HESI RN PROFESSIONAL PRACTICE ACCURATE
COMPREHENSIVE 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. The nurse is caring for a client who is 2 days post-operative following
abdominal surgery. The client states, "I feel like my incision is going to burst
open." Which is the nurse's priority action?
A. Explain that this is a normal post-operative sensation.
B. Inspect the surgical incision for signs of dehiscence or evisceration.
C. Administer prescribed PRN pain medication.
D. Encourage the client to splint the incision with a pillow.
A feeling of impending doom or "bursting" is a classic sign of wound
dehiscence or evisceration. The nurse must assess the incision
immediately to confirm or rule out this surgical emergency before
implementing other interventions.
2. The nurse is preparing to administer a unit of packed red blood cells. Which
intravenous solution is the only compatible solution for blood
, administration?
A. Lactated Ringer's
B. 5% Dextrose in Water
C. 0.45% Sodium Chloride
D. 0.9% Sodium Chloride
Normal saline (0.9% NaCl) is isotonic and the only solution recommended
for use with blood products to prevent hemolysis of red blood cells.
Dextrose solutions cause clumping, and Lactated Ringer's contains
calcium, which can cause clotting.
3. A client with heart failure is prescribed furosemide. Which laboratory value
is most important for the nurse to monitor?
A. Blood urea nitrogen
B. Calcium
C. Potassium
D. Sodium
Furosemide is a loop diuretic that causes significant excretion of
potassium, leading to hypokalemia. Hypokalemia increases the risk for
cardiac dysrhythmias, especially in clients taking digoxin.
4. The nurse is teaching a client about a new prescription for warfarin. Which
statement by the client indicates a need for further teaching?
A. "I will use an electric razor to shave."
B. "I will need regular blood tests to monitor my dosing."
C. "I will take aspirin for my daily headaches."
D. "I will avoid eating large amounts of leafy green vegetables."
Aspirin inhibits platelet aggregation and will potentiate the anticoagulant
effect of warfarin, significantly increasing the risk of bleeding. Clients
should be instructed to avoid aspirin and other NSAIDs.
5. Which client is at the highest risk for developing a pressure ulcer?
A. An elderly client who is ambulatory but incontinent of urine.
B. An obese client who can turn in bed independently.
C. A client with a fractured hip who is on bedrest and has poor nutritional
intake.
D. A client who is alert and oriented and can reposition themselves.
, Pressure ulcers result from pressure, friction, and shear, compounded by
immobility and poor nutrition. This client has all the major risk factors:
immobility from the fracture, and inadequate healing capacity from poor
nutrition.
6. The nurse is performing a medication reconciliation for a client. Which client
statement is most important to verify?
A. "I take my vitamins in the morning."
B. "I take a baby aspirin every day."
C. "I sometimes forget if I took my blood pressure pill and take another
one."
D. "I take my metformin with meals."
This statement indicates a risk for double-dosing or missing doses of a
critical medication. This is the priority to clarify and document to ensure
medication safety.
7. A client is admitted with suspected pulmonary embolism. Which assessment
finding requires immediate notification of the healthcare provider?
A. A respiratory rate of 22 breaths per minute.
B. An episode of anxiety.
C. A cough productive of white sputum.
D. A sudden onset of sharp chest pain and new hemoptysis.
Sudden sharp chest pain and hemoptysis are late signs of pulmonary
embolism and indicate pulmonary infarction. This represents a decline in
the client's condition and requires immediate intervention.
8. The nurse is auscultating a client's lungs and hears continuous, high-
pitched, musical sounds on expiration. The nurse should document this
finding as:
A. Rhonchi
B. Crackles
C. Pleural friction rub
D. Wheezes
Wheezes are characterized as continuous, high-pitched, musical sounds
produced by air moving through narrowed airways, commonly heard on
expiration.
COMPREHENSIVE 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. The nurse is caring for a client who is 2 days post-operative following
abdominal surgery. The client states, "I feel like my incision is going to burst
open." Which is the nurse's priority action?
A. Explain that this is a normal post-operative sensation.
B. Inspect the surgical incision for signs of dehiscence or evisceration.
C. Administer prescribed PRN pain medication.
D. Encourage the client to splint the incision with a pillow.
A feeling of impending doom or "bursting" is a classic sign of wound
dehiscence or evisceration. The nurse must assess the incision
immediately to confirm or rule out this surgical emergency before
implementing other interventions.
2. The nurse is preparing to administer a unit of packed red blood cells. Which
intravenous solution is the only compatible solution for blood
, administration?
A. Lactated Ringer's
B. 5% Dextrose in Water
C. 0.45% Sodium Chloride
D. 0.9% Sodium Chloride
Normal saline (0.9% NaCl) is isotonic and the only solution recommended
for use with blood products to prevent hemolysis of red blood cells.
Dextrose solutions cause clumping, and Lactated Ringer's contains
calcium, which can cause clotting.
3. A client with heart failure is prescribed furosemide. Which laboratory value
is most important for the nurse to monitor?
A. Blood urea nitrogen
B. Calcium
C. Potassium
D. Sodium
Furosemide is a loop diuretic that causes significant excretion of
potassium, leading to hypokalemia. Hypokalemia increases the risk for
cardiac dysrhythmias, especially in clients taking digoxin.
4. The nurse is teaching a client about a new prescription for warfarin. Which
statement by the client indicates a need for further teaching?
A. "I will use an electric razor to shave."
B. "I will need regular blood tests to monitor my dosing."
C. "I will take aspirin for my daily headaches."
D. "I will avoid eating large amounts of leafy green vegetables."
Aspirin inhibits platelet aggregation and will potentiate the anticoagulant
effect of warfarin, significantly increasing the risk of bleeding. Clients
should be instructed to avoid aspirin and other NSAIDs.
5. Which client is at the highest risk for developing a pressure ulcer?
A. An elderly client who is ambulatory but incontinent of urine.
B. An obese client who can turn in bed independently.
C. A client with a fractured hip who is on bedrest and has poor nutritional
intake.
D. A client who is alert and oriented and can reposition themselves.
, Pressure ulcers result from pressure, friction, and shear, compounded by
immobility and poor nutrition. This client has all the major risk factors:
immobility from the fracture, and inadequate healing capacity from poor
nutrition.
6. The nurse is performing a medication reconciliation for a client. Which client
statement is most important to verify?
A. "I take my vitamins in the morning."
B. "I take a baby aspirin every day."
C. "I sometimes forget if I took my blood pressure pill and take another
one."
D. "I take my metformin with meals."
This statement indicates a risk for double-dosing or missing doses of a
critical medication. This is the priority to clarify and document to ensure
medication safety.
7. A client is admitted with suspected pulmonary embolism. Which assessment
finding requires immediate notification of the healthcare provider?
A. A respiratory rate of 22 breaths per minute.
B. An episode of anxiety.
C. A cough productive of white sputum.
D. A sudden onset of sharp chest pain and new hemoptysis.
Sudden sharp chest pain and hemoptysis are late signs of pulmonary
embolism and indicate pulmonary infarction. This represents a decline in
the client's condition and requires immediate intervention.
8. The nurse is auscultating a client's lungs and hears continuous, high-
pitched, musical sounds on expiration. The nurse should document this
finding as:
A. Rhonchi
B. Crackles
C. Pleural friction rub
D. Wheezes
Wheezes are characterized as continuous, high-pitched, musical sounds
produced by air moving through narrowed airways, commonly heard on
expiration.
