HESI 2026 November

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Sample questions from HESI 2026 November

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical unit, report is received on four clients. Which client should the nurse assess first?

   • A.A client awaiting discharge who needs instructions about a new prescription
   • B.A client 2 hours after thyroidectomy who is restless and has audible inspiratory stridor
   • C.A client with chronic heart failure who has 2+ ankle edema and is due for a daily weight
   • D.A client with diabetes whose premeal glucose is 238 mg/dL (13.2 mmol/L)

   Rationale: Inspiratory stridor after thyroidectomy suggests airway obstruction from swelling or bleeding and requires immediate assessment and intervention. The other findings need follow-up but do not indicate an immediate threat to life. Prioritize airway compromise over stable or expected concerns.

2. 2.In a long-term care facility, which action by the nurse is appropriate when delegating care to an experienced nursing assistant?

   • A.Ask the assistant to assess a resident's new onset of confusion
   • B.Ask the assistant to evaluate the effect of a PRN analgesic
   • C.Ask the assistant to obtain routine vital signs for a stable resident
   • D.Ask the assistant to teach a resident how to use a walker

   Rationale: Obtaining routine vital signs for a stable resident is a predictable task that can be delegated to trained assistive personnel. Assessment, evaluation, and teaching require nursing judgment and remain the registered nurse's responsibility. The nurse must communicate parameters for reporting abnormal results.

3. 3.Refer to the client's chart. Which actions should the nurse take now for the client with worsening respiratory findings? Select all that apply.

   • A.Wait until the next scheduled vital-sign round to reassess
   • B.Notify the rapid response team about the worsening respiratory status
   • C.Encourage the client to ambulate in the hallway
   • D.Reassess respiratory effort and oxygen saturation after interventions
   • E.Raise the head of the bed and apply oxygen as prescribed

   Rationale: The rising respiratory rate, falling oxygen saturation, and new restlessness in the chart indicate acute deterioration; positioning, prescribed oxygen, escalation, and prompt reassessment are appropriate. Ambulation increases oxygen demand in an unstable client. Delaying reassessment risks missing further deterioration.

4. 4.A client with heart failure tells the nurse, "I cannot afford all my medications." Which action best addresses this barrier to care?

   • A.Document refusal and end the discussion
   • B.Tell the client that all prescribed medications are essential and must be purchased
   • C.Suggest the client take half doses to make the supply last longer
   • D.Ask which medications are difficult to afford and collaborate with the case manager on assistance options

   Answer and rationale are in the full material.

5. 5.A client with chronic kidney disease is scheduled for a procedure requiring iodinated contrast. The nurse notes a creatinine of 2.8 mg/dL (reference range 0.6-1.2 mg/dL). What should the nurse do?

   • A.Notify the provider and verify the contrast plan before the procedure
   • B.Encourage the client to take an extra dose of a prescribed diuretic
   • C.Proceed because the creatinine is expected in all adults
   • D.Restrict fluids until after the procedure

   Answer and rationale are in the full material.