HESI RN 2026 EXIT MOST TESTED EXAM QUESTIONS AND
ANSWERS GRADED A+ ASSURED SUCCESS
1. When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage
taken is different from the dose the nurse is giving. Which action should the
nurse take?
A) Inform the client that he may refuse the medication and document whether
or not the client takes it
B) Withhold the medication until the dosage can be confirmed
C) Explain to the client that the dosage has been changed
D) Tell the client to take the medication then verify the dosage at the healthcare
team meeting
Answer: “B - Withhold the medication until the dosage can be confirmed.”
2. The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients. Which
client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to
7
D) Myxedema, whose blood pressure changed from 80/50 to 70/40
Answer: “B - Viral meningitis whose temperature change from 101 S to 102F”
3. The nurse is caring for a client with pneumonia who now develops initial signs
of septic shock and multi organ failure. The healthcare provider prescribes a
sepsis protocol. Which intervention is most important for the nurse to include in
the plan of care?
A) Maintain strict intake and output
B) Keep head of bed raised 45o
C) Excess warmth of extremities
D) Monitor blood glucose level
Answer: “A - Maintain strict intake and output.”
, 4. An adolescent client is admitted to the hospital because of writing a suicide note
to a teacher at school. On the second day of hospitalization, the nurse asked the
client to meet with the treatment team. After the team meeting, the client leaves
in tears and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while
B) Explore the client’s goals and desire for treatment
C) Ask the treatment team about the client’s behavior
D) Go to the client’s room and ask what happened
Answer: “D - Go to the client’s room and ask what happened.”
5. The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The medication is
available and 25,000 units per milliliter vial. How many milliliters should the
nurse administer? (Enter numerical value only. If rounding is required, round to
the nearest 10th)
Answer: “0.6”
6. The client is a 49-year-old male who reports flu like symptoms including fever
and chest congestion for four days. He came to the emergency department last
night when he was having more difficulty breathing, he has a history of ½ pack
a day cigarette smoking for 20 years. He has no significant medical or surgical
history. Which two orders should the nurse complete first?
A) Sputum culture
B) Start oxygen 3 L per minute via nasal cannula
C) Place the client on a cardio respiratory monitor
D) Chest x-ray
E) Acetaminophen 350 mg PO every six hours for temperature control
F) Run 0.9% sodium chloride IV infusion at 150 ml per hour
G) Start peripheral IV
H) NPO
Answer: “B - Start oxygen 3 L per minute via nasal cannula
C - Place the client on a cardio respiratory monitor.”
ANSWERS GRADED A+ ASSURED SUCCESS
1. When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage
taken is different from the dose the nurse is giving. Which action should the
nurse take?
A) Inform the client that he may refuse the medication and document whether
or not the client takes it
B) Withhold the medication until the dosage can be confirmed
C) Explain to the client that the dosage has been changed
D) Tell the client to take the medication then verify the dosage at the healthcare
team meeting
Answer: “B - Withhold the medication until the dosage can be confirmed.”
2. The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients. Which
client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to
7
D) Myxedema, whose blood pressure changed from 80/50 to 70/40
Answer: “B - Viral meningitis whose temperature change from 101 S to 102F”
3. The nurse is caring for a client with pneumonia who now develops initial signs
of septic shock and multi organ failure. The healthcare provider prescribes a
sepsis protocol. Which intervention is most important for the nurse to include in
the plan of care?
A) Maintain strict intake and output
B) Keep head of bed raised 45o
C) Excess warmth of extremities
D) Monitor blood glucose level
Answer: “A - Maintain strict intake and output.”
, 4. An adolescent client is admitted to the hospital because of writing a suicide note
to a teacher at school. On the second day of hospitalization, the nurse asked the
client to meet with the treatment team. After the team meeting, the client leaves
in tears and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while
B) Explore the client’s goals and desire for treatment
C) Ask the treatment team about the client’s behavior
D) Go to the client’s room and ask what happened
Answer: “D - Go to the client’s room and ask what happened.”
5. The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The medication is
available and 25,000 units per milliliter vial. How many milliliters should the
nurse administer? (Enter numerical value only. If rounding is required, round to
the nearest 10th)
Answer: “0.6”
6. The client is a 49-year-old male who reports flu like symptoms including fever
and chest congestion for four days. He came to the emergency department last
night when he was having more difficulty breathing, he has a history of ½ pack
a day cigarette smoking for 20 years. He has no significant medical or surgical
history. Which two orders should the nurse complete first?
A) Sputum culture
B) Start oxygen 3 L per minute via nasal cannula
C) Place the client on a cardio respiratory monitor
D) Chest x-ray
E) Acetaminophen 350 mg PO every six hours for temperature control
F) Run 0.9% sodium chloride IV infusion at 150 ml per hour
G) Start peripheral IV
H) NPO
Answer: “B - Start oxygen 3 L per minute via nasal cannula
C - Place the client on a cardio respiratory monitor.”
