HESI RN UPDATED 2026 EXAM SCRIPT QUESTIONS AND
SOLUTIONS SCORED A+
✔✔A client reports feeling increasingly fatigued for several months, and the nurse
observes that the client's lips are pale. Which additional data should the nurse collect
based on this presentation?
A. Current alcohol and tobacco use
B. A 24-hour dietary recall
C. Use of vitamin and iron supplements
D. Daily pattern of oral hygiene practices - ✔✔C. Use of vitamin and iron supplements
✔✔The nurse is assessing a client who has experienced a sudden onset of hearing loss
in the right ear. Which finding should alert the nurse to a potentially serious medical
condition that requires further evaluation?
A. The client works in a busy office setting
B. There is no sign of associated infection
C. The client has no prior history of hearing loss
D. The hearing loss involves high frequencies - ✔✔B. There is no sign of associated
infection
✔✔The client reports to the nurse a recent exposure to the mumps. Which assessment
finding suggests the client has contracted the mumps?
A. Enlargement centered along the anterior lower neck region
B. Swelling anterior to the ear lobe on one side of the face
C. Generalized rounded shape of the face
D. Paralysis on one side of the face - ✔✔B. Swelling anterior to the ear lobe on one side
of the face
✔✔A client states that she had a mastectomy of her left breast last year and now
experiences lymphedema. What should the nurse expect to find when examining the
client?
A. Swelling of the left arm and non-pitting edema.
B. Bilateral swelling of the arms with weakened pulses.
C. Complaints of pain when taking the blood pressure on the affected side.
D. Metastasis of cancer due to cancer being in the lymph nodes. - ✔✔A. Swelling of the
left arm and non-pitting edema.
✔✔What is the best nursing response to an older client who has not mentioned
incontinence during a genitourinary assessment?
A. Ask the client specifically about any leakage of urine.
, B. Document that the client reports having no incontinence
C. Have the client cough and then check for urine leakage
D. Determine if the client has ever had urinary tract surgery. - ✔✔A. Ask the client
specifically about any leakage of urine.
✔✔A client is in the clinic for a routine health examination. The nurse notices the client
appears underweight. Which question is most important for the nurse to ask when
completing the health history of this client?
A. What types of food do you like or dislike?
B. Have you experienced sudden weight loss?
C. Do you use dietary supplements every day?
D. Can you recall the last 24 hours of food intake? - ✔✔B. Have you experienced
sudden weight loss?
✔✔A client is in the clinic and is reporting lower abdominal pain and constipation. Which
information is of greatest concern to the nurse when obtaining the health history from
this client?
A. Administration of rubeola vaccine at age 7.
B. Removal of gallbladder 5 years ago.
C. Family history of colon cancer on mother's side.
D. Family history of hypertension on father's side. - ✔✔C. Family history of colon cancer
on mother's side.
✔✔Which information should the nurse obtain to identify the client's self-perception of
health status?
A. Vital signs
B. Health history
C. Informed consent
D. Genetic predisposition - ✔✔B. Health history
✔✔During the initial assessment, the nurse notes that a client has blurred vision with
cloudy lenses. Which condition should the nurse document?
A. Pink eye
B. Cataracts
C. Glaucoma
D. Corneal abrasion - ✔✔B. Cataracts
✔✔While palpating a client's breasts, the nurse detects a nontender, solitary, round
lobular mass that is solid and firm and slides easily through the breast tissue. The
findings of this breast exam are consistent with which condition?
SOLUTIONS SCORED A+
✔✔A client reports feeling increasingly fatigued for several months, and the nurse
observes that the client's lips are pale. Which additional data should the nurse collect
based on this presentation?
A. Current alcohol and tobacco use
B. A 24-hour dietary recall
C. Use of vitamin and iron supplements
D. Daily pattern of oral hygiene practices - ✔✔C. Use of vitamin and iron supplements
✔✔The nurse is assessing a client who has experienced a sudden onset of hearing loss
in the right ear. Which finding should alert the nurse to a potentially serious medical
condition that requires further evaluation?
A. The client works in a busy office setting
B. There is no sign of associated infection
C. The client has no prior history of hearing loss
D. The hearing loss involves high frequencies - ✔✔B. There is no sign of associated
infection
✔✔The client reports to the nurse a recent exposure to the mumps. Which assessment
finding suggests the client has contracted the mumps?
A. Enlargement centered along the anterior lower neck region
B. Swelling anterior to the ear lobe on one side of the face
C. Generalized rounded shape of the face
D. Paralysis on one side of the face - ✔✔B. Swelling anterior to the ear lobe on one side
of the face
✔✔A client states that she had a mastectomy of her left breast last year and now
experiences lymphedema. What should the nurse expect to find when examining the
client?
A. Swelling of the left arm and non-pitting edema.
B. Bilateral swelling of the arms with weakened pulses.
C. Complaints of pain when taking the blood pressure on the affected side.
D. Metastasis of cancer due to cancer being in the lymph nodes. - ✔✔A. Swelling of the
left arm and non-pitting edema.
✔✔What is the best nursing response to an older client who has not mentioned
incontinence during a genitourinary assessment?
A. Ask the client specifically about any leakage of urine.
, B. Document that the client reports having no incontinence
C. Have the client cough and then check for urine leakage
D. Determine if the client has ever had urinary tract surgery. - ✔✔A. Ask the client
specifically about any leakage of urine.
✔✔A client is in the clinic for a routine health examination. The nurse notices the client
appears underweight. Which question is most important for the nurse to ask when
completing the health history of this client?
A. What types of food do you like or dislike?
B. Have you experienced sudden weight loss?
C. Do you use dietary supplements every day?
D. Can you recall the last 24 hours of food intake? - ✔✔B. Have you experienced
sudden weight loss?
✔✔A client is in the clinic and is reporting lower abdominal pain and constipation. Which
information is of greatest concern to the nurse when obtaining the health history from
this client?
A. Administration of rubeola vaccine at age 7.
B. Removal of gallbladder 5 years ago.
C. Family history of colon cancer on mother's side.
D. Family history of hypertension on father's side. - ✔✔C. Family history of colon cancer
on mother's side.
✔✔Which information should the nurse obtain to identify the client's self-perception of
health status?
A. Vital signs
B. Health history
C. Informed consent
D. Genetic predisposition - ✔✔B. Health history
✔✔During the initial assessment, the nurse notes that a client has blurred vision with
cloudy lenses. Which condition should the nurse document?
A. Pink eye
B. Cataracts
C. Glaucoma
D. Corneal abrasion - ✔✔B. Cataracts
✔✔While palpating a client's breasts, the nurse detects a nontender, solitary, round
lobular mass that is solid and firm and slides easily through the breast tissue. The
findings of this breast exam are consistent with which condition?
