HESI 700 Comprehensive Practice Examination
HESI / Elsevier | Academic Year 2026/2027
Questions 1–200 | Four Multiple-Choice Options | Correct
Answers Italicized
Questions 1–25: Fundamentals & Prioritization
1. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with chronic arthritis reporting pain of 6/10
B. A client awaiting discharge instructions
C. A client with COPD who has an oxygen saturation of 88%
D. A client requesting assistance with bathing
Answer: C. A client with COPD who has an oxygen saturation of 88%
2. Which assessment finding requires immediate intervention in a postoperative client?
A. Incisional pain rated 5/10
B. Temperature of 37.4°C (99.3°F)
C. Respiratory rate of 8/min
D. Mild nausea
Answer: C. Respiratory rate of 8/min
,3. Which action is most appropriate when removing personal protective equipment after
caring for a client on contact precautions?
A. Remove the mask first
B. Remove gloves first
C. Remove eye protection first
D. Remove the gown last
Answer: B. Remove gloves first
4. A client is at increased risk for pressure injury. Which intervention is most appropriate?
A. Massage reddened bony prominences
B. Reposition the client regularly
C. Limit protein intake
D. Keep the skin continuously moist
Answer: B. Reposition the client regularly
5. Which finding indicates that a client is experiencing orthostatic hypotension?
A. Blood pressure increases when standing
B. Heart rate decreases when standing
C. Blood pressure decreases after standing
D. Respiratory rate decreases after standing
Answer: C. Blood pressure decreases after standing
6. Which intervention best reduces the risk of falls in an older adult?
,A. Keep all four side rails raised
B. Place frequently used items within reach
C. Keep the room completely dark at night
D. Encourage the client to walk independently
Answer: B. Place frequently used items within reach
7. A nurse is preparing to administer medication. Which action is essential before
administration?
A. Ask another client to verify the medication
B. Compare the medication with the prescription
C. Leave the medication at the bedside
D. Document administration before giving it
Answer: B. Compare the medication with the prescription
8. Which client should the nurse see first?
A. Client with chronic back pain
B. Client with new-onset confusion
C. Client requesting a snack
D. Client awaiting routine medication
Answer: B. Client with new-onset confusion
9. Which position is generally appropriate for a client experiencing respiratory distress?
A. Supine
B. Trendelenburg
, C. High-Fowler's
D. Prone
Answer: C. High-Fowler's
10. Which finding is most concerning in a client receiving oxygen therapy?
A. Dry nasal passages
B. Oxygen saturation of 97%
C. Increasing difficulty breathing
D. Mild nasal irritation
Answer: C. Increasing difficulty breathing
11. A nurse is teaching a client about incentive spirometry. Which instruction is correct?
A. Exhale forcefully into the device
B. Inhale slowly and deeply through the mouthpiece
C. Use the device only when short of breath
D. Breathe rapidly through the mouthpiece
Answer: B. Inhale slowly and deeply through the mouthpiece
12. Which intervention is appropriate for preventing aspiration during enteral feeding?
A. Place the client flat
B. Elevate the head of the bed
C. Administer the feeding rapidly
D. Encourage the client to lie prone
Answer: B. Elevate the head of the bed
HESI / Elsevier | Academic Year 2026/2027
Questions 1–200 | Four Multiple-Choice Options | Correct
Answers Italicized
Questions 1–25: Fundamentals & Prioritization
1. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with chronic arthritis reporting pain of 6/10
B. A client awaiting discharge instructions
C. A client with COPD who has an oxygen saturation of 88%
D. A client requesting assistance with bathing
Answer: C. A client with COPD who has an oxygen saturation of 88%
2. Which assessment finding requires immediate intervention in a postoperative client?
A. Incisional pain rated 5/10
B. Temperature of 37.4°C (99.3°F)
C. Respiratory rate of 8/min
D. Mild nausea
Answer: C. Respiratory rate of 8/min
,3. Which action is most appropriate when removing personal protective equipment after
caring for a client on contact precautions?
A. Remove the mask first
B. Remove gloves first
C. Remove eye protection first
D. Remove the gown last
Answer: B. Remove gloves first
4. A client is at increased risk for pressure injury. Which intervention is most appropriate?
A. Massage reddened bony prominences
B. Reposition the client regularly
C. Limit protein intake
D. Keep the skin continuously moist
Answer: B. Reposition the client regularly
5. Which finding indicates that a client is experiencing orthostatic hypotension?
A. Blood pressure increases when standing
B. Heart rate decreases when standing
C. Blood pressure decreases after standing
D. Respiratory rate decreases after standing
Answer: C. Blood pressure decreases after standing
6. Which intervention best reduces the risk of falls in an older adult?
,A. Keep all four side rails raised
B. Place frequently used items within reach
C. Keep the room completely dark at night
D. Encourage the client to walk independently
Answer: B. Place frequently used items within reach
7. A nurse is preparing to administer medication. Which action is essential before
administration?
A. Ask another client to verify the medication
B. Compare the medication with the prescription
C. Leave the medication at the bedside
D. Document administration before giving it
Answer: B. Compare the medication with the prescription
8. Which client should the nurse see first?
A. Client with chronic back pain
B. Client with new-onset confusion
C. Client requesting a snack
D. Client awaiting routine medication
Answer: B. Client with new-onset confusion
9. Which position is generally appropriate for a client experiencing respiratory distress?
A. Supine
B. Trendelenburg
, C. High-Fowler's
D. Prone
Answer: C. High-Fowler's
10. Which finding is most concerning in a client receiving oxygen therapy?
A. Dry nasal passages
B. Oxygen saturation of 97%
C. Increasing difficulty breathing
D. Mild nasal irritation
Answer: C. Increasing difficulty breathing
11. A nurse is teaching a client about incentive spirometry. Which instruction is correct?
A. Exhale forcefully into the device
B. Inhale slowly and deeply through the mouthpiece
C. Use the device only when short of breath
D. Breathe rapidly through the mouthpiece
Answer: B. Inhale slowly and deeply through the mouthpiece
12. Which intervention is appropriate for preventing aspiration during enteral feeding?
A. Place the client flat
B. Elevate the head of the bed
C. Administer the feeding rapidly
D. Encourage the client to lie prone
Answer: B. Elevate the head of the bed
