HESI AND EXAM/HESI ADN ENTRANCE EXAM NEWEST
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
FULLY REVISED EXAM VERSION A NEW UPDATED
VERSION LATEST 2026-2027 (EXPERT VERIFIED
ANSWERS) MOST RECENT EXAM HESI ADN ENTRANCE
EXAM 2026 GUARANTEED PASS A+
A client with heart failure is prescribed digoxin. Which assessment finding
indicates a potential adverse effect requiring immediate action?
A) Heart rate of 58 beats per minute
B) Serum potassium level of 3.2 mEq/L
C) Ankle edema of 1+
D) Crackles at the lung bases
Answer: B
Rationale: Hypokalemia (potassium <3.5 mEq/L) increases the risk of digoxin
toxicity, which can lead to life-threatening dysrhythmias. A heart rate of 58 is
within normal range for a client on digoxin. Ankle edema and crackles are
signs of heart failure, not digoxin toxicity.
A nurse is caring for a client with pneumonia who has a prescription for
oxygen at 4 L/min via nasal cannula. Which finding indicates the therapy is
effective?
A) Respiratory rate of 26 breaths/min
,B) Pulse oximetry reading of 94%
C) Use of accessory muscles
D) Crackles in the lung bases
Answer: B
Rationale: A pulse oximetry of 94% indicates adequate oxygenation. A
respiratory rate of 26 is elevated; accessory muscle use and crackles suggest
continued respiratory distress or fluid accumulation.
A client with diabetes mellitus type 2 has a blood glucose level of 180 mg/dL.
Which symptom is most consistent with this glucose level?
A) Polyuria
B) Kussmaul respirations
C) Fruity breath odor
D) Dry, flushed skin
Answer: A
Rationale: Polyuria occurs when glucose exceeds the renal threshold, causing
osmotic diuresis. Kussmaul respirations and fruity breath odor are signs of
diabetic ketoacidosis, which occurs with much higher glucose levels.
A client is prescribed enalapril for hypertension. Which adverse effect should
the nurse monitor for?
A) Hyperkalemia
B) Bradycardia
C) Hypoglycemia
D) Bronchospasm
Answer: A
,Rationale: ACE inhibitors like enalapril can cause hyperkalemia by reducing
aldosterone secretion. Bradycardia is not typical; hypoglycemia is associated
with beta-blockers; bronchospasm is more common with beta-blockers.
A client who is post-operative day 1 after abdominal surgery reports sudden
chest pain and shortness of breath. What is the nurse's priority action?
A) Administer PRN pain medication
B) Apply oxygen via nasal cannula
C) Encourage deep breathing exercises
D) Notify the healthcare provider immediately
Answer: D
Rationale: Sudden chest pain and dyspnea in a post-operative client suggest
pulmonary embolism, a medical emergency. Notification of the provider is
critical. Oxygen may be applied, but the priority is rapid provider notification.
A client has a prescription for heparin subcutaneously. Which laboratory value
should be monitored to evaluate therapeutic effectiveness?
A) Activated partial thromboplastin time (aPTT)
B) International normalized ratio (INR)
C) Prothrombin time (PT)
D) Platelet count
Answer: A
Rationale: Heparin therapy is monitored using aPTT. INR and PT monitor
warfarin therapy. Platelet count monitors for heparin-induced
thrombocytopenia.
, A client with chronic obstructive pulmonary disease (COPD) has an arterial
blood gas (ABG) showing pH 7.32, PaCO2 58 mmHg, and HCO3 30 mEq/L.
Which interpretation is correct?
A) Metabolic acidosis, partially compensated
B) Respiratory acidosis, partially compensated
C) Respiratory acidosis, uncompensated
D) Metabolic alkalosis, fully compensated
Answer: B
Rationale: The low pH indicates acidosis. The elevated PaCO2 indicates
respiratory acidosis. The elevated HCO3 shows metabolic compensation, but
the pH is still abnormal, so it is partially compensated.
A nurse is assessing a client with suspected hypothyroidism. Which finding
supports this diagnosis?
A) Weight loss and diarrhea
B) Tachycardia and palpitations
C) Dry skin and bradycardia
D) Exophthalmos and heat intolerance
Answer: C
Rationale: Hypothyroidism presents with dry skin, bradycardia, weight gain,
and cold intolerance. Weight loss, tachycardia, exophthalmos, and heat
intolerance are signs of hyperthyroidism.
A client is receiving lactulose for hepatic encephalopathy. What is the expected
therapeutic outcome?
