HESI Practice Exam 2025 Questions
and Answers 100% Pass
Which assessment is most important for the nurse to perform on a client who is
hospitalized for Guillain-Barre syndrome that is rapidly progressing?
Respiratory effort.
Unsteady gait.
Intensity of pain.
Ability to eat. - ✔✔Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet
and progresses upwards. As the condition progresses, the nurse must ensure that the
client is able to breathe effectively.
A male client comes into the clinic with a history of penile discharge with painful,
burning urination. Which action should the nurse implement?
Collect a culture of the penile discharge.
Palpate the inguinal lymph nodes gently.
Observe for scrotal swelling and redness.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 1
,Express the discharge to determine color. - ✔✔Collect a culture of the penile
discharge.
Penile discharge with painful urination is commonly associated with gonorrhea. The
nurse should collect a culture of the penile discharge to determine the cause of these
symptoms. The cause must be determined or confirmed through culture to identify
the organism and ensure effective treatment.
A client with history of atrial fibrillation is admitted to the telemetry unit with
sudden onset of shortness of breath. The nurse observes a new irregular heart
rhythm and should perform which assessment at this time?
Check for a pulse deficit.
Palpate the apical impulse.
Inspect jugular vein pulse.
Examine for a carotid bruit. - ✔✔Check for a pulse deficit.
A client with a past history of atrial fibrillation may return to that rhythm. Any signs
of atrial fibrillation, such as sudden onset shortness of breath, requires further
investigation. The nurse should assess this client for a pulse deficit because this
condition occurs with atrial fibrillation.
Which client should be further assessed for an ectopic pregnancy?
A 24-year-old with shoulder and lower abdominal quadrant pain.
A 33-year-old with intermittent lower abdominal cramping.
A 20-year-old with fever and right lower abdominal colic.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 2
,A 40-year-old with jaundice and right lower abdominal pain. - ✔✔A 24-year-old
with shoulder and lower abdominal quadrant pain.
A 24-year-old with sudden onset of lower abdominal quadrant pain should be
assessed for an ectopic pregnancy. The pain can also be referred to the shoulder and
may be associated with vaginal bleeding.
Which dietary assessment finding is most important for the nurse to address when
caring for a client with diabetic nephropathy?
Drinks a six pack of beer every day.
Enjoys a hamburger once a month.
Eats fortified breakfast cereal daily.
Consumes beans and rice every day. - ✔✔Drinks a six pack of beer every day.
Drinking six beers every day is the dietary assessment finding most important for
the nurse to address when caring for a client with diabetic nephropathy. The usual
can of beer is 12 ounces (355 mL). Clients with diabetes are recommended to drink
no more than 12 ounces of beer per day because beer contains carbohydrates that can
create unhealthy fluctuations in blood glucose and promote poor glucose control.
Nephropathy is exacerbated by poor blood glucose control.
Which assessment finding is of greatest concern to the nurse who is caring for a
client with stomatitis?
Cough brought on by swallowing.
Sore throat caused by speaking.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 3
, Painful and dry oral cavity.
Unintended weight loss. - ✔✔Cough brought on by swallowing.
A cough brought on by swallowing is a sign of dysphagia, which is a finding of
particular concern in a client with stomatitis. Dysphagia can cause numerous
problems, including airway obstruction, and should be reported to the healthcare
provider immediately.
The nurse is teaching a client diagnosed with peripheral arterial disease. Which
genitourinary system complication should the nurse include in the teaching?
Altered sexual response.
Sterility.
Urinary incontinence.
Decreased pelvic muscle tone. - ✔✔Altered sexual response.
Peripheral arterial disease (PAD) is a cardiovascular condition characterized by
narrowing of the arteries and reduced blood flow to the extremities. PAD is known
to alter the blood flow to the male's penis and is associated with erectile dysfunction
in men.
A 40-year-old female client has a history of smoking. Which finding should the
nurse identify as a risk factor for myocardial infarction?
Oral contraceptives.
Senile osteopenia.
