Page 1 of 97
HESI PRACTICE EXAM NEWEST 2026 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {130 Q & A} ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED 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. - ✔✔✔ Correct Answer > 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.
,Page 2 of 97
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.
Express the discharge to determine color. - ✔✔✔ Correct Answer >
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.
,Page 3 of 97
Examine for a carotid bruit. - ✔✔✔ Correct Answer > 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.
A 40-year-old with jaundice and right lower abdominal pain. -
✔✔✔ Correct Answer > 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.
, Page 4 of 97
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. - ✔✔✔ Correct Answer > 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.
HESI PRACTICE EXAM NEWEST 2026 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {130 Q & A} ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED 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. - ✔✔✔ Correct Answer > 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.
,Page 2 of 97
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.
Express the discharge to determine color. - ✔✔✔ Correct Answer >
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.
,Page 3 of 97
Examine for a carotid bruit. - ✔✔✔ Correct Answer > 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.
A 40-year-old with jaundice and right lower abdominal pain. -
✔✔✔ Correct Answer > 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.
, Page 4 of 97
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. - ✔✔✔ Correct Answer > 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.
