BSN 246 HESI Nightingale College -Health Assessment
HESI Practice Questions | 2026/2027 | Answers Correct |
With Complete Solutions
A
A chronic seasonal cough related to bronchitis is likely
accompanied with phlegm production and wheezing (A).
Although smoking can contribute to chronic cough, the typical
seasonal cough is an inflammatory reaction to seasonal changes
(B). Hemoptysis (C) or a "new" cough or changes in a persistent
chronic cough is likely related to lung cancer (C). Night sweats
(D) is a trend in fever that is often seen with tuberculosis.
Correct Answers The registered nurse (RN) is interviewing a
female client who states she has a persistent cough during the
winter caused by bronchitis. Which additional finding should the
RN assess for bronchitis?
A. Phlegm production and wheezing.
B. Smoking history
C. Hemoptysis
D. Night sweats
A
A contract with a psychiatric client should include the nurse's
expectations and responsibilities as well as the client's. A
description of the client's therapies, the length of hospitalization,
and insurance and financial information wouldn't be included in
a contract. Correct Answers A 23-year-old client is admitted to
an inpatient psychiatric unit with severe depression. To develop
rapport with the client, the nurse initiates a contract. What
should the contract include?
A. Expectations and responsibilities for you and the client
,B. A description of the therapies the client will undergo
C. A prediction of the length of hospitalization
D. The client's insurance and financial information
A
All alcohol (A) and any foods that contain tyramine should be
avoided while taking an MAO inhibitor, which interact to cause
a hypertensive crisis. (B and C) should be discussed, but are not
as important as (A). Although assessing blood pressure and
pulse may be indicated, it is not necessary prior to taking each
dose (D). Correct Answers The registered nurse (RN) reviews
the new prescription, phenelzine, a monoamine oxidase inhibitor
(MAOI), for a client on the psychiatric unit with depression.
Which information is most important for the RN to assess?
A. Consumption of any alcohol or tyramine-rich foods.
B. Complaints of nausea or vomiting.
C. Therapeutic serum drug levels.
D. Blood pressure and pulse prior to taking each dose.
A
Although Babinkski's reflex is a normal finding in infants and
children younger than age 2, it's always an abnormal finding in
adults. It wouldn't be classified as hyperactive or diminished.
Correct Answers A 30-year-old client is brought to the
emergency department with head injuries from a motorcycle
accident. During the neurological assessment, the client displays
Babinski's reflex. The nurse knows that this finding is:
A. an abnormal response
B. a normal response
C. a hyperactive response
D. a diminished response
,A
Anthropometric arm measurements help assess nutritional
status. Less than 90% of the standard indicates caloric
deprivation. This result doesn't indicate a normal measurement
and doesn't show caloric excess. Protein malnutrition is
determined by albumin levels. Correct Answers A 73-year old
female client with Alzheimer's disease is admitted to the hospital
with dehydration. Her daughter, who has been caring for the
client at home, verbalizes frustration that the client refuses to eat
or drink. The nurse performs anthropometric arm measurements
on the client, and the result is 85% if the standard. What does
this result suggest?
A. Caloric deprivation
B. Normalcy
C. Protein malnutrition
D. Caloric excess
A
Checking the pH of the aspirate (A) is the best method to
validate that the NGT is not displaced and should reveal an
acidic pH of 1.5 to 3.5 due to presence of gastric acid. (B, C and
D) are not reliable methods to ensure NGT placement in the
stomach. Correct Answers The registered nurse (RN) is caring
for a client with a newly placed nasogastric tube (NGT). Once
the placement of the NG tube is verified by x-ray, which
technique should the RN use as a reliable method to ensure the
NGT is not displaced?
a. check the pH of aspirated stomach contents obtained from the
NGT
, b. auscultate over the epigastrium while injecting air into the
NGT
c. disconnect and place the end of NGT in water to see if
bubbles appear
d. listen for hyperactive bowel sounds in all four quadrants in
the abdomen
A
Combination therapy is necessary to decrease the development
of resistant strains of TB (A) and ensure treatment effectiveness.
(B, C, and D) are not the rationales for multiple drug protocol
for TB. Correct Answers The registered nurse (RN) is caring
for a client with tuberculosis (TB) who is taking a combination
drug regimen. The client complains about taking "so many
pills." What information should the RN provide to the client
about the prescribed treatment?
A. The development of resistant strains of TB are decreased
with a combination of drugs.
B. Compliance to the medication regimen is challenging but
should be maintained.
C. Side effects are minimized with the use of a single
medication but is less effective.
D. The treatment time is decreased from 6 months to 3 months
with this standard regimen.
A
Headache, nausea, blurred vision and insomnia are symptoms of
excessive use of ipratropium, so withholding the medication (A)
until the healthcare provider is notified should be initiated to
maintain client safety. If the symptoms continue and are not
addressed immediately, then (B, C, and D) may place the client
HESI Practice Questions | 2026/2027 | Answers Correct |
With Complete Solutions
A
A chronic seasonal cough related to bronchitis is likely
accompanied with phlegm production and wheezing (A).
