iNet Hesi Exam Latest 160 Practice
Questions and Correct Verified Answers/
2026-2027 Latest HESI INET Practice Exam
– Correctly Answered Practice Exam
A 66-year-old female presents to the emergency department with fever and a
cough productive of green, thick sputum for the past 3 days. She reports that she
has been very fatigued and losing weight lately. When further questioned, she adds
that she has had palpitations and dizziness.
Physical assessment findings include tachycardia, tachypnea, and crackles detected
on the right side.
Medical history: Hypertension, arthritis
Surgical history: Knee surgery at age 52
Medications: Ibuprofen, Hydrochlorothiazide
Allergies: No known drug allergies
Family history: Paternal heart disease
Social history: Negative for tobacco, alcohol, or illicit drug use
Vital signs: BP 142/92, HR 126, RR 28, pO2 96% on room air, temp 101.5°F
(38.6°C).
A 66-year-old female client was admitted to the medical-surgical unit for further
management.
Complete the diagram by dragging from the choices area to specify which
condition the client is most likely experiencing, two relevant cues and two
examples of supporting objective data that would be recognized.
Potential Condition: Hyperthyroidism
Relevant Cue: Palpitations, Weight Loss
Supporting Objective Data: Heart rate 126, TSH 0.1 μU/mL
1
,Rationale:
Potential condition-This client’s symptoms are indicative of hyperthyroidism.
Hyperthyroidism is an endocrine disorder characterized by an excessive amount of
thyroxine in the body. It can be primary or secondary and is often accompanied by
fatigue, palpitations, tachycardia, heat intolerance, sweating, weight loss, anxiety,
nervousness, irritability, tremor, diarrhea, brittle skin, and thinning of hair. Heat
intolerance, tremor, and nervousness do not occur as often in the older adult. This
client has a normal blood sugar and no other symptoms that would indicate
diabetes. There is no evidence to suggest thyroid cancer in this client.
Hypothyroidism is commonly associated with fatigue, weakness, depression, dry
skin, and constipation.
Relevant cue-This client has both weight loss and palpitations, which are
manifestations of hyperthyroidism. This client’s fever and cough are likely as a
result of a respiratory infection, not hyperthyroidism. Although she reports
dizziness, it is unrelated to hyperthyroidism.
Supporting objective data–This client has both tachycardia and a decreased TSH
consistent with hyperthyroidism. The client’s elevated blood pressure can be
accounted for by her history of hypertension. The increased respiratory rate and
leukocytosis are probably linked to a respiratory infection.
Monday 0830 (admission to emergency department [ED])
A 66-year-old male type 2 diabetic client who has been experiencing a productive
cough for the last 5 days was found to be barely arousable by spouse upon waking
this morning. The spouse reports he has had fever and weight loss. The client has
eyes closed but is answering questions. He reports feeling unwell and has a
headache and blurred vision.
Vital signs:
HR: 116 bpm B/P : 150/92 mm Hg RR: 28 bpm spo2: 94% on room air
T: 39°C (102.2°F)
HEENT: Mucus membranes pink, dry, and cracked. Fruity odor from breath.
Cardiac: Tachycardic;
Respiratory: Tachypnea. Crackles detected in right lower lobe with associated
dullness to percussion.
2
,Neurologic: Client is lethargic. Moving limbs spontaneously.
Medical History: Diabetes, hypertension
Medications: Metformin 500 mg po bid, lisinopril 5 mg po daily
The nurse is reviewing the client’s history and laboratory results to develop a plan
of care.
Select the 4 client assessment parameters that require immediate nursing
follow-up.
Chest x-ray findings
Creatinine
Potassium level
Glucose level
The four client assessment parameters that require immediate follow up by the
nurse include the potassium level, glucose level, chest x-ray findings, and
creatinine. The potassium level indicates hyperkalemia, this can have effects on the
cardiovascular system and requires management. This client’s glucose level is
high, and he may be experiencing diabetic ketoacidosis, this is a serious condition
that can lead to death if not treated. The chest x-ray findings suggest a pneumonia
that should be treated and may be the cause of his uncontrolled diabetes. Elevated
creatinine is evidence of kidney injury. While the client’s heart rate is fast, his
heart rhythm is normal sinus. The increased heart rate is associated with the
infection. The client’s hemoglobin levels, oxygen saturation, and chloride levels
are normal. These do not require immediate nursing follow-up.
