Questions and Rationales – Complete Exam
Material
Introduction:
This document contains a comprehensive collection of HESI Exit
Exam practice questions with detailed rationales across major
nursing disciplines. It covers medical-surgical nursing, pediatrics,
obstetrics, psychiatric nursing, pharmacology, critical care, and
pathophysiology using multiple-choice and select-all-that-apply
formats.
The material is structured to simulate real exam conditions and
strengthen clinical judgment, prioritization, and decision-making
skills. It serves as a complete review resource for students
preparing for the HESI Exit Exam.
Exam Questions and Answers:
Which action should the school nurse take first when conducting a
screening for scoliosis?
a. Compare dorsal measurement of trunk
b. Extend arms over head for visualization
c. Inspect for symmetrical shoulder height.
,d. Observe weight-bearing on each leg.
---Correct precise answer---Inspect for symmetrical shoulder
height.
Rationale: Children between 9 and 15 years old should be screening
for scoliosis, which is exhibited.... Vertebral column. Screening for
scoliosis should begin with inspection of shoulder height
An unlicensed assistive personnel (UAP) assigned to obtain client
vital signs reports to the charge nurse that a client has a weak pulse
with a rate of 44 beat/ minutes. What action should the charge
nurse implement?
a- Instruct the UAP to count the client apical pulse rate for sixty
seconds
b- Determine if the UAP also measured the client's capillary refill
time.
c- Assign a practical nurse (LPN) to determine if an apical radial
deficit is present.
d- Notify the health care provider of the abnormal pulse rate and
pulse volume.
---Correct precise answer---Assign a practical nurse (LPN) to
determine if an apical radial deficit is present
,After a sudden loss of consciousness, a female client is taken to the
ED and initial assessment indicate that her blood glucose level is
critically low. Once her glucose level is stabilized, the client reports
that was recently diagnosed with anorexia nervosa and is being
treated at an outpatient clinic. Which intervention is more
important to include in this client's discharge plan?
a. Describe the signs and symptoms of hypoglycemia.
b. Encourage a low-carbohydrate and high-protein diet
c. Reinforce the need to continue outpatient treatment
d. Suggest wearing a medical alert bracelet at all time.
---Correct precise answer---Encourage a low-carbohydrate and
high-protein diet
Rationale: A client with anorexia nervosa with long term starvation
or who self-restrict intake can sign.... Reserves. Providing the client
with dietary selections such as low-carbohydrate, high protein....
Hypoglycemic episodes, which can become life-threating.
, A client with a peripherally inserted central catheter (PICC) line
has a fever. What client assessment is most important for the nurse
to perform?
Observe the antecubital fossa for inflammation.
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
---Correct precise answer----White blood cell (WBC) count
-Sputum culture and sensitivity
A client is admitted to isolation with the diagnosis of active
tuberculosis. Which infection control measures should the nurse
implement?
a. Negative pressure environment
b. contact precautions
c. droplet precautions
d. protective environment
---Correct precise answer---A Negative pressure environment