriented
D) Expecting long-term memory loss
,C) Remaining with client until oriented
The nurse assesses delayed gross motor development in a 3 year-old child.
The
inability of the child to do which action confirms this finding?
A) Stand on 1 foot
B) Catch a ball
C) Skip on alternate feet
D) Ride a bicycle
A) Stand on 1 foot
The mother of a 15 month-old child asks the nurse to explain her child's lab
results
and how they show her child has iron deficiency anemia. The nurse's best
response is
A) "Although the results are here, your doctor will explain them later.
"B) "Your child has less red blood cells that carry oxygen.
"C) "The blood cells that carry nutrients to the cells are too large."
D) "There are not enough blood cells in your child's circulation."
B) "Your child has less red blood cells that carry oxygen."
In a child with suspected coarctation of the aorta, the nurse would expect to
find
A) Strong pedal pulses
B) Diminishing carotid pulses
C) Normal femoral pulses
D) Bounding pulses in the arms
D) Bounding pulses in the arms
At the day treatment center a client diagnosed with Schizophrenia - Paranoid
Type sits alone alertly watching the activities of clients and staff. The client is
hostile when approached and asserts that the doctor gives her medication to
control her mind. The client's behavior most likely indicates
A) Feelings of increasing anxiety related to paranoia
B) Social isolation related to altered thought processes
C) Sensory perceptual alteration related to withdrawal from environment
D) Impaired verbal communication related to impaired judgment
B) Social isolation related to altered thought processes
A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as a 6
on a 0- to-10 scale. The client refuses all pain medication other than Motrin,
which does not relieve his pain. The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes
A) Ask the client about the refusal of certain pain medications
What nursing assessment of a paralyzed client would indicate the probable
presence of a fecal impaction?
A) Presence of blood in stools
B) Oozing liquid stool
C) Continuous rumbling flatulence
D) Absence of bowel movements
B) Oozing liquid stool
,A client in a long term care facility complains of pain. The nurse collects data
about the client's pain. The first step in pain assessment is for the nurse to
A) Have the client identify coping methods
B) Get the description of the location and intensity of the pain
C) Accept the client's report of pain
D) Determine the client's status of pain
C) Accept the client's report of pain
An 85 year-old client complains of generalized muscle aches and pains. The
first action by the nurse should be
A) Assess the severity and location of the pain
B) Obtain an order for an analgesic
C) Reassure him that this is not unusual for his age
D) Encourage him to increase his activity
A) Assess the severity and location of the pain
A 20 year-old client has an infected leg wound from a motorcycle accident, and
the client has returned home from the hospital. The client is to keep the
affected leg elevated and is on contact precautions. The client wants to know if
visitors can come. The appropriate response from the home health nurse is
that:
A) Visitors must wear a mask and a gown
B) There are no special requirements for visitors of clients on contact
precautions
C) Visitors should wash their hands before and after touching the client
D) Visitors
C) Visitors should wash their hands before and after touching the client
A child is admitted to the pediatric unit with a diagnosis of suspected
meningococcal meningitis. Which admission orders should the nurse do first?
A) Institute seizure precautions
B) Monitor neurologic status every hour
C) Place in respiratory/secretion precautions
D) Cefotaxime IV 50 mg/kg/day divided q6h
C) Place in respiratory/secretion precautions
Which of these nursing diagnoses of 4 elderly clients would place 1 client at
the greatest risk for falls?
A) Sensory perceptual alterations related to decreased vision
B) Alteration in mobility related to fatigue
C) Impaired gas exchange related to retained secretions
D) Altered patterns of urinary elimination related to nocturia
D) Altered patterns of urinary elimination related to nocturia
A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse
should reinforce to the staff members that the most significant routine
infection control strategy, in addition to hand washing, to be implemented is
which of these?
A) Apply appropriate signs outside and inside the room
B) Apply a mask with a shield if there is a risk of fluid splash C) Wear a gown
to change soiled linens from incontinence
D) Have gloves on while handling bedpans with feces
D) Have gloves on while handling bedpans with feces
Which of these clients with associated lab reports is a priority for the nurse to
report to the public health department within the next 24 hours?
, A) An infant with a positive culture of stool for Shigella
B) An elderly factory worker with a lab report that is positive for acid-fast
bacillus smear
C) A young adult commercial pilot with a positive histopathological
examination from an induced sputum for Pneumocystis carinii
D) A middle-aged nurse with a history of varicella-zoster virus and with crops
of vesicles on an erythematous base that appear on the skin
B) An elderly factory worker with a lab report that is positive for acid-fast bacillus
smear
A client is diagnosed with methicillin resistant staphylococcus aureus
pneumonia. What type of isolation is most appropriate for this client?
A) Reverse
B) Airborne
C) Standard precautions
D) Contact
D) Contact
The school nurse is teaching the faculty the most effective methods to prevent
the spread of lice in the school. The information that would be most important
to include would be which of these statements?
