WGU D444 HESI PN\RN COMPREHENSIVE TEST BANK
FINAL EXAM 2026 ACTUAL REAL HESI PN\RN FINAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS|| VERIFIED QUESTIONS AND
CORRECT ANSWERS| LATEST VERSION A,B,C&D||
ASSURED PASS ||BRAND NEW !! 2026-2027
The nurse is auscultating a client's heart sounds. Which description
should the nurse use to document this sound? (Please listen to the
audio first to select the option that applies)
a. S1 S2
b. S1 S2 S3
c. Murmur
d. Pericardial friction rub.
c. Murmur
The nurse notes that a client has been receiving hydromorphone
(Dilaudid) every six hours for four days. What assessment is most
important for the nurse to complete?
a. Auscultate the client's bowel sounds
b. Observe for edema around the ankles
c. Measure the client's capillary glucose level
d. Count the apical and radial pulses simultaneously
a. Auscultate the client's bowel sounds
,A client is receiving a full strength continuous enteral tube feeding at
50 ml/hour and has developed diarrhea. The client has a new
prescription to change the feeding to half strength. What intervention
should the nurse implement?
a. Add equal amounts of water and feeding to a feeding bag and infuse
at 50ml/hour
b. Continue the full strength feeding after decreasing the rate of
infusion to 25 ml/hr.
c. Maintain the present feeding until diarrhea subsides and the begin
the next new prescription.
d. Withhold any further feeding until clarifying the prescription with
healthcare provides.
a. Add equal amounts of water and feeding to a feeding bag and infuse
at 50ml/hour
A female client reports that her hair is becoming coarse and breaking
off, that the outer part of her eyebrows have disappeared, and that her
eyes are all puffy. Which follow-up question is best for the nurse to ask?
a. "Is there a history of female baldness in your family?"
b. "Are you under any unusual stress at home or work?"
c. "Do you work with hazardous chemicals?"
d. "Have you noticed any changes in your fingernails?"
d. "Have you noticed any changes in your fingernails?"
,After a third hospitalization 6 months ago, a client is admitted to the
hospital with ascites and malnutrition. The client is drowsy but
responding to verbal stimuli and reports recently spitting up blood.
What assessment finding warrants immediate intervention by the nurse?
a. Bruises on arms and legs
b. Round and tight abdomen
c. Pitting edema in lower legs
d. Capillary refill of 8 seconds
d. Capillary refill of 8 seconds
Following surgery, a male client with antisocial personality disorder
frequently requests that a specific nurse be assigned to his care and is
belligerent when another nurse is assigned. What action should the
charge nurse implement?
a. Ask the client to explain why he constantly request the nurse
b. Encourage the client to verbalize his feelings about the nurse
c. Reassure the client that his request will be met whenever possible.
d. Advise the client that assignments are not based on client requests
d. Advise the client that assignments are not based on client requests
A client with cervical cancer is hospitalized for insertion of a sealed
internal cervical radiation implant. While providing care, the nurse finds
the radiation implant in the bed. What action should the nurse take?
a. Call the radiology department
b. Reinsert the implant into the vagina
c. Apply double gloves to retrieve the implant for disposal.
d. Place the implant in a lead container using long-handled forceps
d. Place the implant in a lead container using long-handled forceps
, The client with which type of wound is most likely to need immediate
intervention by the nurse?
a. Laceration
b. Abrasion
c. Contusion
d. Ulceration
a. Laceration
The nurse is planning care for a client admitted with a diagnosis of
pheochromocytoma. Which intervention has the highest priority for
inclusion in this client's plan of care?
a. Record urine output every hour
b. Monitor blood pressure frequently
c. Evaluate neurological status
d. Maintain seizure precautions
b. Monitor blood pressure frequently
When caring for a client who has acute respiratory distress syndrome
(ARDS), the nurse elevates the head of the bed 30 degrees. What is the
reason for this intervention?
