HESI RN MOBILITY 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
Question 1
A client with heart failure is prescribed furosemide. Which assessment
finding indicates the medication is having the desired therapeutic
effect?
A. Decreased peripheral edema
B. Increased blood pressure
C. Decreased heart rate
D. Increased urine specific gravity
Correct Answer: A. Decreased peripheral edema Rationale: Furosemide
is a loop diuretic used to reduce fluid overload in heart failure. The
therapeutic effect is evidenced by a decrease in peripheral edema,
pulmonary congestion, and dyspnea.
,Question 2
The nurse is caring for a client with a chest tube. Which finding requires
immediate intervention?
A. Continuous bubbling in the water seal chamber
B. Tidaling in the water seal chamber
C. 2 cm of water in the suction control chamber
D. Drainage of 50 mL in the first hour
Correct Answer: A. Continuous bubbling in the water seal
chamber Rationale: Continuous bubbling in the water seal chamber
indicates an air leak, which requires immediate investigation and
intervention to prevent lung collapse. Tidaling is a normal finding, as
are small amounts of drainage.
Question 3
A primigravida at 39 weeks gestation is admitted in active labor. The
fetal heart rate tracing shows late decelerations. What is the priority
nursing action?
A. Increase the rate of IV fluids
B. Administer oxygen via face mask
C. Turn the client on her left side
D. Prepare for an immediate cesarean section
Correct Answer: C. Turn the client on her left side Rationale: Late
decelerations indicate uteroplacental insufficiency. The immediate
priority is to improve placental perfusion by turning the client onto her
left side. This position relieves aortocaval compression.
Question 4
A school-age child is brought to the emergency department with a
history of asthma. The child is in respiratory distress, with audible
wheezing and an oxygen saturation of 89%. Which medication should
the nurse administer first?
,A. Albuterol nebulizer
B. Budesonide inhaler
C. Montelukast orally
D. Theophylline orally
Correct Answer: A. Albuterol nebulizer Rationale: Albuterol is a short-
acting beta-2 agonist (SABA) used as a rescue medication for acute
bronchospasm. It is the first-line treatment for an acute asthma
exacerbation to rapidly dilate airways.
Question 5
A client with major depressive disorder has been prescribed phenelzine.
Which dietary item should the nurse instruct the client to avoid?
A. Bananas
B. Cheddar cheese
C. Broccoli
D. Applesauce
Correct Answer: B. Cheddar cheese Rationale: Phenelzine is a
monoamine oxidase inhibitor (MAOI). Ingestion of foods high in
tyramine, such as aged cheeses (cheddar), can precipitate a
hypertensive crisis.
Question 6
The nurse is preparing to administer a blood transfusion. Which IV
solution should be used to prime the blood tubing?
A. Dextrose 5% in water (D5W)
B. Lactated Ringer's (LR)
C. Normal saline (0.9% NaCl)
D. Dextrose 5% in 0.45% saline
Correct Answer: C. Normal saline (0.9% NaCl) Rationale: Blood
products should only be administered with normal saline. Other
, solutions can cause hemolysis of red blood cells or precipitate clotting
factors.
Question 7
A client is postoperative following a total hip arthroplasty. Which
position is contraindicated?
A. Supine with the leg abducted
B. Side-lying on the non-operative side
C. Flexion of the hip greater than 90 degrees
D. Keeping the operative leg straight
Correct Answer: C. Flexion of the hip greater than 90
degrees Rationale: After a total hip arthroplasty, the client must avoid
hip flexion greater than 90 degrees, adduction, and internal rotation to
prevent dislocation of the prosthetic joint.
Question 8
A client in the emergency department presents with a productive cough,
fever, and pleuritic chest pain. The chest x-ray shows consolidation in
the right lower lobe. Which diagnosis should the nurse suspect?
A. Pneumothorax
B. Pulmonary embolism
C. Pneumonia
D. Heart failure
Correct Answer: C. Pneumonia Rationale: The classic signs of
pneumonia include fever, productive cough, pleuritic chest pain, and
lung consolidation visible on x-ray. These findings support a diagnosis of
pneumonia.
Question 9
A client with a history of hypertension is prescribed lisinopril. Which
adverse effect is most important for the nurse to monitor?
