HESI EXIT EXAM REMEDIATION MOCK EXAM NEWEST
2025- 2026 UPDATE ACTUAL 100 QUESTIONS & 100%
CORRECT ANSWERS GRADED A+ (BRAND NEW!!)
1. A nurse is caring for a client with chronic heart failure who has gained 3
pounds in 2 days. Which action should the nurse take first?
A. Restrict fluids
B. Assess for edema and lung sounds
C. Notify the healthcare provider
D. Administer a diuretic
Explanation: Assessing the client for edema and lung sounds is the priority to
determine the severity of fluid retention before taking further actions.
2. A client is receiving IV morphine for pain. Which assessment finding is most
important for the nurse to monitor?
A. Blood pressure
B. Respiratory rate
C. Heart rate
D. Oxygen saturation
Explanation: Morphine can depress respiration; monitoring respiratory rate is
crucial to ensure safety.
3. A nurse teaches a client with type 2 diabetes about foot care. Which
statement indicates understanding?
A. “I should soak my feet daily in hot water.”
B. “I can use lotion between my toes.”
,C. “I should inspect my feet daily for cuts or blisters.”
D. “I don’t need to check my feet if I have no pain.”
Explanation: Daily inspection prevents ulcers and infections; lotion should not be
applied between toes to prevent fungal growth.
4. A client with pneumonia has thick yellow sputum and a temperature of
101.5°F. Which lab should the nurse expect to be elevated?
A. Hemoglobin
B. White blood cell count
C. Platelet count
D. Sodium
Explanation: WBC count increases in response to bacterial infection.
5. A nurse is caring for a client who is 24 hours post-op after abdominal surgery
and reports abdominal pain of 8/10. What is the priority intervention?
A. Offer a warm blanket
B. Encourage ambulation
C. Administer prescribed analgesic
D. Apply a cold compress
Explanation: Pain management is crucial to facilitate recovery and mobility post-
surgery.
6. A client with chronic kidney disease is scheduled for dialysis. Which lab result
indicates the need for dialysis?
A. Sodium 140 mEq/L
B. Potassium 6.2 mEq/L
C. Calcium 9.0 mg/dL
D. Hemoglobin 13 g/dL
,Answer: B. Potassium 6.2 mEq/L
Explanation: Hyperkalemia is life-threatening; dialysis is indicated to remove
excess potassium.
7. Which client is at highest risk for developing a pressure ulcer?
A. 25-year-old postoperative client
B. 40-year-old client with asthma
C. 72-year-old client with immobility
D. 35-year-old client with mild anemia
Explanation: Older adults with limited mobility are most at risk due to decreased
perfusion and skin integrity.
8. A client has a prescription for vancomycin IV. The nurse should monitor for
which adverse effect?
A. Red man syndrome
B. Hypoglycemia
C. Hypertension
D. Bradycardia
Explanation: Vancomycin can cause Red man syndrome if infused too quickly.
9. A nurse teaches a client with asthma how to use a metered-dose inhaler.
Which action shows correct technique?
A. Exhale after inhalation
B. Shake the inhaler after use
C. Exhale fully before inhalation
D. Inhale quickly without holding breath
, Explanation: Exhaling fully before inhalation ensures maximum delivery of
medication to the lungs.
10. A nurse is teaching a client about digoxin. Which statement by the client
indicates understanding?
A. “I will take my pulse after I take the medication.”
B. “I will check my pulse before taking the medication.”
C. “I should stop the medication if I feel fine.”
D. “I should take an extra dose if I miss one.”
Explanation: Digoxin can cause bradycardia; pulse should be checked before
administration.
11. A client with COPD has a PaO₂ of 55 mmHg. Which action is appropriate?
A. Initiate 10 L/min oxygen via non-rebreather
B. Encourage deep coughing every hour
C. Administer low-flow oxygen at 2 L/min
D. Prepare for intubation immediately
Explanation: COPD patients require low-flow oxygen to prevent CO₂ retention.
12. A nurse is performing a head-to-toe assessment. Which finding is abnormal?
A. Heart rate 78 bpm
B. Respiratory rate 18/min
C. Blood pressure 180/110 mmHg
D. Temperature 98.6°F
Explanation: Elevated BP indicates hypertension, which requires further
assessment and intervention.
