HESI LEVEL 1 PRACTICE EXAM

HESI LEVEL 1 PRACTICE EXAM /

COMPLETE QUESTIONS & CORRECT DETAILED ANSWERS (100% Correct)

2025 / 2026.

Quiz____?The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a central line at 54 ml/hr. When initially assessing the client, the nurse notes that the TPN solution has run out and the next TPN solution is not available. What immediate action should the nurse take?

• Infuse normal saline at a keep vein open rate.
• Discontinue the IV and flush the port with heparin.
• Infuse 10% dextrose and water at 54 ml/hour.
• Obtain a stat blood glucose level and notify the healthcare provider. -

Answer✓✓ C Quiz____?A crying toddler has a blood pressure measurement of 120/70 mm Hg.What action should the nurse implement?

• Notify the healthcare provider of the measurement.
• Quiet the child and retake the blood pressure.
• Ask the parent if the child has a history of hypertension.
• Document the finding and recheck in 4 hours. -

Answer✓✓ B Page 1 of 53 1 / 4

Quiz____?The mother of a neonate asks the nurse why it is so important to keep the infant warm. What information should the nurse provide?

• The kidneys and renal function are not fully developed.
• Warmth promotes sleep so the infant will grow quickly.
• A large body surface area favors heat loss to the environment.
• The thick layer of subcutaneous fat is inadequate for insulation. -

Answer✓✓ C Quiz____?What action by the nurse demonstrates culturally sensitive care?

• Asks permission before touching a client.
• Avoids questions about male-female relationships.
• Explains the differences between Western medical care and cultural folk

remedies.

• Applies knowledge of a cultural group unless a client embraces Western

customs. - Answer✓✓ A Quiz____?A client has a nursing diagnosis of, "Spiritual distress related to a loss of hope, secondary to impending death." What intervention is best for the nurse to implement when caring for this client?

• Help the client to accept the final stage of life.
• Assist and support the client in establishing short-term goals.
• Encourage the client to make future plans, even if they are unrealistic.

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• Instruct the client's family to focus on positive aspects of the client's

life. - Answer✓✓ B Quiz____?A client who is 5 foot 5 inches tall and weighs 200 pounds is scheduled for surgery the next day. Which question is most important for the nurse to include during the preoperative assessment?

• "What is your daily calorie consumption?"
• "What vitamin and mineral supplements do you take?"
• "Do you feel that you are overweight?"
• "Will a clear liquid diet be okay after surgery?" -

Answer✓✓ B Quiz____?The nurse working in the emergency department is assessing four clients' ability to tolerate pain. Which client is likely to tolerate a higher level of pain?

• A 10-year-old who was burned by a camp fire earlier today.
• A 70-year-old who has a postoperative infection from a surgery one

week ago.

• A 23-year-old woman who sprained her knee while bicycling.
• A 55-year-old woman who has had moderate low back pain for three

months. - Answer✓✓ D Page 3 of 53 3 / 4

Quiz____?A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now. What action is best for the nurse to take?

• Record the coughing incident. No further action is required at this time.
• Stop the feeding, explain to the family why it is being stopped, and

notify the healthcare provider.

• After clearing the tube with 30 ml of air, check the pH of fluid

withdrawn from the tube.

• Inject 30 ml of air into the tube while auscultating the epigastrium for

gurgling. - Answer✓✓ C Quiz____?In evaluating client care, which action should the nurse take first?

• Determine if the expected outcomes of care were achieved.
• Review the rationales used as the basis of nursing actions.
• Document the care plan goals that were successfully met.
• Prioritize interventions to be added to the client's plan of care. -

Answer✓✓ A Quiz____?A female client asks the nurse to find someone who can translate her treatment concerns into her native language. Which action should the nurse take?Page 4 of 53

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