Levothyroxine therapy.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 4
and Answers 100% Pass
Which assessment is most important for the nurse to perform on a client who is
hospitalized for Guillain-Barre syndrome that is rapidly progressing?
Respiratory effort.
Unsteady gait.
Intensity of pain.
Ability to eat. - ✔✔Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet
and progresses upwards. As the condition progresses, the nurse must ensure that the
client is able to breathe effectively.
A male client comes into the clinic with a history of penile discharge with painful,
burning urination. Which action should the nurse implement?
Collect a culture of the penile discharge.
Palpate the inguinal lymph nodes gently.
Observe for scrotal swelling and redness.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 1
,Express the discharge to determine color. - ✔✔Collect a culture of the penile
discharge.
Penile discharge with painful urination is commonly associated with gonorrhea. The
nurse should collect a culture of the penile discharge to determine the cause of these
symptoms. The cause must be determined or confirmed through culture to identify
the organism and ensure effective treatment.
A client with history of atrial fibrillation is admitted to the telemetry unit with
sudden onset of shortness of breath. The nurse observes a new irregular heart
rhythm and should perform which assessment at this time?
Check for a pulse deficit.
Palpate the apical impulse.
Inspect jugular vein pulse.
Examine for a carotid bruit. - ✔✔Check for a pulse deficit.
A client with a past history of atrial fibrillation may return to that rhythm. Any signs
of atrial fibrillation, such as sudden onset shortness of breath, requires further
investigation. The nurse should assess this client for a pulse deficit because this
condition occurs with atrial fibrillation.
Which client should be further assessed for an ectopic pregnancy?
A 24-year-old with shoulder and lower abdominal quadrant pain.
A 33-year-old with intermittent lower abdominal cramping.
A 20-year-old with fever and right lower abdominal colic.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 2
,A 40-year-old with jaundice and right lower abdominal pain. - ✔✔A 24-year-old
with shoulder and lower abdominal quadrant pain.
A 24-year-old with sudden onset of lower abdominal quadrant pain should be
assessed for an ectopic pregnancy. The pain can also be referred to the shoulder and
may be associated with vaginal bleeding.
Which dietary assessment finding is most important for the nurse to address when
caring for a client with diabetic nephropathy?
Drinks a six pack of beer every day.
Enjoys a hamburger once a month.
Eats fortified breakfast cereal daily.
Consumes beans and rice every day. - ✔✔Drinks a six pack of beer every day.
Drinking six beers every day is the dietary assessment finding most important for
the nurse to address when caring for a client with diabetic nephropathy. The usual
can of beer is 12 ounces (355 mL). Clients with diabetes are recommended to drink
no more than 12 ounces of beer per day because beer contains carbohydrates that can
create unhealthy fluctuations in blood glucose and promote poor glucose control.
Nephropathy is exacerbated by poor blood glucose control.
Which assessment finding is of greatest concern to the nurse who is caring for a
client with stomatitis?
Cough brought on by swallowing.
Sore throat caused by speaking.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 3
, Painful and dry oral cavity.
Unintended weight loss. - ✔✔Cough brought on by swallowing.
A cough brought on by swallowing is a sign of dysphagia, which is a finding of
particular concern in a client with stomatitis. Dysphagia can cause numerous
problems, including airway obstruction, and should be reported to the healthcare
provider immediately.
The nurse is teaching a client diagnosed with peripheral arterial disease. Which
genitourinary system complication should the nurse include in the teaching?
Altered sexual response.
Sterility.
Urinary incontinence.
Decreased pelvic muscle tone. - ✔✔Altered sexual response.
Peripheral arterial disease (PAD) is a cardiovascular condition characterized by
narrowing of the arteries and reduced blood flow to the extremities. PAD is known
to alter the blood flow to the male's penis and is associated with erectile dysfunction
in men.
A 40-year-old female client has a history of smoking. Which finding should the
nurse identify as a risk factor for myocardial infarction?
Oral contraceptives.
Senile osteopenia.
Levothyroxine therapy.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 4
