HESI Practice Exam 2026 | Most Tested Questions &
Verified Answers | Latest Update | Graded A+
1. What is the primary benefit of pursed lip breathing for clients with
emphysema?
Conserves energy while resting.
Increases respiratory rate.
Decreases O2 saturation throughout the body.
Promotes CO2 elimination.
2. In a scenario where a patient presents with a fracture that bends or splinters
part of the bone, what initial nursing assessment should be prioritized?
Preparing the patient for surgery without further assessment.
Administering pain medication immediately.
Performing a full range of motion assessment.
Assessing for neurovascular compromise in the affected limb.
3. What is the primary nursing intervention for a client with aplastic anemia and
low white blood count?
Encourage visitors to visit.
Maintain strict protective precautions.
Avoid peripheral injections.
Assist with frequent ambulation.
,4. If a nurse discovers that a client with diabetic nephropathy has been
consuming a six pack of beer daily, what should be the nurse's priority
intervention?
Educate the client about the risks of alcohol on kidney health.
Advise the client to drink more water.
Suggest the client switch to light beer.
Ignore the finding as it is not related to diabetes.
5. A client with a history of heart failure presents to the emergency department
with shortness of breath and is found to have paroxysmal nocturnal dyspnea.
What should the nurse prioritize in the assessment?
Checking the client's blood glucose levels.
Assessing the client's oxygen saturation and respiratory status.
Evaluating the client's exercise routine.
Inquiring about the client's dietary habits.
6. Describe the primary reason a cholecystectomy is performed for patients
with cholelithiasis.
A cholecystectomy is performed to improve digestion of
carbohydrates.
A cholecystectomy is performed to reduce inflammation in the
pancreas.
A cholecystectomy is performed to treat liver disease.
A cholecystectomy is performed to remove the gallbladder and
alleviate symptoms caused by gallstones.
,7. Describe how polydipsia relates to the risk of diabetes insipidus in patients
with head injuries.
Polydipsia indicates excessive thirst, which can be a sign of diabetes
insipidus due to impaired water regulation.
Polydipsia is a symptom of high blood pressure, not diabetes insipidus.
Polydipsia suggests dehydration but does not indicate diabetes
insipidus.
Polydipsia is unrelated to diabetes insipidus and indicates a normal
thirst response.
8. Which of the following symptoms is commonly associated with peptic ulcer
disease (PUD)?
Weight gain
Cough
Hematemesis
Fever
9. What symptom is indicative of a potential ectopic pregnancy in the provided
case?
Intermittent lower abdominal cramping
Fever and right lower abdominal colic
Shoulder and lower abdominal quadrant pain
Jaundice and right lower abdominal pain
10. Why is it crucial to monitor vital signs closely after a liver biopsy?
To ensure the client is comfortable and relaxed.
, To detect any potential complications such as bleeding or
infection.
To assess the client's pain level after the procedure.
To monitor the effectiveness of sedation used during the procedure.
11. A patient presents with severe abdominal pain and elevated amylase levels.
What should the nurse prioritize in the care plan for this patient?
Performing a routine blood glucose test without considering other
symptoms.
Monitoring for complications of pancreatitis such as infection or
organ failure.
Administering pain medication immediately without further
assessment.
Encouraging the patient to eat a high-fat diet to stimulate digestion.
12. Your newly emergency room patient has a history of cancer and is
undergoing treatment. She reports she abruptly developed chest pain,
upper torso flushing, and facial and upper extremity swelling. She is now
progressively short of breath. The physician suspects the patient is suffering
from which medical condition?
Heart Failure
Myocardial Infarction
Superior Vena Cava Syndrome
Hypercalcemia
13. Which ethnic group is most commonly affected by Sarcoidosis according to
nursing assessments?
Asian women
Verified Answers | Latest Update | Graded A+
1. What is the primary benefit of pursed lip breathing for clients with
emphysema?
Conserves energy while resting.
Increases respiratory rate.
Decreases O2 saturation throughout the body.
Promotes CO2 elimination.
2. In a scenario where a patient presents with a fracture that bends or splinters
part of the bone, what initial nursing assessment should be prioritized?
Preparing the patient for surgery without further assessment.
Administering pain medication immediately.
Performing a full range of motion assessment.
Assessing for neurovascular compromise in the affected limb.
3. What is the primary nursing intervention for a client with aplastic anemia and
low white blood count?
Encourage visitors to visit.
Maintain strict protective precautions.
Avoid peripheral injections.
Assist with frequent ambulation.
,4. If a nurse discovers that a client with diabetic nephropathy has been
consuming a six pack of beer daily, what should be the nurse's priority
intervention?
Educate the client about the risks of alcohol on kidney health.
Advise the client to drink more water.
Suggest the client switch to light beer.
Ignore the finding as it is not related to diabetes.
5. A client with a history of heart failure presents to the emergency department
with shortness of breath and is found to have paroxysmal nocturnal dyspnea.
What should the nurse prioritize in the assessment?
Checking the client's blood glucose levels.
Assessing the client's oxygen saturation and respiratory status.
Evaluating the client's exercise routine.
Inquiring about the client's dietary habits.
6. Describe the primary reason a cholecystectomy is performed for patients
with cholelithiasis.
A cholecystectomy is performed to improve digestion of
carbohydrates.
A cholecystectomy is performed to reduce inflammation in the
pancreas.
A cholecystectomy is performed to treat liver disease.
A cholecystectomy is performed to remove the gallbladder and
alleviate symptoms caused by gallstones.
,7. Describe how polydipsia relates to the risk of diabetes insipidus in patients
with head injuries.
Polydipsia indicates excessive thirst, which can be a sign of diabetes
insipidus due to impaired water regulation.
Polydipsia is a symptom of high blood pressure, not diabetes insipidus.
Polydipsia suggests dehydration but does not indicate diabetes
insipidus.
Polydipsia is unrelated to diabetes insipidus and indicates a normal
thirst response.
8. Which of the following symptoms is commonly associated with peptic ulcer
disease (PUD)?
Weight gain
Cough
Hematemesis
Fever
9. What symptom is indicative of a potential ectopic pregnancy in the provided
case?
Intermittent lower abdominal cramping
Fever and right lower abdominal colic
Shoulder and lower abdominal quadrant pain
Jaundice and right lower abdominal pain
10. Why is it crucial to monitor vital signs closely after a liver biopsy?
To ensure the client is comfortable and relaxed.
, To detect any potential complications such as bleeding or
infection.
To assess the client's pain level after the procedure.
To monitor the effectiveness of sedation used during the procedure.
11. A patient presents with severe abdominal pain and elevated amylase levels.
What should the nurse prioritize in the care plan for this patient?
Performing a routine blood glucose test without considering other
symptoms.
Monitoring for complications of pancreatitis such as infection or
organ failure.
Administering pain medication immediately without further
assessment.
Encouraging the patient to eat a high-fat diet to stimulate digestion.
12. Your newly emergency room patient has a history of cancer and is
undergoing treatment. She reports she abruptly developed chest pain,
upper torso flushing, and facial and upper extremity swelling. She is now
progressively short of breath. The physician suspects the patient is suffering
from which medical condition?
Heart Failure
Myocardial Infarction
Superior Vena Cava Syndrome
Hypercalcemia
13. Which ethnic group is most commonly affected by Sarcoidosis according to
nursing assessments?
Asian women