A) Decreased serum ammonia levels
B) Increased serum bilirubin levels
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
FULLY REVISED EXAM VERSION A NEW UPDATED
VERSION LATEST 2026-2027 (EXPERT VERIFIED
ANSWERS) MOST RECENT EXAM HESI ADN ENTRANCE
EXAM 2026 GUARANTEED PASS A+
A client with heart failure is prescribed digoxin. Which assessment finding
indicates a potential adverse effect requiring immediate action?
A) Heart rate of 58 beats per minute
B) Serum potassium level of 3.2 mEq/L
C) Ankle edema of 1+
D) Crackles at the lung bases
Answer: B
Rationale: Hypokalemia (potassium <3.5 mEq/L) increases the risk of digoxin
toxicity, which can lead to life-threatening dysrhythmias. A heart rate of 58 is
within normal range for a client on digoxin. Ankle edema and crackles are
signs of heart failure, not digoxin toxicity.
A nurse is caring for a client with pneumonia who has a prescription for
oxygen at 4 L/min via nasal cannula. Which finding indicates the therapy is
effective?
A) Respiratory rate of 26 breaths/min
,B) Pulse oximetry reading of 94%
C) Use of accessory muscles
D) Crackles in the lung bases
Answer: B
Rationale: A pulse oximetry of 94% indicates adequate oxygenation. A
respiratory rate of 26 is elevated; accessory muscle use and crackles suggest
continued respiratory distress or fluid accumulation.
A client with diabetes mellitus type 2 has a blood glucose level of 180 mg/dL.
Which symptom is most consistent with this glucose level?
A) Polyuria
B) Kussmaul respirations
C) Fruity breath odor
D) Dry, flushed skin
Answer: A
Rationale: Polyuria occurs when glucose exceeds the renal threshold, causing
osmotic diuresis. Kussmaul respirations and fruity breath odor are signs of
diabetic ketoacidosis, which occurs with much higher glucose levels.
A client is prescribed enalapril for hypertension. Which adverse effect should
the nurse monitor for?
A) Hyperkalemia
B) Bradycardia
C) Hypoglycemia
D) Bronchospasm
Answer: A
,Rationale: ACE inhibitors like enalapril can cause hyperkalemia by reducing
aldosterone secretion. Bradycardia is not typical; hypoglycemia is associated
with beta-blockers; bronchospasm is more common with beta-blockers.
A client who is post-operative day 1 after abdominal surgery reports sudden
chest pain and shortness of breath. What is the nurse's priority action?
A) Administer PRN pain medication
B) Apply oxygen via nasal cannula
C) Encourage deep breathing exercises
D) Notify the healthcare provider immediately
Answer: D
Rationale: Sudden chest pain and dyspnea in a post-operative client suggest
pulmonary embolism, a medical emergency. Notification of the provider is
critical. Oxygen may be applied, but the priority is rapid provider notification.
A client has a prescription for heparin subcutaneously. Which laboratory value
should be monitored to evaluate therapeutic effectiveness?
A) Activated partial thromboplastin time (aPTT)
B) International normalized ratio (INR)
C) Prothrombin time (PT)
D) Platelet count
Answer: A
Rationale: Heparin therapy is monitored using aPTT. INR and PT monitor
warfarin therapy. Platelet count monitors for heparin-induced
thrombocytopenia.
, A client with chronic obstructive pulmonary disease (COPD) has an arterial
blood gas (ABG) showing pH 7.32, PaCO2 58 mmHg, and HCO3 30 mEq/L.
Which interpretation is correct?
A) Metabolic acidosis, partially compensated
B) Respiratory acidosis, partially compensated
C) Respiratory acidosis, uncompensated
D) Metabolic alkalosis, fully compensated
Answer: B
Rationale: The low pH indicates acidosis. The elevated PaCO2 indicates
respiratory acidosis. The elevated HCO3 shows metabolic compensation, but
the pH is still abnormal, so it is partially compensated.
A nurse is assessing a client with suspected hypothyroidism. Which finding
supports this diagnosis?
A) Weight loss and diarrhea
B) Tachycardia and palpitations
C) Dry skin and bradycardia
D) Exophthalmos and heat intolerance
Answer: C
Rationale: Hypothyroidism presents with dry skin, bradycardia, weight gain,
and cold intolerance. Weight loss, tachycardia, exophthalmos, and heat
intolerance are signs of hyperthyroidism.
A client is receiving lactulose for hepatic encephalopathy. What is the expected
therapeutic outcome?
A) Decreased serum ammonia levels
B) Increased serum bilirubin levels
