Fall 2026 Nurs 4111 HESI V2

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Sample questions from Fall 2026 Nurs 4111 HESI V2

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

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

   • A.A 59-year-old client awaiting discharge teaching after an uncomplicated laparoscopic procedure
   • B.A 45-year-old client requesting pain medication for incisional pain rated 7/10, with stable vital signs
   • C.A 72-year-old client with diabetes whose prebreakfast glucose is 240 mg/dL and who has no symptoms
   • D.A 68-year-old client with pneumonia whose oxygen saturation has decreased from 95% to 88% on 2 L/min by nasal cannula

   Rationale: The decrease in oxygen saturation despite supplemental oxygen signals impaired oxygenation and requires immediate assessment. The client reporting pain needs timely treatment, but stable vital signs make this a lower priority. Hyperglycemia without symptoms requires follow-up but is not the most urgent finding. Discharge teaching can wait until clients with immediate physiologic needs are assessed.

2. 2.In a community clinic, a 16-year-old client asks to speak privately about contraception and says, "Please do not tell my parent." The client is alert and reports no abuse or immediate danger. What is the nurse's best response?

   • A.Tell the client that a parent must be present before any reproductive health discussion can occur
   • B.Explain that confidentiality will be maintained within applicable laws and clinic policy, then discuss the client's options
   • C.Ask the parent to leave and then document that the client is legally emancipated
   • D.Promise that no information will ever be shared with anyone, regardless of what the client discloses

   Rationale: The nurse should explain the limits of confidentiality and follow state law and clinic policy regarding confidential adolescent services. Requiring a parent for every discussion may improperly restrict access to care. An absolute promise is unsafe because disclosures involving abuse, danger, or other legally reportable circumstances may require action. Asking the parent to leave may support privacy, but it does not establish emancipation or determine consent rules.

3. 3.In a long-term care facility, an 82-year-old resident with dementia has an unsteady gait and needs help with toileting. The registered nurse is assigning care to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which tasks are appropriate to delegate to the UAP? Select all that apply.

   • A.Report a new episode of dizziness immediately to the registered nurse
   • B.Obtain and record the resident's routine morning weight
   • C.Teach the resident's family how to use the facility's transfer belt
   • D.Assist the resident with toileting using the established transfer technique
   • E.Assess the resident's gait and determine whether the current fall-prevention plan is effective

   Rationale: Assisting with toileting using an established technique and obtaining a routine weight are predictable tasks that can be delegated to a trained UAP. Assessing gait and evaluating the care plan require nursing judgment and remain the registered nurse's responsibility. Teaching the family requires assessment of learning needs and evaluation of understanding, so it should be performed by a licensed nurse. The UAP should promptly report new dizziness; recognizing and communicating a change is appropriate, while interpreting it remains the nurse's responsibility.

4. 4.A provider prescribes an IV medication for a 34-year-old client in the emergency department. The client says, "I do not understand why I need this medication," and declines to sign the consent form. What should the nurse do?

   • A.Pause the medication process and notify the provider that the client needs further explanation
   • B.Administer the medication because the provider's prescription serves as consent
   • C.Ask a family member to sign the consent because treatment is time-sensitive
   • D.Explain the medication's risks and benefits, then ask the client to sign

   Answer and rationale are in the full material.

5. 5.Refer to the client's chart. Which actions should the nurse take now for this 71-year-old client on a medical unit? Select all that apply.

   • A.Reassess the client's respiratory status and vital signs after immediate interventions
   • B.Stay with the client and initiate the facility's rapid response process
   • C.Apply oxygen according to the emergency protocol and the client's needs
   • D.Wait for the next scheduled assessment because the client is already receiving oxygen
   • E.Ask the UAP to obtain a routine weight before the nurse intervenes

   Answer and rationale are in the full material.