2026 HESI Exit Exam V2 | NGN + Maternity
& Pediatrics | Latest Updated Q&A | A+
Nursing Success Guide
The school nurse is screening students for scoliosis and notes that one student has
Lordosis. Which finding should the nurse document in the student screening record?
A. excessive concave curvature of the lumbar spine
A client is admitted to the intensive care unit with diabetes insipidus due to a pituitary
gland tumor. Which potential complication should the nurse monitor closely?
a. Hypokalemia
A nurse is developing an educational program for clients who are being discharged with
new antihypertensive medications. The nurse should ensure that the educational
materials include which characteristics? Select all that apply.
a. Contains a list with definitions of unfamiliar terms
b. Uses common words with few syllables
c. Uses pictures to help illustrate complex ideas
A female client is admitted with end-stage pulmonary disease is alert, oriented, and
complaining of shortness of breath. The client tells the nurse that she wants “no heroic
measures” taken if she stops breathing and asks the nurse to document this in her medical
record. What action should the nurse implement?
a. Ask the client to discuss “do not resuscitate” with her healthcare provider
,The nurse administers an antibiotic to a client with respiratory tract infection. To
evaluate the medication’s effectiveness, which laboratory values should the nurse
monitor? Select all that apply.
a. White blood cells count (WBC)
b. Sputum culture and sensitivity
An adult female client tells the nurse that though she is afraid her abusive boyfriend might
one-day kill her, she keeps hoping that he will change. Which action should the nurse take
first?
a. Explore the client’s readiness to discuss the situation
A male client is admitted for the removal of an internal fixation that was inserted for the
fractured ankle. During the admission history, he tells the nurse he recently received
vancomycin for a methicillin-resistant staphylococcus aureus (MRSA) wound infection. Which
action should the nurse take? Select all that apply.
a. Collect multiple site screening culture for MRSA
b. Place client on contact transmission precautions
c. Continue to monitor client for signs of infection
The nurse plans to collect a 24-hour-urine specimen for a creatinine clearance test. Which
instruction should the nurse provide to the adult male client?
a. Urinate at specific time, discard the urine, and collect all subsequent urine during the next
24 hours
In caring for a client with Cushing’s syndrome, which serum laboratory volume is most
important for the nurse to monitor?
a. Glucose
,The HCP prescribed the antibiotic cephradine 500mg PO every 6 hours for a client
with a post-operative wound infection. Which foods should the nurse encourage this
client to eat?
a. Yogurt and/or buttermilk
A client with rheumatoid arthritis (RA) starts a new prescription of etanercept (Enbrel)
subcutaneously once weekly. The nurse should emphasize the importance of reporting what
problem to the HCP?
a. Persistent fever
An adult male client is admitted to the emergency room following an automobile collision in
which he sustained a head injury. What assessment data would provide the earliest
indication that the client is experiencing increased intracranial pressure (ICP)?
a. Lethargy
A preschool-aged boy is admitted to the pediatric unit following successful resuscitation from
a near-drowning incident. While providing care to the child, the nurse begins talking with his
pre-adolescent brother who rescued the child from the swimming pool and initiated
resuscitation. The nurse notices the older boy becomes withdrawn when asked about what
happened. What action should the nurse take?
a. Ask the older brother how he felt during the incident
00:02
01:18
1. A client with the prescription for “do not resuscitate” (DNR) begins to manifest signs of
impending death. After notifying the family of the client’s status, what priority action should
the nurse implement?
a. The client’s need for pain medication should be determined
, What is the priority nursing action when initiating morphine therapy via an intravenous
patient-controlled analgesia (PCA) pump?
a. Initiate the dosage lockout mechanism on the PCA pump
A young adult male who is being seen at the employee health care clinic for an annual
assessment tells the nurse that his mother was diagnosed with schizophrenia when she was
his age and that life with a schizophrenic mother was difficult. Which response is best for the
nurse to provide?
a. Ask the client if he is worried about becoming schizophrenic at the age his mother was
diagnosed
A client with cirrhosis of the liver is admitted with complications related to end-stage liver
disease. Which intervention should the nurse implement? Select all that apply.
a. Monitor abdominal girth
b. Report serum albumin and globulin levels
c. Note signs of swelling and edema
Which instruction is most important for the nurse to provide a client who is being discharged
following treatment for Guillain-Barre syndrome?
a. Avoid exposure to respiratory infections
An adult male is admitted to the emergency department after falling from a ladder. While
waiting to have a computed tomography (CT) scan, he requests something for a severe
headache. When the nurse offers him a prescribed dose of acetaminophen, he asks for
something stronger. Which intervention should the nurse implement?
a. Explain the reason for using non-narcotics
& Pediatrics | Latest Updated Q&A | A+
Nursing Success Guide
The school nurse is screening students for scoliosis and notes that one student has
Lordosis. Which finding should the nurse document in the student screening record?
