HESI comprehension practice test Exam
2026 Questions and Answers
A client with deep partial-thickness and full-thickness burns of the face and chest is
receiving wound care using the open method. The plan of care includes the Nsg
Dx, "Risk for infection R/T impaired tissue integrity." Based on the expected
outcome, "Client remains free of infections," which nursing interventions should
the PN implement?
A. Wear gown, cap, mask, and gloves during direct client care.
B. Restrict visitors in order to prevent wound contamination.
C. Use sterile water for debridement in the hydrotherapy tank.
D. Apply sterile dressings after debridement of burn wounds. - Correct answer-A.
Wear gown, cap, mask, and gloves during direct client care.
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,No dressing is used for burn wound care using the open method. The burn area is
exposed and an aseptic environment is needed to prevent contamination and
infection. Protective isolation precautions should be implemented during direct
client care and wound care, which should include wearing gown, cap, mask, and
gloves.
What action should the PN implement to facilitate speech for a client who has a
fenestrated tracheostomy tube?
A. Show the client how to use a tracheostomy plug.
B. Determine the client's ability to swallow.
C. Remove the inner cannula.
D. Give oxygen at 6 L/minute via tracheostomy collar. - Correct answer-B.
Determine the client's ability to swallow.
A fenestrated tracheostomy has an opening or hole on the posterior aspect of the
outer cannula that allows airflow over the vocal cords and speech in a client who is
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,spontaneously breathing. It does not have a cuff, so the client's risk for aspiration
should be determined.
A male client scheduled for a total laryngectomy and radical neck dissection for
cancer of the larynx asks the PN if he will ever be able to speak. Which response is
bets for the PN to provide?
A. Breathing occurs through a permanent neck opening which prevents normal
speech.
B. Permanent removal of the voice box requires rehabilitation for esophageal
speech.
C. Due to removal of the vocal cords, communication requires the use of sign
language.
D. Once the breathing hole in the neck heals, the ability to speak requires a device.
- Correct answer-B. Permanent removal of the voice box requires rehabilitation for
esophageal speech.
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, A total laryngectomy includes removal of the larynx and pre-epiglottis region
resulting in a permanent tracheostomy and loss of normal speech abilities. Rehab is
required to learn to speak using a prosthesis, esophageal speech, or an
electrolarynx.
A client is wearing a continuous 24-hour Holter monitor for elevation of heart
rhythm disturbances. What info should the PN reinforce with this client?
A. Remove the electrodes to shower or bathe
B. Keep a diary of activities as long as the monitor is worn.
C. Exercise as much as possible while the monitor is in place.
D. Call the assigned number if an episode of irregular heartbeats occurs. - Correct
answer-B. Keep a diary of activities as long as the monitor is worn.
Nursing care for a client with a Holter monitor includes preparation of the skin,
placement of the electrodes and leads, and activities of daily living, so the client
should be informed of the importance of keeping an accurate record of activities
and symptoms
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
2026 Questions and Answers
A client with deep partial-thickness and full-thickness burns of the face and chest is
receiving wound care using the open method. The plan of care includes the Nsg
Dx, "Risk for infection R/T impaired tissue integrity." Based on the expected
outcome, "Client remains free of infections," which nursing interventions should
the PN implement?
A. Wear gown, cap, mask, and gloves during direct client care.
B. Restrict visitors in order to prevent wound contamination.
C. Use sterile water for debridement in the hydrotherapy tank.
D. Apply sterile dressings after debridement of burn wounds. - Correct answer-A.
Wear gown, cap, mask, and gloves during direct client care.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,No dressing is used for burn wound care using the open method. The burn area is
exposed and an aseptic environment is needed to prevent contamination and
infection. Protective isolation precautions should be implemented during direct
client care and wound care, which should include wearing gown, cap, mask, and
gloves.
What action should the PN implement to facilitate speech for a client who has a
fenestrated tracheostomy tube?
A. Show the client how to use a tracheostomy plug.
B. Determine the client's ability to swallow.
C. Remove the inner cannula.
D. Give oxygen at 6 L/minute via tracheostomy collar. - Correct answer-B.
Determine the client's ability to swallow.
A fenestrated tracheostomy has an opening or hole on the posterior aspect of the
outer cannula that allows airflow over the vocal cords and speech in a client who is
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,spontaneously breathing. It does not have a cuff, so the client's risk for aspiration
should be determined.
A male client scheduled for a total laryngectomy and radical neck dissection for
cancer of the larynx asks the PN if he will ever be able to speak. Which response is
bets for the PN to provide?
A. Breathing occurs through a permanent neck opening which prevents normal
speech.
B. Permanent removal of the voice box requires rehabilitation for esophageal
speech.
C. Due to removal of the vocal cords, communication requires the use of sign
language.
D. Once the breathing hole in the neck heals, the ability to speak requires a device.
- Correct answer-B. Permanent removal of the voice box requires rehabilitation for
esophageal speech.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, A total laryngectomy includes removal of the larynx and pre-epiglottis region
resulting in a permanent tracheostomy and loss of normal speech abilities. Rehab is
required to learn to speak using a prosthesis, esophageal speech, or an
electrolarynx.
A client is wearing a continuous 24-hour Holter monitor for elevation of heart
rhythm disturbances. What info should the PN reinforce with this client?
A. Remove the electrodes to shower or bathe
B. Keep a diary of activities as long as the monitor is worn.
C. Exercise as much as possible while the monitor is in place.
D. Call the assigned number if an episode of irregular heartbeats occurs. - Correct
answer-B. Keep a diary of activities as long as the monitor is worn.
Nursing care for a client with a Holter monitor includes preparation of the skin,
placement of the electrodes and leads, and activities of daily living, so the client
should be informed of the importance of keeping an accurate record of activities
and symptoms
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
