HESI RN REAL EXAM QUESTIONS AND CORRECT ANSWERS FOR
2025 UPDATE. PASS GUARANTEE. GRADE A+
QUESTION: 1) The nurse instructs a client in use of a incentive spirometer. The client performs a return
demonstration as seen in the video. Which action should the nurse take in response to the return
demonstration?
A. Auscultate the client's lungs for adventitious sounds
B. Encourage the client to practice until successful
C. Emphasize the need to inhale slowly into the spirometer
D. Remind the client to cough after using the spirometer - ANSWER-C: Emphasize the need to inhale
slowly into the spirometer
QUESTION: 2) A male client who is participating in an anger management assignment asks if he can
make a leather belt in occupational therapy. The client begins pounding the leather vigorously with a
mallet to imprint designs on the belt. What defense mechanism is the client using?
a.)Sublimation.
b.)Suppression.
c.)Regression.
d.)Compensation - ANSWER-A) sublimation
,QUESTION: 3) During a home visit, the nurse notes that a female client with degenerative joint disease is
taking 3 grams of aspirin PO daily. The client complains of tinnitus, and seems confused. Which
intervention should the nurse implement?
A) Prepare a written schedule to remind the client when to take each dose of aspirin.
B) Observe the client place each dose in the correct boxes of her pill container.
C) Contact the client's healthcare provider to report the assessment findings.
D)Ask a family member to ensure that the client takes the medication as prescribed. - ANSWER-C)
Contact the clients healthcare provider
QUESTION: 4) The nurse is caring for a client with the sexually transmitted infection (STI) chlamydia. The
client reports having sex with someone who had many partners. Which response should the nurse
provide? - ANSWER-Provide comfort kind of answer
QUESTION: 5) An older client's daughter calls the home health nurse and reports that her mother has
become forgetful and is very confused at night. The daughter stated that her mother's behavior changed
suddenly a few days ago and is now getting worse. Which actions should the nurse take?
A. Encourage increased intake of high protein foods
B. Instruct the daughter to check her mother's temperature
C. Review the client's current food and medication allergies
D. Ask if the mother is experiencing any pain with urination
E. Determine if the mother has recently experienced a fall. - ANSWER-B) Check temp
D) painful urination
E) determine if the mother had a fall
,QUESTION: 6) The nurse is auscultating a client's lung sounds. Which description should the nurse use to
document this sound?
A. Stridor
B. Low pitched or coarse crackles
C. High pitched or fine crackles
D. High pitched wheeze - ANSWER-C) High pitched or fine crackles
QUESTION: 7) A new nurse preparing to irrigate an intravenous catheter is attaching a 24-gauge needle.
Which action should the charge nurse implement?
A. Suggest the nurse use a 20-gauge needle
B. Instruct the nurse to remove the needle
C. Direct the nurse to change the IV tubing
D. Prompt the nurse to apply povidone to the site - ANSWER-Get a bigger sized cateher
QUESTION: 8) A client is receiving lactulose (Portalac) for signs of hepatic encephalopathy. To evaluate
the client's therapeutic response to this medication, which assessment should the nurse obtain?
a. Level of consciousness
b. Percussion of abdomen
c. Serum electrolytes
d. Blood glucose. - ANSWER-A) Level of consciousness
, QUESTION: What is the priority nursing action when initiating morphine therapy via an intravenous
patient-controlled analgesia (PCA) pump?
a. Assess the client's ability to use a numeric pain scale
b. Initiate the dosage lockout mechanism on the PCA pump
c. Instruct the client to use the medication before the pain become severed. dAssess the abdomen for
bowel sounds - ANSWER-b. Initiate the dosage lockout mechanism on the PCA pump
QUESTION: Six-year-old refuses to use spirometor what should be implemented - ANSWER-Encouraged
laugh, blowout lights, and blow bubbles
QUESTION: A female nurse who took drugs from the unit for personal use was temporarily released
from duty. After completion of mandatory counseling, the nurse has asked administration to allow her to
return to work. When the nurse administrator approaches the charge nurse with the impaired nurse
request, which action is best for the charge nurse to take?
a. Since treatment is completed, assign the nurse to the route RN responsibilities
b. Ask to meet with impaired nurse's therapist before allowing her back on the unit.
c. Allow the impaired nurse to return to work and monitor medication administration
d. Meet with staff to assess their feelings about the impaired nurse's return to the unit. - ANSWER-c.
