Nightingale College - Questions with complete
solution 2026|ASSURED PASSS |GRADED A+
THIS EXAM CONTAINS:
➢ HESI NURSING EXIT EXAM
➢ Nightingale College
➢ Questions with complete solution 2026
➢ ASSURED PASS
➢ ALL GRADED A+
,HESI RN EXIT EXAM 2025 – COMPREHENSIVE QUESTIONS & ANSWERS
1. A pt presses the call bell and requests pain medication for a severe headache.
To assess the quality of the pt. Pain, which approach should the nurse use?
• A. Ask the patient to describe the pain (Correct)
• B. Observe body language and movement
• C. Identify effective pain relief measures
• D. Provide a numeric pain scale
2. The nurse is wearing personal protective equipment while caring for a pt.
When exiting the room, which PPE should be removed first?
• A. Gloves (Correct)
• B. Gown
• C. Mask
• D. Eye protection
3. An older pt is brought to the ED with a sudden onset of confusion that occurred
after experiencing a fall at home. The daughter, who has power of attorney, has
brought the client's prescriptions. Which information should the nurse provide
first when reporting to the healthcare provider using SBAR communication?
• A. Increasing confusion of the pt. (Correct)
• B. Currently prescribed medications
• C. Client's healthcare power of attorney
• D. Fall at home as reason for admission
4. A pt tells the nurse about working out with a personal trainer and swimming
three times a week in an effort to lose weight and sleep better. The pt states that
it still is taking hours to fall asleep at night. Which action should the nurse
implement?
, • A. Ask the pt for a description of the exercise schedule that is being
followed (Correct)
• B. Advise the client that lifestyle changes often take several weeks to be
effective
• C. Encourage the client to exercise every day to eliminate bedtime
wakefulness
• D. Determine the amount of weight the client has lost since increasing
activity
5. 2 days prior to discharge from the rehab facility, the nurse is teaching a pt who
is recovering from Guillain-Barre syndrome about home. Which actions should
the nurse include when providing discharge teaching to the pt and spouse?
(SATA)
• A. Review safe transfer strategies (Correct)
• B. Develop a nutritional plan (Correct)
• C. Help identify community support (Correct)
• D. Initiate a rigorous exercise routine
• E. Provide cooking instructions
6. The nurse implements a tertiary prevention program for type 2 diabetes in a
rural health clinic. Which outcome indicates that the program was effective?
• A. Clients who developed disease complications promptly received
rehabilitation (Correct)
• B. Only 30% of clients did not attend self-management education sessions
• C. More than 50% of at-risk clients were diagnosed early in their disease
process
• D. Average client scores improved on specific risk factor knowledge tests
7. The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Which resource is
most important in designing this program?
, • A. Participation of community leaders in planning the program (Correct)
• B. A listing of African-American women who live in the community
• C. Morbidity data for breast cancer in women of all races
• D. Technical assistance to produce a video on breast self-examination
8. A pt with multiple injuries is being treated in the burn trauma unit just hours
after the injuries occurred. The healthcare provider instructs the nurse to avoid
auto contamination when performing dressing changes. Which intervention is
most important for the nurse to implement?
• A. Use gown, mask, and gloves with dressing changes (Correct)
• B. Dress each wound separately
• C. Assign equipment to this one client
• D. Utilize reverse isolation protocol
9. A pt is recovering in the critical care unit following a cardiac cath. IV nitro and
heparin are infusing. The pt is sedated but responds to instructions. After
changing positions, the pt complains of pain at the right groin insertion site. What
action should the nurse implement?
• A. Check femoral site for hematoma formation (Correct)
• B. Stimulate the pt to take deep breaths
• C. Evaluate the integrity of the IV insertion site
• D. Assess distal lower extremity capillary refill
10. Prior to obtaining a trapeze bar for a pt with limited mobility, which pt
assessment is most important for the nurse to obtain?
• A. Upper body muscle strength (Correct)
• B. Balance and posture
• C. Risk for disuse syndrome
• D. Pressure sore risk