HESI ACCURATE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
1. A nurse is caring for a client with a new diagnosis
of diabetes mellitus. Which statement by the client
indicates a need for further teaching regarding
dietary management?
A. "I will count my carbohydrates at each meal."
B. "I can eat unlimited amounts of non-starchy
vegetables."
C. "I should avoid all foods containing sugar."
D. "I will spread my carbohydrate intake throughout
,the day."
C. I should avoid all foods containing
sugar. Rationale: Clients with diabetes do not need
to avoid all sugars but should manage total
carbohydrate intake. Sugars can be included in
moderation as part of a balanced meal plan.
Counting carbohydrates and spreading intake
evenly are appropriate strategies.
2. A nurse is preparing to administer a subcutaneous
injection of heparin. Which action is most
appropriate?
A. Aspirate before injecting to check for blood
return.
B. Massage the site after injection to promote
absorption.
C. Use a 25-gauge, 5/8-inch needle at a 45- to 90-
degree angle.
D. Administer the injection in the deltoid muscle.
C. Use a 25-gauge, 5/8-inch needle at a 45- to 90-
degree angle. Rationale: Subcutaneous heparin
should be given with a small-gauge, short needle at
a 45- to 90-degree angle. Aspiration is not
,recommended, and massage can increase the risk of
hematoma. The abdomen is the preferred site.
3. A client with heart failure is prescribed
furosemide. Which laboratory value should the
nurse monitor most closely?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum glucose
B. Serum potassium. Rationale: Furosemide is a
loop diuretic that can cause hypokalemia due to
increased potassium excretion. Monitoring
potassium levels is critical to prevent cardiac
arrhythmias.
4. A nurse is assessing a client who is 2 days
postoperative following abdominal surgery. Which
finding requires immediate intervention?
A. Serosanguineous drainage on the dressing
B. Client reports pain at the incision site
C. Temperature of 101.2°F (38.4°C)
D. Heart rate of 88 beats per minute
, C. Temperature of 101.2°F (38.4°C). Rationale: An
elevated temperature on postoperative day 2 may
indicate infection or other complications such as
pneumonia or wound infection. This finding requires
further assessment and notification of the
healthcare provider.
5. A nurse is teaching a client about the use of a
metered-dose inhaler. Which action indicates proper
technique?
A. Inhaling rapidly while depressing the canister
B. Holding the breath for 10 seconds after inhalation
C. Exhaling forcefully into the inhaler before use
D. Tipping the head backward during inhalation
B. Holding the breath for 10 seconds after
inhalation. Rationale: Holding the breath for up to
10 seconds allows medication to deposit in the
airways. Rapid inhalation and forceful exhalation
into the device are incorrect techniques.
6. A client with chronic obstructive pulmonary
disease has a prescription for oxygen at 2 L/min via
nasal cannula. Which assessment finding indicates
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
1. A nurse is caring for a client with a new diagnosis
of diabetes mellitus. Which statement by the client
indicates a need for further teaching regarding
dietary management?
A. "I will count my carbohydrates at each meal."
B. "I can eat unlimited amounts of non-starchy
vegetables."
C. "I should avoid all foods containing sugar."
D. "I will spread my carbohydrate intake throughout
,the day."
C. I should avoid all foods containing
sugar. Rationale: Clients with diabetes do not need
to avoid all sugars but should manage total
carbohydrate intake. Sugars can be included in
moderation as part of a balanced meal plan.
Counting carbohydrates and spreading intake
evenly are appropriate strategies.
2. A nurse is preparing to administer a subcutaneous
injection of heparin. Which action is most
appropriate?
A. Aspirate before injecting to check for blood
return.
B. Massage the site after injection to promote
absorption.
C. Use a 25-gauge, 5/8-inch needle at a 45- to 90-
degree angle.
D. Administer the injection in the deltoid muscle.
C. Use a 25-gauge, 5/8-inch needle at a 45- to 90-
degree angle. Rationale: Subcutaneous heparin
should be given with a small-gauge, short needle at
a 45- to 90-degree angle. Aspiration is not
,recommended, and massage can increase the risk of
hematoma. The abdomen is the preferred site.
3. A client with heart failure is prescribed
furosemide. Which laboratory value should the
nurse monitor most closely?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum glucose
B. Serum potassium. Rationale: Furosemide is a
loop diuretic that can cause hypokalemia due to
increased potassium excretion. Monitoring
potassium levels is critical to prevent cardiac
arrhythmias.
4. A nurse is assessing a client who is 2 days
postoperative following abdominal surgery. Which
finding requires immediate intervention?
A. Serosanguineous drainage on the dressing
B. Client reports pain at the incision site
C. Temperature of 101.2°F (38.4°C)
D. Heart rate of 88 beats per minute
, C. Temperature of 101.2°F (38.4°C). Rationale: An
elevated temperature on postoperative day 2 may
indicate infection or other complications such as
pneumonia or wound infection. This finding requires
further assessment and notification of the
healthcare provider.
5. A nurse is teaching a client about the use of a
metered-dose inhaler. Which action indicates proper
technique?
A. Inhaling rapidly while depressing the canister
B. Holding the breath for 10 seconds after inhalation
C. Exhaling forcefully into the inhaler before use
D. Tipping the head backward during inhalation
B. Holding the breath for 10 seconds after
inhalation. Rationale: Holding the breath for up to
10 seconds allows medication to deposit in the
airways. Rapid inhalation and forceful exhalation
into the device are incorrect techniques.
6. A client with chronic obstructive pulmonary
disease has a prescription for oxygen at 2 L/min via
nasal cannula. Which assessment finding indicates
