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2026 HESI Exit Exam 3
2026 HESI Exit Exam 3 Comprehensive
Simulator with 160 Questions and
Correct Answers with Rationales/ RN
HESI Exit Predictor
The client reports to the clinic nurse, "I sleep for about 2 hours and then I have to get up to
use the bathroom. I repeat that pattern about three to four times per night." What questions
will the nurse include in this client's assessment? (Select all that apply.)
A.
"How much fluid do you drink after 8:00 in the evening?"
B.
"Does your spouse wake up with you, and use the bathroom after you?"
C.
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2026 HESI Exit Exam 3
"What time of day do you take your water pill?"
D.
"Do you drink any alcoholic beverages in the evening?"
E.
"When did this pattern of urination start?"
F.
"Do you have any itching or burning when you urinate?" –
Correct Answer :A, C, D, E, F
Rationale:
Asking if the spouse also gets up at night does not relate to the clients' pattern of frequency
of urination at night. The goal of the assessment is to try and understand the client's urinary
usual patterns and to determine if there are any modifiable factors that can decrease the
frequency of urinating at night. Urinary frequency is also a sign of a urinary tract infection.
When performing sterile wound care in the acute care setting, the nurse obtains a bottle of
normal saline from the bedside table that is labeled "opened" and dated 48 hours prior to the
current date. Which is the best action for the nurse to take?
A.
Use the normal saline solution once more and then discard.
B.
Obtain a new sterile syringe to draw up the labeled saline solution.
C.
Use the saline solution and then relabel the bottle with the current date.
D.
Discard the saline solution and obtain a new unopened bottle. –
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2026 HESI Exit Exam 3
Correct Answer :D
Rationale:
Solutions labeled as opened within 24 hours may be used for clean procedures, but only
newly opened solutions are considered sterile. This solution is not newly opened and is out of
date, so it should be discarded. Options A, B, and C describe incorrect procedures.
Which action should the nurse implement when providing wound care instructions to a client
who does not speak English?
A.
Ask an interpreter to provide wound care instructions.
B.
Speak directly to the client, with an interpreter translating.
C.
Request the accompanying family member to translate.
D.
Instruct a bilingual employee to read the instructions. –
Correct Answer :B
Rationale:
Wound care instructions should be given directly to the client by the nurse with an interpreter
who is trained to provide accurate and objective translation in the client's primary language so
that the client has the opportunity to ask questions during the teaching process. The
interpreter usually does not have any health care experience, so the nurse must provide client
teaching. Family members should not be used to translate instructions because the client or
family member may alter the instructions during conversation or be uncomfortable with the
topics discussed. The employee should be a trained interpreter to ensure that the nurse's
instructions are understood accurately by the client.
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2026 HESI Exit Exam 3
A 75-year-old client states to the nurse, "I am just not hungry anymore." The client has lost 10
pounds/4.53 kg in the past 4 months. Which snacks will the nurse recommend to the client?
(Select all that apply.)
A.
Nuts
B.
Milkshakes
C.
Chocolate candy bar
D.
Peanut butter and crackers
E.
Glass of whole fat milk –
Correct Answer :A, B, D, E
Rationale:
The nurse must recommend high calorie/high nutrition foods for this client who is
unintentionally losing weight. The candy bar is high calorie, but empty in nutritional value. The
remaining selections are high calorie/high nutrition.
A client in a long-term care facility reports to the nurse, "I have not had a bowel movement in
2 days." What is the nurse's first action?
A.
Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B.
Notify the health care provider and request a prescription for a large-volume enema.
C.
Assess the client's medical record to determine the client's normal bowel pattern.
2026 HESI Exit Exam 3
2026 HESI Exit Exam 3 Comprehensive
Simulator with 160 Questions and
Correct Answers with Rationales/ RN
HESI Exit Predictor
The client reports to the clinic nurse, "I sleep for about 2 hours and then I have to get up to
use the bathroom. I repeat that pattern about three to four times per night." What questions
will the nurse include in this client's assessment? (Select all that apply.)
A.
"How much fluid do you drink after 8:00 in the evening?"
B.
"Does your spouse wake up with you, and use the bathroom after you?"
C.
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2026 HESI Exit Exam 3
"What time of day do you take your water pill?"
D.
"Do you drink any alcoholic beverages in the evening?"
E.
"When did this pattern of urination start?"
F.
"Do you have any itching or burning when you urinate?" –
Correct Answer :A, C, D, E, F
Rationale:
Asking if the spouse also gets up at night does not relate to the clients' pattern of frequency
of urination at night. The goal of the assessment is to try and understand the client's urinary
usual patterns and to determine if there are any modifiable factors that can decrease the
frequency of urinating at night. Urinary frequency is also a sign of a urinary tract infection.
When performing sterile wound care in the acute care setting, the nurse obtains a bottle of
normal saline from the bedside table that is labeled "opened" and dated 48 hours prior to the
current date. Which is the best action for the nurse to take?
A.
Use the normal saline solution once more and then discard.
B.
Obtain a new sterile syringe to draw up the labeled saline solution.
C.
Use the saline solution and then relabel the bottle with the current date.
D.
Discard the saline solution and obtain a new unopened bottle. –
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2026 HESI Exit Exam 3
Correct Answer :D
Rationale:
Solutions labeled as opened within 24 hours may be used for clean procedures, but only
newly opened solutions are considered sterile. This solution is not newly opened and is out of
date, so it should be discarded. Options A, B, and C describe incorrect procedures.
Which action should the nurse implement when providing wound care instructions to a client
who does not speak English?
A.
Ask an interpreter to provide wound care instructions.
B.
Speak directly to the client, with an interpreter translating.
C.
Request the accompanying family member to translate.
D.
Instruct a bilingual employee to read the instructions. –
Correct Answer :B
Rationale:
Wound care instructions should be given directly to the client by the nurse with an interpreter
who is trained to provide accurate and objective translation in the client's primary language so
that the client has the opportunity to ask questions during the teaching process. The
interpreter usually does not have any health care experience, so the nurse must provide client
teaching. Family members should not be used to translate instructions because the client or
family member may alter the instructions during conversation or be uncomfortable with the
topics discussed. The employee should be a trained interpreter to ensure that the nurse's
instructions are understood accurately by the client.
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2026 HESI Exit Exam 3
A 75-year-old client states to the nurse, "I am just not hungry anymore." The client has lost 10
pounds/4.53 kg in the past 4 months. Which snacks will the nurse recommend to the client?
(Select all that apply.)
A.
Nuts
B.
Milkshakes
C.
Chocolate candy bar
D.
Peanut butter and crackers
E.
Glass of whole fat milk –
Correct Answer :A, B, D, E
Rationale:
The nurse must recommend high calorie/high nutrition foods for this client who is
unintentionally losing weight. The candy bar is high calorie, but empty in nutritional value. The
remaining selections are high calorie/high nutrition.
A client in a long-term care facility reports to the nurse, "I have not had a bowel movement in
2 days." What is the nurse's first action?
A.
Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B.
Notify the health care provider and request a prescription for a large-volume enema.
C.
Assess the client's medical record to determine the client's normal bowel pattern.
