HESI Practice Fall 2026- 2027 questions and answers
1.A nurse is admitting a client who has acute pancreatitis. Which of the following provider
prescriptions should the nurse anticipate?
A. Initiate a low-residue diet.
B. Pantoprazole 80 mg IV bolus twice daily
C. Ambulate twice daily.
D. Pancrelipase 500 units/kg PO three times daily with meals
2.A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical
unit. Which of the following room assignments should the nurse make for the client?
A. A room with air exhaust directly to the outdoor environment
B. A room with another nonsurgical client
C. A room in the ICU
D. A room that is within view of the nurses' station
3.A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the
following should the nurse identify as an associated risk factor?
A. Hypocalcemia
B. BMI less than 25
C. Family historyD. Diuretic use
4.A nurse is assessing a client who has fluid overload. Which of the following findings
should the nurse expect? (Select all that apply.)
A. Increased heart rate
pg. 1
,B. Increased blood pressure
C. Increased respiratory rate
D. Increase hematocrit
E. Increased temperature
Created on:11/20/2021 Page 1
HESI Practice Fall 2019
5.A nurse is administering a tap water enema to a client who is constipated. During the
administration of the enema, the client states he is having abdominal cramps. Which of the
following actions should the nurse take to relieve the client's discomfort?
A. Lower the height of the solution container.
B. Encourage the client to bear down.
C. Allow the client to expel some fluid before continuing.
D. Stop the enema and document that the client did not tolerate the procedure.
6.A nurse is caring for a client who has emphysema. Which of the following findings should
the nurse expect to assess in this client? (Select all that apply.)
A. Dyspnea
B. Bradycardia
C. Barrel chest
D. Clubbing of the fingersE. Deep respirations
7.A nurse is assessing a client who is 48 hr postoperative following abdominal surgery.
Which of the following
findings should the nurse report to the provider?
pg. 2
,A. Blood pressure 102/66 mm Hg
B. Straw-colored urine from an indwelling urinary catheter
C. Yellow-green drainage on the surgical incisionD. Respiratory rate 18/min
8.A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The
nurse recognizes that the aspirin is given due to which of the following actions of the
medication?
A. analgesic
B. anti-inflammatory
C. antiplatelet aggregate
D. antipyretic
Created on:11/20/2021 Page 2
HESI Practice Fall 2019
9.A nurse is caring for an adolescent client who has a long history of diabetes mellitus and
is being admitted to the emergency department confused, flushed, and with an acetone
odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using
which of the following types of insulin to treat this client? A. NPH insulin
B. Insulin glargine
C. Insulin detemirD. Regular insulin
10.A nurse is caring for a client who who has had a stroke involving the right hemisphere.
Which of the following alterations in function should the nurse expect?
A. Difficulty reading
B. Inability to recognize his family members
pg. 3
, C. Right hemiparesisD. Aphasia
11.A nurse is assessing a client who is receiving one unit of packed RBCs to treat
intraoperative blood loss. The client reports chills and back pain, and the client's blood
pressure is 80/64 mm Hg. Which of the following actions should the nurse take first?
A. Stop the infusion of blood.
B. Inform the provider.
C. Obtain a urine specimen.
D. Notify the laboratory.
12.A nurse is teaching the partner of a client who had an acute myocardial infarction (MI)
about the reason blood was drawn from the client. Which of the following statements should
the nurse make regarding cardiac enzymes studies?
A. "These tests help determine the degree of damage to the heart tissues."
B. "Cardiac enzymes will identify the location of the MI."
C. "These tests will enable the provider to determine the heart structure and mobility of the
heart valves."D. "Cardiac enzymes assist in diagnosing the presence of pulmonary
congestion."
Created on:11/20/2021 Page 3
HESI Practice Fall 2019
13.A nurse is caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent infection?
A. Replace the catheter every 3 days.
B. Check the catheter tubing for kinks or twisting.
pg. 4
1.A nurse is admitting a client who has acute pancreatitis. Which of the following provider
prescriptions should the nurse anticipate?
A. Initiate a low-residue diet.
B. Pantoprazole 80 mg IV bolus twice daily
C. Ambulate twice daily.
D. Pancrelipase 500 units/kg PO three times daily with meals
2.A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical
unit. Which of the following room assignments should the nurse make for the client?
A. A room with air exhaust directly to the outdoor environment
B. A room with another nonsurgical client
C. A room in the ICU
D. A room that is within view of the nurses' station
3.A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the
following should the nurse identify as an associated risk factor?
A. Hypocalcemia
B. BMI less than 25
C. Family historyD. Diuretic use
4.A nurse is assessing a client who has fluid overload. Which of the following findings
should the nurse expect? (Select all that apply.)
A. Increased heart rate
pg. 1
,B. Increased blood pressure
C. Increased respiratory rate
D. Increase hematocrit
E. Increased temperature
Created on:11/20/2021 Page 1
HESI Practice Fall 2019
5.A nurse is administering a tap water enema to a client who is constipated. During the
administration of the enema, the client states he is having abdominal cramps. Which of the
following actions should the nurse take to relieve the client's discomfort?
A. Lower the height of the solution container.
B. Encourage the client to bear down.
C. Allow the client to expel some fluid before continuing.
D. Stop the enema and document that the client did not tolerate the procedure.
6.A nurse is caring for a client who has emphysema. Which of the following findings should
the nurse expect to assess in this client? (Select all that apply.)
A. Dyspnea
B. Bradycardia
C. Barrel chest
D. Clubbing of the fingersE. Deep respirations
7.A nurse is assessing a client who is 48 hr postoperative following abdominal surgery.
Which of the following
findings should the nurse report to the provider?
pg. 2
,A. Blood pressure 102/66 mm Hg
B. Straw-colored urine from an indwelling urinary catheter
C. Yellow-green drainage on the surgical incisionD. Respiratory rate 18/min
8.A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The
nurse recognizes that the aspirin is given due to which of the following actions of the
medication?
A. analgesic
B. anti-inflammatory
C. antiplatelet aggregate
D. antipyretic
Created on:11/20/2021 Page 2
HESI Practice Fall 2019
9.A nurse is caring for an adolescent client who has a long history of diabetes mellitus and
is being admitted to the emergency department confused, flushed, and with an acetone
odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using
which of the following types of insulin to treat this client? A. NPH insulin
B. Insulin glargine
C. Insulin detemirD. Regular insulin
10.A nurse is caring for a client who who has had a stroke involving the right hemisphere.
Which of the following alterations in function should the nurse expect?
A. Difficulty reading
B. Inability to recognize his family members
pg. 3
, C. Right hemiparesisD. Aphasia
11.A nurse is assessing a client who is receiving one unit of packed RBCs to treat
intraoperative blood loss. The client reports chills and back pain, and the client's blood
pressure is 80/64 mm Hg. Which of the following actions should the nurse take first?
A. Stop the infusion of blood.
B. Inform the provider.
C. Obtain a urine specimen.
D. Notify the laboratory.
12.A nurse is teaching the partner of a client who had an acute myocardial infarction (MI)
about the reason blood was drawn from the client. Which of the following statements should
the nurse make regarding cardiac enzymes studies?
A. "These tests help determine the degree of damage to the heart tissues."
B. "Cardiac enzymes will identify the location of the MI."
C. "These tests will enable the provider to determine the heart structure and mobility of the
heart valves."D. "Cardiac enzymes assist in diagnosing the presence of pulmonary
congestion."
Created on:11/20/2021 Page 3
HESI Practice Fall 2019
13.A nurse is caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent infection?
A. Replace the catheter every 3 days.
B. Check the catheter tubing for kinks or twisting.
pg. 4
