HESI LEADERSHIP EXAM 2025/2026 WITH ALL 200
QUESTIONS AND CORRECT ANSWERS GRADED
A+/ RN H, Exams of Nursing
The nurse is preparing a client for a scheduled surgical procedure. What client statement should
the nurse report to the healthcare provider?
a. Expresses fear about the surgical procedure.
b. Recalls drinking a glass of juice after midnight.
c. Reports a history of hives after eating shellfish.
d. States has a history of post-operative nausea. B
A client is being admitted to the medical unit from the emergency department after having a
chest tube inserted. What equipment should be brought to this client's room?
a. Crash cart.
b. Endotracheal tube.
c. Rubber-tipped clamps.
d. Partial rebreather oxygen mask. C
A male client with a history of chronic back pain that was managed with opiate analgesics calls
the nurse after having back surgery. The client reports that the back pain is finally gone, but
after stopping the pain medication, the client has been having severe diarrhea and painful
muscle cramps. Which assessment information should the nurse obtain next?
a. Did the client receive a prescription for methadone or clonidine?
b. Is the client using a fentanyl patch after stopping the opiate analgesic?
c. Has the client taken any over-the-counter agents for these symptoms?
d. When did the symptoms begin after the last dose of opiate analgesic? D
The nurse is caring for a client who is one day postoperative after a left total knee arthroplasty
(TKA). Which intervention should the nurse include in the plan of care?
a. Progressive leg exercises to obtain 90-degree flexion.
1|Page
,b. Ambulation with full weight-bearing on first postop day.
c. Bed rest for three days with the left knee extended.
d. Immobilization of the left knee to prevent dislocation. A
The nurse is giving discharge instructions to the parents of a newborn with a prescription for
home phototherapy. Which statement by a parent indicates understanding of the
phototherapy?
a. "I need to change the baby's position every four hours."
b. "I should leave the baby under the light all of the time."
c. "I will keep the baby's eyes covered when the baby is under the light."
d. "I should dress the baby in light clothing when the baby is under the light." C
A male client who had abdominal surgery has a nasogastric tube to suction, oxygen per nasal
cannula, and complains of dry mouth. Which action should the nurse implement?
a. Put petroleum jelly on the lips and around the nasogastric tube.
b. Allow the client to drink water and record on the I and O record.
c. Offer the client ice chips and instruct client to spit out the water.
d. Apply a water soluble lubricant to the lips, oral mucosa and nares. D
A client who is one week postoperative after an aortic valve replacement suddenly develops
severe pain in the left leg. On assessment, the nurse determines that the client's leg is pale and
cool, and no pulses are palpable in the left leg. After notifying the healthcare provider, which
action should the nurse take?
a. Elevate the legs and medicate for pain.
b. Apply firm pressure to the femoral artery.
c. Keep the client in bed in the supine position.
d. Encourage the client to exercise the leg. C
Which statement by the community health nurse is most helpful to an adult who is in a crisis
situation?
2|Page
,a. "I will be your primary resource person, and will gather the information you need to get
through this situation."
b. "Based on past coping, I believe you will be able to deal with future problems successfully."
c. "I have a plan of action that I think will help you. Would you like to see if it will work for you?"
d. "You seem to be more tense these days. Would you like to talk about the problem and how
you are dealing with it?" D
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse that the
healthcare provider discontinued the medication because his blood pressure has been normal
for the past three months. Which instruction should the nurse provide?
a. Report any uncomfortable symptoms after stopping the medication.
b. Stop the medication and keep an accurate record of blood pressure.
c. Ask the healthcare provider about tapering the drug dose over the next week.
d. Obtain another antihypertensive prescription to avoid withdrawal symptoms. C
During a client assessment, the client says, "I can't walk very well." Which action should the
nurse implement first?
a. Choose the most successful approach.
b. Identify the problem.
c. Consider alternatives.
d. Predict the likelihood of the outcome. B
Which documentation indicates that the nurse correctly evaluated a pain medication's
effectiveness after administration?
a. reports decrease in pain.
b. complained of pain; PRN pain medication given.
c. smiling while visiting with family members.
d. was talking on the phone 30 minutes after pain medication was given. A
A female client tells the nurse that her home pregnancy test is positive and her last menstrual
period (LMP) was February 14. The client wants to know the expected date of birth (EDB). How
should the nurse respond?
3|Page
, a. September 17.
b. November 21.
c. December 17.
d. October 21. B
Prenatal diagnostic testing is recommended for a couple expecting their first child who have a
family history of congenital disorders. The couple tells the nurse that they are opposed to
abortion for religious reasons. Which concept should the nurse consider when responding to
this couple?
a. Counselling about advantages and disadvantages of termination should be helpful.
b. There is limited value in diagnostic testing if termination of pregnancy is not an option.
c. Diagnostic testing may indicate a fetal problem that could be treated prior to delivery.
d. Many states legally require prenatal testing as a means of protecting the fetus. C
The nurse is inspecting the external eye structures for a client. Which finding is a normal racial
variation?
a. A Hispanic client may have inward-turned eyelashes.
b. An Asian client may have a horizontal palpebrale fissure.
c. An African-American client may have slightly yellow sclerae.
d. A Caucasian client may have a slightly protruding eyeball. C
The nurse is assessing a client and identifies a bruit over the thyroid. This finding is consistent
with which interpretation?
a. Thyroid cyst.
b. Thyroid cancer.
c. Hypothyroidism.
d. Hyperthyroidism. D
A nurse-manager sees a colleague taking drugs from the unit. What action should the nurse-
manager take?
a. Talk to the colleague about what was seen.
b. Report the incident to the immediate supervisor.