Allow the impaired nurse to return to work and monitor medication administration
QUESTION: While removing staples from a male client's postoperative wound site, the nurse observes
that the client's eyes are closed and his face and hands are clenched. The client states, "I just hate having
2025 UPDATE. PASS GUARANTEE. GRADE A+
QUESTION: 1) The nurse instructs a client in use of a incentive spirometer. The client performs a return
demonstration as seen in the video. Which action should the nurse take in response to the return
demonstration?
A. Auscultate the client's lungs for adventitious sounds
B. Encourage the client to practice until successful
C. Emphasize the need to inhale slowly into the spirometer
D. Remind the client to cough after using the spirometer - ANSWER-C: Emphasize the need to inhale
slowly into the spirometer
QUESTION: 2) A male client who is participating in an anger management assignment asks if he can
make a leather belt in occupational therapy. The client begins pounding the leather vigorously with a
mallet to imprint designs on the belt. What defense mechanism is the client using?
a.)Sublimation.
b.)Suppression.
c.)Regression.
d.)Compensation - ANSWER-A) sublimation
,QUESTION: 3) During a home visit, the nurse notes that a female client with degenerative joint disease is
taking 3 grams of aspirin PO daily. The client complains of tinnitus, and seems confused. Which
intervention should the nurse implement?
A) Prepare a written schedule to remind the client when to take each dose of aspirin.
B) Observe the client place each dose in the correct boxes of her pill container.
C) Contact the client's healthcare provider to report the assessment findings.
D)Ask a family member to ensure that the client takes the medication as prescribed. - ANSWER-C)
Contact the clients healthcare provider
QUESTION: 4) The nurse is caring for a client with the sexually transmitted infection (STI) chlamydia. The
client reports having sex with someone who had many partners. Which response should the nurse
provide? - ANSWER-Provide comfort kind of answer
QUESTION: 5) An older client's daughter calls the home health nurse and reports that her mother has
become forgetful and is very confused at night. The daughter stated that her mother's behavior changed
suddenly a few days ago and is now getting worse. Which actions should the nurse take?
A. Encourage increased intake of high protein foods
B. Instruct the daughter to check her mother's temperature
C. Review the client's current food and medication allergies
D. Ask if the mother is experiencing any pain with urination
E. Determine if the mother has recently experienced a fall. - ANSWER-B) Check temp
D) painful urination
E) determine if the mother had a fall
,QUESTION: 6) The nurse is auscultating a client's lung sounds. Which description should the nurse use to
document this sound?
A. Stridor
B. Low pitched or coarse crackles
C. High pitched or fine crackles
D. High pitched wheeze - ANSWER-C) High pitched or fine crackles
QUESTION: 7) A new nurse preparing to irrigate an intravenous catheter is attaching a 24-gauge needle.
Which action should the charge nurse implement?
A. Suggest the nurse use a 20-gauge needle
B. Instruct the nurse to remove the needle
C. Direct the nurse to change the IV tubing
D. Prompt the nurse to apply povidone to the site - ANSWER-Get a bigger sized cateher
QUESTION: 8) A client is receiving lactulose (Portalac) for signs of hepatic encephalopathy. To evaluate
the client's therapeutic response to this medication, which assessment should the nurse obtain?
a. Level of consciousness
b. Percussion of abdomen
c. Serum electrolytes
d. Blood glucose. - ANSWER-A) Level of consciousness
, QUESTION: What is the priority nursing action when initiating morphine therapy via an intravenous
patient-controlled analgesia (PCA) pump?
a. Assess the client's ability to use a numeric pain scale
b. Initiate the dosage lockout mechanism on the PCA pump
c. Instruct the client to use the medication before the pain become severed. dAssess the abdomen for
bowel sounds - ANSWER-b. Initiate the dosage lockout mechanism on the PCA pump
QUESTION: Six-year-old refuses to use spirometor what should be implemented - ANSWER-Encouraged
laugh, blowout lights, and blow bubbles
QUESTION: A female nurse who took drugs from the unit for personal use was temporarily released
from duty. After completion of mandatory counseling, the nurse has asked administration to allow her to
return to work. When the nurse administrator approaches the charge nurse with the impaired nurse
request, which action is best for the charge nurse to take?
a. Since treatment is completed, assign the nurse to the route RN responsibilities
b. Ask to meet with impaired nurse's therapist before allowing her back on the unit.
c. Allow the impaired nurse to return to work and monitor medication administration
d. Meet with staff to assess their feelings about the impaired nurse's return to the unit. - ANSWER-c.
Allow the impaired nurse to return to work and monitor medication administration
QUESTION: While removing staples from a male client's postoperative wound site, the nurse observes
that the client's eyes are closed and his face and hands are clenched. The client states, "I just hate having