The nurse is reviewing the client’s history and laboratory results to develop a plan
of care.
Click to highlight the laboratory results in the table consistent with a renal
problem.
Creatine
The nurse continues to care for the client in the ED while awaiting a bed on a
medically monitored floor. The client remains lethargic. An intravenous line is
started in the right forearm, and normal saline is infusing at 125 mL/h.
3
, Choose the most likely options for the information missing from the
statement(s) by selecting from the lists of options provided.
The nurse determines that the client is most likely experiencing
Acute renal failure as a result of Dehydration
In addition, the client most likely has Pneumonia
which relates to his report of Cough
Rationale:
The nurse determines that the client is most likely experiencing acute renal failure
as a result of dehydration. Anemia would cause a decreased hemoglobin level; this
client has a normal hemoglobin level. Leukocytosis, not leukopenia, would be
caused by an infection. The client is currently hyperglycemic. This client is not
hypotensive. The client most likely has pneumonia, which relates to his reported
cough. The client does not have signs of anxiety or GERD. There is no indication
that the client has cataracts. The client’s headache and blurred vision may be as a
result of his hyperglycemia. Weight loss may be due to dehydration.
At 1100 the client was transferred to the medical monitoring unit from the ED.
Nursing assessment completed at this time, and the client is assisted to the
bathroom.
Drag from Word Choices to complete the sentence(s).
At this time, the priority nursing actions are to
Administer IV insulin based on glucose levels
and Reduce potassium level
Rationale:
At this time, the priority nursing plan is to reduce the potassium level and
administer IV insulin per diabetic ketoacidosis (DKA) protocol. Hyperkalemia can
cause fatal arrhythmias. As this client appears to be in DKA, as evidenced by
hyperglycemia with a fruity odor to breath, it is essential to administer insulin to
reduce blood glucose. There is no need to place a foley at this time and there is no
order for this either. While lisinopril has been ordered, this is not a priority, it can
be done after managing more serious conditions. Although infectious disease will
4
Questions and Correct Verified Answers/
2026-2027 Latest HESI INET Practice Exam
– Correctly Answered Practice Exam
A 66-year-old female presents to the emergency department with fever and a
cough productive of green, thick sputum for the past 3 days. She reports that she
has been very fatigued and losing weight lately. When further questioned, she adds
that she has had palpitations and dizziness.
Physical assessment findings include tachycardia, tachypnea, and crackles detected
on the right side.
Medical history: Hypertension, arthritis
Surgical history: Knee surgery at age 52
Medications: Ibuprofen, Hydrochlorothiazide
Allergies: No known drug allergies
Family history: Paternal heart disease
Social history: Negative for tobacco, alcohol, or illicit drug use
Vital signs: BP 142/92, HR 126, RR 28, pO2 96% on room air, temp 101.5°F
(38.6°C).
A 66-year-old female client was admitted to the medical-surgical unit for further
management.
Complete the diagram by dragging from the choices area to specify which
condition the client is most likely experiencing, two relevant cues and two
examples of supporting objective data that would be recognized.
Potential Condition: Hyperthyroidism
Relevant Cue: Palpitations, Weight Loss
Supporting Objective Data: Heart rate 126, TSH 0.1 μU/mL
1
,Rationale:
Potential condition-This client’s symptoms are indicative of hyperthyroidism.
Hyperthyroidism is an endocrine disorder characterized by an excessive amount of
thyroxine in the body. It can be primary or secondary and is often accompanied by
fatigue, palpitations, tachycardia, heat intolerance, sweating, weight loss, anxiety,
nervousness, irritability, tremor, diarrhea, brittle skin, and thinning of hair. Heat
intolerance, tremor, and nervousness do not occur as often in the older adult. This
client has a normal blood sugar and no other symptoms that would indicate
diabetes. There is no evidence to suggest thyroid cancer in this client.
Hypothyroidism is commonly associated with fatigue, weakness, depression, dry
skin, and constipation.
