266 HESI Questions and
Answers | Comprehensive
Nursing Practice Test Bank with
Rationales| GRADED A+
ASSURED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive Rationales
Included
,- D Enjoys fat-free yogurt as an occasional snack food. Question 1 of 55
The nurse is evaluating a client's understanding about the DASH (Dietary
Approaches to Stop Hypertension) eating plan. Which behavior indicates that the
client is adhering to the eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional snack food.
- A Further decline in level of consciousness. Question 2 of 55
A client who has a history of hypothyroidism was initially admitted with lethargy and
confusion. Which additional finding warrants the most immediate action by the
nurse? [Hematocrit (Reference Range: Male: 42% to 52% (0.42 to 0.52 volume
fraction)]
- A Further decline in level of consciousness.
- B Hematocrit of 30% (0.30 volume fraction)
- C Cold and dry skin.
- D Facial puffiness and periorbital edema
- B Full thickness. Question 3 of 55
The nurse is caring for a client with a burn that is severely edematous with a wound
bed that is brown and yellow in appearance. The client expresses feeling no pain.
Which classification of burn depth should the nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.
- A Urinary output. Question 4 of 55
- B Oxygen saturation. An older client who is agitated, dyspneic, orthopneic, and using accessory muscles
- D Lung sounds. to breathe is admitted for further treatment. Initial assessment includes a heart rate
128 beats/minute and irregular, respirations 38 breaths/minute, blood pressure
Orthopneic position, sometimes called tripod position, is a 168/100 mm Hg, wheezes and crackles in all lung fields. An hour after the
sitting position where an individual leans slightly forward administration of furosemide 60 mg intravenous (IV), which assessment(s) should
with their arms propped up on an overbed table or their the nurse obtain to determine the client's response to treatment? (Select all that
knees. apply.)
- A Urinary output.
Orthopnea is the sensation of breathlessness in the - B Oxygen saturation.
recumbent (lying down) position, relieved by sitting or - C Pain scale.
standing. - D Lung sounds.
- E Skin elasticity.
- B Crohn's disease with colectomy. Question 5 of 55
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Question # 5 Which condition entered on the client's medical record should the nurse recognize
Rationale - B Crohn's disease with colectomy. as a contraindication for peritoneal dialysis?
The nurse should recognize that clients with extensive
intra-abdominal surgical history are not candidates for - A Nephrotic syndrome history.
peritoneal dialysis, as these clients may have decreased - B Crohn's disease with colectomy.
peritoneal membrane surface areas and scar tissue - C Type 2 diabetes mellitus.
formation, which would make it insufficient for adequate - D Latent hepatitis C.
dialysis exchange.
- D Hypoalbuminemia that results in a decreased colloidal Question 6 of 55
oncotic pressure. The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet and
legs, and massive ascites. Which mechanism contributes to edema and ascites in
The three main things that the liver produces are albumin, clients with cirrhosis?
bile (digestive enzymes), and prothrombin (clotting - A Decreased portacaval pressure with greater collateral circulation.
factors). - B Hyperaldosteronism causing an increased sodium reabsorption in renal tubules.
Albumin plays many important roles including maintenance - C Decreased renin-angiotensin response related to an increase in renal blood
of appropriate osmotic pressure, binding and transport of flow.
various substances like hormones, drugs etc. in blood, and - D Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
neutralisation of free radicals. It prevents fluid from leaking
out of blood vessels into your tissues. Albumin is also
responsible for transporting vitamins, enzymes and
hormones throughout your body. Albumin makes up 50%
of the proteins found in your plasma.
, - B Discuss approaches to chronic pain control with the Question 7 of 55
client. While assessing a client with degenerative joint disease, the nurse observes
Heberden's nodes, large prominences on the client's fingers that are reddened. The
client reports that the nodes are painful. Which action should the nurse take?
- A Review the client's dietary intake of high-protein foods.
- B Discuss approaches to chronic pain control with the client.
- C Notify the healthcare provider of the finding immediately.
- D Assess the client's radial pulses and capillary refill time.
- B Minimize symptoms by wearing loose, comfortable Question 8 of 55
clothing. Which information should the nurse include in the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
- A Adjust food intake to three full meals per day and no snacks.
- B Minimize symptoms by wearing loose, comfortable clothing.
- C Avoid participation in any aerobic exercise programs.
- D Sleep without pillows at night to maintain neck alignment.
- D Platelet count. Question 9 of 55
The nurse assesses a client with petechiae and ecchymosis scattered across the
arms and legs. Which laboratory result should the nurse review?
- A Red blood cell count.
- B Hemoglobin levels.
- C White blood cell count.
- D Platelet count.
- A Family members can help with regular foot exams. Question 10 of 55
The nurse is providing teaching to a client with Type 2 diabetes mellitus and
peripheral neuropathy. Which information should the nurse provide?
