Page 1 of 134
“ACTUAL HESI RN V1 EXAM STUDY THIS ONE
2026 ”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
The nurse is evaluating the diet teaching of a client with hypertension. What
dinner selection indicates that the client understands the dietary
recommendations for hypertension?
A. Grilled steak, baked potato with sour cream, green beans, coffee, and raisin
cream pie
B. Baked pork chops, applesauce, corn on the cob, 1% milk, and key-lime pie
C. Tomato soup, grilled cheese sandwich, pickles, skim milk, and lemon
meringue pie
D. Beef stir fry, fried rice, egg drop soup, diet soda, and pumpkin pie
B. Baked pork chops, applesauce, corn on the cob, 1% milk, and key-lime pie
A client is admitted with a diagnosis of urolithiasis. Which finding is most
important for the nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink
, Page 2 of 134
D. Hematuria that is beginning to turn pink
Three days after initiating parenteral fluids for a newborn with a ventricular
septal defect (VSD), the nurse assesses an increase in heart rate and blood
pressure. Which intervention is most important for the nurse to implement?
A. View the graph of daily weights
B. Restrict intake of oral fluids
C. Assess bilateral lung sounds
D. Decrease IV flow rate
B. Restrict intake of oral fluids
During an admission assessment, a client reports currently using heroin.
Which information is most important for the nurse to consider in the plan of
care?
A. History of suicide attempts
B. Feelings of disorientation
C. Undiagnosed social anxiety symptoms (SAD)
D. Family history of schizophrenia
A. History of suicide attempts
The healthcare provider prescribes penicillin G benzathine 2,400,000 units
intramuscularly for a client who has a postoperative wound infection. The
prefilled syringe is labeled, penicillin G benzathine 1,200,000 units/2mL. How
many mL should the nurse administer to this client?
4mL
A client who experienced a cerebrovascular accident (CVA) is aphasic and has
left sided paralysis. Which nurse should be responsible for coordinating the
progression of this client's care?
A. Nurse case manager
B. Adult nurse practitioner
C. Neurology unit supervisor
D. Risk management nurse
B. Adult nurse practitioner
A client who is admitted with complications related to hypopituitarism is
diaphoretic and hypotensive. Which assessment finding warrants immediate
intervention by the nurse?
Lethargy
, Page 3 of 134
A client with postpartum depression, who is admitted to the behavioral health
unit, refuses to leave her room or eat meals. In addition to maintaining
physical safety, which short-term goal should the nurse include in the plan of
care?
A. Sleeps at least 6 hours per night
B. Consumes 3 meals and 1500 mL of fluid per day
C. Engages in one client to client interaction daily
D. Attends one group activity per day
D. Attends one group activity per day
A 7-year old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which finding
is most important for the nurse to report to the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL
D. Serum potassium of 3.0 mg/dL
A male client approaches the nurse with an angry expression on his face and
raises his voice, saying "My roommate is the most selfish, self-centered, angry
person I have ever met and if he loses his temper one more time with me, I am
going to punch him out!" The nurse recognizes that the client is using which
defense mechanism?
A. Splitting
B. Projection
C. Rationalization
D. Denial
B. Projection
The nurse is teaching the client about home care after surgery for an ileal
conduit placement. When reviewing the information, which statement should
the nurse recognize as needing additional education?
A. report presence of mucus in the urine
B. Empty pouch when it is half full
C. Look at the stoma when replacing appliance
D. Anticipate shrinking of the stoma
, Page 4 of 134
B. Empty pouch when it is half full
A nurse who is working in the emergency department triage area is presented
with four clients at the same time. The client presenting with which symptoms
requires the most immediate intervention by the nurse?
A. One inch bleeding laceration on the chin of crying 5 year old
B. Low grade fever, headache and malaise for the past 72 hours
C. Chest discomfort one hour after consuming a large, spicy meal
D. Unable to bear weight on the left food, with swelling and bruising
C. Chest discomfort one hour after consuming a large, spicy meal
When the nurse enters the room of a male client who was admitted for a
fractured femur, his cardiac monitor displays a normal sinus rhythm, but he
has no spontaneous respirations and his carotid pulse is not palpable. Which
intervention should the nurse implement?
A. Analyze the cardiac rhythm in another lead
B. Obtain a 12-lead electrocardiogram
C. Observe for swelling at the fracture site
D. Begin chest compressions at 100/minute
D. Begin chest compressions at 100/minute
The nurse identifies the presence of clear fluid on the surgical dressing of a
client who just returned to the unit following lumbar spinal surgery. Which
action should the nurse implement immediately?
A. Change the dressing using a compression bandage
B. Test the fluid on the dressing for glucose
C. Document the findings in the electronic medical record
D. Mark the drainage area with a pen and continue to monitor
B. Test the fluid on the dressing for glucose
After administering a 12 ounce can of nutritional supplement, 3 teaspoons of
medication, and 120 mL of water, the nurse should document the client's fluid
intake as how many mL?
