,HESI Midpoint Exam V2 | Complete 130 Questions & Answers with Rationales | Latest
2026 Study Guide | Guaranteed Pass Prep.
Question 1
A nurse is preparing to administer oral medications to a client who is alert and oriented. Which
action by the nurse best ensures safe medication administration?
A. Ask the client to state their name and date of birth
B. Compare the medication label with the medication administration record (MAR) once
C. Administer all medications at the same time for efficiency
D. Document the medications before giving them
Correct Answer: A
Rationale:
A: Correct — Using two identifiers (name and DOB) is a core safety requirement.
B: Incorrect — Medication must be checked at least three times.
C: Incorrect — Not all meds can be given together safely.
D: Incorrect — Documentation occurs after administration.
Question 2
A nurse is caring for a client with a stage II pressure ulcer on the sacrum. Which intervention is
most appropriate?
A. Apply a dry sterile dressing
B. Cleanse the wound with normal saline and apply a moist dressing
C. Massage the reddened area
D. Leave the wound open to air
Correct Answer: B
Rationale:
A: Incorrect — Dry dressings delay healing.
B: Correct — Moist environment promotes healing in stage II ulcers.
C: Incorrect — Massage can cause tissue damage.
D: Incorrect — Wounds heal better when moist.
Question 3
,A client reports pain at a level of 8 out of 10. What is the nurse’s priority action?
A. Reassess pain in 30 minutes
B. Administer prescribed pain medication
C. Document the pain level
D. Encourage distraction techniques
Correct Answer: B
Rationale:
A: Incorrect — Delay is inappropriate for severe pain.
B: Correct — Immediate intervention is required.
C: Incorrect — Documentation is secondary.
D: Incorrect — Non-pharmacologic methods alone are insufficient.
Question 4
Which action by the nurse best prevents the spread of infection?
A. Wearing gloves for all patient interactions
B. Performing hand hygiene before and after patient contact
C. Using sterile technique for all procedures
D. Wearing a mask at all times
Correct Answer: B
Rationale:
A: Incorrect — Gloves do not replace hand hygiene.
B: Correct — Most effective infection control measure.
C: Incorrect — Sterile technique is not always required.
D: Incorrect — Masks are situation-dependent.
Question 5
A client is admitted with dehydration. Which assessment finding indicates improvement?
A. Heart rate of 110 bpm
B. Dry mucous membranes
C. Urine output of 50 mL/hr
D. Blood pressure of 90/60 mmHg
, Correct Answer: C
Rationale:
A: Incorrect — Tachycardia suggests dehydration.
B: Incorrect — Indicates ongoing dehydration.
C: Correct — Adequate urine output = improved hydration.
D: Incorrect — Hypotension indicates fluid deficit.
Question 6
A nurse is caring for a postoperative client. Which intervention helps prevent deep vein
thrombosis (DVT)?
A. Keeping the client on bed rest
B. Encouraging leg exercises
C. Restricting fluids
D. Applying cold compresses
Correct Answer: B
Rationale:
A: Incorrect — Immobility increases DVT risk.
B: Correct — Promotes circulation.
C: Incorrect — Fluids help prevent clotting.
D: Incorrect — Not effective for prevention.
Question 7
A nurse is assessing a client’s respiratory status. Which finding requires immediate intervention?
A. Respiratory rate of 16 breaths per minute
B. Oxygen saturation of 92%
C. Use of accessory muscles
D. Occasional cough
Correct Answer: C
Rationale:
A: Normal
2026 Study Guide | Guaranteed Pass Prep.
Question 1
A nurse is preparing to administer oral medications to a client who is alert and oriented. Which
action by the nurse best ensures safe medication administration?
A. Ask the client to state their name and date of birth
B. Compare the medication label with the medication administration record (MAR) once
C. Administer all medications at the same time for efficiency
D. Document the medications before giving them
Correct Answer: A
Rationale:
A: Correct — Using two identifiers (name and DOB) is a core safety requirement.
B: Incorrect — Medication must be checked at least three times.
C: Incorrect — Not all meds can be given together safely.
D: Incorrect — Documentation occurs after administration.
Question 2
A nurse is caring for a client with a stage II pressure ulcer on the sacrum. Which intervention is
most appropriate?
A. Apply a dry sterile dressing
B. Cleanse the wound with normal saline and apply a moist dressing
C. Massage the reddened area
D. Leave the wound open to air
Correct Answer: B
Rationale:
A: Incorrect — Dry dressings delay healing.
B: Correct — Moist environment promotes healing in stage II ulcers.
C: Incorrect — Massage can cause tissue damage.
D: Incorrect — Wounds heal better when moist.
Question 3
,A client reports pain at a level of 8 out of 10. What is the nurse’s priority action?
A. Reassess pain in 30 minutes
B. Administer prescribed pain medication
C. Document the pain level
D. Encourage distraction techniques
Correct Answer: B
Rationale:
A: Incorrect — Delay is inappropriate for severe pain.
B: Correct — Immediate intervention is required.
C: Incorrect — Documentation is secondary.
D: Incorrect — Non-pharmacologic methods alone are insufficient.
Question 4
Which action by the nurse best prevents the spread of infection?
A. Wearing gloves for all patient interactions
B. Performing hand hygiene before and after patient contact
C. Using sterile technique for all procedures
D. Wearing a mask at all times
Correct Answer: B
Rationale:
A: Incorrect — Gloves do not replace hand hygiene.
B: Correct — Most effective infection control measure.
C: Incorrect — Sterile technique is not always required.
D: Incorrect — Masks are situation-dependent.
Question 5
A client is admitted with dehydration. Which assessment finding indicates improvement?
A. Heart rate of 110 bpm
B. Dry mucous membranes
C. Urine output of 50 mL/hr
D. Blood pressure of 90/60 mmHg
, Correct Answer: C
Rationale:
A: Incorrect — Tachycardia suggests dehydration.
B: Incorrect — Indicates ongoing dehydration.
C: Correct — Adequate urine output = improved hydration.
D: Incorrect — Hypotension indicates fluid deficit.
Question 6
A nurse is caring for a postoperative client. Which intervention helps prevent deep vein
thrombosis (DVT)?
A. Keeping the client on bed rest
B. Encouraging leg exercises
C. Restricting fluids
D. Applying cold compresses
Correct Answer: B
Rationale:
A: Incorrect — Immobility increases DVT risk.
B: Correct — Promotes circulation.
C: Incorrect — Fluids help prevent clotting.
D: Incorrect — Not effective for prevention.
Question 7
A nurse is assessing a client’s respiratory status. Which finding requires immediate intervention?
A. Respiratory rate of 16 breaths per minute
B. Oxygen saturation of 92%
C. Use of accessory muscles
D. Occasional cough
Correct Answer: C
Rationale:
A: Normal
