HESI 5 Test | HESI / Elsevier
Academic Year 2026/2027
Comprehensive Practice Examination
Questions 1–200 | Four Multiple-Choice Options | Correct Answers
Italicized
Note: This is an original HESI-style practice test for study purposes and is not an official
Elsevier/HESI examination or a reproduction of protected exam content.
Questions 1–50
1. A client with heart failure reports a 2-kg weight gain over the past 2 days. Which finding is
most concerning?
A. Increased appetite
B. Dry skin
C. Bilateral dependent edema
D. Increased urine output
2. Which assessment finding should the nurse report immediately in a client receiving opioid
analgesia?
,A. Pain rating of 4/10
B. Respiratory rate of 8/min
C. Mild nausea
D. Constipation
3. A nurse is teaching a client with diabetes about hypoglycemia. Which symptom should
the client recognize?
A. Warm, dry skin
B. Bradycardia
C. Diaphoresis and tremors
D. Increased thirst only
4. Which intervention is appropriate for a client at risk for falls?
A. Keep the bed in the highest position
B. Place the call bell out of reach
C. Keep frequently used items within reach
D. Encourage the client to walk without assistance
5. A client receiving furosemide should be monitored closely for which electrolyte
imbalance?
A. Hypernatremia
B. Hypokalemia
C. Hypermagnesemia
D. Hypercalcemia
6. Which finding is characteristic of fluid volume deficit?
,A. Bounding pulse
B. Crackles
C. Poor skin turgor
D. Peripheral edema
7. A client with chronic obstructive pulmonary disease is receiving oxygen. Which oxygen-
delivery method is commonly appropriate when precise low-flow oxygen is required?
A. Nonrebreather mask
B. Face tent
C. Venturi mask
D. Partial-rebreather mask
8. Which action is most important when administering insulin?
A. Shake insulin vigorously
B. Inject into scar tissue
C. Verify the insulin type and dose
D. Reuse the needle for the same client
9. A client receiving warfarin should have which laboratory value monitored?
A. Troponin
B. Amylase
C. INR
D. Hemoglobin A1c
10. Which food is highest in potassium?
, A. White rice
B. Applesauce
C. Banana
D. Bread
11. A client reports crushing substernal chest pain radiating to the left arm. What is the
nurse's priority?
A. Offer a meal
B. Encourage ambulation
C. Assess vital signs and initiate emergency cardiac evaluation
D. Ask the client to return later
12. Which assessment finding suggests hypoxia?
A. Pink warm skin
B. Cyanosis and restlessness
C. Increased appetite
D. Clear speech
13. Which position is generally preferred for a client experiencing dyspnea?
A. Supine
B. Prone
C. High-Fowler's
D. Trendelenburg
14. A nurse is caring for a client with neutropenia. Which intervention is appropriate?
Academic Year 2026/2027
Comprehensive Practice Examination
Questions 1–200 | Four Multiple-Choice Options | Correct Answers
Italicized
Note: This is an original HESI-style practice test for study purposes and is not an official
Elsevier/HESI examination or a reproduction of protected exam content.
Questions 1–50
1. A client with heart failure reports a 2-kg weight gain over the past 2 days. Which finding is
most concerning?
A. Increased appetite
B. Dry skin
C. Bilateral dependent edema
D. Increased urine output
2. Which assessment finding should the nurse report immediately in a client receiving opioid
analgesia?
,A. Pain rating of 4/10
B. Respiratory rate of 8/min
C. Mild nausea
D. Constipation
3. A nurse is teaching a client with diabetes about hypoglycemia. Which symptom should
the client recognize?
A. Warm, dry skin
B. Bradycardia
C. Diaphoresis and tremors
D. Increased thirst only
4. Which intervention is appropriate for a client at risk for falls?
A. Keep the bed in the highest position
B. Place the call bell out of reach
C. Keep frequently used items within reach
D. Encourage the client to walk without assistance
5. A client receiving furosemide should be monitored closely for which electrolyte
imbalance?
A. Hypernatremia
B. Hypokalemia
C. Hypermagnesemia
D. Hypercalcemia
6. Which finding is characteristic of fluid volume deficit?
,A. Bounding pulse
B. Crackles
C. Poor skin turgor
D. Peripheral edema
7. A client with chronic obstructive pulmonary disease is receiving oxygen. Which oxygen-
delivery method is commonly appropriate when precise low-flow oxygen is required?
A. Nonrebreather mask
B. Face tent
C. Venturi mask
D. Partial-rebreather mask
8. Which action is most important when administering insulin?
A. Shake insulin vigorously
B. Inject into scar tissue
C. Verify the insulin type and dose
D. Reuse the needle for the same client
9. A client receiving warfarin should have which laboratory value monitored?
A. Troponin
B. Amylase
C. INR
D. Hemoglobin A1c
10. Which food is highest in potassium?
, A. White rice
B. Applesauce
C. Banana
D. Bread
11. A client reports crushing substernal chest pain radiating to the left arm. What is the
nurse's priority?
A. Offer a meal
B. Encourage ambulation
C. Assess vital signs and initiate emergency cardiac evaluation
D. Ask the client to return later
12. Which assessment finding suggests hypoxia?
A. Pink warm skin
B. Cyanosis and restlessness
C. Increased appetite
D. Clear speech
13. Which position is generally preferred for a client experiencing dyspnea?
A. Supine
B. Prone
C. High-Fowler's
D. Trendelenburg
14. A nurse is caring for a client with neutropenia. Which intervention is appropriate?
