INET HESI RN EXIT EXAM STUDY GUIDE V2
2026 FULL QUESTIONS AND ANSWERS
GRADED A+
◉ Which nonverbal action should the nurse implement to
demonstrate active listening?
A.
Sit facing the client.
B.
Cross arms and legs.
C.
Avoid eye contact.
D.
Lean back in the chair. Answer: A
Rationale: Active listening is conveyed using attentive verbal and
nonverbal communication techniques. To facilitate therapeutic
communication and attentiveness, the nurse should sit facing the
client, which lets the client know that the nurse is there to listen.
Active listening skills include postures that are open to the client,
such as keeping the arms open and relaxed, not option B, and
leaning toward the client, not option D. To communicate
involvement and willingness to listen to the client, eye contact
should be established and maintained.
,◉ The nurse is assisting a client to the bathroom. When the client is
5 feet from the bathroom door, he states, "I feel faint." Before the
nurse can get the client to a chair, the client starts to fall. Which is
the priority action for the nurse to take?
A.
Check the client's carotid pulse.
B.
Encourage the client to get to the toilet.
C.
In a loud voice, call for help.
D.
Gently lower the client to the floor. Answer: D
Rationale: Option D is the most prudent intervention and is the
priority nursing action to prevent injury to the client and the nurse.
Lowering the client to the floor should be done when the client
cannot support his own weight. The client should be placed in a bed
or chair only when sufficient help is available to prevent injury.
Option A is important but should be done after the client is in a safe
position. Because the client is not supporting himself, option B is
impractical. Option C is likely to cause chaos on the unit and might
alarm the other clients.
,◉ The nurse is reviewing a client's lab results from 2 hours ago. The
sodium level is 128 mEq/L. The nurse should be alert for which
findings? (Select all that apply.)
A.
Weakness in the hands and feet
B.
+1 reflexes to the patella
C.
Headache
D.
Muscle twitching
E.
Nausea
F.
Facial redness Answer: A, B, C, E
Rationale: The client is hyponatremic. All are signs of hyponatremia
except muscle twitching and facial redness.
◉ The nurse is drawing a blood sample from the client's basilic vein.
Multiple attempts were made prior to obtaining the sample with the
tourniquet in place for nearly 5 minutes. Which laboratory finding
would the nurse suspect is inaccurate related to the prolonged
tourniquet placement?
A.
, Na 148 mEq/L
B.
K 5.3 mEq/L
C.
Cl 102 mEq/L
D.
Ca 9.3 mg/dL Answer: B
Rationale: Prolonged tourniquet placement can cause accumulation
of potassium, skewing the result upward. The sodium level is also
high, but that is not related to the blood draw. The chloride and
calcium levels are normal.
◉ The clinic nurse is taking the vital signs of a 1-year-old. Which
finding should the nurse bring to the attention of the healthcare
provider?
A.
Temperature: 97.5°F/36.4°C
B.
Pulse: 80 beats/min
C.
Respirations: 26 breaths/min
D.
Blood pressure: 90/53 mm Hg Answer: B
2026 FULL QUESTIONS AND ANSWERS
GRADED A+
◉ Which nonverbal action should the nurse implement to
demonstrate active listening?
A.
Sit facing the client.
B.
Cross arms and legs.
C.
Avoid eye contact.
D.
Lean back in the chair. Answer: A
Rationale: Active listening is conveyed using attentive verbal and
nonverbal communication techniques. To facilitate therapeutic
communication and attentiveness, the nurse should sit facing the
client, which lets the client know that the nurse is there to listen.
Active listening skills include postures that are open to the client,
such as keeping the arms open and relaxed, not option B, and
leaning toward the client, not option D. To communicate
involvement and willingness to listen to the client, eye contact
should be established and maintained.
,◉ The nurse is assisting a client to the bathroom. When the client is
5 feet from the bathroom door, he states, "I feel faint." Before the
nurse can get the client to a chair, the client starts to fall. Which is
the priority action for the nurse to take?
A.
Check the client's carotid pulse.
B.
Encourage the client to get to the toilet.
C.
In a loud voice, call for help.
D.
Gently lower the client to the floor. Answer: D
Rationale: Option D is the most prudent intervention and is the
priority nursing action to prevent injury to the client and the nurse.
Lowering the client to the floor should be done when the client
cannot support his own weight. The client should be placed in a bed
or chair only when sufficient help is available to prevent injury.
Option A is important but should be done after the client is in a safe
position. Because the client is not supporting himself, option B is
impractical. Option C is likely to cause chaos on the unit and might
alarm the other clients.
,◉ The nurse is reviewing a client's lab results from 2 hours ago. The
sodium level is 128 mEq/L. The nurse should be alert for which
findings? (Select all that apply.)
A.
Weakness in the hands and feet
B.
+1 reflexes to the patella
C.
Headache
D.
Muscle twitching
E.
Nausea
F.
Facial redness Answer: A, B, C, E
Rationale: The client is hyponatremic. All are signs of hyponatremia
except muscle twitching and facial redness.
◉ The nurse is drawing a blood sample from the client's basilic vein.
Multiple attempts were made prior to obtaining the sample with the
tourniquet in place for nearly 5 minutes. Which laboratory finding
would the nurse suspect is inaccurate related to the prolonged
tourniquet placement?
A.
, Na 148 mEq/L
B.
K 5.3 mEq/L
C.
Cl 102 mEq/L
D.
Ca 9.3 mg/dL Answer: B
Rationale: Prolonged tourniquet placement can cause accumulation
of potassium, skewing the result upward. The sodium level is also
high, but that is not related to the blood draw. The chloride and
calcium levels are normal.
◉ The clinic nurse is taking the vital signs of a 1-year-old. Which
finding should the nurse bring to the attention of the healthcare
provider?
A.
Temperature: 97.5°F/36.4°C
B.
Pulse: 80 beats/min
C.
Respirations: 26 breaths/min
D.
Blood pressure: 90/53 mm Hg Answer: B
