246-HESI PRACTICE EXAM WITH
CORRECT ANSWERS
2025
1.The registered nurse (RN) uses the mini-mental state examination
(MMSE) when
assessing a client for admission to an assisted living facility. Which
finding is the
assessing whenRNrequesting the client to count
by Recall
A. 7s? of
information.
B. Orientation to
C. Attention to
surroundings.
details.
D. Ability to follow complex commands.
( correct answers
Counting by 7s evaulates
) the ability to
ANS:
do Csimple calculations and is
specific attention
client's to the to detail (C). (A, B, and D) are additional parts of the
MMSE that
evaluate orientation and cognitive
function.
2.The registered nurse (RN) palpates a weak pedal pulse in the client's right
foot. Which findings should the RN document that are consistent with
assessment
peripheral circulation? (Select all that
diminished
A. Diminished hair on
apply.)
legs.
B. Bruising on
C. Skin cool to
extremities.
touch.
D. Capillary refill less than 3
E. Darkened skin on extremities.
seconds. ( correct
answers ) hair on the legs (A)ANS:
Diminished A, C that is cool to touch (C) are
and skin
decreased
symptoms arterial
of blood flow. (B, D, and E) are not indicators for impaired
peripheral
circulatio
n.
3.Which action should the registered nurse (RN) implement to complete an
for a client while using an
assessment
interpreter?
A. Ask closed-ended questions with the assistance of the
B. Maintain eye contact with the client while listening to the
interpreter.
translation.
C. Instruct interpreter to answer questions from interpreter's
point
D. Protect
of view.
the client's privacy by asking a limited number of questions.
answers ) ANS:
( correct
W
B hen completing an assessment, the RN should maintain eye contact
withtothe
(B) clientadditional information from the client's nonverbal cues. (A,
gather
C, and
not useD) do verbal and nonverbal communication techniques to gather
both
data during an
assessmen
t.
4.A client with progressive hearing loss appears distressed when the
registered
(RN) asks open-ended
nurse questions about the client's health history.
Which forms of should the RN use? (Select all that
communication
A. Face the client so the client can see the RN's
apply.)
mouth.
GRADED
A+
, B. Increase one's speech volume when interacting with
C.
theRepeat
client. information to the client if
misunderstood.
D. Check if the client's hearing aides are working
Reduce environmental noise surrounding the client.
properly. ( correct
answers
(A, D, and ) E) are correct. A client with hearing loss
ANS: A, develop
can D, E the ability to
read "lips,"
so facing the client during conversation (A) allows visualization of the lips
and directs the sound towards the client. Inspection of the hearing aide
vital stepfunctionality
device's in communication
is a (D). Hearing aides magnify all surrounding
noise, so it to
imperative is reduce outside environmental noise during the interview
process (E).
Speaking clearly with enunciation and in a regular tone is easier for
a client to than increasing the volume of speech (B). If a client
understand
shows signs
confusion, rephrasing
of the question, instead of repeating (C), should
be done toclient anxiety and facilitate understanding.
decrease
5.A registered nurse (RN) is performing a mini-mental state examination
client
(MMSE) who
forisa being admitted to an assisted living community. Which
communication
techniques should the RN implement to decrease anxiety in the client?
apply.
(Select all that
)A. Use simple sentences during the
B. Move to another question if the client seems
examination.
confused.
C. Reduce environmental detractors during the
D. Allow family to answer for the client to decrease
examination.
frustration.
Ask questions one at a time to decrease confusion. ( correct
answers
(A, C, and) E) are correct. Communication techniques ANS: A,
forC,clients
E with
cognitive
impairments should be simple (A), withoutenvironmental distractions (C),
andincreases
(B) direct (E).anxiety in a client, so it is important to give the client time
to answerbefore
question a moving to the next one. (D) is the family's view of the
client'sand
status mental
does not give the RN an objective view of the client's cognitive
impairment.
breath sounds
6.A Muslim maleduring
clientthe examination.
refuses to let theHow should
female the RN nurse (RN)
registered
A.
respond?
Explain
listen to hishow the nursing skill will be performed before
proceeding.
B. Examine client with an additional healthcare provider for
C. Request a male nurse or healthcare provider to perform
support.
theAvoid
D. exam. any skills that involve touching the client during the exam.
( correct answers )
ANS:
C
Modesty is an important value in the Muslim community, and Muslims are
reluctant
expose any
to part of their body to healthcare members. Muslim clients are
accustomed to
examination by "same sex" healthcare providers, so (C) is the best
client.
solution(Afor
and B) will not alleviate the issue for the Muslim client. (D) does
the
not allow exam
thorough a of the client.
7.A client who is uses ipratropium reports having nausea, blurred vision,
and insomnia after using the inhaler. Which action should the registered
headaches,
nurse (RN)
implement
A. Withhold medication and report symptoms and vital signs to
first?
healthcare provider.
