HESI Exit RN V3 2026 – Complete Practice Exam, Verified
Questions & Answers with Detailed Rationales & Study Guide
1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to
remove a set of dentures prior to leaving the unit for the operating room. What
would be the most appropriate intervention by the nurse?
A) Explain to the client that the dentures must come out as they may get lost or
broken in the operating room
B) Ask the client if there are second thoughts about having the procedure
C) Notify the anesthesia department and the surgeon of the client's refusal
D) Ask the client if the preference would be to remove the dentures in the operating
room receiving area - CORRECT ANSWER -D: Ask the client if the preference would
be to remove the dentures in the operating room receiving area
2. The nurse has been teaching adult clients about cardiac risks when they visit the
hypertension clinic. Which form of evaluation would best measure learning?
A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
D) Reported behavioral changes - CORRECT ANSWER -D: Reported behavioral
changes
3. The nurse is planning care for an 18 month-old child. Which action should be
included in the child's care?
,A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children - CORRECT ANSWER -B:
Encourage the child to feed himself finger food
4. A partner is concerned because the client frequently daydreams about moving to
Arizona to get away from the pollution and crowding in southern California. The
nurse explains that
A) Such fantasies can gratify unconscious wishes or prepare for anticipated future
events
B) Detaching or dissociating in this way postpones painful feelings
C) This conversion or transferring of a mental conflict to a physical symptom can
lead to marital conflict
D) To isolate the feelings in this way reduces conflict within the client and with others
- CORRECT ANSWER -A: Such fantasies can gratify unconscious wishes or prepare
for anticipated future events
5. An appropriate goal for a client with anxiety would be to
A) Ventilate anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma - CORRECT ANSWER -C: Learn self-help
techniques
,6. While the nurse is administering medications to a client, the client states "I do not
want to take that medicine today." Which of the following responses by the nurse
would be best?
A) "That's OK, its all right to skip your medication now and then."
B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your medicine?"
D) "Do you understand the consequences of refusing your prescribed treatment?" -
CORRECT ANSWER -C: "Is there a reason why you don't want to take your
medicine?"
7. While caring for a client, the nurse notes a pulsating mass in the client's peri
umbilical area. Which of the following assessments is appropriate for the nurse to
perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass - CORRECT ANSWER -B: Auscultate the mass
8. A client is admitted to the hospital with a history of confusion. The client has
difficulty remembering recent events and becomes disoriented when away from
home. Which statement would provide the best reality orientation for this client?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for today."
C) "How are you today? Remember, you're in the hospital."
, D) "Good morning. You're in the hospital. I am your nurse Elaine Jones." - CORRECT
ANSWER -D: "Good morning. You're in the hospital. I am your nurse Elaine Jones."
9. The nurse is teaching the parents of a 3 month-old infant about nutrition. What is
the main source of fluids for an infant until about 12 months of age?
A) Formula or breast milk
B) Dilute nonfat dry milk
C) Warmed fruit juice
D) Fluoridated tap water - CORRECT ANSWER -A: Formula or breast milk
10. The family of a 6 year-old with a fractured femur asks the nurse if the child's
height will be affected by the injury. Which statement is true concerning long bone
fractures in children?
A) Growth problems will occur if the fracture involves the periosteum
B) Epiphyseal fractures often interrupt a child's normal growth pattern
C) Children usually heal very quickly, so growth problems are rare
D) Adequate blood supply to the bone prevents growth delay after fractures -
CORRECT ANSWER -B: Epiphyseal fractures often interrupt a child''s normal growth
pattern
11. The nurse is assessing a client who states her last menstrual period was March
16, and she has missed one period. She reports episodes of nausea and vomiting.
Pregnancy is confirmed by a urine test. What will the nurse calculate as the
estimated date of delivery (EDD)?
A) April 8
B) January 15
Questions & Answers with Detailed Rationales & Study Guide
1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to
remove a set of dentures prior to leaving the unit for the operating room. What
would be the most appropriate intervention by the nurse?
A) Explain to the client that the dentures must come out as they may get lost or
broken in the operating room
B) Ask the client if there are second thoughts about having the procedure
C) Notify the anesthesia department and the surgeon of the client's refusal
D) Ask the client if the preference would be to remove the dentures in the operating
room receiving area - CORRECT ANSWER -D: Ask the client if the preference would
be to remove the dentures in the operating room receiving area
2. The nurse has been teaching adult clients about cardiac risks when they visit the
hypertension clinic. Which form of evaluation would best measure learning?
A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
D) Reported behavioral changes - CORRECT ANSWER -D: Reported behavioral
changes
3. The nurse is planning care for an 18 month-old child. Which action should be
included in the child's care?
,A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children - CORRECT ANSWER -B:
Encourage the child to feed himself finger food
4. A partner is concerned because the client frequently daydreams about moving to
Arizona to get away from the pollution and crowding in southern California. The
nurse explains that
A) Such fantasies can gratify unconscious wishes or prepare for anticipated future
events
B) Detaching or dissociating in this way postpones painful feelings
C) This conversion or transferring of a mental conflict to a physical symptom can
lead to marital conflict
D) To isolate the feelings in this way reduces conflict within the client and with others
- CORRECT ANSWER -A: Such fantasies can gratify unconscious wishes or prepare
for anticipated future events
5. An appropriate goal for a client with anxiety would be to
A) Ventilate anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma - CORRECT ANSWER -C: Learn self-help
techniques
,6. While the nurse is administering medications to a client, the client states "I do not
want to take that medicine today." Which of the following responses by the nurse
would be best?
A) "That's OK, its all right to skip your medication now and then."
B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your medicine?"
D) "Do you understand the consequences of refusing your prescribed treatment?" -
CORRECT ANSWER -C: "Is there a reason why you don't want to take your
medicine?"
7. While caring for a client, the nurse notes a pulsating mass in the client's peri
umbilical area. Which of the following assessments is appropriate for the nurse to
perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass - CORRECT ANSWER -B: Auscultate the mass
8. A client is admitted to the hospital with a history of confusion. The client has
difficulty remembering recent events and becomes disoriented when away from
home. Which statement would provide the best reality orientation for this client?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for today."
C) "How are you today? Remember, you're in the hospital."
, D) "Good morning. You're in the hospital. I am your nurse Elaine Jones." - CORRECT
ANSWER -D: "Good morning. You're in the hospital. I am your nurse Elaine Jones."
9. The nurse is teaching the parents of a 3 month-old infant about nutrition. What is
the main source of fluids for an infant until about 12 months of age?
A) Formula or breast milk
B) Dilute nonfat dry milk
C) Warmed fruit juice
D) Fluoridated tap water - CORRECT ANSWER -A: Formula or breast milk
10. The family of a 6 year-old with a fractured femur asks the nurse if the child's
height will be affected by the injury. Which statement is true concerning long bone
fractures in children?
A) Growth problems will occur if the fracture involves the periosteum
B) Epiphyseal fractures often interrupt a child's normal growth pattern
C) Children usually heal very quickly, so growth problems are rare
D) Adequate blood supply to the bone prevents growth delay after fractures -
CORRECT ANSWER -B: Epiphyseal fractures often interrupt a child''s normal growth
pattern
11. The nurse is assessing a client who states her last menstrual period was March
16, and she has missed one period. She reports episodes of nausea and vomiting.
Pregnancy is confirmed by a urine test. What will the nurse calculate as the
estimated date of delivery (EDD)?
A) April 8
B) January 15