A) "The treatment requires reapplication in 8 to 10 days."
B) "Bedding and clothing can be boiled or steamed."
C) Children are not to share hats, scarves and combs.
D) Nit combs are necessary to comb out nits.
C) Children are not to share hats, scarves and combs.
During the care of a client with a salmonella infection, the primary nursing
intervention to limit transmission is which of these approaches?
A) Wash hands thoroughly before and after client contact
B) Wear gloves when in contact with body secretions
C) Double glove when in contact with feces or vomitus
D) Wear gloves when disposing of contaminated linens
A) Wash hands thoroughly before and after client contact
A nurse is reinforcing teaching with a client about compromised host
precautions. The client is receiving filgrastim (Neupogen) for neutropenia. The
selection of which lunch suggests the client has learned about necessary
dietary changes?
A) Grilled chicken sandwich and skim milk
B) Roast beef, mashed potatoes, and green beans
C) Peanut butter sandwich, banana, and iced tea
D) Barbecue beef, baked beans, and cole slaw
B) Roast beef, mashed potatoes, and green beans
After talking with her partner, a client voluntarily admitted herself to the
substance abuse unit. After the second day on the unit the client states to the
nurse, "My husband told me to get treatment or he would divorce me. I don't
believe I really need treatment but I don't want my husband to leave me."
Which response by the nurse would assist the client?
A) "In early recovery, it's quite common to have mixed feelings, but
unmotivated people can't get well."
B) "In early recovery, it's quite common to have mixed feelings, but I didn't
know you had been pressured to come."
C) "In early recovery it's quite common to have mixed feelings, perhaps it
EXAMINATION 2025 - 2026 QUESTIONS WITH CORRECT ANSWERS VERIFIED
100% GRADED A+
HESI rn
The nurse is caring for a client who is in the late stage of multiple myeloma.
Which of
the following should be included in the plan of care?
A) Monitor for hyperkalemia
B) Place in protective isolation
C) Precautions with position changes
D) Administer diuretics as ordered
C) Precautions with position changes
The nurse is making a home visit to a client with chronic obstructive
pulmonary disease (COPD). The client tells the nurse that he used to be able to
walk from the house to the mailbox without difficulty. Now, he has to pause to
catch his breath halfway through the trip. Which diagnosis would be most
appropriate for this client based on this assessment?
A) Activity intolerance caused by fatigue related to chronic tissue hypoxia
B) Impaired mobility related to chronic obstructive pulmonary disease
C) Self-care deficit caused by fatigue related to dyspnea
D) Ineffective airway clearance related to increased bronchial secretions
A) Activity intolerance caused by fatigue related to chronic tissue hypoxia
The nurse admits a client newly diagnosed with hypertension. What is the best
method for assessing the blood pressure?
A) Standing and sitting
B) In both arms
C) After exercising
D) Supine position
B) In both arms
The nurse is caring for residents in a long term care setting for the elderly.
Which of the following activities will be most effective in meeting the growth
and development needs for persons in this age group?
A) Aerobic exercise classes
B) Transportation for shopping trips
C) Reminiscence groups
D) Regularly scheduled social activities
C) Reminiscence groups
Post-procedure nursing interventions for electroconvulsive therapy include
A) Applying hard restraints if seizure occurs
B) Expecting client to sleep for 4 to 6 hours
C) Remaining with client until oriented
D) Expecting long-term memory loss
,C) Remaining with client until oriented
The nurse assesses delayed gross motor development in a 3 year-old child.
The
inability of the child to do which action confirms this finding?
A) Stand on 1 foot
B) Catch a ball
C) Skip on alternate feet
D) Ride a bicycle
A) Stand on 1 foot
The mother of a 15 month-old child asks the nurse to explain her child's lab
results
and how they show her child has iron deficiency anemia. The nurse's best
response is
A) "Although the results are here, your doctor will explain them later.
"B) "Your child has less red blood cells that carry oxygen.
"C) "The blood cells that carry nutrients to the cells are too large."
D) "There are not enough blood cells in your child's circulation."
B) "Your child has less red blood cells that carry oxygen."
In a child with suspected coarctation of the aorta, the nurse would expect to
find
A) Strong pedal pulses
B) Diminishing carotid pulses
C) Normal femoral pulses
D) Bounding pulses in the arms
D) Bounding pulses in the arms
At the day treatment center a client diagnosed with Schizophrenia - Paranoid
Type sits alone alertly watching the activities of clients and staff. The client is
hostile when approached and asserts that the doctor gives her medication to
control her mind. The client's behavior most likely indicates
A) Feelings of increasing anxiety related to paranoia
B) Social isolation related to altered thought processes
C) Sensory perceptual alteration related to withdrawal from environment
D) Impaired verbal communication related to impaired judgment
B) Social isolation related to altered thought processes
A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as a 6
on a 0- to-10 scale. The client refuses all pain medication other than Motrin,
which does not relieve his pain. The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes
A) Ask the client about the refusal of certain pain medications
What nursing assessment of a paralyzed client would indicate the probable
presence of a fecal impaction?
