HESI RN ADULT HEALTH ACCURATE
COMPREHENSIVE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
1. A nurse is assessing a client with heart failure
who reports increasing shortness of breath and
weight gain of 2 kg in 24 hours. Which finding is
most indicative of worsening fluid overload?
A. Jugular venous distention
B. Dry cough
C. Decreased bowel sounds
D. Warm, dry skin
Correct Answer: A. Jugular venous distention
Rationale: Jugular venous distention reflects
,increased central venous pressure, a direct sign of
fluid overload in heart failure. Dry cough and
decreased bowel sounds are nonspecific. Warm,
dry skin is not typical of fluid overload.
2. A client with type 2 diabetes mellitus is prescribed
metformin. Which laboratory value should the nurse
monitor closely?
A. Serum potassium
B. Serum creatinine
C. Hemoglobin A1C
D. Serum sodium
Correct Answer: B. Serum creatinine
Rationale: Metformin is excreted by the kidneys
and can cause lactic acidosis in renal impairment.
Monitoring serum creatinine is essential.
Hemoglobin A1C is monitored for glycemic control
but not the priority for medication safety.
3. A postoperative client reports sudden chest pain
and dyspnea 3 days after abdominal surgery. The
nurse suspects a pulmonary embolism. Which action
is the priority?
,A. Administer oxygen via nasal cannula
B. Notify the healthcare provider
C. Check the client's pulse oximetry
D. Elevate the client's legs
Correct Answer: A. Administer oxygen via nasal
cannula
Rationale: In suspected pulmonary embolism, the
priority is to support oxygenation. Administering
oxygen is the first intervention. Notifying the
provider and checking pulse oximetry follow but do
not precede airway/breathing support.
4. A client with chronic kidney disease has a serum
potassium level of 6.2 mEq/L. Which medication
should the nurse prepare to administer?
A. Calcium gluconate
B. Sodium bicarbonate
C. Insulin with dextrose
D. All of the above
Correct Answer: D. All of the above
Rationale: Hyperkalemia (K > 6.0) requires
emergency management. Calcium gluconate
stabilizes cardiac membranes, sodium bicarbonate
, shifts potassium into cells, and insulin with
dextrose also shifts potassium intracellularly. All
are indicated.
5. A nurse is teaching a client with asthma about
using a metered-dose inhaler. Which instruction is
correct?
A. Inhale rapidly and deeply after actuation
B. Hold breath for 10 seconds after inhalation
C. Exhale fully before actuation
D. Shake the inhaler only if using a spacer
Correct Answer: C. Exhale fully before actuation
Rationale: The correct technique is to exhale fully,
actuate the inhaler at the beginning of a slow,
deep inhalation, and hold the breath for 5–10
seconds. Exhaling fully before actuation ensures
medication reaches the lower airways.
6. A client with cirrhosis presents with asterixis and
confusion. Which laboratory value is most likely
elevated?
A. Serum albumin
B. Serum ammonia
COMPREHENSIVE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
1. A nurse is assessing a client with heart failure
who reports increasing shortness of breath and
weight gain of 2 kg in 24 hours. Which finding is
most indicative of worsening fluid overload?
A. Jugular venous distention
B. Dry cough
C. Decreased bowel sounds
D. Warm, dry skin
Correct Answer: A. Jugular venous distention
Rationale: Jugular venous distention reflects
,increased central venous pressure, a direct sign of
fluid overload in heart failure. Dry cough and
decreased bowel sounds are nonspecific. Warm,
dry skin is not typical of fluid overload.
2. A client with type 2 diabetes mellitus is prescribed
metformin. Which laboratory value should the nurse
monitor closely?
A. Serum potassium
B. Serum creatinine
C. Hemoglobin A1C
D. Serum sodium
Correct Answer: B. Serum creatinine
Rationale: Metformin is excreted by the kidneys
and can cause lactic acidosis in renal impairment.
Monitoring serum creatinine is essential.
Hemoglobin A1C is monitored for glycemic control
but not the priority for medication safety.
3. A postoperative client reports sudden chest pain
and dyspnea 3 days after abdominal surgery. The
nurse suspects a pulmonary embolism. Which action
is the priority?
,A. Administer oxygen via nasal cannula
B. Notify the healthcare provider
C. Check the client's pulse oximetry
D. Elevate the client's legs
Correct Answer: A. Administer oxygen via nasal
cannula
Rationale: In suspected pulmonary embolism, the
priority is to support oxygenation. Administering
oxygen is the first intervention. Notifying the
provider and checking pulse oximetry follow but do
not precede airway/breathing support.
4. A client with chronic kidney disease has a serum
potassium level of 6.2 mEq/L. Which medication
should the nurse prepare to administer?
A. Calcium gluconate
B. Sodium bicarbonate
C. Insulin with dextrose
D. All of the above
Correct Answer: D. All of the above
Rationale: Hyperkalemia (K > 6.0) requires
emergency management. Calcium gluconate
stabilizes cardiac membranes, sodium bicarbonate
, shifts potassium into cells, and insulin with
dextrose also shifts potassium intracellularly. All
are indicated.
5. A nurse is teaching a client with asthma about
using a metered-dose inhaler. Which instruction is
correct?
A. Inhale rapidly and deeply after actuation
B. Hold breath for 10 seconds after inhalation
C. Exhale fully before actuation
D. Shake the inhaler only if using a spacer
Correct Answer: C. Exhale fully before actuation
Rationale: The correct technique is to exhale fully,
actuate the inhaler at the beginning of a slow,
deep inhalation, and hold the breath for 5–10
seconds. Exhaling fully before actuation ensures
medication reaches the lower airways.
6. A client with cirrhosis presents with asterixis and
confusion. Which laboratory value is most likely
elevated?
A. Serum albumin
B. Serum ammonia
