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HESI EXIT RN NEXT GENERATION Version B
Exam Questions and Correct Detailed Answers
Latest Versions 2026
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
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 IV. Which therapeutic response to furosemide
should the nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
,2
C. Relaxed vascular tone
D. Decreased afterload
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
B. Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at
the age of 9, is admitted to the hospital in diabetic ketoacidosis.
Which occurrence is the most likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch
C. Had a cold and ear infection for the past two days
A client with a prescription for "do not resuscitate" (DNR) begins to
manifest signs of impending death. After notifying the family of the
client's status, what priority action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status
C. The client's need for pain medication should be determined
,3
Which self care measure is most important for the nurse to include in
the plan of care of a client recently diagnosed with type 2 diabetes
mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan
B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the
infant. During the assessment, the nurse observes that both breasts
are swollen, warm, and tender on palpation. Which instruction should
the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
A. Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA)
amputation for discharge to home. Which recommendations should
the nurse provide this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water
, 4
B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
A toddler presenting with a history of intermittent skin rashes, hives,
abdominal pain, and vomiting that occurs after ingesting of milk
products arrives to the clinic accompanied by the parents. Which type
of testing should the nurse provide education to the toddler's family
about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge
A. Serum immunoglobulin E (IgE)
A client who is scheduled for a bronchoscopy in the morning is
anxious and asking the nurse numerous questions about the
procedure. In preparing the client for the procedure, which
intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack
C. Instruct client to write down the questions
The nurse assesses a client one hour after starting a transfusion of
packed red blood cells and determines that there are no indications of
a transfusion reaction. What instruction should the nurse provide the
unlicensed assistive personnel (UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client
HESI EXIT RN NEXT GENERATION Version B
Exam Questions and Correct Detailed Answers
Latest Versions 2026
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
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 IV. Which therapeutic response to furosemide
should the nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
,2
C. Relaxed vascular tone
D. Decreased afterload
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
B. Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at
the age of 9, is admitted to the hospital in diabetic ketoacidosis.
Which occurrence is the most likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch
C. Had a cold and ear infection for the past two days
A client with a prescription for "do not resuscitate" (DNR) begins to
manifest signs of impending death. After notifying the family of the
client's status, what priority action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status
C. The client's need for pain medication should be determined
,3
Which self care measure is most important for the nurse to include in
the plan of care of a client recently diagnosed with type 2 diabetes
mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan
B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the
infant. During the assessment, the nurse observes that both breasts
are swollen, warm, and tender on palpation. Which instruction should
the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
A. Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA)
amputation for discharge to home. Which recommendations should
the nurse provide this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water
, 4
B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
A toddler presenting with a history of intermittent skin rashes, hives,
abdominal pain, and vomiting that occurs after ingesting of milk
products arrives to the clinic accompanied by the parents. Which type
of testing should the nurse provide education to the toddler's family
about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge
A. Serum immunoglobulin E (IgE)
A client who is scheduled for a bronchoscopy in the morning is
anxious and asking the nurse numerous questions about the
procedure. In preparing the client for the procedure, which
intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack
C. Instruct client to write down the questions
The nurse assesses a client one hour after starting a transfusion of
packed red blood cells and determines that there are no indications of
a transfusion reaction. What instruction should the nurse provide the
unlicensed assistive personnel (UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client
