HESI 600-800 EXAM QUESTIONS AND
ANSWERS 2026 VERIFIED.
The nurse is ready to insert an indwelling urinary catheter as seen in the picture. At this point in
the procedure, what actions should the nurse take before inserting the catheter? (Select all that
apply)
A. Ask the client to bear down as if voiding to relax the sphincter
B. Complete perianal care with soap and water
C. Gently palpate the client's bladder for distention
D. Hold the catheter 3 - 4 inches (7.5 - 10 cm) from its tip
E. Secure the urinary drainage bag to the bed frame - ANS C. Gently palpate the client's
bladder for distention
D. Hold the catheter 3 - 4 inches (7.5 - 10 cm) from its tip
E. Secure the urinary drainage bag to the bed frame
An older client is admitted for repair of a broken hip. To reduce the risk for infection in the
postoperative period, which nursing care interventions should the nurse include in the client's
plan of care? (Select all that apply.)
A. Administer low molecular weight heparin as prescribed
B. Teach client to use incentive spirometer every 2 hours while awake
C. Remove urinary catheter as soon as possible and encourage voiding
D. Maintain sequential compression devices while in bed
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,E. Assess pain level and medicate PRN as prescribed - ANS B. Teach client to use incentive
spirometer q2 hours while awake.
C. Remove urinary catheter as soon as possible and encourage voiding.
A 17-year -old male is brought to the emergency department by his parents because he has
been coughing and running a fever with flu-like symptoms for the past 24 hours. Which
intervention should the nurse implement first? - ANS Place a mask on the client's face.
A client is admitted to a mental health unit after attempting suicide by taking a handful of
medications. In developing a plan of care for this client, which goal has the highest priority?
A. Signs a no-self-harm contract.
B. Sleep at least 6 hours nightly.
C. Attends group therapy every day
D. Verbalizes a positive self-image. - ANS A. Signs a no-self-harm contract.
The nurse is assessing and elderly bedridden client. Which finding indicates that the turning and
positioning schedule is effective in protecting the client's skin?
A. Reddened skin areas disappear within 15 minutes of being turned and positioned.
B. No complaints of pressure or pain are verbalized by the client after being turned
C. Only small areas of redness remain longer than 30 min after the client is turned.
D. The client verbalizes feeling better after being turned and positioned - ANS A. Reddened
skin areas disappear within 15 minutes of being turned and positioned.
A client with a liver abscess develops septic shock. A sepsis resuscitation bundle protocol is
initiated and the client receives a bolus of IV fluids. Which parameter should the nurse monitor
to assess effectiveness of the fluid bolus?
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,A. Mean arterial pressure (MAP)
B. White blood cell count
C. Blood culture
D. Oxygen saturation - ANS D. Oxygen saturation
The nurse needs to add a medication to a liter of 5% Dextrose in Water (D5W) that is already
infusing into a client. At what location should the nurse inject the medication? -
ANS Medication Port
AssessWhich assessment is most important for the nurse to include in the daily plan of care for
a client with a burned extremity?
A. Range of motion.
B. Distal pulse intensity.
C. Extremity sensation.
D. Presence of exudate. - ANS B. Distal pulse intensity.
Rationale: Distal pulse intensity, assesses the blood flow through the extremity and is the most
important assessment for a client with a burn extremity because it provides information about
adequate circulation to that extremity.
A client with multiple sclerosis is receiving beta-1b interferon every other day. To assess for
possible bone marrow suppression caused by the medication, which serum laboratory test
findings should the nurse monitor? (Select all that apply)
A. Platelet count
B. Red blood cell count (RBC)
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, C. White blood cell count (WBC).
D. Albumin and protein
E. Sodium and potassium - ANS A. Platelet count
B. Red blood cell count (RBC)
C. White blood cell count (WBC).
To reduce the risk of being named in malpractice lawsuit, which action is most important for the
nurse to take?
A. Establish a trusting nurse-client relationship.
B. Complete an incident report following a client injury.
C. Maintain current professional malpractice insurance
D. Adhere consistently to standards of care. - ANS D. Adhere consistently to standards of
care.
A 75-year-old female client is admitted to the orthopedic unit following an open reduction and
internal fixation of a hip fracture. On the second postoperative day, the client becomes
confused and repeatedly asks the nurse she is. What information for the nurse to obtain?
A. Use of sleeping medications.
B. History of alcohol use
C. Use of anti-anxiety medications
D. History of this behavior. - ANS B. History of alcohol use
A client in the intensive care unit is being mechanically ventilated, has an indwelling urinary
catheter in place, an exhibiting signs of restlessness. Which action should the nurse take fist?