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
Question 1
A client with heart failure is prescribed furosemide. Which assessment
finding indicates the medication is having the desired therapeutic
effect?
A. Decreased peripheral edema
B. Increased blood pressure
C. Decreased heart rate
D. Increased urine specific gravity
Correct Answer: A. Decreased peripheral edema Rationale: Furosemide
is a loop diuretic used to reduce fluid overload in heart failure. The
therapeutic effect is evidenced by a decrease in peripheral edema,
pulmonary congestion, and dyspnea.
,Question 2
The nurse is caring for a client with a chest tube. Which finding requires
immediate intervention?
A. Continuous bubbling in the water seal chamber
B. Tidaling in the water seal chamber
C. 2 cm of water in the suction control chamber
D. Drainage of 50 mL in the first hour
Correct Answer: A. Continuous bubbling in the water seal
chamber Rationale: Continuous bubbling in the water seal chamber
indicates an air leak, which requires immediate investigation and
intervention to prevent lung collapse. Tidaling is a normal finding, as
are small amounts of drainage.
Question 3
A primigravida at 39 weeks gestation is admitted in active labor. The
fetal heart rate tracing shows late decelerations. What is the priority
nursing action?
A. Increase the rate of IV fluids
B. Administer oxygen via face mask
C. Turn the client on her left side
D. Prepare for an immediate cesarean section
Correct Answer: C. Turn the client on her left side Rationale: Late
decelerations indicate uteroplacental insufficiency. The immediate
priority is to improve placental perfusion by turning the client onto her
left side. This position relieves aortocaval compression.
Question 4
A school-age child is brought to the emergency department with a
history of asthma. The child is in respiratory distress, with audible
wheezing and an oxygen saturation of 89%. Which medication should
the nurse administer first?
,A. Albuterol nebulizer
B. Budesonide inhaler
C. Montelukast orally
D. Theophylline orally
Correct Answer: A. Albuterol nebulizer Rationale: Albuterol is a short-
acting beta-2 agonist (SABA) used as a rescue medication for acute
bronchospasm. It is the first-line treatment for an acute asthma
exacerbation to rapidly dilate airways.
Question 5
A client with major depressive disorder has been prescribed phenelzine.
Which dietary item should the nurse instruct the client to avoid?
A. Bananas
B. Cheddar cheese
C. Broccoli
D. Applesauce
Correct Answer: B. Cheddar cheese Rationale: Phenelzine is a
monoamine oxidase inhibitor (MAOI). Ingestion of foods high in
tyramine, such as aged cheeses (cheddar), can precipitate a
hypertensive crisis.
Question 6
The nurse is preparing to administer a blood transfusion. Which IV
solution should be used to prime the blood tubing?
A. Dextrose 5% in water (D5W)
B. Lactated Ringer's (LR)
C. Normal saline (0.9% NaCl)
D. Dextrose 5% in 0.45% saline
Correct Answer: C. Normal saline (0.9% NaCl) Rationale: Blood
products should only be administered with normal saline. Other
, solutions can cause hemolysis of red blood cells or precipitate clotting
factors.
Question 7
A client is postoperative following a total hip arthroplasty. Which
position is contraindicated?
A. Supine with the leg abducted
B. Side-lying on the non-operative side
C. Flexion of the hip greater than 90 degrees
D. Keeping the operative leg straight
Correct Answer: C. Flexion of the hip greater than 90
degrees Rationale: After a total hip arthroplasty, the client must avoid
hip flexion greater than 90 degrees, adduction, and internal rotation to
prevent dislocation of the prosthetic joint.
Question 8
A client in the emergency department presents with a productive cough,
fever, and pleuritic chest pain. The chest x-ray shows consolidation in
the right lower lobe. Which diagnosis should the nurse suspect?
A. Pneumothorax
B. Pulmonary embolism
C. Pneumonia
D. Heart failure
Correct Answer: C. Pneumonia Rationale: The classic signs of
pneumonia include fever, productive cough, pleuritic chest pain, and
lung consolidation visible on x-ray. These findings support a diagnosis of
pneumonia.
Question 9
A client with a history of hypertension is prescribed lisinopril. Which
adverse effect is most important for the nurse to monitor?