Relevant cue-This client has both weight loss and palpitations, which are
manifestations of hyperthyroidism. This client’s fever and cough are likely as a
result of a respiratory infection, not hyperthyroidism. Although she reports
dizziness, it is unrelated to hyperthyroidism.
Supporting objective data–This client has both tachycardia and a decreased TSH
consistent with hyperthyroidism. The client’s elevated blood pressure can be
accounted for by her history of hypertension. The increased respiratory rate and
leukocytosis are probably linked to a respiratory infection.
Monday 0830 (admission to emergency department [ED])
A 66-year-old male type 2 diabetic client who has been experiencing a productive
cough for the last 5 days was found to be barely arousable by spouse upon waking
this morning. The spouse reports he has had fever and weight loss. The client has
eyes closed but is answering questions. He reports feeling unwell and has a
headache and blurred vision.
Vital signs:
HR: 116 bpm B/P : 150/92 mm Hg RR: 28 bpm spo2: 94% on room air
T: 39°C (102.2°F)
HEENT: Mucus membranes pink, dry, and cracked. Fruity odor from breath.
Cardiac: Tachycardic;
Respiratory: Tachypnea. Crackles detected in right lower lobe with associated
dullness to percussion.
2
,Neurologic: Client is lethargic. Moving limbs spontaneously.
Medical History: Diabetes, hypertension
Medications: Metformin 500 mg po bid, lisinopril 5 mg po daily
The nurse is reviewing the client’s history and laboratory results to develop a plan
of care.
Select the 4 client assessment parameters that require immediate nursing
follow-up.
Chest x-ray findings
Creatinine
Potassium level
Glucose level
The four client assessment parameters that require immediate follow up by the
nurse include the potassium level, glucose level, chest x-ray findings, and
creatinine. The potassium level indicates hyperkalemia, this can have effects on the
cardiovascular system and requires management. This client’s glucose level is
high, and he may be experiencing diabetic ketoacidosis, this is a serious condition
that can lead to death if not treated. The chest x-ray findings suggest a pneumonia
that should be treated and may be the cause of his uncontrolled diabetes. Elevated
creatinine is evidence of kidney injury. While the client’s heart rate is fast, his
heart rhythm is normal sinus. The increased heart rate is associated with the
infection. The client’s hemoglobin levels, oxygen saturation, and chloride levels
are normal. These do not require immediate nursing follow-up.
The nurse is reviewing the client’s history and laboratory results to develop a plan
of care.
Click to highlight the laboratory results in the table consistent with a renal
problem.
Creatine
The nurse continues to care for the client in the ED while awaiting a bed on a
medically monitored floor. The client remains lethargic. An intravenous line is
started in the right forearm, and normal saline is infusing at 125 mL/h.
3
, Choose the most likely options for the information missing from the
statement(s) by selecting from the lists of options provided.
The nurse determines that the client is most likely experiencing
Acute renal failure as a result of Dehydration
In addition, the client most likely has Pneumonia
which relates to his report of Cough
Rationale:
The nurse determines that the client is most likely experiencing acute renal failure
as a result of dehydration. Anemia would cause a decreased hemoglobin level; this
client has a normal hemoglobin level. Leukocytosis, not leukopenia, would be
caused by an infection. The client is currently hyperglycemic. This client is not
hypotensive. The client most likely has pneumonia, which relates to his reported
cough. The client does not have signs of anxiety or GERD. There is no indication
that the client has cataracts. The client’s headache and blurred vision may be as a
result of his hyperglycemia. Weight loss may be due to dehydration.
At 1100 the client was transferred to the medical monitoring unit from the ED.
Nursing assessment completed at this time, and the client is assisted to the
bathroom.
Drag from Word Choices to complete the sentence(s).
At this time, the priority nursing actions are to
Administer IV insulin based on glucose levels
and Reduce potassium level
Rationale:
At this time, the priority nursing plan is to reduce the potassium level and
administer IV insulin per diabetic ketoacidosis (DKA) protocol. Hyperkalemia can
cause fatal arrhythmias. As this client appears to be in DKA, as evidenced by
hyperglycemia with a fruity odor to breath, it is essential to administer insulin to
reduce blood glucose. There is no need to place a foley at this time and there is no
order for this either. While lisinopril has been ordered, this is not a priority, it can
be done after managing more serious conditions. Although infectious disease will
4