2025- 2026 UPDATE ACTUAL 100 QUESTIONS & 100%
CORRECT ANSWERS GRADED A+ (BRAND NEW!!)
1. A nurse is caring for a client with chronic heart failure who has gained 3
pounds in 2 days. Which action should the nurse take first?
A. Restrict fluids
B. Assess for edema and lung sounds
C. Notify the healthcare provider
D. Administer a diuretic
Explanation: Assessing the client for edema and lung sounds is the priority to
determine the severity of fluid retention before taking further actions.
2. A client is receiving IV morphine for pain. Which assessment finding is most
important for the nurse to monitor?
A. Blood pressure
B. Respiratory rate
C. Heart rate
D. Oxygen saturation
Explanation: Morphine can depress respiration; monitoring respiratory rate is
crucial to ensure safety.
3. A nurse teaches a client with type 2 diabetes about foot care. Which
statement indicates understanding?
A. “I should soak my feet daily in hot water.”
B. “I can use lotion between my toes.”
,C. “I should inspect my feet daily for cuts or blisters.”
D. “I don’t need to check my feet if I have no pain.”
Explanation: Daily inspection prevents ulcers and infections; lotion should not be
applied between toes to prevent fungal growth.
4. A client with pneumonia has thick yellow sputum and a temperature of
101.5°F. Which lab should the nurse expect to be elevated?
A. Hemoglobin
B. White blood cell count
C. Platelet count
D. Sodium
Explanation: WBC count increases in response to bacterial infection.
5. A nurse is caring for a client who is 24 hours post-op after abdominal surgery
and reports abdominal pain of 8/10. What is the priority intervention?
A. Offer a warm blanket
B. Encourage ambulation
C. Administer prescribed analgesic
D. Apply a cold compress
Explanation: Pain management is crucial to facilitate recovery and mobility post-
surgery.
6. A client with chronic kidney disease is scheduled for dialysis. Which lab result
indicates the need for dialysis?
A. Sodium 140 mEq/L
B. Potassium 6.2 mEq/L
C. Calcium 9.0 mg/dL
D. Hemoglobin 13 g/dL
,Answer: B. Potassium 6.2 mEq/L
Explanation: Hyperkalemia is life-threatening; dialysis is indicated to remove
excess potassium.
7. Which client is at highest risk for developing a pressure ulcer?
A. 25-year-old postoperative client
B. 40-year-old client with asthma
C. 72-year-old client with immobility
D. 35-year-old client with mild anemia
Explanation: Older adults with limited mobility are most at risk due to decreased
perfusion and skin integrity.
8. A client has a prescription for vancomycin IV. The nurse should monitor for
which adverse effect?
A. Red man syndrome
B. Hypoglycemia
C. Hypertension
D. Bradycardia
Explanation: Vancomycin can cause Red man syndrome if infused too quickly.
9. A nurse teaches a client with asthma how to use a metered-dose inhaler.
Which action shows correct technique?
A. Exhale after inhalation
B. Shake the inhaler after use
C. Exhale fully before inhalation
D. Inhale quickly without holding breath
, Explanation: Exhaling fully before inhalation ensures maximum delivery of
medication to the lungs.
10. A nurse is teaching a client about digoxin. Which statement by the client
indicates understanding?
A. “I will take my pulse after I take the medication.”
B. “I will check my pulse before taking the medication.”
C. “I should stop the medication if I feel fine.”
D. “I should take an extra dose if I miss one.”
Explanation: Digoxin can cause bradycardia; pulse should be checked before
administration.
11. A client with COPD has a PaO₂ of 55 mmHg. Which action is appropriate?
A. Initiate 10 L/min oxygen via non-rebreather
B. Encourage deep coughing every hour
C. Administer low-flow oxygen at 2 L/min
D. Prepare for intubation immediately
Explanation: COPD patients require low-flow oxygen to prevent CO₂ retention.
12. A nurse is performing a head-to-toe assessment. Which finding is abnormal?
A. Heart rate 78 bpm
B. Respiratory rate 18/min
C. Blood pressure 180/110 mmHg
D. Temperature 98.6°F
Explanation: Elevated BP indicates hypertension, which requires further
assessment and intervention.