A) Presence of blood in stools
B) Oozing liquid stool
C) Continuous rumbling flatulence
D) Absence of bowel movements
B) Oozing liquid stool
,A client in a long term care facility complains of pain. The nurse collects data
about the client's pain. The first step in pain assessment is for the nurse to
A) Have the client identify coping methods
B) Get the description of the location and intensity of the pain
C) Accept the client's report of pain
D) Determine the client's status of pain
C) Accept the client's report of pain
An 85 year-old client complains of generalized muscle aches and pains. The
first action by the nurse should be
A) Assess the severity and location of the pain
B) Obtain an order for an analgesic
C) Reassure him that this is not unusual for his age
D) Encourage him to increase his activity
A) Assess the severity and location of the pain
A 20 year-old client has an infected leg wound from a motorcycle accident, and
the client has returned home from the hospital. The client is to keep the
affected leg elevated and is on contact precautions. The client wants to know if
visitors can come. The appropriate response from the home health nurse is
that:
A) Visitors must wear a mask and a gown
B) There are no special requirements for visitors of clients on contact
precautions
C) Visitors should wash their hands before and after touching the client
D) Visitors
C) Visitors should wash their hands before and after touching the client
A child is admitted to the pediatric unit with a diagnosis of suspected
meningococcal meningitis. Which admission orders should the nurse do first?
A) Institute seizure precautions
B) Monitor neurologic status every hour
C) Place in respiratory/secretion precautions
D) Cefotaxime IV 50 mg/kg/day divided q6h
C) Place in respiratory/secretion precautions
Which of these nursing diagnoses of 4 elderly clients would place 1 client at
the greatest risk for falls?
A) Sensory perceptual alterations related to decreased vision
B) Alteration in mobility related to fatigue
C) Impaired gas exchange related to retained secretions
D) Altered patterns of urinary elimination related to nocturia
D) Altered patterns of urinary elimination related to nocturia
A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse
should reinforce to the staff members that the most significant routine
infection control strategy, in addition to hand washing, to be implemented is
which of these?
A) Apply appropriate signs outside and inside the room
B) Apply a mask with a shield if there is a risk of fluid splash C) Wear a gown
to change soiled linens from incontinence
D) Have gloves on while handling bedpans with feces
D) Have gloves on while handling bedpans with feces
Which of these clients with associated lab reports is a priority for the nurse to
report to the public health department within the next 24 hours?
, A) An infant with a positive culture of stool for Shigella
B) An elderly factory worker with a lab report that is positive for acid-fast
bacillus smear
C) A young adult commercial pilot with a positive histopathological
examination from an induced sputum for Pneumocystis carinii
D) A middle-aged nurse with a history of varicella-zoster virus and with crops
of vesicles on an erythematous base that appear on the skin
B) An elderly factory worker with a lab report that is positive for acid-fast bacillus
smear
A client is diagnosed with methicillin resistant staphylococcus aureus
pneumonia. What type of isolation is most appropriate for this client?
A) Reverse
B) Airborne
C) Standard precautions
D) Contact
D) Contact
The school nurse is teaching the faculty the most effective methods to prevent
the spread of lice in the school. The information that would be most important
to include would be which of these statements?
A) "The treatment requires reapplication in 8 to 10 days."
B) "Bedding and clothing can be boiled or steamed."
C) Children are not to share hats, scarves and combs.
D) Nit combs are necessary to comb out nits.
C) Children are not to share hats, scarves and combs.
During the care of a client with a salmonella infection, the primary nursing
intervention to limit transmission is which of these approaches?
A) Wash hands thoroughly before and after client contact
B) Wear gloves when in contact with body secretions
C) Double glove when in contact with feces or vomitus
D) Wear gloves when disposing of contaminated linens
A) Wash hands thoroughly before and after client contact
A nurse is reinforcing teaching with a client about compromised host
precautions. The client is receiving filgrastim (Neupogen) for neutropenia. The
selection of which lunch suggests the client has learned about necessary
dietary changes?
A) Grilled chicken sandwich and skim milk
B) Roast beef, mashed potatoes, and green beans
C) Peanut butter sandwich, banana, and iced tea
D) Barbecue beef, baked beans, and cole slaw
B) Roast beef, mashed potatoes, and green beans
After talking with her partner, a client voluntarily admitted herself to the
substance abuse unit. After the second day on the unit the client states to the
nurse, "My husband told me to get treatment or he would divorce me. I don't
believe I really need treatment but I don't want my husband to leave me."
Which response by the nurse would assist the client?
A) "In early recovery, it's quite common to have mixed feelings, but
unmotivated people can't get well."
B) "In early recovery, it's quite common to have mixed feelings, but I didn't
know you had been pressured to come."
C) "In early recovery it's quite common to have mixed feelings, perhaps it
