HESI Practice Exam |2025-2026 LATEST UPDATED |59 REAL EXAM AND
COMPLETE QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100%
VERFIED | ALREADY GRADED A+
1. What should the nurse assess last when examining a 5-year-old child?
Heart.
Lungs.
Throat.
Abdomen.: Throat; most invasive
2. The nurse is assessing the parents of a nuclear family who are
attending a support group for parents of adolescents. According to Erikson,
these parents who are adapting to middle adulthood should exhibit which
characteristic?
Loss of independence.
Increased self-understanding.
Isolation from society.
Development of intimate relationships.: Increased self-understanding.
,Middle adulthood is characterized by self-reflection, understanding, acceptance,
and generativity or guidance of children. The other developmental tasks are not
specific to middle adulthood.
3. During the well-child assessment, the parents of a 4-year-old express
concern that their child often chatters while playing alone. What information
should the nurse provide the parents?
The child is attempting to formulate a secondary language.
This is an attempt by the child to form an imaginary social base.
"Private speech" is normal at this age and serves as a problem-solving tool.
Concern for psychological development is warranted so further testing is
required.: "Private speech" is normal at this age and serves as a problem-solving
tool.
Children chatter to themselves between the ages of 4 and 6 years, and this "private
speech" serves as a problem-solving tool for the preschoolers as they try new tasks
or work through unfamiliar situations.
4. An older client with a decreased percentage of lean body mass is likely
to receive a prescription that is adjusted based on which pharmacokinetic
process?
,Absorption.
Metabolism.
Elimination.
Distribution.: Distribution.
Rationale
A decreased lean body mass in an older adult affects the distribution of drugs which
affects the pharmacokinetics of drugs. In contrast, decreased gastric pH, delayed
gastric emptying, decreased splanchnic blood flow, decreased gastrointestinal
absorption surface areas and motility affect absorption in the older adult population.
Decreased hepatic blood flow, decreased hepatic mass, and decreased activity of
hepatic enzymes affect metabolism in older adults. Decreased renal blood flow,
decreased glomerular filtration rate, decreased tubular secretion, and decreased
number of nephrons affects elimination in an older adult.
5. When assessing a client with an indwelling urinary catheter, which
observation requires the most immediate intervention by the nurse?
The drainage tubing is secured over the siderail.
The clamp on the urinary drainage bag is open.
There are no dependent loops in the drainage tubing.
, The urinary drainage bag is attached to the bed frame.: The clamp on the
urinary drainage bag is open.
Maintaining a closed urinary drainage system is important to prevent infection, so
the most immediate priority is to close the clamp (B) to reduce the risk for ascending
microorganisms. If the drainage tubing is secured over the siderail (A), urine will not
be able to flow out of the bladder, so the nurse should next reposition the tubing. (C
and D) indicate correct care of the urinary drainage system, so documentation of an
intact system is the last intervention needed.
6. How should the nurse handle linens that are soiled with incontinent
feces? Put the soiled linens in an isolation bag, then place it in the dirty linen
hamper. Place an isolation hamper in the client's room and discard the linens
in it. Place the soiled linens in a pillow case and deposit them in the dirty linen
hamper.
Ask the housekeeping staff to pick up the soiled linen from the dirty utility
room.: Place the soiled linens in a pillow case and deposit them in the dirty linen
hamper.
COMPLETE QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100%
VERFIED | ALREADY GRADED A+
1. What should the nurse assess last when examining a 5-year-old child?
Heart.
Lungs.
Throat.
Abdomen.: Throat; most invasive
2. The nurse is assessing the parents of a nuclear family who are
attending a support group for parents of adolescents. According to Erikson,
these parents who are adapting to middle adulthood should exhibit which
characteristic?
Loss of independence.
Increased self-understanding.
Isolation from society.
Development of intimate relationships.: Increased self-understanding.
,Middle adulthood is characterized by self-reflection, understanding, acceptance,
and generativity or guidance of children. The other developmental tasks are not
specific to middle adulthood.
3. During the well-child assessment, the parents of a 4-year-old express
concern that their child often chatters while playing alone. What information
should the nurse provide the parents?
The child is attempting to formulate a secondary language.
This is an attempt by the child to form an imaginary social base.
"Private speech" is normal at this age and serves as a problem-solving tool.
Concern for psychological development is warranted so further testing is
required.: "Private speech" is normal at this age and serves as a problem-solving
tool.
Children chatter to themselves between the ages of 4 and 6 years, and this "private
speech" serves as a problem-solving tool for the preschoolers as they try new tasks
or work through unfamiliar situations.
4. An older client with a decreased percentage of lean body mass is likely
to receive a prescription that is adjusted based on which pharmacokinetic
process?
,Absorption.
Metabolism.
Elimination.
Distribution.: Distribution.
Rationale
A decreased lean body mass in an older adult affects the distribution of drugs which
affects the pharmacokinetics of drugs. In contrast, decreased gastric pH, delayed
gastric emptying, decreased splanchnic blood flow, decreased gastrointestinal
absorption surface areas and motility affect absorption in the older adult population.
Decreased hepatic blood flow, decreased hepatic mass, and decreased activity of
hepatic enzymes affect metabolism in older adults. Decreased renal blood flow,
decreased glomerular filtration rate, decreased tubular secretion, and decreased
number of nephrons affects elimination in an older adult.
5. When assessing a client with an indwelling urinary catheter, which
observation requires the most immediate intervention by the nurse?
The drainage tubing is secured over the siderail.
The clamp on the urinary drainage bag is open.
There are no dependent loops in the drainage tubing.
, The urinary drainage bag is attached to the bed frame.: The clamp on the
urinary drainage bag is open.
Maintaining a closed urinary drainage system is important to prevent infection, so
the most immediate priority is to close the clamp (B) to reduce the risk for ascending
microorganisms. If the drainage tubing is secured over the siderail (A), urine will not
be able to flow out of the bladder, so the nurse should next reposition the tubing. (C
and D) indicate correct care of the urinary drainage system, so documentation of an
intact system is the last intervention needed.
6. How should the nurse handle linens that are soiled with incontinent
feces? Put the soiled linens in an isolation bag, then place it in the dirty linen
hamper. Place an isolation hamper in the client's room and discard the linens
in it. Place the soiled linens in a pillow case and deposit them in the dirty linen
hamper.
Ask the housekeeping staff to pick up the soiled linen from the dirty utility
room.: Place the soiled linens in a pillow case and deposit them in the dirty linen
hamper.
