HESI PRACTICE EXAM WITH
CORRECT ANSWERS 2025
GRADED A+
Which assessment is most important for the nurse to perform on a client who
is hospitalized for Guillain-Barre syndrome that is rapidly progressing?
Respiratory effort.
Unsteady gait.
Intensity of pain.
Ability to eat. ( correct answers ) Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically starts at
the feet and progresses upwards. As the condition progresses, the nurse
must ensure that the client is able to breathe effectively.
A male client comes into the clinic with a history of penile discharge with
painful, burning urination. Which action should the nurse implement?
Collect a culture of the penile discharge.
Palpate the inguinal lymph nodes gently.
Observe for scrotal swelling and redness.
Express the discharge to determine color. ( correct answers ) Collect a
culture of the penile discharge.
GRADED A+
,Penile discharge with painful urination is commonly associated with
gonorrhea. The nurse should collect a culture of the penile discharge to
determine the cause of these symptoms. The cause must be determined or
confirmed through culture to identify the organism and ensure effective
treatment.
A client with history of atrial fibrillation is admitted to the telemetry unit with
sudden onset of shortness of breath. The nurse observes a new irregular
heart rhythm and should perform which assessment at this time?
Check for a pulse deficit.
Palpate the apical impulse.
Inspect jugular vein pulse.
Examine for a carotid bruit. ( correct answers ) Check for a pulse deficit.
A client with a past history of atrial fibrillation may return to that rhythm. Any
signs of atrial fibrillation, such as sudden onset shortness of breath, requires
further investigation. The nurse should assess this client for a pulse deficit
because this condition occurs with atrial fibrillation.
Which client should be further assessed for an ectopic pregnancy?
A 24-year-old with shoulder and lower abdominal quadrant pain.
A 33-year-old with intermittent lower abdominal cramping.
A 20-year-old with fever and right lower abdominal colic.
A 40-year-old with jaundice and right lower abdominal pain. ( correct
answers ) A 24-year-old with shoulder and lower abdominal quadrant pain.
A 24-year-old with sudden onset of lower abdominal quadrant pain should be
assessed for an ectopic pregnancy. The pain can also be referred to the
shoulder and may be associated with vaginal bleeding.
GRADED A+
,Which dietary assessment finding is most important for the nurse to address
when caring for a client with diabetic nephropathy?
Drinks a six pack of beer every day.
Enjoys a hamburger once a month.
Eats fortified breakfast cereal daily.
Consumes beans and rice every day. ( correct answers ) Drinks a six pack
of beer every day.
Drinking six beers every day is the dietary assessment finding most
important for the nurse to address when caring for a client with diabetic
nephropathy. The usual can of beer is 12 ounces (355 mL). Clients with
diabetes are recommended to drink no more than 12 ounces of beer per day
because beer contains carbohydrates that can create unhealthy fluctuations
in blood glucose and promote poor glucose control. Nephropathy is
exacerbated by poor blood glucose control.
Which assessment finding is of greatest concern to the nurse who is caring
for a client with stomatitis?
Cough brought on by swallowing.
Sore throat caused by speaking.
Painful and dry oral cavity.
Unintended weight loss. ( correct answers ) Cough brought on by
swallowing.
A cough brought on by swallowing is a sign of dysphagia, which is a finding
of particular concern in a client with stomatitis. Dysphagia can cause
numerous problems, including airway obstruction, and should be reported to
the healthcare provider immediately.
GRADED A+
, The nurse is teaching a client diagnosed with peripheral arterial disease.
Which genitourinary system complication should the nurse include in the
teaching?
Altered sexual response.
Sterility.
Urinary incontinence.
Decreased pelvic muscle tone. ( correct answers ) Altered sexual
response.
Peripheral arterial disease (PAD) is a cardiovascular condition characterized
by narrowing of the arteries and reduced blood flow to the extremities. PAD
is known to alter the blood flow to the male's penis and is associated with
erectile dysfunction in men.
A 40-year-old female client has a history of smoking. Which finding should
the nurse identify as a risk factor for myocardial infarction?
Oral contraceptives.
Senile osteopenia.
Levothyroxine therapy.
Pernicious anemia. ( correct answers ) Oral contraceptives.
Women older than 35 years old who smoke and take oral contraceptives
have an increased risk of myocardial infarction or stroke.
A client has been told that there is cataract formation over both eyes. Which
finding should the nurse expect when assessing the client?
Decreased color perception.
Presence of floaters.
