HESI PEDS | EXAM ACTUAL EXAM 2026 || MOST RECENT
EXAM 2026|2027 ACTUAL COMPLETE REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
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The nurse teaches the use of a gait belt to a caregiver whose spouse
has right-sided weakness and needs assistance with ambulation. The
caregiver performs a return demonstration of the skill. Which
observation indicates that the caregiver has learned how to use the
belt?
A.
Standing on the spouse's strong side, the caregiver is ready to hold the
gait belt if any evidence of weakness is observed.
B.
Standing on the spouse's weak side, the caregiver provides security by
holding the gait belt from the back.
C.
Standing behind the spouse, the caregiver provides balance by holding
both sides of the gait belt.
D.
Standing slightly in front and to the right of the spouse, the caregiver
guides the client forward by gently pulling on the gait belt. -ANSWERS-B
,Rationale: The spouse is most likely to lean toward the weak side and
needs extra support on that side and from the back to prevent falling.
Options A, C, and D provide less security.
The nurse is working with one LPN and two aides on a 20 bed unit.
Which are the appropriate tasks to delegate to the appropriate person?
(Select all that apply.)
A.
Feeding an elderly and confused client to the aide
B.
Toileting the client for the first time after surgery to the LPN
C.
Placing the bathroom supplies in the room of the new admission to the
LPN
D.
Reinforcing the discharge teaching instructions to the LPN
E.
Administering a po pain medication to the LPN
F.
Performing the routine dressing change 5 days after surgery to the LPN
-ANSWERS-A, D, E, F
Rationale: There are 5 rights of delegation: the right task,
circumstances, person, direction, and supervision. The aide can perform
routine tasks, the LPN can deliver skilled care, the RN performs the
assessment and does the teaching. Toileting the client for the first time
,requires the assessment of the RN. The bathroom supplies can be
delegated to the aide. The remaining selections are appropriate. The
LPN can reinforce teaching; the initial teaching must be done by the RN.
The nurse is concerned the client will develop a nosocomial infection.
Which nursing action is best for the nurse to take when providing care
for an incontinent client?
A.
Maintain standard precautions.
B.
Initiate contact isolation measures.
C.
Insert an indwelling urinary catheter.
D.
Instruct client in the use of adult diapers. -ANSWERS-A
Rationale: The best action to decrease the risk of infection in vulnerable
clients is handwashing. Option B is not necessary unless the client has
an infection. Option C increases the risk of infection. Option D does not
reduce the risk of infection.
A nurse is working in an occupational health clinic when an employee
walks in and states, "I was walking outside and I believe I was just
struck by lightning." The client is alert but reports feeling faint. Which
assessment will the nurse perform first?
A.
, Pulse characteristics
B.
Open airway
C.
Entrance and exit wounds
D.
Cervical spine injury -ANSWERS-A
Rationale: Lightning is a jolt of electrical current and can produce a
"natural" defibrillation, so assessment of the pulse rate and regularity is
a priority. Because the client is talking, he has an open airway so that
assessment is not necessary. Assessing for options C and D should occur
after assessing for adequate circulation.
An older adult who recently began self-administration of insulin calls
the nurse daily to review the steps that should be taken when giving an
injection. The nurse has assessed the client's skills during two previous
office visits and knows that the client safely administered the
injections. What is the nurse's best response?
A.
"I know you are capable of giving yourself the insulin."
B.
"Giving yourself the injection seems to make you nervous."
C.
"When I watched you give yourself the injection, you did it correctly."