HESI EXIT EXAM FINAL CAPSTONE Exam 2026 Actual
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A client with dyspnea is being admitted to the medical unit.
To best prepare for the client's arrival, the nurse should
ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers - Answer-Fowlers
The nurse is taking the blood pressure measurement of a
client with Parkinson's disease. Which information in the
client's admission assessment is relevant to the nurse's
plan for taking the blood pressure reading? (Select all the
apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling - Answer-A. Frequent syncope
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C. Flat affect
D. Blurred vision
While caring for a client's postoperative dressing, the
nurse observes purulent drainage at the wound. Before
reporting this finding to the healthcare provider, the nurse
should review which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level - Answer-B. Culture for sensitive
organisms
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 preadolescent 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withdrawn when asked about what happened. Which
action should the nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
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C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions -
Answer-B. Ask the older brother how he felt during the
incident
A male client with cirrhosis has jaundice and pruritus. He
tells the nurse that he has been soaking in hot baths at
night with no relief of his discomfort. Which action should
the nurse take?
A. Encourage the client to use cooler water and apply
calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the
client can use for symptom relief
C. Suggest that the client take brief showers and apply oil-
based lotion after showering
D. Explain that the symptoms are caused by liver damage
and cannot be relieved - Answer-A. Encourage the client
to use cooler water and apply calamine lotion after
soaking
An older client with a long history of coronary artery
disease (CAD), hypertension (HTN), and heart failure (HF)
arrives in the Emergency Department (ED) in respiratory
distress. The healthcare provider prescribes furosemide
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IV. Which therapeutic response to furosemide should the
nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload - Answer-B. Reduced preload
Which intervention should the nurse include in the plan of
care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light - Answer-
B. Minimize the amount of stimuli in the room
The nurse is completing the admission assessment of a 3-
year old who is admitted with bacterial meningitis and
hydrocephalus. Which assessment finding is evidence that
the child is experiencing increased intracranial pressure
(ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels