HESI Exit Exam Test Bank Exam 2025-
2026 With complete Questions and
Correct Answers|Brand new version.
1. The nurse is assessing a client with chronic heart failure. Which symptom
indicates fluid overload?
A. Fatigue
B. Peripheral edema
C. Mild dyspnea on exertion
D. Hypotension
Peripheral edema is a classic sign of fluid retention due to heart failure, often
appearing in the lower extremities.
2. A client receiving heparin therapy for a deep vein thrombosis has a platelet
count of 80,000/mm³. What should the nurse do first?
A. Increase the heparin dose
B. Hold the heparin and notify the provider
C. Monitor for bleeding
D. Continue therapy as ordered
Heparin-induced thrombocytopenia (HIT) is a serious complication; the
medication should be stopped immediately and the provider notified.
3. A client with diabetes is at risk for hypoglycemia. Which symptom should
the nurse teach the client to recognize?
A. Polyuria
B. Polydipsia
C. Sweating and shakiness
D. Polyphagia
Hypoglycemia presents with adrenergic symptoms like diaphoresis, tremors,
and palpitations.
,4. Which intervention is priority for a client experiencing an acute asthma
attack?
A. Administer oral corticosteroids
B. Administer a short-acting bronchodilator
C. Encourage deep breathing exercises
D. Position the client supine
Rapid bronchodilation is critical in acute asthma exacerbations to relieve
bronchospasm and improve oxygenation.
5. A nurse is caring for a postoperative client who develops a sudden drop in
blood pressure, tachycardia, and cold, clammy skin. What is the priority
action?
A. Administer IV antibiotics
B. Assess for internal bleeding
C. Encourage oral fluids
D. Apply warm blankets
These are signs of hypovolemic shock, often caused by internal hemorrhage
after surgery, which requires immediate assessment and intervention.
6. Which lab value indicates that a client taking warfarin is within the
therapeutic range?
A. aPTT 45 seconds
B. Platelet count 150,000/mm³
C. INR 2.5
D. Hematocrit 35%
Therapeutic INR for most indications is 2.0–3.0; this indicates effective
anticoagulation without excessive risk of bleeding.
7. A client is prescribed digoxin. Which finding indicates toxicity?
, A. Blood pressure 110/70 mmHg
B. Visual disturbances (blurred or yellow vision)
C. Mild fatigue
D. Slight weight gain
Visual changes, especially yellow or blurred vision, along with GI symptoms and
arrhythmias, can indicate digoxin toxicity.
8. A nurse is teaching a client about metformin. Which statement indicates
understanding?
A. "I should stop taking it if I feel fine."
B. "I need to take this with insulin."
C. "I should take it with meals to reduce stomach upset."
D. "I need to avoid all carbohydrates."
Metformin can cause gastrointestinal upset, which is minimized if taken with
food.
9. Which is the best method to prevent hospital-acquired infections?
A. Limit visiting hours
B. Perform hand hygiene before and after client contact
C. Wear gloves at all times
D. Avoid physical assessment
Hand hygiene is the single most effective measure to prevent nosocomial
infections.
10. A client has a nasogastric tube connected to low intermittent suction. The
nurse notes frequent vomiting. What is the priority action?
A. Reposition the client
B. Assess for tube patency and placement
C. Administer antiemetics
D. Irrigate the tube immediately
Vomiting may indicate obstruction or malposition of the NG tube; proper
assessment is essential before interventions.
2026 With complete Questions and
Correct Answers|Brand new version.
1. The nurse is assessing a client with chronic heart failure. Which symptom
indicates fluid overload?
A. Fatigue
B. Peripheral edema
C. Mild dyspnea on exertion
D. Hypotension
Peripheral edema is a classic sign of fluid retention due to heart failure, often
appearing in the lower extremities.
2. A client receiving heparin therapy for a deep vein thrombosis has a platelet
count of 80,000/mm³. What should the nurse do first?
A. Increase the heparin dose
B. Hold the heparin and notify the provider
C. Monitor for bleeding
D. Continue therapy as ordered
Heparin-induced thrombocytopenia (HIT) is a serious complication; the
medication should be stopped immediately and the provider notified.
3. A client with diabetes is at risk for hypoglycemia. Which symptom should
the nurse teach the client to recognize?
A. Polyuria
B. Polydipsia
C. Sweating and shakiness
D. Polyphagia
Hypoglycemia presents with adrenergic symptoms like diaphoresis, tremors,
and palpitations.
,4. Which intervention is priority for a client experiencing an acute asthma
attack?
A. Administer oral corticosteroids
B. Administer a short-acting bronchodilator
C. Encourage deep breathing exercises
D. Position the client supine
Rapid bronchodilation is critical in acute asthma exacerbations to relieve
bronchospasm and improve oxygenation.
5. A nurse is caring for a postoperative client who develops a sudden drop in
blood pressure, tachycardia, and cold, clammy skin. What is the priority
action?
A. Administer IV antibiotics
B. Assess for internal bleeding
C. Encourage oral fluids
D. Apply warm blankets
These are signs of hypovolemic shock, often caused by internal hemorrhage
after surgery, which requires immediate assessment and intervention.
6. Which lab value indicates that a client taking warfarin is within the
therapeutic range?
A. aPTT 45 seconds
B. Platelet count 150,000/mm³
C. INR 2.5
D. Hematocrit 35%
Therapeutic INR for most indications is 2.0–3.0; this indicates effective
anticoagulation without excessive risk of bleeding.
7. A client is prescribed digoxin. Which finding indicates toxicity?
, A. Blood pressure 110/70 mmHg
B. Visual disturbances (blurred or yellow vision)
C. Mild fatigue
D. Slight weight gain
Visual changes, especially yellow or blurred vision, along with GI symptoms and
arrhythmias, can indicate digoxin toxicity.
8. A nurse is teaching a client about metformin. Which statement indicates
understanding?
A. "I should stop taking it if I feel fine."
B. "I need to take this with insulin."
C. "I should take it with meals to reduce stomach upset."
D. "I need to avoid all carbohydrates."
Metformin can cause gastrointestinal upset, which is minimized if taken with
food.
9. Which is the best method to prevent hospital-acquired infections?
A. Limit visiting hours
B. Perform hand hygiene before and after client contact
C. Wear gloves at all times
D. Avoid physical assessment
Hand hygiene is the single most effective measure to prevent nosocomial
infections.
10. A client has a nasogastric tube connected to low intermittent suction. The
nurse notes frequent vomiting. What is the priority action?
A. Reposition the client
B. Assess for tube patency and placement
C. Administer antiemetics
D. Irrigate the tube immediately
Vomiting may indicate obstruction or malposition of the NG tube; proper
assessment is essential before interventions.