- A Family members can help with regular foot exams.
- B Heating pads are useful if on the lowest setting.
- C Shoes should be worn outside the house, but it is fine to be barefoot inside.
- D Aching feet may be soaked in lukewarm water for one hour or more.
- A: Inspect ankles daily for areas of darkening skin. Question 11 of 55
Regular inspection can help detect any changes or The nurse is providing discharge teaching to an older adult client hospitalized for
worsening of the condition early. treatment of venous leg ulcers. Which instruction(s) should the nurse include in the
- C: Keep legs elevated when sitting or lying down. teaching plan? (Select all that apply.)
Elevation can help reduce swelling and improve blood - A Inspect ankles daily for areas of darkening skin.
circulation. - B Apply intermittent cold compresses four times daily.
- E: Eat a diet that is high in protein and vitamins A and C. - C Keep legs elevated when sitting or lying down.
A nutritious diet can support wound healing and overall - D Maintain bed rest as much as possible.
health. - E Eat a diet that is high in protein and vitamins A and C.
The nurse should not include the following instructions:
- B: Apply intermittent cold compresses four times daily.
There is no evidence from the search results that cold
compresses are beneficial for venous leg ulcers.
- D: Maintain bed rest as much as possible. On the
contrary, physical activity, such as walking, can promote
blood circulation and aid in wound healing.
- D Strict intravenous (IV) fluid replacement. Question 12 of 55
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with
The most important intervention for the nurse to include in possible anastomosis leakage. The client's abdomen is tender to touch, and the
the client's plan of care, who is suspected of anastomosis vital signs are: temperature 101° F (38.3° C), heart rate 130 beats/minute,
leakage post gastric bypass surgery, is D: Strict respiratory rate 26 breaths/minute, and blood pressure 100/50 mm Hg. Which
intravenous (IV) fluid replacement. This is crucial as the intervention is most important for the nurse to include in the client's plan of care?
client's vital signs indicate possible sepsis due to infection,
which can lead to severe dehydration. IV fluid replacement - A Encourage regular turning.
can help maintain the client's blood pressure and prevent - B Assess wound drainage daily.
further complications. - C Monitor skin for breakdown.
While interventions A, B, and C (Encourage regular - D Strict intravenous (IV) fluid replacement.
turning, Assess wound drainage daily, Monitor skin for
breakdown) are generally important in postoperative care,
they are not the most critical in this specific situation of
suspected anastomotic leakage.
Answers | Comprehensive
Nursing Practice Test Bank with
Rationales| GRADED A+
ASSURED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive Rationales
Included
,- D Enjoys fat-free yogurt as an occasional snack food. Question 1 of 55
The nurse is evaluating a client's understanding about the DASH (Dietary
Approaches to Stop Hypertension) eating plan. Which behavior indicates that the
client is adhering to the eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional snack food.
- A Further decline in level of consciousness. Question 2 of 55
A client who has a history of hypothyroidism was initially admitted with lethargy and
confusion. Which additional finding warrants the most immediate action by the
nurse? [Hematocrit (Reference Range: Male: 42% to 52% (0.42 to 0.52 volume
fraction)]
- A Further decline in level of consciousness.
- B Hematocrit of 30% (0.30 volume fraction)
- C Cold and dry skin.
- D Facial puffiness and periorbital edema
- B Full thickness. Question 3 of 55
The nurse is caring for a client with a burn that is severely edematous with a wound
bed that is brown and yellow in appearance. The client expresses feeling no pain.
Which classification of burn depth should the nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.
- A Urinary output. Question 4 of 55
- B Oxygen saturation. An older client who is agitated, dyspneic, orthopneic, and using accessory muscles
- D Lung sounds. to breathe is admitted for further treatment. Initial assessment includes a heart rate
128 beats/minute and irregular, respirations 38 breaths/minute, blood pressure
Orthopneic position, sometimes called tripod position, is a 168/100 mm Hg, wheezes and crackles in all lung fields. An hour after the
sitting position where an individual leans slightly forward administration of furosemide 60 mg intravenous (IV), which assessment(s) should
with their arms propped up on an overbed table or their the nurse obtain to determine the client's response to treatment? (Select all that
knees. apply.)
- A Urinary output.
Orthopnea is the sensation of breathlessness in the - B Oxygen saturation.
recumbent (lying down) position, relieved by sitting or - C Pain scale.
standing. - D Lung sounds.
- E Skin elasticity.
- B Crohn's disease with colectomy. Question 5 of 55
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Question # 5 Which condition entered on the client's medical record should the nurse recognize
Rationale - B Crohn's disease with colectomy. as a contraindication for peritoneal dialysis?
