NUR 112 HESI EXAM / ACTUAL NUR 112 HESI EXAM 2026/2027 WITH
CURRENTLY UPDATED PRACTICE QUESTIONS COMPLETE ACCURATE
EXAM REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES
1. A nurse is caring for a hospitalized client who suddenly reports shortness of
breath and has an oxygen saturation of 86% on room air. The client is
anxious and using accessory muscles to breathe. Which action should the
nurse take first?
A. Notify the healthcare provider immediately
B. Place the client in a high-Fowler position
C. Obtain a complete health history
D. Encourage the client to ambulate
Answer: B
2. A nurse is completing the assessment phase of the nursing process for a
newly admitted client with abdominal pain. Which action best
demonstrates appropriate assessment?
A. Administering the prescribed analgesic
B. Developing a nursing diagnosis of acute pain
C. Collecting subjective and objective information about the client's
condition
D. Evaluating whether the pain medication was effective
Answer: C
3. A client tells the nurse, "I am extremely worried about my surgery
tomorrow, and I do not know what will happen." Which response
demonstrates therapeutic communication?
A. "There is no reason to worry because this surgery is routine."
B. "You should try to think positively."
C. "I understand exactly how you feel."
D. "Tell me what concerns you most about the surgery."
Answer: D
pg. 1
, 4. A nurse is preparing to administer medication to an older adult client. The
medication administration record lists a dose that appears substantially
higher than the usual dosage range. What should the nurse do first?
A. Withhold the medication and verify the prescription
B. Administer the medication because it is prescribed
C. Ask another client whether the dose seems appropriate
D. Document that the medication was refused
Answer: A
5. A nurse is teaching a student nurse about standard precautions. Which
statement by the student indicates correct understanding?
A. "Standard precautions are used only for clients with known infections."
B. "Standard precautions require gloves for every interaction with a client."
C. "Standard precautions are based on the possibility that blood and certain
body fluids may contain infectious organisms."
D. "Standard precautions eliminate the need for hand hygiene when gloves
are worn."
Answer: C
6. A client who is weak after surgery needs to transfer from the bed to a chair.
Which nursing intervention is most appropriate for reducing the risk of
injury?
A. Ask the client to stand quickly before becoming tired
B. Lock the bed and chair and use appropriate transfer assistance
C. Place the chair several feet away from the bed
D. Have the client pull on the nurse's neck during transfer
Answer: B
7. A nurse is caring for a client who has difficulty swallowing after a stroke.
Which intervention is most appropriate during meals?
A. Position the client upright and use prescribed swallowing strategies
B. Encourage the client to drink large amounts of thin liquid
C. Place the client flat after each bite
pg. 2
, D. Encourage rapid eating to prevent fatigue
Answer: A
8. A nurse is evaluating a client's pain after administration of an analgesic.
Which finding provides the most useful information about the effectiveness
of the intervention?
A. The nurse believes the client looks more comfortable
B. The client's family states that the client appears better
C. The client reports that the pain decreased from 8 to 3 on the pain scale
D. The client's pulse decreased by 5 beats/minute
Answer: C
9. A nurse is preparing a sterile field for a procedure. Which action would
contaminate the sterile field?
A. Keeping sterile supplies above waist level
B. Opening the sterile package away from the body
C. Reaching across the sterile field
D. Keeping the sterile field within view
Answer: C
10. A client is admitted with suspected tuberculosis. Which type of precautions
should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Protective precautions
D. Airborne precautions
Answer: D
11. A nurse is assessing a client who has been prescribed bed rest for several
days. Which complication should the nurse monitor most closely?
A. Increased bone density
B. Orthostatic hypotension
C. Increased muscle strength
D. Improved venous circulation
Answer: B
pg. 3
, 12. A nurse is teaching a client how to use an incentive spirometer after
abdominal surgery. Which instruction is appropriate?
A. "Blow forcefully into the device every hour."
B. "Use the device only when you feel short of breath."
C. "Inhale slowly and deeply through the mouthpiece."
D. "Hold your breath only after exhaling completely."
Answer: C
13. A client has an elevated temperature, chills, and suspected infection. Which
nursing action is most important before administering an ordered antibiotic
when cultures have been prescribed?
A. Obtain the prescribed cultures
B. Restrict oral fluids
C. Encourage vigorous exercise
D. Apply a heating pad
Answer: A
14. A nurse is preparing to document a client's condition in the electronic
health record. Which documentation is most appropriate?
A. "Client seems difficult and uncooperative."
B. "Client appears to be exaggerating pain."
C. "Client probably has an infection."
D. "Client reports abdominal pain rated 7/10 and guarding is noted."
Answer: D
15. A client tells the nurse that a prescribed medication caused severe dizziness
during the previous dose. What should the nurse do before administering
the next dose?
