Hesi Exam 2026 Questions and Answers
1. A client with type 1 diabetes mellitus has a finger stick glucose level of 258
mg/dL at bedtime. A prescription for sliding scale regular insulin (Novolin R)
exists. What should the nurse do? - Correct answer-administer the insulin as
prescribed
2. The health care provider prescribes daily fasting blood glucose levels for a client
with diabetes mellitus. The goal of treatment is that the client will have glucose
levels within the range of - Correct answer-70 -105mg/dl of blood
3. A client takes isosorbide dinitrate (Isordil) daily. The client states, "I would like
to start taking sildenafil (Viagra) for erectile dysfunction. I was told I can't take
sildenafil and isosorbide dinitrate at the same time." The nurse explains that taking
both of these medications concurrently may result in severe: - Correct answer-
hypotension
4. An 8-year-old child is being given insulin glargine (Lantus) before breakfast.
What is the most appropriate information for the nurse to give the parents
concerning a bedtime snack? - Correct answer-offer a snack to prevent
hypoglycemia during the night
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, 5. A client with type 2 diabetes is admitted for elective surgery. The health care
provider prescribes regular insulin even though oral antidiabetics were adequate
before the client's hospitalization. The nurse concludes that regular insulin is
needed because the: - Correct answer-dosage can be adjusted to changeing needs
during recovery from surgery
6. A client with tuberculosis asks the nurse why vitamin B6 (pyridoxine) is given
with isoniazid (INH). What explanation should the nurse provide? - Correct
answer-Isoniazid interferes with the sysnthesis of this vitamin
7. A client follows a vegetarian diet and must compensate for the lack of vitamin
B12 found in food of animal origin. Which food should the nurse encourage the
client to consume each day? - Correct answer-one glass of soy milk
8. A nurse administers trimethoprim-sulfamethoxazole (Bactrim) to a client
diagnosed with a urinary tract infection. What should the nurse monitor to
determine the therapeutic effectiveness of the drug? - Correct answer-white blood
cell (WBC) count
9. A 13-year-old-child with type 1 diabetes is receiving 15 units of Novolin R
insulin and 20 units of Novolin N insulin at 7 am each day. At what time should the
nurse anticipate a hypoglycemic reaction from the Novolin N to occur? - Correct
answer-in the afternoon
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
1. A client with type 1 diabetes mellitus has a finger stick glucose level of 258
mg/dL at bedtime. A prescription for sliding scale regular insulin (Novolin R)
exists. What should the nurse do? - Correct answer-administer the insulin as
prescribed
2. The health care provider prescribes daily fasting blood glucose levels for a client
with diabetes mellitus. The goal of treatment is that the client will have glucose
levels within the range of - Correct answer-70 -105mg/dl of blood
3. A client takes isosorbide dinitrate (Isordil) daily. The client states, "I would like
to start taking sildenafil (Viagra) for erectile dysfunction. I was told I can't take
sildenafil and isosorbide dinitrate at the same time." The nurse explains that taking
both of these medications concurrently may result in severe: - Correct answer-
hypotension
4. An 8-year-old child is being given insulin glargine (Lantus) before breakfast.
What is the most appropriate information for the nurse to give the parents
concerning a bedtime snack? - Correct answer-offer a snack to prevent
hypoglycemia during the night
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, 5. A client with type 2 diabetes is admitted for elective surgery. The health care
provider prescribes regular insulin even though oral antidiabetics were adequate
before the client's hospitalization. The nurse concludes that regular insulin is
needed because the: - Correct answer-dosage can be adjusted to changeing needs
during recovery from surgery
6. A client with tuberculosis asks the nurse why vitamin B6 (pyridoxine) is given
with isoniazid (INH). What explanation should the nurse provide? - Correct
answer-Isoniazid interferes with the sysnthesis of this vitamin
7. A client follows a vegetarian diet and must compensate for the lack of vitamin
B12 found in food of animal origin. Which food should the nurse encourage the
client to consume each day? - Correct answer-one glass of soy milk
8. A nurse administers trimethoprim-sulfamethoxazole (Bactrim) to a client
diagnosed with a urinary tract infection. What should the nurse monitor to
determine the therapeutic effectiveness of the drug? - Correct answer-white blood
cell (WBC) count
9. A 13-year-old-child with type 1 diabetes is receiving 15 units of Novolin R
insulin and 20 units of Novolin N insulin at 7 am each day. At what time should the
nurse anticipate a hypoglycemic reaction from the Novolin N to occur? - Correct
answer-in the afternoon
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2