a. To reduce abdominal pressure on the diaphragm
b. to promote retraction of the intercostal accessory muscle of
respiration
c. to promote bronchodilation and effective airway clearance
d. to decrease pressure on the medullary center which stimulates
breathing
a. To reduce abdominal pressure on the diaphragm
FINAL EXAM 2026 ACTUAL REAL HESI PN\RN FINAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS|| VERIFIED QUESTIONS AND
CORRECT ANSWERS| LATEST VERSION A,B,C&D||
ASSURED PASS ||BRAND NEW !! 2026-2027
The nurse is auscultating a client's heart sounds. Which description
should the nurse use to document this sound? (Please listen to the
audio first to select the option that applies)
a. S1 S2
b. S1 S2 S3
c. Murmur
d. Pericardial friction rub.
c. Murmur
The nurse notes that a client has been receiving hydromorphone
(Dilaudid) every six hours for four days. What assessment is most
important for the nurse to complete?
a. Auscultate the client's bowel sounds
b. Observe for edema around the ankles
c. Measure the client's capillary glucose level
d. Count the apical and radial pulses simultaneously
a. Auscultate the client's bowel sounds
,A client is receiving a full strength continuous enteral tube feeding at
50 ml/hour and has developed diarrhea. The client has a new
prescription to change the feeding to half strength. What intervention
should the nurse implement?
a. Add equal amounts of water and feeding to a feeding bag and infuse
at 50ml/hour
b. Continue the full strength feeding after decreasing the rate of
infusion to 25 ml/hr.
c. Maintain the present feeding until diarrhea subsides and the begin
the next new prescription.
d. Withhold any further feeding until clarifying the prescription with
healthcare provides.
a. Add equal amounts of water and feeding to a feeding bag and infuse
at 50ml/hour
A female client reports that her hair is becoming coarse and breaking
off, that the outer part of her eyebrows have disappeared, and that her
eyes are all puffy. Which follow-up question is best for the nurse to ask?
a. "Is there a history of female baldness in your family?"
b. "Are you under any unusual stress at home or work?"
c. "Do you work with hazardous chemicals?"
d. "Have you noticed any changes in your fingernails?"
d. "Have you noticed any changes in your fingernails?"
,After a third hospitalization 6 months ago, a client is admitted to the
hospital with ascites and malnutrition. The client is drowsy but
responding to verbal stimuli and reports recently spitting up blood.
What assessment finding warrants immediate intervention by the nurse?
a. Bruises on arms and legs
b. Round and tight abdomen
c. Pitting edema in lower legs
d. Capillary refill of 8 seconds
d. Capillary refill of 8 seconds
Following surgery, a male client with antisocial personality disorder
frequently requests that a specific nurse be assigned to his care and is
belligerent when another nurse is assigned. What action should the
charge nurse implement?
a. Ask the client to explain why he constantly request the nurse
b. Encourage the client to verbalize his feelings about the nurse
c. Reassure the client that his request will be met whenever possible.
d. Advise the client that assignments are not based on client requests
d. Advise the client that assignments are not based on client requests
A client with cervical cancer is hospitalized for insertion of a sealed
internal cervical radiation implant. While providing care, the nurse finds
the radiation implant in the bed. What action should the nurse take?
a. Call the radiology department
b. Reinsert the implant into the vagina
c. Apply double gloves to retrieve the implant for disposal.
d. Place the implant in a lead container using long-handled forceps
d. Place the implant in a lead container using long-handled forceps
, The client with which type of wound is most likely to need immediate
intervention by the nurse?
a. Laceration
b. Abrasion
c. Contusion
d. Ulceration
a. Laceration
The nurse is planning care for a client admitted with a diagnosis of
pheochromocytoma. Which intervention has the highest priority for
inclusion in this client's plan of care?
a. Record urine output every hour
b. Monitor blood pressure frequently
c. Evaluate neurological status
d. Maintain seizure precautions
b. Monitor blood pressure frequently
When caring for a client who has acute respiratory distress syndrome
(ARDS), the nurse elevates the head of the bed 30 degrees. What is the
reason for this intervention?
a. To reduce abdominal pressure on the diaphragm
b. to promote retraction of the intercostal accessory muscle of
respiration
c. to promote bronchodilation and effective airway clearance
d. to decrease pressure on the medullary center which stimulates
breathing
a. To reduce abdominal pressure on the diaphragm
