HESI EXIT EXAM TEST BANK
2025\2026 EXAM || 300 ACTUAL EXAM
QUESTIONS AND ANSWERS WITH
RATIONALES|| ALREADY GRADED
A+
The nurse knows that which statement by the mother indicates that the
mother
understands safety precautions with her four month-old infant and her 4
year-old child?
A) "I strap the infant car seat on the front seat to face backwards."
B) "I place my infant in the middle of the living room floor on a blanket
to play with my
4 year old while I make supper in the kitchen."
C) "My sleeping baby lies so cute in the crib with the little buttocks
stuck up in the air
while the four year old naps on the sofa."
,D) "I have the 4 year-old hold and help feed the four month-old a bottle
in the kitchen
while I make supper." - ANSWER- is D: "I have the four year-old
hold and help feed the four month-old
a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87
year-old client
does not have an advance directive. What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary - ANSWER- is B: Give
information about advance directives
A nurse administers the influenza vaccine to a client in a clinic. Within
15 minutes after
the immunization was given, the client complains of itchy and watery
eyes, increased
anxiety, and difficulty breathing. The nurse expects that the first action
in the sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
,D) Administer diphenhydramine as ordered - ANSWER- is B:
Administer epinephrine 1:1000 as ordered .
Which of these children at the site of a disaster at a child day care center
would the
triage nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel between crying
episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an
upper leg fracture
D) A school-age child with singed eyebrows and hair on the arms -
ANSWER- is B: A toddler with severe deep abrasions over 98% of
the body .
When admitting a client to an acute care facility, an identification
bracelet is sent up
with the admission form. In the event these do not match, the nurse's
best action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client - ANSWER- is
C: notify the admissions office and wait to apply the bracelet
, The nurse is having difficulty reading the health care provider's written
order that was
written right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification - ANSWER- is D: Call the
provider for clarification
An adult client is found to be unresponsive on morning rounds. After
checking for
responsiveness and calling for help, the next action that should be taken
by the nurse is
to:
A) check the carotid pulse
B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway - ANSWER- is D: open the client''s airway
A client has an order for 1000 ml of D5W over an 8 hour period. The
nurse discovers
that 800 ml has been infused after 4 hours. What is the priority nursing
action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
2025\2026 EXAM || 300 ACTUAL EXAM
QUESTIONS AND ANSWERS WITH
RATIONALES|| ALREADY GRADED
A+
The nurse knows that which statement by the mother indicates that the
mother
understands safety precautions with her four month-old infant and her 4
year-old child?
A) "I strap the infant car seat on the front seat to face backwards."
B) "I place my infant in the middle of the living room floor on a blanket
to play with my
4 year old while I make supper in the kitchen."
C) "My sleeping baby lies so cute in the crib with the little buttocks
stuck up in the air
while the four year old naps on the sofa."
,D) "I have the 4 year-old hold and help feed the four month-old a bottle
in the kitchen
while I make supper." - ANSWER- is D: "I have the four year-old
hold and help feed the four month-old
a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87
year-old client
does not have an advance directive. What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary - ANSWER- is B: Give
information about advance directives
A nurse administers the influenza vaccine to a client in a clinic. Within
15 minutes after
the immunization was given, the client complains of itchy and watery
eyes, increased
anxiety, and difficulty breathing. The nurse expects that the first action
in the sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
,D) Administer diphenhydramine as ordered - ANSWER- is B:
Administer epinephrine 1:1000 as ordered .
Which of these children at the site of a disaster at a child day care center
would the
triage nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel between crying
episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an
upper leg fracture
D) A school-age child with singed eyebrows and hair on the arms -
ANSWER- is B: A toddler with severe deep abrasions over 98% of
the body .
When admitting a client to an acute care facility, an identification
bracelet is sent up
with the admission form. In the event these do not match, the nurse's
best action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client - ANSWER- is
C: notify the admissions office and wait to apply the bracelet
, The nurse is having difficulty reading the health care provider's written
order that was
written right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification - ANSWER- is D: Call the
provider for clarification
An adult client is found to be unresponsive on morning rounds. After
checking for
responsiveness and calling for help, the next action that should be taken
by the nurse is
to:
A) check the carotid pulse
B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway - ANSWER- is D: open the client''s airway
A client has an order for 1000 ml of D5W over an 8 hour period. The
nurse discovers
that 800 ml has been infused after 4 hours. What is the priority nursing
action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
