HESI RN LATEST 2026 TEST PAPER QUESTIONS AND
SOLUTIONS SCORED A+
✔✔The spouse is at the bedside of the client who just died. The hospice nurse states to
the spouse, "I know your children want to come over and say goodbye before we call
the funeral home. Just let me know when you are ready for me to prepare the body."
What steps will the nurse include in the postmortem care? (Select all that apply.)
A.
Remove the existing Foley catheter.
B.
Wash the genitalia only.
C.
Close the client's eyes.
D.
Remove soiled padding under the client.
E.
Place a dressing over the abdominal scar. - ✔✔A, C, D
Rationale: Postmortem care includes making the client ready for the family to view prior
to the client's transfer to the mortuary. The nurse need to make sure the client's body is
completely washed, and all dressings and all tubes, i.e. Foley, NG, IV, are removed. As
the client may excrete contents from the bowel and the bladder during the dying
process, remove all soiled pads and bedding from under the client and replace with
fresh items. Make sure the client's eyes are closed.
✔✔A hospitalized client has had difficulty falling asleep for two nights, and is becoming
irritable and restless. Which action by the nurse is best?
A.
Determine the client's usual bedtime routine and include these rituals in the plan of care
as safety allows.
B.
Instruct the UAP not to wake the client under any circumstances during the night.
C.
Place a "Do Not Disturb" sign on the door and change assessments from every 4 to 8
hours.
D.
Encourage the client to avoid pain medication during the day, which might increase
daytime napping. - ✔✔A
Rationale: Including habitual rituals that do not interfere with the client's care or safety
may allow the client to go to sleep faster and increase the quality of care. Options B, C,
and D decrease the client's standard of care and compromise safety.
✔✔Which instruction is most important for the nurse to include when teaching a client
with limited mobility strategies to prevent venous thrombosis?
A.
Perform cough and deep breathing exercises hourly.
B.
,Turn from side to side in bed at least every 2 hours.
C.
Dorsiflex and plantarflex the feet 10 times each hour.
D.
Drink approximately 4 ounces of water every hour. - ✔✔C
Rationale: To reduce the risk of venous thrombosis, the nurse should instruct the client
in measures that promote venous return, such as dorsiflexion and plantar flexion.
Options A, B, and D are helpful to prevent other complications of immobility but are less
effective in preventing venous thrombus formation than option C.
✔✔For the client with a sodium level of 128 mEq/L, which meal selections should the
nurse suggest to the client? (Select all that apply.)
A.
Bacon, egg, and cheese biscuit
B.
Chinese chicken and vegetables, with rice and soy sauce
C.
Strawberry, spinach salad with yogurt-based blue cheese dressing
D.
Chicken salad stuffed fresh tomato with a side of celery sticks
E.
Grilled tilapia with a fresh green side salad
F.
Grilled hot dog on a bun with ketchup and mustard - ✔✔A, B, F
Rationale: The client is hyponatremic and additional salt is needed in the diet. Fresh
fruits and vegetables are low in sodium. Bacon, soy, and hot dogs with ketchup and
mustard are high in sodium.
✔✔A 76-year-old client has returned from surgery. The nurse plans on decreasing the
chance of respiratory compromise for this client. What will the nurse include in this
client's plan of care? (Select all that apply.)
A.
Raise the head of the bed to no less than a 45 degrees angle.
B.
Have the client use an incentive spirometer 10 times every hour while awake.
C.
Limit total fluid intake to no more than 1000 mL/day.
D.
Have the client sit on the side of the bed instead of getting up and walking.
E.
Ask the client to take deep breaths and cough five times every hour while awake. -
✔✔A, B, E
Rationale:As long as the client is not on a fluid restriction, offer no less than 2000 mL of
fluid to keep the body well hydrated and keep respiratory secretions loose. Ambulation
is key for this client. Sitting at the side of the bed is not a replacement for ambulating.
, Having the client sit up helps expand the lungs. Taking deep breaths, through coughing
or incentive spirometry, helps expand the lungs and decrease atelectasis.
✔✔While reviewing the side effects of a newly prescribed medication, a 72-year-old
client notes that one of the side effects is a reduction in sexual drive. Which is the best
response by the nurse?
A.
"How will this affect your present sexual activity?"
B.
"How active is your current sex life?"
C.
"How has your sex life changed as you have become older?"
D.
"Tell me about your sexual needs as an older adult." - ✔✔A
Rationale: Option A offers an open-ended question most relevant to the client's
statement. Option B does not offer the client the opportunity to express concerns.
Options C and D are even less relevant to the client's statement.
✔✔The nurse teaches the use of a gait belt to a caregiver whose spouse has right-
sided weakness and needs assistance with ambulation. The caregiver performs a return
demonstration of the skill. Which observation indicates that the caregiver has learned
how to use the belt?
A.
Standing on the spouse's strong side, the caregiver is ready to hold the gait belt if any
evidence of weakness is observed.
B.
Standing on the spouse's weak side, the caregiver provides security by holding the gait
belt from the back.
C.
Standing behind the spouse, the caregiver provides balance by holding both sides of
the gait belt.
D.
Standing slightly in front and to the right of the spouse, the caregiver guides the client
forward by gently pulling on the gait belt. - ✔✔B
Rationale: The spouse is most likely to lean toward the weak side and needs extra
support on that side and from the back to prevent falling. Options A, C, and D provide
less security.
✔✔The nurse is working with one LPN and two aides on a 20 bed unit. Which are the
appropriate tasks to delegate to the appropriate person? (Select all that apply.)
A.
Feeding an elderly and confused client to the aide
B.
Toileting the client for the first time after surgery to the LPN
C.