GRADED A+
CORRECT ANSWERS 2025
GRADED A+
Which assessment is most important for the nurse to perform on a client who
is hospitalized for Guillain-Barre syndrome that is rapidly progressing?
Respiratory effort.
Unsteady gait.
Intensity of pain.
Ability to eat. ( correct answers ) Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically starts at
the feet and progresses upwards. As the condition progresses, the nurse
must ensure that the client is able to breathe effectively.
A male client comes into the clinic with a history of penile discharge with
painful, burning urination. Which action should the nurse implement?
Collect a culture of the penile discharge.
Palpate the inguinal lymph nodes gently.
Observe for scrotal swelling and redness.
Express the discharge to determine color. ( correct answers ) Collect a
culture of the penile discharge.
GRADED A+
,Penile discharge with painful urination is commonly associated with
gonorrhea. The nurse should collect a culture of the penile discharge to
determine the cause of these symptoms. The cause must be determined or
confirmed through culture to identify the organism and ensure effective
treatment.
A client with history of atrial fibrillation is admitted to the telemetry unit with
sudden onset of shortness of breath. The nurse observes a new irregular
heart rhythm and should perform which assessment at this time?
Check for a pulse deficit.
Palpate the apical impulse.
Inspect jugular vein pulse.
Examine for a carotid bruit. ( correct answers ) Check for a pulse deficit.
A client with a past history of atrial fibrillation may return to that rhythm. Any
signs of atrial fibrillation, such as sudden onset shortness of breath, requires
further investigation. The nurse should assess this client for a pulse deficit
because this condition occurs with atrial fibrillation.
Which client should be further assessed for an ectopic pregnancy?
A 24-year-old with shoulder and lower abdominal quadrant pain.
A 33-year-old with intermittent lower abdominal cramping.
A 20-year-old with fever and right lower abdominal colic.
A 40-year-old with jaundice and right lower abdominal pain. ( correct
answers ) A 24-year-old with shoulder and lower abdominal quadrant pain.
A 24-year-old with sudden onset of lower abdominal quadrant pain should be
assessed for an ectopic pregnancy. The pain can also be referred to the
shoulder and may be associated with vaginal bleeding.
GRADED A+
,Which dietary assessment finding is most important for the nurse to address
when caring for a client with diabetic nephropathy?
Drinks a six pack of beer every day.
Enjoys a hamburger once a month.
Eats fortified breakfast cereal daily.
Consumes beans and rice every day. ( correct answers ) Drinks a six pack
of beer every day.
Drinking six beers every day is the dietary assessment finding most
important for the nurse to address when caring for a client with diabetic
nephropathy. The usual can of beer is 12 ounces (355 mL). Clients with
diabetes are recommended to drink no more than 12 ounces of beer per day
because beer contains carbohydrates that can create unhealthy fluctuations
in blood glucose and promote poor glucose control. Nephropathy is
exacerbated by poor blood glucose control.
Which assessment finding is of greatest concern to the nurse who is caring
for a client with stomatitis?
Cough brought on by swallowing.
Sore throat caused by speaking.
Painful and dry oral cavity.
Unintended weight loss. ( correct answers ) Cough brought on by
swallowing.
A cough brought on by swallowing is a sign of dysphagia, which is a finding
of particular concern in a client with stomatitis. Dysphagia can cause
numerous problems, including airway obstruction, and should be reported to
the healthcare provider immediately.
GRADED A+
, The nurse is teaching a client diagnosed with peripheral arterial disease.
Which genitourinary system complication should the nurse include in the
teaching?
Altered sexual response.
Sterility.
Urinary incontinence.
Decreased pelvic muscle tone. ( correct answers ) Altered sexual
response.
Peripheral arterial disease (PAD) is a cardiovascular condition characterized
by narrowing of the arteries and reduced blood flow to the extremities. PAD
is known to alter the blood flow to the male's penis and is associated with
erectile dysfunction in men.
A 40-year-old female client has a history of smoking. Which finding should
the nurse identify as a risk factor for myocardial infarction?
Oral contraceptives.
Senile osteopenia.
Levothyroxine therapy.
Pernicious anemia. ( correct answers ) Oral contraceptives.
Women older than 35 years old who smoke and take oral contraceptives
have an increased risk of myocardial infarction or stroke.
A client has been told that there is cataract formation over both eyes. Which
finding should the nurse expect when assessing the client?
Decreased color perception.
Presence of floaters.
GRADED A+