4|Page
QUESTIONS AND CORRECT ANSWERS GRADED
A+/ RN H, Exams of Nursing
The nurse is preparing a client for a scheduled surgical procedure. What client statement should
the nurse report to the healthcare provider?
a. Expresses fear about the surgical procedure.
b. Recalls drinking a glass of juice after midnight.
c. Reports a history of hives after eating shellfish.
d. States has a history of post-operative nausea. B
A client is being admitted to the medical unit from the emergency department after having a
chest tube inserted. What equipment should be brought to this client's room?
a. Crash cart.
b. Endotracheal tube.
c. Rubber-tipped clamps.
d. Partial rebreather oxygen mask. C
A male client with a history of chronic back pain that was managed with opiate analgesics calls
the nurse after having back surgery. The client reports that the back pain is finally gone, but
after stopping the pain medication, the client has been having severe diarrhea and painful
muscle cramps. Which assessment information should the nurse obtain next?
a. Did the client receive a prescription for methadone or clonidine?
b. Is the client using a fentanyl patch after stopping the opiate analgesic?
c. Has the client taken any over-the-counter agents for these symptoms?
d. When did the symptoms begin after the last dose of opiate analgesic? D
The nurse is caring for a client who is one day postoperative after a left total knee arthroplasty
(TKA). Which intervention should the nurse include in the plan of care?
a. Progressive leg exercises to obtain 90-degree flexion.
1|Page
,b. Ambulation with full weight-bearing on first postop day.
c. Bed rest for three days with the left knee extended.
d. Immobilization of the left knee to prevent dislocation. A
The nurse is giving discharge instructions to the parents of a newborn with a prescription for
home phototherapy. Which statement by a parent indicates understanding of the
phototherapy?
a. "I need to change the baby's position every four hours."
b. "I should leave the baby under the light all of the time."
c. "I will keep the baby's eyes covered when the baby is under the light."
d. "I should dress the baby in light clothing when the baby is under the light." C
A male client who had abdominal surgery has a nasogastric tube to suction, oxygen per nasal
cannula, and complains of dry mouth. Which action should the nurse implement?
a. Put petroleum jelly on the lips and around the nasogastric tube.
b. Allow the client to drink water and record on the I and O record.
c. Offer the client ice chips and instruct client to spit out the water.
d. Apply a water soluble lubricant to the lips, oral mucosa and nares. D
A client who is one week postoperative after an aortic valve replacement suddenly develops
severe pain in the left leg. On assessment, the nurse determines that the client's leg is pale and
cool, and no pulses are palpable in the left leg. After notifying the healthcare provider, which
action should the nurse take?
a. Elevate the legs and medicate for pain.
b. Apply firm pressure to the femoral artery.
c. Keep the client in bed in the supine position.
d. Encourage the client to exercise the leg. C
Which statement by the community health nurse is most helpful to an adult who is in a crisis
situation?
2|Page
,a. "I will be your primary resource person, and will gather the information you need to get
through this situation."
b. "Based on past coping, I believe you will be able to deal with future problems successfully."
c. "I have a plan of action that I think will help you. Would you like to see if it will work for you?"
d. "You seem to be more tense these days. Would you like to talk about the problem and how
you are dealing with it?" D
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse that the
healthcare provider discontinued the medication because his blood pressure has been normal
for the past three months. Which instruction should the nurse provide?
a. Report any uncomfortable symptoms after stopping the medication.
b. Stop the medication and keep an accurate record of blood pressure.
c. Ask the healthcare provider about tapering the drug dose over the next week.
d. Obtain another antihypertensive prescription to avoid withdrawal symptoms. C
During a client assessment, the client says, "I can't walk very well." Which action should the
nurse implement first?
a. Choose the most successful approach.
b. Identify the problem.
c. Consider alternatives.
d. Predict the likelihood of the outcome. B
Which documentation indicates that the nurse correctly evaluated a pain medication's
effectiveness after administration?
a. reports decrease in pain.
b. complained of pain; PRN pain medication given.
c. smiling while visiting with family members.
d. was talking on the phone 30 minutes after pain medication was given. A
A female client tells the nurse that her home pregnancy test is positive and her last menstrual
period (LMP) was February 14. The client wants to know the expected date of birth (EDB). How
should the nurse respond?
3|Page
, a. September 17.
b. November 21.
c. December 17.
d. October 21. B
Prenatal diagnostic testing is recommended for a couple expecting their first child who have a
family history of congenital disorders. The couple tells the nurse that they are opposed to
abortion for religious reasons. Which concept should the nurse consider when responding to
this couple?
a. Counselling about advantages and disadvantages of termination should be helpful.
b. There is limited value in diagnostic testing if termination of pregnancy is not an option.
c. Diagnostic testing may indicate a fetal problem that could be treated prior to delivery.
d. Many states legally require prenatal testing as a means of protecting the fetus. C
The nurse is inspecting the external eye structures for a client. Which finding is a normal racial
variation?
a. A Hispanic client may have inward-turned eyelashes.
b. An Asian client may have a horizontal palpebrale fissure.
c. An African-American client may have slightly yellow sclerae.
d. A Caucasian client may have a slightly protruding eyeball. C
The nurse is assessing a client and identifies a bruit over the thyroid. This finding is consistent
with which interpretation?
a. Thyroid cyst.
b. Thyroid cancer.
c. Hypothyroidism.
d. Hyperthyroidism. D
A nurse-manager sees a colleague taking drugs from the unit. What action should the nurse-
manager take?
a. Talk to the colleague about what was seen.
b. Report the incident to the immediate supervisor.
4|Page
