2025 HESI Assessment Exam Practice: 100 Comprehensive Review with High-Yield Questions, Rationales, and Test-Taking Strategies for Guaranteed Success

• Comprehensive review for HESI Assessment Exam 2025
• Includes 100 high-yield questions with rationales
• Test-taking strategies for guaranteed success
• Designed for nursing students to master key concepts
• Boosts confidence and exam readiness

Preview

1. Cushing Syndrome Clinical Manifestations
Question: A client is admitted with a diagnosis of Cushing syndrome. Which clinical
manifestations should the nurse expect the client to exhibit? Select all that apply. Choices:
1.
Polyuria
2.
3.
4.
5.
Weakness ✅
Hypertension ✅
Truncal obesity ✅
Intermittent tonic spasms Rationale:
• Weakness, hypertension, and truncal obesity are classic signs of Cushing syndrome
due to excess corticosteroids.
• Polyuria and tonic spasms are not typical.
2. Conservation Exercises in a 6-Year-Old
Question: Which conservation exercises should the nurse include in the assessment
process of a child who is 6 years of age? Select all that apply. Choices:
1.
2.
3.
4.
5.
Comparing the mass of two balls ✅
Comparing the weight of two balls
Comparing the length of pencils ✅
Comparing the volume in two cups
Comparing the number of marbles ✅ Rationale:
• Conservation tasks involving mass, number, and length are developmentally
appropriate for a 6-year-old, according to Piaget’s concrete operational stage.
3. Client Unable to Cope with Divorce
Question: A nurse completes the assessment of a female client who cannot function
because of an impending divorce. What is the most effective nursing intervention at this
t
ime?
Answer: 2. Assisting her in exploring new coping abilities ✅ Rationale:
• Encouraging new coping strategies helps the client actively manage emotional
distress. Other options focus too much on analysis rather than action.
4. Heart Sounds – Audio Clue
Question: Listening to a client’s heart sounds, the nurse hears a characteristic sound.
What should the nurse document? Answer: 4. Pericardial friction rubs ✅ Rationale:
• A pericardial friction rub produces a high-pitched, scratchy sound associated with
pericarditis.