GRADED
A+
CORRECT ANSWERS
2025
1.The registered nurse (RN) uses the mini-mental state examination
(MMSE) when
assessing a client for admission to an assisted living facility. Which
finding is the
assessing whenRNrequesting the client to count
by Recall
A. 7s? of
information.
B. Orientation to
C. Attention to
surroundings.
details.
D. Ability to follow complex commands.
( correct answers
Counting by 7s evaulates
) the ability to
ANS:
do Csimple calculations and is
specific attention
client's to the to detail (C). (A, B, and D) are additional parts of the
MMSE that
evaluate orientation and cognitive
function.
2.The registered nurse (RN) palpates a weak pedal pulse in the client's right
foot. Which findings should the RN document that are consistent with
assessment
peripheral circulation? (Select all that
diminished
A. Diminished hair on
apply.)
legs.
B. Bruising on
C. Skin cool to
extremities.
touch.
D. Capillary refill less than 3
E. Darkened skin on extremities.
seconds. ( correct
answers ) hair on the legs (A)ANS:
Diminished A, C that is cool to touch (C) are
and skin
decreased
symptoms arterial
of blood flow. (B, D, and E) are not indicators for impaired
peripheral
circulatio
n.
3.Which action should the registered nurse (RN) implement to complete an
for a client while using an
assessment
interpreter?
A. Ask closed-ended questions with the assistance of the
B. Maintain eye contact with the client while listening to the
interpreter.
translation.
C. Instruct interpreter to answer questions from interpreter's
point
D. Protect
of view.
the client's privacy by asking a limited number of questions.
answers ) ANS:
( correct
W
B hen completing an assessment, the RN should maintain eye contact
withtothe
(B) clientadditional information from the client's nonverbal cues. (A,
gather
C, and
not useD) do verbal and nonverbal communication techniques to gather
both
data during an
assessmen
t.
4.A client with progressive hearing loss appears distressed when the
registered
(RN) asks open-ended
nurse questions about the client's health history.
Which forms of should the RN use? (Select all that
communication
A. Face the client so the client can see the RN's
apply.)
mouth.
GRADED
A+
, B. Increase one's speech volume when interacting with
C.
theRepeat
client. information to the client if
misunderstood.
D. Check if the client's hearing aides are working
Reduce environmental noise surrounding the client.
properly. ( correct
answers
(A, D, and ) E) are correct. A client with hearing loss
ANS: A, develop
can D, E the ability to
read "lips,"
so facing the client during conversation (A) allows visualization of the lips
and directs the sound towards the client. Inspection of the hearing aide
vital stepfunctionality
device's in communication
is a (D). Hearing aides magnify all surrounding
noise, so it to
imperative is reduce outside environmental noise during the interview
process (E).
Speaking clearly with enunciation and in a regular tone is easier for
a client to than increasing the volume of speech (B). If a client
understand
shows signs
confusion, rephrasing
of the question, instead of repeating (C), should
be done toclient anxiety and facilitate understanding.
decrease
5.A registered nurse (RN) is performing a mini-mental state examination
client
(MMSE) who
forisa being admitted to an assisted living community. Which
communication
techniques should the RN implement to decrease anxiety in the client?
apply.
(Select all that
)A. Use simple sentences during the
B. Move to another question if the client seems
examination.
confused.
C. Reduce environmental detractors during the
D. Allow family to answer for the client to decrease
examination.
frustration.
Ask questions one at a time to decrease confusion. ( correct
answers
(A, C, and) E) are correct. Communication techniques ANS: A,
forC,clients
E with
cognitive
impairments should be simple (A), withoutenvironmental distractions (C),
andincreases
(B) direct (E).anxiety in a client, so it is important to give the client time
to answerbefore
question a moving to the next one. (D) is the family's view of the
client'sand
status mental
does not give the RN an objective view of the client's cognitive
impairment.
breath sounds
6.A Muslim maleduring
clientthe examination.
refuses to let theHow should
female the RN nurse (RN)
registered
A.
respond?
Explain
listen to hishow the nursing skill will be performed before
proceeding.
B. Examine client with an additional healthcare provider for
C. Request a male nurse or healthcare provider to perform
support.
theAvoid
D. exam. any skills that involve touching the client during the exam.
( correct answers )
ANS:
C
Modesty is an important value in the Muslim community, and Muslims are
reluctant
expose any
to part of their body to healthcare members. Muslim clients are
accustomed to
examination by "same sex" healthcare providers, so (C) is the best
client.
solution(Afor
and B) will not alleviate the issue for the Muslim client. (D) does
the
not allow exam
thorough a of the client.
7.A client who is uses ipratropium reports having nausea, blurred vision,
and insomnia after using the inhaler. Which action should the registered
headaches,
nurse (RN)
implement
A. Withhold medication and report symptoms and vital signs to
first?
healthcare provider.
GRADED
A+
