HESI RN FINAL EXAM 2026 ACTUAL QUESTIONS AND
SOLUTIONS SCORED A+
✔✔The nurse is performing a routine physical examination on an adult client. When
gather a health history, which question is included in the CAGE questionnaire?
A. When did you have your last alcoholic drink?
B. How does alcohol usually affect you?
C. What is your favorite alcoholic drink?
D. Have you ever felt guilty about your drinking? - ✔✔D. Have you ever felt guilty about
your drinking?
✔✔A client has just returned from the recovery room and asks to get out of bed to go to
the bathroom. The nurse decides to obtain orthostatic vital signs first. How will the nurse
position the client to begin this procedure?
A. Lying
B. Sitting
C. Leaning
D. Standing - ✔✔A. Lying
✔✔The nurse is assessing a client for a hip flexion contracture. Which finding indicates
a negative Thomas test when the client's right knee is brought toward the chest?
A. The left leg internally rotates.
B. The left leg rises off the table.
C. The left leg remains on the table.
D. The left leg externally rotates. - ✔✔C. The left leg remains on the table.
✔✔An adult client is in the clinic for a regular physical examination. The nurse is
assessing the client's hydration status by pinching then releasing the client's skin.
Which finding is indicative of good hydration status?
A. The skin remains tented.
B. The skin appears blanched and returns to pink.
C. The skin slowly falls back into place.
D. The skin immediately returns to normal position. - ✔✔D. The skin immediately
returns to normal position.
✔✔The nurse is performing a thoracic assessment on a client with chronic asthma and
hyperinflation of the lungs. Which finding should be expected for this client?
A. Kyphosis
B. Barrel chest
C. Pectus Excavatum
, D. Pectus Carinatum - ✔✔B. Barrel chest
✔✔The nurse performs a series of cranial nerve tests on a client with a head injury.
Which test should the nurse use to assess damage to the first cranial nerve?
A. Ask the client to count down from 100 by 7s for as long as possible.
B. Occlude one nostril and have the client identify various odors.
C. Have the client follow the tip of a moving penlight with the eyes.
D. Tell the client to walk heel to toe in a straight line for nine steps - ✔✔B. Occlude one
nostril and have the client identify various odors.
✔✔Which tool should the nurse use when assessing the neurological status of a client
with traumatic brain injury?
A. Glasgow Coma Scale
B. Braden Scale
C. Numerical pain scale
D. Cranial nerve examination - ✔✔A. Glasgow Coma Scale
✔✔A client with dark skin is reporting a painful and itching area on the lower left leg.
What should the nurse look for when assessing this client's skin for inflammation?
A. Change in consistency
B. Change in turgor
C. Redness
D. Pallor - ✔✔A. Change in consistency
✔✔While assessing level of consciousness, the nurse finds that a client localizes to
pain, is confused during conversation, and opens the eyes to sound. How should the
nurse document the Glasgow score of this client?
A. 12
B. 10
C. 9
D. 7 - ✔✔A. 12
✔✔Which question should the nurse ask in order to test a client's remote memory?
A. What is your date of birth?
B. Who is your current healthcare provider?
C. What medications are you taking?
D. How did you arrive at the hospital today? - ✔✔A. What is your date of birth?
✔✔A client reports pain when taking a deep breath. Which lung auscultation sound
should the nurse anticipate hearing?
SOLUTIONS SCORED A+
✔✔The nurse is performing a routine physical examination on an adult client. When
gather a health history, which question is included in the CAGE questionnaire?
A. When did you have your last alcoholic drink?
B. How does alcohol usually affect you?
C. What is your favorite alcoholic drink?
D. Have you ever felt guilty about your drinking? - ✔✔D. Have you ever felt guilty about
your drinking?
✔✔A client has just returned from the recovery room and asks to get out of bed to go to
the bathroom. The nurse decides to obtain orthostatic vital signs first. How will the nurse
position the client to begin this procedure?
A. Lying
B. Sitting
C. Leaning
D. Standing - ✔✔A. Lying
✔✔The nurse is assessing a client for a hip flexion contracture. Which finding indicates
a negative Thomas test when the client's right knee is brought toward the chest?
A. The left leg internally rotates.
B. The left leg rises off the table.
C. The left leg remains on the table.
D. The left leg externally rotates. - ✔✔C. The left leg remains on the table.
✔✔An adult client is in the clinic for a regular physical examination. The nurse is
assessing the client's hydration status by pinching then releasing the client's skin.
Which finding is indicative of good hydration status?
A. The skin remains tented.
B. The skin appears blanched and returns to pink.
C. The skin slowly falls back into place.
D. The skin immediately returns to normal position. - ✔✔D. The skin immediately
returns to normal position.
✔✔The nurse is performing a thoracic assessment on a client with chronic asthma and
hyperinflation of the lungs. Which finding should be expected for this client?
A. Kyphosis
B. Barrel chest
C. Pectus Excavatum
, D. Pectus Carinatum - ✔✔B. Barrel chest
✔✔The nurse performs a series of cranial nerve tests on a client with a head injury.
Which test should the nurse use to assess damage to the first cranial nerve?
A. Ask the client to count down from 100 by 7s for as long as possible.
B. Occlude one nostril and have the client identify various odors.
C. Have the client follow the tip of a moving penlight with the eyes.
D. Tell the client to walk heel to toe in a straight line for nine steps - ✔✔B. Occlude one
nostril and have the client identify various odors.
✔✔Which tool should the nurse use when assessing the neurological status of a client
with traumatic brain injury?
A. Glasgow Coma Scale
B. Braden Scale
C. Numerical pain scale
D. Cranial nerve examination - ✔✔A. Glasgow Coma Scale
✔✔A client with dark skin is reporting a painful and itching area on the lower left leg.
What should the nurse look for when assessing this client's skin for inflammation?
A. Change in consistency
B. Change in turgor
C. Redness
D. Pallor - ✔✔A. Change in consistency
✔✔While assessing level of consciousness, the nurse finds that a client localizes to
pain, is confused during conversation, and opens the eyes to sound. How should the
nurse document the Glasgow score of this client?
A. 12
B. 10
C. 9
D. 7 - ✔✔A. 12
✔✔Which question should the nurse ask in order to test a client's remote memory?
A. What is your date of birth?
B. Who is your current healthcare provider?
C. What medications are you taking?
D. How did you arrive at the hospital today? - ✔✔A. What is your date of birth?
✔✔A client reports pain when taking a deep breath. Which lung auscultation sound
should the nurse anticipate hearing?