Although smoking can contribute to chronic cough, the typical
seasonal cough is an inflammatory reaction to seasonal changes
(B). Hemoptysis (C) or a "new" cough or changes in a persistent
chronic cough is likely related to lung cancer (C). Night sweats
(D) is a trend in fever that is often seen with tuberculosis.
Correct Answers The registered nurse (RN) is interviewing a
female client who states she has a persistent cough during the
winter caused by bronchitis. Which additional finding should the
RN assess for bronchitis?
A. Phlegm production and wheezing.
B. Smoking history
C. Hemoptysis
D. Night sweats
A
A contract with a psychiatric client should include the nurse's
expectations and responsibilities as well as the client's. A
description of the client's therapies, the length of hospitalization,
and insurance and financial information wouldn't be included in
a contract. Correct Answers A 23-year-old client is admitted to
an inpatient psychiatric unit with severe depression. To develop
rapport with the client, the nurse initiates a contract. What
should the contract include?
A. Expectations and responsibilities for you and the client
,B. A description of the therapies the client will undergo
C. A prediction of the length of hospitalization
D. The client's insurance and financial information
A
All alcohol (A) and any foods that contain tyramine should be
avoided while taking an MAO inhibitor, which interact to cause
a hypertensive crisis. (B and C) should be discussed, but are not
as important as (A). Although assessing blood pressure and
pulse may be indicated, it is not necessary prior to taking each
dose (D). Correct Answers The registered nurse (RN) reviews
the new prescription, phenelzine, a monoamine oxidase inhibitor
(MAOI), for a client on the psychiatric unit with depression.
Which information is most important for the RN to assess?
A. Consumption of any alcohol or tyramine-rich foods.
B. Complaints of nausea or vomiting.
C. Therapeutic serum drug levels.
D. Blood pressure and pulse prior to taking each dose.
A
Although Babinkski's reflex is a normal finding in infants and
children younger than age 2, it's always an abnormal finding in
adults. It wouldn't be classified as hyperactive or diminished.
Correct Answers A 30-year-old client is brought to the
emergency department with head injuries from a motorcycle
accident. During the neurological assessment, the client displays
Babinski's reflex. The nurse knows that this finding is:
A. an abnormal response
B. a normal response
C. a hyperactive response
D. a diminished response
,A
Anthropometric arm measurements help assess nutritional
status. Less than 90% of the standard indicates caloric
deprivation. This result doesn't indicate a normal measurement
and doesn't show caloric excess. Protein malnutrition is
determined by albumin levels. Correct Answers A 73-year old
female client with Alzheimer's disease is admitted to the hospital
with dehydration. Her daughter, who has been caring for the
client at home, verbalizes frustration that the client refuses to eat
or drink. The nurse performs anthropometric arm measurements
on the client, and the result is 85% if the standard. What does
this result suggest?
A. Caloric deprivation
B. Normalcy
C. Protein malnutrition
D. Caloric excess
A
Checking the pH of the aspirate (A) is the best method to
validate that the NGT is not displaced and should reveal an
acidic pH of 1.5 to 3.5 due to presence of gastric acid. (B, C and
D) are not reliable methods to ensure NGT placement in the
stomach. Correct Answers The registered nurse (RN) is caring
for a client with a newly placed nasogastric tube (NGT). Once
the placement of the NG tube is verified by x-ray, which
technique should the RN use as a reliable method to ensure the
NGT is not displaced?
a. check the pH of aspirated stomach contents obtained from the
NGT
, b. auscultate over the epigastrium while injecting air into the
NGT
c. disconnect and place the end of NGT in water to see if
bubbles appear
d. listen for hyperactive bowel sounds in all four quadrants in
the abdomen
A
Combination therapy is necessary to decrease the development
of resistant strains of TB (A) and ensure treatment effectiveness.
(B, C, and D) are not the rationales for multiple drug protocol
for TB. Correct Answers The registered nurse (RN) is caring
for a client with tuberculosis (TB) who is taking a combination
drug regimen. The client complains about taking "so many
pills." What information should the RN provide to the client
about the prescribed treatment?
A. The development of resistant strains of TB are decreased
with a combination of drugs.
B. Compliance to the medication regimen is challenging but
should be maintained.
C. Side effects are minimized with the use of a single
medication but is less effective.
D. The treatment time is decreased from 6 months to 3 months
with this standard regimen.
A
Headache, nausea, blurred vision and insomnia are symptoms of
excessive use of ipratropium, so withholding the medication (A)
until the healthcare provider is notified should be initiated to
maintain client safety. If the symptoms continue and are not
addressed immediately, then (B, C, and D) may place the client
