HESI RN ACTUAL PAPER 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◉ A nurse is working in a healthcare facility that serves a diverse
population. What action(s) by the nurse will allow the nurse to
empathize with and understand this population? (Select all that
apply.)
A. Be open to people who are different.
B. Have a curiosity about people.
C. Become culturally competent.
D. Interact with each person in the same way.
E. Request nurses take care of patients with the same ethnicity.
F. Always request an interpreter for people from other countries.
Answer: A. Be open to people who are different.
B. Have a curiosity about people.
C. Become culturally competent.
◉ Which statement is accurate about assessing the spleen?
A. It must be enlarged at least three times normal size for it to be
palpable
,B. It is easily felt by reaching the left hand behind the 11th and 12th
ribs.
C. It is normally felt by rolling the client on the right side and
palpating.
D. It is a firm mass palpated slightly left of midline in the upper
abdomen. Answer: A. It must be enlarged at least three times normal
size for it to be palpable
◉ What is the best place for the nurse to hear lower lobe lung
sounds with a stethoscope?
A. Posterior chest below the 3rd intercostal space
B. Posterior-axillary line at the 4th intercostal space
C. Anterior chest at the level of the 4th intercostal space.
D. Anterior-axillary line at the 5th intercostal space. Answer: A.
Posterior chest below the 3rd intercostal space
◉ The nurse is assessing a client who has a history of mitral stenosis.
How should the nurse assess this client with a stethoscope to listen
for this condition?
A. Place the bell on the 5th intercostal space, left midclavicular line.
B. Place the bell on the 2nd intercostal space, left midclavicular line.
C. Put the diaphragm on the 5th intercostal space, left sternal border.
, D. Put the diaphragm on the 2nd intercostal space, left sternal
border. Answer: A. Place the bell on the 5th intercostal space, left
midclavicular line.
◉ The nurse is assessing a client who has a history of aortic
regurgitation. Where should the nurse place the stethoscope
diaphragm to listen for this condition?
A. 2nd intercostal space along the right sternal border
B. 2nd intercostal space along the left sternal border.
C. 3rd intercostal space on the right midclavicular line
D. 5th intercostal space on the left midclavicular line Answer: A. 2nd
intercostal space along the right sternal border
◉ The client is experiencing severe pruritis and small papules and
burrows on areas over one hand and the inner thighs. Which
assessment data best explains the condition the client is
experiencing?
A. The client works in a daycare setting that has had a scabies
outbreak.
B. The client has been using a chemical stripping agent for home
remodeling.
C. The client has a family history of psoriasis in both parents and a
sibling.
QUESTIONS WITH SOLUTIONS
GRADED A+
◉ A nurse is working in a healthcare facility that serves a diverse
population. What action(s) by the nurse will allow the nurse to
empathize with and understand this population? (Select all that
apply.)
A. Be open to people who are different.
B. Have a curiosity about people.
C. Become culturally competent.
D. Interact with each person in the same way.
E. Request nurses take care of patients with the same ethnicity.
F. Always request an interpreter for people from other countries.
Answer: A. Be open to people who are different.
B. Have a curiosity about people.
C. Become culturally competent.
◉ Which statement is accurate about assessing the spleen?
A. It must be enlarged at least three times normal size for it to be
palpable
,B. It is easily felt by reaching the left hand behind the 11th and 12th
ribs.
C. It is normally felt by rolling the client on the right side and
palpating.
D. It is a firm mass palpated slightly left of midline in the upper
abdomen. Answer: A. It must be enlarged at least three times normal
size for it to be palpable
◉ What is the best place for the nurse to hear lower lobe lung
sounds with a stethoscope?
A. Posterior chest below the 3rd intercostal space
B. Posterior-axillary line at the 4th intercostal space
C. Anterior chest at the level of the 4th intercostal space.
D. Anterior-axillary line at the 5th intercostal space. Answer: A.
Posterior chest below the 3rd intercostal space
◉ The nurse is assessing a client who has a history of mitral stenosis.
How should the nurse assess this client with a stethoscope to listen
for this condition?
A. Place the bell on the 5th intercostal space, left midclavicular line.
B. Place the bell on the 2nd intercostal space, left midclavicular line.
C. Put the diaphragm on the 5th intercostal space, left sternal border.
, D. Put the diaphragm on the 2nd intercostal space, left sternal
border. Answer: A. Place the bell on the 5th intercostal space, left
midclavicular line.
◉ The nurse is assessing a client who has a history of aortic
regurgitation. Where should the nurse place the stethoscope
diaphragm to listen for this condition?
A. 2nd intercostal space along the right sternal border
B. 2nd intercostal space along the left sternal border.
C. 3rd intercostal space on the right midclavicular line
D. 5th intercostal space on the left midclavicular line Answer: A. 2nd
intercostal space along the right sternal border
◉ The client is experiencing severe pruritis and small papules and
burrows on areas over one hand and the inner thighs. Which
assessment data best explains the condition the client is
experiencing?
A. The client works in a daycare setting that has had a scabies
outbreak.
B. The client has been using a chemical stripping agent for home
remodeling.
C. The client has a family history of psoriasis in both parents and a
sibling.