A. excessive concave curvature of the lumbar spine
A client is admitted to the intensive care unit with diabetes insipidus due to a pituitary
gland tumor. Which potential complication should the nurse monitor closely?
a. Hypokalemia
A nurse is developing an educational program for clients who are being discharged with
new antihypertensive medications. The nurse should ensure that the educational
materials include which characteristics? Select all that apply.
a. Contains a list with definitions of unfamiliar terms
b. Uses common words with few syllables
c. Uses pictures to help illustrate complex ideas
A female client is admitted with end-stage pulmonary disease is alert, oriented, and
complaining of shortness of breath. The client tells the nurse that she wants “no heroic
measures” taken if she stops breathing and asks the nurse to document this in her medical
record. What action should the nurse implement?
a. Ask the client to discuss “do not resuscitate” with her healthcare provider
,The nurse administers an antibiotic to a client with respiratory tract infection. To
evaluate the medication’s effectiveness, which laboratory values should the nurse
monitor? Select all that apply.
a. White blood cells count (WBC)
b. Sputum culture and sensitivity
An adult female client tells the nurse that though she is afraid her abusive boyfriend might
one-day kill her, she keeps hoping that he will change. Which action should the nurse take
first?
a. Explore the client’s readiness to discuss the situation
A male client is admitted for the removal of an internal fixation that was inserted for the
fractured ankle. During the admission history, he tells the nurse he recently received
vancomycin for a methicillin-resistant staphylococcus aureus (MRSA) wound infection. Which
action should the nurse take? Select all that apply.
a. Collect multiple site screening culture for MRSA
b. Place client on contact transmission precautions
c. Continue to monitor client for signs of infection
The nurse plans to collect a 24-hour-urine specimen for a creatinine clearance test. Which
instruction should the nurse provide to the adult male client?
a. Urinate at specific time, discard the urine, and collect all subsequent urine during the next
24 hours
In caring for a client with Cushing’s syndrome, which serum laboratory volume is most
important for the nurse to monitor?
a. Glucose
,The HCP prescribed the antibiotic cephradine 500mg PO every 6 hours for a client
with a post-operative wound infection. Which foods should the nurse encourage this
client to eat?
a. Yogurt and/or buttermilk
A client with rheumatoid arthritis (RA) starts a new prescription of etanercept (Enbrel)
subcutaneously once weekly. The nurse should emphasize the importance of reporting what
problem to the HCP?
a. Persistent fever
An adult male client is admitted to the emergency room following an automobile collision in
which he sustained a head injury. What assessment data would provide the earliest
indication that the client is experiencing increased intracranial pressure (ICP)?
a. Lethargy
A preschool-aged boy is admitted to the pediatric unit following successful resuscitation from
a near-drowning incident. While providing care to the child, the nurse begins talking with his
pre-adolescent brother who rescued the child from the swimming pool and initiated
resuscitation. The nurse notices the older boy becomes withdrawn when asked about what
happened. What action should the nurse take?
a. Ask the older brother how he felt during the incident
00:02
01:18
1. A client with the prescription for “do not resuscitate” (DNR) begins to manifest signs of
impending death. After notifying the family of the client’s status, what priority action should
the nurse implement?
a. The client’s need for pain medication should be determined
, What is the priority nursing action when initiating morphine therapy via an intravenous
patient-controlled analgesia (PCA) pump?
a. Initiate the dosage lockout mechanism on the PCA pump
A young adult male who is being seen at the employee health care clinic for an annual
assessment tells the nurse that his mother was diagnosed with schizophrenia when she was
his age and that life with a schizophrenic mother was difficult. Which response is best for the
nurse to provide?
a. Ask the client if he is worried about becoming schizophrenic at the age his mother was
diagnosed
A client with cirrhosis of the liver is admitted with complications related to end-stage liver
disease. Which intervention should the nurse implement? Select all that apply.
a. Monitor abdominal girth
b. Report serum albumin and globulin levels
c. Note signs of swelling and edema
Which instruction is most important for the nurse to provide a client who is being discharged
following treatment for Guillain-Barre syndrome?
a. Avoid exposure to respiratory infections
An adult male is admitted to the emergency department after falling from a ladder. While
waiting to have a computed tomography (CT) scan, he requests something for a severe
headache. When the nurse offers him a prescribed dose of acetaminophen, he asks for
something stronger. Which intervention should the nurse implement?
a. Explain the reason for using non-narcotics