495
The nurse observes a client prepare a meal in the kitchen of a rehabilitation
facility prior to discharge. Which behaviors indicates the client understands
how to maintain balance safely? (Select all that apply)
A. Brings a heavy can close to body before lifting
“ACTUAL HESI RN V1 EXAM STUDY THIS ONE
2026 ”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
The nurse is evaluating the diet teaching of a client with hypertension. What
dinner selection indicates that the client understands the dietary
recommendations for hypertension?
A. Grilled steak, baked potato with sour cream, green beans, coffee, and raisin
cream pie
B. Baked pork chops, applesauce, corn on the cob, 1% milk, and key-lime pie
C. Tomato soup, grilled cheese sandwich, pickles, skim milk, and lemon
meringue pie
D. Beef stir fry, fried rice, egg drop soup, diet soda, and pumpkin pie
B. Baked pork chops, applesauce, corn on the cob, 1% milk, and key-lime pie
A client is admitted with a diagnosis of urolithiasis. Which finding is most
important for the nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink
, Page 2 of 134
D. Hematuria that is beginning to turn pink
Three days after initiating parenteral fluids for a newborn with a ventricular
septal defect (VSD), the nurse assesses an increase in heart rate and blood
pressure. Which intervention is most important for the nurse to implement?
A. View the graph of daily weights
B. Restrict intake of oral fluids
C. Assess bilateral lung sounds
D. Decrease IV flow rate
B. Restrict intake of oral fluids
During an admission assessment, a client reports currently using heroin.
Which information is most important for the nurse to consider in the plan of
care?
A. History of suicide attempts
B. Feelings of disorientation
C. Undiagnosed social anxiety symptoms (SAD)
D. Family history of schizophrenia
A. History of suicide attempts
The healthcare provider prescribes penicillin G benzathine 2,400,000 units
intramuscularly for a client who has a postoperative wound infection. The
prefilled syringe is labeled, penicillin G benzathine 1,200,000 units/2mL. How
many mL should the nurse administer to this client?
4mL
A client who experienced a cerebrovascular accident (CVA) is aphasic and has
left sided paralysis. Which nurse should be responsible for coordinating the
progression of this client's care?
A. Nurse case manager
B. Adult nurse practitioner
C. Neurology unit supervisor
D. Risk management nurse
B. Adult nurse practitioner
A client who is admitted with complications related to hypopituitarism is
diaphoretic and hypotensive. Which assessment finding warrants immediate
intervention by the nurse?
Lethargy
, Page 3 of 134
A client with postpartum depression, who is admitted to the behavioral health
unit, refuses to leave her room or eat meals. In addition to maintaining
physical safety, which short-term goal should the nurse include in the plan of
care?
A. Sleeps at least 6 hours per night
B. Consumes 3 meals and 1500 mL of fluid per day
C. Engages in one client to client interaction daily
D. Attends one group activity per day
D. Attends one group activity per day
A 7-year old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which finding
is most important for the nurse to report to the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL
D. Serum potassium of 3.0 mg/dL
A male client approaches the nurse with an angry expression on his face and
raises his voice, saying "My roommate is the most selfish, self-centered, angry
person I have ever met and if he loses his temper one more time with me, I am
going to punch him out!" The nurse recognizes that the client is using which
defense mechanism?
A. Splitting
B. Projection
C. Rationalization
D. Denial
B. Projection
The nurse is teaching the client about home care after surgery for an ileal
conduit placement. When reviewing the information, which statement should
the nurse recognize as needing additional education?
A. report presence of mucus in the urine
B. Empty pouch when it is half full
C. Look at the stoma when replacing appliance
D. Anticipate shrinking of the stoma
, Page 4 of 134
B. Empty pouch when it is half full
A nurse who is working in the emergency department triage area is presented
with four clients at the same time. The client presenting with which symptoms
requires the most immediate intervention by the nurse?
A. One inch bleeding laceration on the chin of crying 5 year old
B. Low grade fever, headache and malaise for the past 72 hours
C. Chest discomfort one hour after consuming a large, spicy meal
D. Unable to bear weight on the left food, with swelling and bruising
C. Chest discomfort one hour after consuming a large, spicy meal
When the nurse enters the room of a male client who was admitted for a
fractured femur, his cardiac monitor displays a normal sinus rhythm, but he
has no spontaneous respirations and his carotid pulse is not palpable. Which
intervention should the nurse implement?
A. Analyze the cardiac rhythm in another lead
B. Obtain a 12-lead electrocardiogram
C. Observe for swelling at the fracture site
D. Begin chest compressions at 100/minute
D. Begin chest compressions at 100/minute
The nurse identifies the presence of clear fluid on the surgical dressing of a
client who just returned to the unit following lumbar spinal surgery. Which
action should the nurse implement immediately?
A. Change the dressing using a compression bandage
B. Test the fluid on the dressing for glucose
C. Document the findings in the electronic medical record
D. Mark the drainage area with a pen and continue to monitor
B. Test the fluid on the dressing for glucose
After administering a 12 ounce can of nutritional supplement, 3 teaspoons of
medication, and 120 mL of water, the nurse should document the client's fluid
intake as how many mL?
495
The nurse observes a client prepare a meal in the kitchen of a rehabilitation
facility prior to discharge. Which behaviors indicates the client understands
how to maintain balance safely? (Select all that apply)
A. Brings a heavy can close to body before lifting
