HESI Exam 2026 Questions and Answers
The nurse notices that the hispanic parents of a toddler who returns from surgery
offer the child only the broth that comes on the clear liquid tray. Other liquids,
including gelatin, popsicles, and juices, remain untouched. What explanation is
most appropriate for this behavior? - Correct answer-"hot" remedies restore
balance after surgery, which is considered a "cold" condition.
common parental practices and health beliefs among hispanic, Chinese, filipino,
and arab cultures classify diseases, areas of the body, and illnesses as "hot" or
"cold" and must be balanced to maintain health and prevent illness. The perception
that surgery is a "cold" condition implies that only "hot" remedies such as soup,
should be used to restore the healthy balance within the body
20 minutes after beginning a heat application, the client states that the heating pad
no longer feels warm enough. What is the best response by the nurse? - Correct
answer-"The body's receptors adapt over time as they are exposed to heat"
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,--thermal adaptation, which occurs 20-30 minutes after heat application
An african-american grandmother tells the nurse that her 4-year-old grandson is
suffering with "Miseries". based on this statement, which focused assessment
should the nurse conduct? - Correct answer-Inquire about the source and type of
pain
Different cultural groups often have their own terms for health conditions. African-
American clients may refer to pain as "miseries"
A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assess that there has been no drainage through the NG tube in
the last two hours. What action should the nurse take first? - Correct answer-
Reposition the client on her side
The immediate priority is to determine if the tube is functioning correctly, which
would then relieve the client's nausea. The least invasive intervention should be
attempted first, followed by irrigating the NG tube with sterile normal saline and
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,advancing the NG tube an additional 5cm, unless contraindicated. If these
procedures do not work, the client may require an antiemetic.
A hospitalized male client is receiving NG tube feedings via a small-bore tube and
a continuous pump infusion. He reports that he had a bad bout of severe coughing
a few minutes ago, but feels fine now. What action is best for the nurse to take? -
Correct answer-After clearing the tube with 30ml of air, check the pH of fluid
withdrawn from the tube.
coughing, vomitting, and suctioning can precipitate displacement of the tip of the
small bore feeding tube upward into the esophagus, placing the client at increased
risk for aspiration. Checking the sample of fluid withdrawn from the tube (after
clearing the tube with 30ml of air) for acidic (stomach) or alkaline (intestine)
values is a more sensitive method for these tubes, and the nurse should assess tube
placement in this way prior to taking any other action
A sub-saharan african widowed immigrant woman lives with her deceased
husband's brother and his family, which includes the brother-in-law's children and
the widow's adult children. each family member speaks fluent english. surgery was
recommended for the client. What is the best plan to obtain consent for surgery for
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, this client? - Correct answer-Tell the surgeon that the brother-in-law will decide
after explanation of the proposed surgery is provided to him an the widow
Customary law in some sub-saharan countries encompasses wife inheritance and
polygamy; the widow becomes the inherited wife of her husband's brother. In those
rural areas women live in patriarchal family where decision are made by men.
Most likely, the brother-in-law will make the decision for his inherited wife.
An older client who is a resident in a long term care facility has been bedridden for
a week. Which finding should the nurse ID as a client risk factor for pressure
ulcers? - Correct answer-Rashes in axillary, groin, and skin fold regions.
immobility, constant contact with bed clothing, and excessive heat and moisture in
areas where air flow is limited contributes to bacterial and fungal growth, which
increases the risk for rashes, skin breakdown, an the development of pressure
ulcers.
The nurse is teaching a client proper use of an inhaler. When should the client
administer the inhaler-delivered medication to demonstrate correct use of the
inhaler? - Correct answer-during the inhalation
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
The nurse notices that the hispanic parents of a toddler who returns from surgery
offer the child only the broth that comes on the clear liquid tray. Other liquids,
including gelatin, popsicles, and juices, remain untouched. What explanation is
most appropriate for this behavior? - Correct answer-"hot" remedies restore
balance after surgery, which is considered a "cold" condition.
common parental practices and health beliefs among hispanic, Chinese, filipino,
and arab cultures classify diseases, areas of the body, and illnesses as "hot" or
"cold" and must be balanced to maintain health and prevent illness. The perception
that surgery is a "cold" condition implies that only "hot" remedies such as soup,
should be used to restore the healthy balance within the body
20 minutes after beginning a heat application, the client states that the heating pad
no longer feels warm enough. What is the best response by the nurse? - Correct
answer-"The body's receptors adapt over time as they are exposed to heat"
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,--thermal adaptation, which occurs 20-30 minutes after heat application
An african-american grandmother tells the nurse that her 4-year-old grandson is
suffering with "Miseries". based on this statement, which focused assessment
should the nurse conduct? - Correct answer-Inquire about the source and type of
pain
Different cultural groups often have their own terms for health conditions. African-
American clients may refer to pain as "miseries"
A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assess that there has been no drainage through the NG tube in
the last two hours. What action should the nurse take first? - Correct answer-
Reposition the client on her side
The immediate priority is to determine if the tube is functioning correctly, which
would then relieve the client's nausea. The least invasive intervention should be
attempted first, followed by irrigating the NG tube with sterile normal saline and
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,advancing the NG tube an additional 5cm, unless contraindicated. If these
procedures do not work, the client may require an antiemetic.
A hospitalized male client is receiving NG tube feedings via a small-bore tube and
a continuous pump infusion. He reports that he had a bad bout of severe coughing
a few minutes ago, but feels fine now. What action is best for the nurse to take? -
Correct answer-After clearing the tube with 30ml of air, check the pH of fluid
withdrawn from the tube.
coughing, vomitting, and suctioning can precipitate displacement of the tip of the
small bore feeding tube upward into the esophagus, placing the client at increased
risk for aspiration. Checking the sample of fluid withdrawn from the tube (after
clearing the tube with 30ml of air) for acidic (stomach) or alkaline (intestine)
values is a more sensitive method for these tubes, and the nurse should assess tube
placement in this way prior to taking any other action
A sub-saharan african widowed immigrant woman lives with her deceased
husband's brother and his family, which includes the brother-in-law's children and
the widow's adult children. each family member speaks fluent english. surgery was
recommended for the client. What is the best plan to obtain consent for surgery for
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, this client? - Correct answer-Tell the surgeon that the brother-in-law will decide
after explanation of the proposed surgery is provided to him an the widow
Customary law in some sub-saharan countries encompasses wife inheritance and
polygamy; the widow becomes the inherited wife of her husband's brother. In those
rural areas women live in patriarchal family where decision are made by men.
Most likely, the brother-in-law will make the decision for his inherited wife.
An older client who is a resident in a long term care facility has been bedridden for
a week. Which finding should the nurse ID as a client risk factor for pressure
ulcers? - Correct answer-Rashes in axillary, groin, and skin fold regions.
immobility, constant contact with bed clothing, and excessive heat and moisture in
areas where air flow is limited contributes to bacterial and fungal growth, which
increases the risk for rashes, skin breakdown, an the development of pressure
ulcers.
The nurse is teaching a client proper use of an inhaler. When should the client
administer the inhaler-delivered medication to demonstrate correct use of the
inhaler? - Correct answer-during the inhalation
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