The nurse should recognize that clients with extensive
intra-abdominal surgical history are not candidates for - A Nephrotic syndrome history.
peritoneal dialysis, as these clients may have decreased - B Crohn's disease with colectomy.
peritoneal membrane surface areas and scar tissue - C Type 2 diabetes mellitus.
formation, which would make it insufficient for adequate - D Latent hepatitis C.
dialysis exchange.
- D Hypoalbuminemia that results in a decreased colloidal Question 6 of 55
oncotic pressure. The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet and
legs, and massive ascites. Which mechanism contributes to edema and ascites in
The three main things that the liver produces are albumin, clients with cirrhosis?
bile (digestive enzymes), and prothrombin (clotting - A Decreased portacaval pressure with greater collateral circulation.
factors). - B Hyperaldosteronism causing an increased sodium reabsorption in renal tubules.
Albumin plays many important roles including maintenance - C Decreased renin-angiotensin response related to an increase in renal blood
of appropriate osmotic pressure, binding and transport of flow.
various substances like hormones, drugs etc. in blood, and - D Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
neutralisation of free radicals. It prevents fluid from leaking
out of blood vessels into your tissues. Albumin is also
responsible for transporting vitamins, enzymes and
hormones throughout your body. Albumin makes up 50%
of the proteins found in your plasma.
, - B Discuss approaches to chronic pain control with the Question 7 of 55
client. While assessing a client with degenerative joint disease, the nurse observes
Heberden's nodes, large prominences on the client's fingers that are reddened. The
client reports that the nodes are painful. Which action should the nurse take?
- A Review the client's dietary intake of high-protein foods.
- B Discuss approaches to chronic pain control with the client.
- C Notify the healthcare provider of the finding immediately.
- D Assess the client's radial pulses and capillary refill time.
- B Minimize symptoms by wearing loose, comfortable Question 8 of 55
clothing. Which information should the nurse include in the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
- A Adjust food intake to three full meals per day and no snacks.
- B Minimize symptoms by wearing loose, comfortable clothing.
- C Avoid participation in any aerobic exercise programs.
- D Sleep without pillows at night to maintain neck alignment.
- D Platelet count. Question 9 of 55
The nurse assesses a client with petechiae and ecchymosis scattered across the
arms and legs. Which laboratory result should the nurse review?
- A Red blood cell count.
- B Hemoglobin levels.
- C White blood cell count.
- D Platelet count.
- A Family members can help with regular foot exams. Question 10 of 55
The nurse is providing teaching to a client with Type 2 diabetes mellitus and
peripheral neuropathy. Which information should the nurse provide?
- A Family members can help with regular foot exams.
- B Heating pads are useful if on the lowest setting.
- C Shoes should be worn outside the house, but it is fine to be barefoot inside.
- D Aching feet may be soaked in lukewarm water for one hour or more.
- A: Inspect ankles daily for areas of darkening skin. Question 11 of 55
Regular inspection can help detect any changes or The nurse is providing discharge teaching to an older adult client hospitalized for
worsening of the condition early. treatment of venous leg ulcers. Which instruction(s) should the nurse include in the
- C: Keep legs elevated when sitting or lying down. teaching plan? (Select all that apply.)
Elevation can help reduce swelling and improve blood - A Inspect ankles daily for areas of darkening skin.
circulation. - B Apply intermittent cold compresses four times daily.
- E: Eat a diet that is high in protein and vitamins A and C. - C Keep legs elevated when sitting or lying down.
A nutritious diet can support wound healing and overall - D Maintain bed rest as much as possible.
health. - E Eat a diet that is high in protein and vitamins A and C.
The nurse should not include the following instructions:
- B: Apply intermittent cold compresses four times daily.
There is no evidence from the search results that cold
compresses are beneficial for venous leg ulcers.
- D: Maintain bed rest as much as possible. On the
contrary, physical activity, such as walking, can promote
blood circulation and aid in wound healing.
- D Strict intravenous (IV) fluid replacement. Question 12 of 55
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with
The most important intervention for the nurse to include in possible anastomosis leakage. The client's abdomen is tender to touch, and the
the client's plan of care, who is suspected of anastomosis vital signs are: temperature 101° F (38.3° C), heart rate 130 beats/minute,
leakage post gastric bypass surgery, is D: Strict respiratory rate 26 breaths/minute, and blood pressure 100/50 mm Hg. Which
intravenous (IV) fluid replacement. This is crucial as the intervention is most important for the nurse to include in the client's plan of care?
client's vital signs indicate possible sepsis due to infection,
which can lead to severe dehydration. IV fluid replacement - A Encourage regular turning.
can help maintain the client's blood pressure and prevent - B Assess wound drainage daily.
further complications. - C Monitor skin for breakdown.
While interventions A, B, and C (Encourage regular - D Strict intravenous (IV) fluid replacement.
turning, Assess wound drainage daily, Monitor skin for
breakdown) are generally important in postoperative care,
they are not the most critical in this specific situation of
suspected anastomotic leakage.
