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HESI FINAL EXAM QUESTIONS NEWEST 2026 EXAM
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
An older client is admitted with a diagnosis of bacterial pneumonia. Which
symptom should the nurse report to the HCP after assessing the client?
A)Leukocytosis and febrile.
B) Polycythemia and crackles.
C) Pharyngitis and sputum production.
D) Confusion and tachycardia.
D.
The onset of Pneumonia in the older client may be signaled by general deterioration,
confusion, increased HR, and/or increased respirations. A, B, and C are often absent
in the older client with bacterial pneumonia.
The nurse is reviewing routine medications taken by a client with chronic
angle closure glaucoma. Which medication prescription should the nurse
question?
A) Antianginal with a therapeutic effect of vasodilation.
B) Anticholinergic with a side effect of pupillary dilation.
C) Antihistamine with a side effect of sedation.
D) Corticosteroid with a side effect of hyperglycemia.
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B.
Clients with angle-closure glaucoma should not take medications that dilate the pupil
because they can precipitate acute and severely increased IOP. A, C, and D do not
cause increased IOP, which is the primary concern with angle-closure glaucoma.
The nurse is caring for a critically ill client with cirrhosis of the liver who has a
NG tube draining bright red blood. The nurse notes that the client's serum
hemoglobin and hematocrit levels are decreased. Which additional change in
laboratory data should the nurse expect?
A) Increased serum albumin level.
B) Decreased serum creatinine.
C) Decreased serum ammonia level.
D) Increased liver function test results.
C.
The breakdown of glutamine in the intestine and the increased activity of colonic
bacteria from the digestion of proteins increase ammonia levels in clients with
advanced liver disease, so removal of blood, a protein source, from the intestine
results in a reduced level of ammonia. A, B, and D will not be significantly affected by
the removal of blood.
A resident in a long-term care facility is diagnosed with Hep B. Which
intervention should the nurse implement with the staff caring for this client?
A) Determine if all employees have had the Hep B vaccine series.
B) Explain that this type of hepatitis can be transmitted when feeding the
\]\lient.
C) Assure the employees that they cannot contract Hep B when providing
direct care.
D) Tell the employees that wearing gloves and a gown are required when
providing care.
A.
Hep B vaccine should be administered to all health care providers. Hep A (not Hep
B) can be transmitted by fecal-oral contamination. There is a chance that staff could
contract Hep B if exposed to the client's blood and/or body fluids, therefore C is
HESI FINAL EXAM QUESTIONS NEWEST 2026 EXAM
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
An older client is admitted with a diagnosis of bacterial pneumonia. Which
symptom should the nurse report to the HCP after assessing the client?
A)Leukocytosis and febrile.
B) Polycythemia and crackles.
C) Pharyngitis and sputum production.
D) Confusion and tachycardia.
D.
The onset of Pneumonia in the older client may be signaled by general deterioration,
confusion, increased HR, and/or increased respirations. A, B, and C are often absent
in the older client with bacterial pneumonia.
The nurse is reviewing routine medications taken by a client with chronic
angle closure glaucoma. Which medication prescription should the nurse
question?
A) Antianginal with a therapeutic effect of vasodilation.
B) Anticholinergic with a side effect of pupillary dilation.
C) Antihistamine with a side effect of sedation.
D) Corticosteroid with a side effect of hyperglycemia.
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B.
Clients with angle-closure glaucoma should not take medications that dilate the pupil
because they can precipitate acute and severely increased IOP. A, C, and D do not
cause increased IOP, which is the primary concern with angle-closure glaucoma.
The nurse is caring for a critically ill client with cirrhosis of the liver who has a
NG tube draining bright red blood. The nurse notes that the client's serum
hemoglobin and hematocrit levels are decreased. Which additional change in
laboratory data should the nurse expect?
A) Increased serum albumin level.
B) Decreased serum creatinine.
C) Decreased serum ammonia level.
D) Increased liver function test results.
C.
The breakdown of glutamine in the intestine and the increased activity of colonic
bacteria from the digestion of proteins increase ammonia levels in clients with
advanced liver disease, so removal of blood, a protein source, from the intestine
results in a reduced level of ammonia. A, B, and D will not be significantly affected by
the removal of blood.
A resident in a long-term care facility is diagnosed with Hep B. Which
intervention should the nurse implement with the staff caring for this client?
A) Determine if all employees have had the Hep B vaccine series.
B) Explain that this type of hepatitis can be transmitted when feeding the
\]\lient.
C) Assure the employees that they cannot contract Hep B when providing
direct care.
D) Tell the employees that wearing gloves and a gown are required when
providing care.
A.
Hep B vaccine should be administered to all health care providers. Hep A (not Hep
B) can be transmitted by fecal-oral contamination. There is a chance that staff could
contract Hep B if exposed to the client's blood and/or body fluids, therefore C is