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 76
ANSWERS 2026 VERIFIED.
The nurse is ready to insert an indwelling urinary catheter as seen in the picture. At this point in
the procedure, what actions should the nurse take before inserting the catheter? (Select all that
apply)
A. Ask the client to bear down as if voiding to relax the sphincter
B. Complete perianal care with soap and water
C. Gently palpate the client's bladder for distention
D. Hold the catheter 3 - 4 inches (7.5 - 10 cm) from its tip
E. Secure the urinary drainage bag to the bed frame - ANS C. Gently palpate the client's
bladder for distention
D. Hold the catheter 3 - 4 inches (7.5 - 10 cm) from its tip
E. Secure the urinary drainage bag to the bed frame
An older client is admitted for repair of a broken hip. To reduce the risk for infection in the
postoperative period, which nursing care interventions should the nurse include in the client's
plan of care? (Select all that apply.)
A. Administer low molecular weight heparin as prescribed
B. Teach client to use incentive spirometer every 2 hours while awake
C. Remove urinary catheter as soon as possible and encourage voiding
D. Maintain sequential compression devices while in bed
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 76
,E. Assess pain level and medicate PRN as prescribed - ANS B. Teach client to use incentive
spirometer q2 hours while awake.
C. Remove urinary catheter as soon as possible and encourage voiding.
A 17-year -old male is brought to the emergency department by his parents because he has
been coughing and running a fever with flu-like symptoms for the past 24 hours. Which
intervention should the nurse implement first? - ANS Place a mask on the client's face.
A client is admitted to a mental health unit after attempting suicide by taking a handful of
medications. In developing a plan of care for this client, which goal has the highest priority?
A. Signs a no-self-harm contract.
B. Sleep at least 6 hours nightly.
C. Attends group therapy every day
D. Verbalizes a positive self-image. - ANS A. Signs a no-self-harm contract.
The nurse is assessing and elderly bedridden client. Which finding indicates that the turning and
positioning schedule is effective in protecting the client's skin?
A. Reddened skin areas disappear within 15 minutes of being turned and positioned.
B. No complaints of pressure or pain are verbalized by the client after being turned
C. Only small areas of redness remain longer than 30 min after the client is turned.
D. The client verbalizes feeling better after being turned and positioned - ANS A. Reddened
skin areas disappear within 15 minutes of being turned and positioned.
A client with a liver abscess develops septic shock. A sepsis resuscitation bundle protocol is
initiated and the client receives a bolus of IV fluids. Which parameter should the nurse monitor
to assess effectiveness of the fluid bolus?
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 76
,A. Mean arterial pressure (MAP)
B. White blood cell count
C. Blood culture
D. Oxygen saturation - ANS D. Oxygen saturation
The nurse needs to add a medication to a liter of 5% Dextrose in Water (D5W) that is already
infusing into a client. At what location should the nurse inject the medication? -
ANS Medication Port
AssessWhich assessment is most important for the nurse to include in the daily plan of care for
a client with a burned extremity?
A. Range of motion.
B. Distal pulse intensity.
C. Extremity sensation.
D. Presence of exudate. - ANS B. Distal pulse intensity.
Rationale: Distal pulse intensity, assesses the blood flow through the extremity and is the most
important assessment for a client with a burn extremity because it provides information about
adequate circulation to that extremity.
A client with multiple sclerosis is receiving beta-1b interferon every other day. To assess for
possible bone marrow suppression caused by the medication, which serum laboratory test
findings should the nurse monitor? (Select all that apply)
A. Platelet count
B. Red blood cell count (RBC)
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 76
, C. White blood cell count (WBC).
D. Albumin and protein
E. Sodium and potassium - ANS A. Platelet count
B. Red blood cell count (RBC)
C. White blood cell count (WBC).
To reduce the risk of being named in malpractice lawsuit, which action is most important for the
nurse to take?
A. Establish a trusting nurse-client relationship.
B. Complete an incident report following a client injury.
C. Maintain current professional malpractice insurance
D. Adhere consistently to standards of care. - ANS D. Adhere consistently to standards of
care.
A 75-year-old female client is admitted to the orthopedic unit following an open reduction and
internal fixation of a hip fracture. On the second postoperative day, the client becomes
confused and repeatedly asks the nurse she is. What information for the nurse to obtain?
A. Use of sleeping medications.
B. History of alcohol use
C. Use of anti-anxiety medications
D. History of this behavior. - ANS B. History of alcohol use
A client in the intensive care unit is being mechanically ventilated, has an indwelling urinary
catheter in place, an exhibiting signs of restlessness. Which action should the nurse take fist?
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 76
