HESI REGISTERED NURSING EXIT EXAM LATEST [2025\2026]
ACTUAL EXAM
FACULTY OF NURSING| HIGHER TIER EXAMINATION TEST
QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES
FINAL SPRING SUPPLEMENTARY EXAM 2026| PASS
GUARANTEED
GRADE A+
The clinic nurse is providing post-operative teaching for a client scheduled for a myringoplasty.
Which client statements indicate to the nurse that the teaching has been effective? (Select all
that apply.)
A.
"I can wash my hair in the shower when I get home."
B.
"I will avoid forceful and deep coughing until my post-op checkup."
C.
"I must lay flat on my non-operative side for the first 12 hours after surgery."
D.
"My hearing may be less or muffled until the packing comes out."
E.
"I need to only take the first two doses of antibiotics and save the rest for another time."
B, C, D
Rationale:The client must keep the ear bandage clean and dry until the packing is removed.
Showering and hair washing is discouraged. As with all prescriptions for antibiotics, the client
, must take the full course of treatment. The remaining client statements do indicate effective
teaching.
The nurse is performing a skin assessment on a client who is transferred from a long-term care
facility to an in-patient hospital unit. The client is unable to move independently while in bed.
The nurse observes reddened areas to the sacrum and on the heals bilaterally. What is the next
nursing action?
A.
Document the size and shape of the reddened areas.
B.
Massage the reddened areas with a hospital-approved lotion.
C.
Call the nurse from the transferring facility to determine the client's baseline.
D.
Culture the wounds.
A
Rationale:The nurse must document any pressure wounds upon admission to establish the
client's baseline and for insurance purposes. Insurance will not reimburse from hospital-
acquired pressure ulcers. Massaging is not recommended as it may dislodge the existing tissue.
A call is not a good use of the nurse's time as the pressure ulcers exist upon transfer, and the
baseline is determined upon admission. The health care provider will order cultures, if needed.
A client with type 2 diabetes takes metformin daily. The client is scheduled for major surgery
requiring general anesthesia the next day. The nurse anticipates which approach to manage the
client's diabetes best while the client is NPO during the perioperative period?
A.
NPO except for metformin and regular snacks
ACTUAL EXAM
FACULTY OF NURSING| HIGHER TIER EXAMINATION TEST
QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES
FINAL SPRING SUPPLEMENTARY EXAM 2026| PASS
GUARANTEED
GRADE A+
The clinic nurse is providing post-operative teaching for a client scheduled for a myringoplasty.
Which client statements indicate to the nurse that the teaching has been effective? (Select all
that apply.)
A.
"I can wash my hair in the shower when I get home."
B.
"I will avoid forceful and deep coughing until my post-op checkup."
C.
"I must lay flat on my non-operative side for the first 12 hours after surgery."
D.
"My hearing may be less or muffled until the packing comes out."
E.
"I need to only take the first two doses of antibiotics and save the rest for another time."
B, C, D
Rationale:The client must keep the ear bandage clean and dry until the packing is removed.
Showering and hair washing is discouraged. As with all prescriptions for antibiotics, the client
, must take the full course of treatment. The remaining client statements do indicate effective
teaching.
The nurse is performing a skin assessment on a client who is transferred from a long-term care
facility to an in-patient hospital unit. The client is unable to move independently while in bed.
The nurse observes reddened areas to the sacrum and on the heals bilaterally. What is the next
nursing action?
A.
Document the size and shape of the reddened areas.
B.
Massage the reddened areas with a hospital-approved lotion.
C.
Call the nurse from the transferring facility to determine the client's baseline.
D.
Culture the wounds.
A
Rationale:The nurse must document any pressure wounds upon admission to establish the
client's baseline and for insurance purposes. Insurance will not reimburse from hospital-
acquired pressure ulcers. Massaging is not recommended as it may dislodge the existing tissue.
A call is not a good use of the nurse's time as the pressure ulcers exist upon transfer, and the
baseline is determined upon admission. The health care provider will order cultures, if needed.
A client with type 2 diabetes takes metformin daily. The client is scheduled for major surgery
requiring general anesthesia the next day. The nurse anticipates which approach to manage the
client's diabetes best while the client is NPO during the perioperative period?
A.
NPO except for metformin and regular snacks