A. Ignore the report because the medication is prescribed
B. Assess the client and review the medication's potential effects
C. Tell the client that dizziness is always harmless
D. Ask the family to decide whether the medication should be given
Answer: B
pg. 4
CURRENTLY UPDATED PRACTICE QUESTIONS COMPLETE ACCURATE
EXAM REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES
1. A nurse is caring for a hospitalized client who suddenly reports shortness of
breath and has an oxygen saturation of 86% on room air. The client is
anxious and using accessory muscles to breathe. Which action should the
nurse take first?
A. Notify the healthcare provider immediately
B. Place the client in a high-Fowler position
C. Obtain a complete health history
D. Encourage the client to ambulate
Answer: B
2. A nurse is completing the assessment phase of the nursing process for a
newly admitted client with abdominal pain. Which action best
demonstrates appropriate assessment?
A. Administering the prescribed analgesic
B. Developing a nursing diagnosis of acute pain
C. Collecting subjective and objective information about the client's
condition
D. Evaluating whether the pain medication was effective
Answer: C
3. A client tells the nurse, "I am extremely worried about my surgery
tomorrow, and I do not know what will happen." Which response
demonstrates therapeutic communication?
A. "There is no reason to worry because this surgery is routine."
B. "You should try to think positively."
C. "I understand exactly how you feel."
D. "Tell me what concerns you most about the surgery."
Answer: D
pg. 1
, 4. A nurse is preparing to administer medication to an older adult client. The
medication administration record lists a dose that appears substantially
higher than the usual dosage range. What should the nurse do first?
A. Withhold the medication and verify the prescription
B. Administer the medication because it is prescribed
C. Ask another client whether the dose seems appropriate
D. Document that the medication was refused
Answer: A
5. A nurse is teaching a student nurse about standard precautions. Which
statement by the student indicates correct understanding?
A. "Standard precautions are used only for clients with known infections."
B. "Standard precautions require gloves for every interaction with a client."
C. "Standard precautions are based on the possibility that blood and certain
body fluids may contain infectious organisms."
D. "Standard precautions eliminate the need for hand hygiene when gloves
are worn."
Answer: C
6. A client who is weak after surgery needs to transfer from the bed to a chair.
Which nursing intervention is most appropriate for reducing the risk of
injury?
A. Ask the client to stand quickly before becoming tired
B. Lock the bed and chair and use appropriate transfer assistance
C. Place the chair several feet away from the bed
D. Have the client pull on the nurse's neck during transfer
Answer: B
7. A nurse is caring for a client who has difficulty swallowing after a stroke.
Which intervention is most appropriate during meals?
A. Position the client upright and use prescribed swallowing strategies
B. Encourage the client to drink large amounts of thin liquid
C. Place the client flat after each bite
pg. 2
, D. Encourage rapid eating to prevent fatigue
Answer: A
8. A nurse is evaluating a client's pain after administration of an analgesic.
Which finding provides the most useful information about the effectiveness
of the intervention?
A. The nurse believes the client looks more comfortable
B. The client's family states that the client appears better
C. The client reports that the pain decreased from 8 to 3 on the pain scale
D. The client's pulse decreased by 5 beats/minute
Answer: C
9. A nurse is preparing a sterile field for a procedure. Which action would
contaminate the sterile field?
A. Keeping sterile supplies above waist level
B. Opening the sterile package away from the body
C. Reaching across the sterile field
D. Keeping the sterile field within view
Answer: C
10. A client is admitted with suspected tuberculosis. Which type of precautions
should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Protective precautions
D. Airborne precautions
Answer: D
11. A nurse is assessing a client who has been prescribed bed rest for several
days. Which complication should the nurse monitor most closely?
A. Increased bone density
B. Orthostatic hypotension
C. Increased muscle strength
D. Improved venous circulation
Answer: B
pg. 3
, 12. A nurse is teaching a client how to use an incentive spirometer after
abdominal surgery. Which instruction is appropriate?
A. "Blow forcefully into the device every hour."
B. "Use the device only when you feel short of breath."
C. "Inhale slowly and deeply through the mouthpiece."
D. "Hold your breath only after exhaling completely."
Answer: C
13. A client has an elevated temperature, chills, and suspected infection. Which
nursing action is most important before administering an ordered antibiotic
when cultures have been prescribed?
A. Obtain the prescribed cultures
B. Restrict oral fluids
C. Encourage vigorous exercise
D. Apply a heating pad
Answer: A
14. A nurse is preparing to document a client's condition in the electronic
health record. Which documentation is most appropriate?
A. "Client seems difficult and uncooperative."
B. "Client appears to be exaggerating pain."
C. "Client probably has an infection."
D. "Client reports abdominal pain rated 7/10 and guarding is noted."
Answer: D
15. A client tells the nurse that a prescribed medication caused severe dizziness
during the previous dose. What should the nurse do before administering
the next dose?
A. Ignore the report because the medication is prescribed
B. Assess the client and review the medication's potential effects
C. Tell the client that dizziness is always harmless
D. Ask the family to decide whether the medication should be given
Answer: B
pg. 4