Placing the bathroom supplies in the room of the new admission to the LPN
SOLUTIONS SCORED A+
✔✔The spouse is at the bedside of the client who just died. The hospice nurse states to
the spouse, "I know your children want to come over and say goodbye before we call
the funeral home. Just let me know when you are ready for me to prepare the body."
What steps will the nurse include in the postmortem care? (Select all that apply.)
A.
Remove the existing Foley catheter.
B.
Wash the genitalia only.
C.
Close the client's eyes.
D.
Remove soiled padding under the client.
E.
Place a dressing over the abdominal scar. - ✔✔A, C, D
Rationale: Postmortem care includes making the client ready for the family to view prior
to the client's transfer to the mortuary. The nurse need to make sure the client's body is
completely washed, and all dressings and all tubes, i.e. Foley, NG, IV, are removed. As
the client may excrete contents from the bowel and the bladder during the dying
process, remove all soiled pads and bedding from under the client and replace with
fresh items. Make sure the client's eyes are closed.
✔✔A hospitalized client has had difficulty falling asleep for two nights, and is becoming
irritable and restless. Which action by the nurse is best?
A.
Determine the client's usual bedtime routine and include these rituals in the plan of care
as safety allows.
B.
Instruct the UAP not to wake the client under any circumstances during the night.
C.
Place a "Do Not Disturb" sign on the door and change assessments from every 4 to 8
hours.
D.
Encourage the client to avoid pain medication during the day, which might increase
daytime napping. - ✔✔A
Rationale: Including habitual rituals that do not interfere with the client's care or safety
may allow the client to go to sleep faster and increase the quality of care. Options B, C,
and D decrease the client's standard of care and compromise safety.
✔✔Which instruction is most important for the nurse to include when teaching a client
with limited mobility strategies to prevent venous thrombosis?
A.
Perform cough and deep breathing exercises hourly.
B.
,Turn from side to side in bed at least every 2 hours.
C.
Dorsiflex and plantarflex the feet 10 times each hour.
D.
Drink approximately 4 ounces of water every hour. - ✔✔C
Rationale: To reduce the risk of venous thrombosis, the nurse should instruct the client
in measures that promote venous return, such as dorsiflexion and plantar flexion.
Options A, B, and D are helpful to prevent other complications of immobility but are less
effective in preventing venous thrombus formation than option C.
✔✔For the client with a sodium level of 128 mEq/L, which meal selections should the
nurse suggest to the client? (Select all that apply.)
A.
Bacon, egg, and cheese biscuit
B.
Chinese chicken and vegetables, with rice and soy sauce
C.
Strawberry, spinach salad with yogurt-based blue cheese dressing
D.
Chicken salad stuffed fresh tomato with a side of celery sticks
E.
Grilled tilapia with a fresh green side salad
F.
Grilled hot dog on a bun with ketchup and mustard - ✔✔A, B, F
Rationale: The client is hyponatremic and additional salt is needed in the diet. Fresh
fruits and vegetables are low in sodium. Bacon, soy, and hot dogs with ketchup and
mustard are high in sodium.
✔✔A 76-year-old client has returned from surgery. The nurse plans on decreasing the
chance of respiratory compromise for this client. What will the nurse include in this
client's plan of care? (Select all that apply.)
A.
Raise the head of the bed to no less than a 45 degrees angle.
B.
Have the client use an incentive spirometer 10 times every hour while awake.
C.
Limit total fluid intake to no more than 1000 mL/day.
D.
Have the client sit on the side of the bed instead of getting up and walking.
E.
Ask the client to take deep breaths and cough five times every hour while awake. -
✔✔A, B, E
Rationale:As long as the client is not on a fluid restriction, offer no less than 2000 mL of
fluid to keep the body well hydrated and keep respiratory secretions loose. Ambulation
is key for this client. Sitting at the side of the bed is not a replacement for ambulating.
, Having the client sit up helps expand the lungs. Taking deep breaths, through coughing
or incentive spirometry, helps expand the lungs and decrease atelectasis.
✔✔While reviewing the side effects of a newly prescribed medication, a 72-year-old
client notes that one of the side effects is a reduction in sexual drive. Which is the best
response by the nurse?
A.
"How will this affect your present sexual activity?"
B.
"How active is your current sex life?"
C.
"How has your sex life changed as you have become older?"
D.
"Tell me about your sexual needs as an older adult." - ✔✔A
Rationale: Option A offers an open-ended question most relevant to the client's
statement. Option B does not offer the client the opportunity to express concerns.
Options C and D are even less relevant to the client's statement.
✔✔The nurse teaches the use of a gait belt to a caregiver whose spouse has right-
sided weakness and needs assistance with ambulation. The caregiver performs a return
demonstration of the skill. Which observation indicates that the caregiver has learned
how to use the belt?
A.
Standing on the spouse's strong side, the caregiver is ready to hold the gait belt if any
evidence of weakness is observed.
B.
Standing on the spouse's weak side, the caregiver provides security by holding the gait
belt from the back.
C.
Standing behind the spouse, the caregiver provides balance by holding both sides of
the gait belt.
D.
Standing slightly in front and to the right of the spouse, the caregiver guides the client
forward by gently pulling on the gait belt. - ✔✔B
Rationale: The spouse is most likely to lean toward the weak side and needs extra
support on that side and from the back to prevent falling. Options A, C, and D provide
less security.
✔✔The nurse is working with one LPN and two aides on a 20 bed unit. Which are the
appropriate tasks to delegate to the appropriate person? (Select all that apply.)
A.
Feeding an elderly and confused client to the aide
B.
Toileting the client for the first time after surgery to the LPN
C.
Placing the bathroom supplies in the room of the new admission to the LPN
