HESI Exit Exam Newest 2026 Questions and
Correct Detailed Answers Already Graded A+
A client has an intravenous fluid infusing in the right forearm. To determine the
client's distal pulse ratemost accurately, which action should the nurse
implement? - CORRECT ANSWER-Palpate at the radial pulse site with the pads
of two or three fingers.
A child is admitted to the pediatric unit diagnosed with sickle cell crisis. When the
nurse walks into the room, the unlicensed assistive personnel (UAP) is
encouraging the child to stay in bed in the supine
position. Which action should the nurse implement? - CORRECT ANSWER-
Reposition the client with the head of the bed elevated.
A preschool-aged boy is admitted to the pediatric unit following successful
resuscitation from a near- drowning incident. While providing care to child, the
nurse begins talking with his preadolescent brother who rescued the child from
the swimming pool and initiated resuscitation. The nurse notices the older
boy becomes withdrawn when asked about what happened. What action should
the nurse take? - CORRECT ANSWER-Ask the older brother how he felt during
the incident.
,After six days on a mechanical ventilator, a male client is extubated and place on
40% oxygen via face mask. He is awake and cooperative, but complaining of a
severe sore throat. While sipping water to swallow a medication, the client begins
coughing, as if strangled. What intervention is most important for the nurse to
implement? - CORRECT ANSWER-Hold oral intake until swallow evaluation is
done.
The nurse is interacting with a female client who is diagnosed with postpartum
depression. Which finding should the nurse document as an objective signs of
depression? (Select all that apply) - CORRECT ANSWER-Interacts with a flat
affect.
Avoids eye contact.
Has a disheveled appearance.
A client in the postanesthesia care unit (PACU) has an eight (8) on the Aldrete
postanesthesia scoring system. What intervention should nurse implement? -
CORRECT ANSWER-Transfer the client to the surgical floor.
In caring for the body of a client who just died, which tasks can be delegate to the
unlicensed assistive personnel (UAP)? (Select all that apply.) - CORRECT
ANSWER-Place personal religious artifacts on the body.
Attach identifying name tags to the body.
,Follow cultural beliefs in preparing the body.
An adult male reports the last time he received penicillin he developed a severe
maculopapular rash all over his chest. What information should the nurse provide
the client about future antibiotic prescriptions? - CORRECT ANSWER-Be alert
for possible cross-sensitivity to cephalosporin agents.
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs
of impending death. After notifying the family of the client's status, what priority
action should the nurse implement? - CORRECT ANSWER-The client's need for
pain medication should be determined.
A client with cirrhosis of the liver is admitted with complications related to end
stage liver disease. Which intervention should the nurse implement? (Select all
that apply.) - CORRECT ANSWER-Monitor abdominal girth.
Increase oral fluid intake to 1500 ml daily.
Report serum albumin and globulin levels.
Provide diet low in phosphorous.
Note signs of swelling and edema.
, Rational: monitoring for increasing abdominal girth and generalized tissue edema
and swelling are
focused assessments that provide data about the progression of disease related
complications. In
advanced cirrhosis, liver function failure results in low serum albumin and serum
protein levels, which
caused third spacing that results in generalized fluid retention and ascites. Other
options are not
indicated in end stage liver disease.
What interventions should the nurse implement? - CORRECT ANSWER-
Promptly remove the arterial catheter from the radial artery.
A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the intracranial
bleeding, which finding should the nurse monitor? - CORRECT ANSWER-Rapid
onset of decreased level of consciousness.
When preparing a client for discharge from the hospital following a cystectomy
and a urinary diversion to treat bladder cancer, which instruction is most
important for the nurse to include in the client's discharge teaching plan? -
CORRECT ANSWER-Report any signs of cloudy urine output.
Correct Detailed Answers Already Graded A+
A client has an intravenous fluid infusing in the right forearm. To determine the
client's distal pulse ratemost accurately, which action should the nurse
implement? - CORRECT ANSWER-Palpate at the radial pulse site with the pads
of two or three fingers.
A child is admitted to the pediatric unit diagnosed with sickle cell crisis. When the
nurse walks into the room, the unlicensed assistive personnel (UAP) is
encouraging the child to stay in bed in the supine
position. Which action should the nurse implement? - CORRECT ANSWER-
Reposition the client with the head of the bed elevated.
A preschool-aged boy is admitted to the pediatric unit following successful
resuscitation from a near- drowning incident. While providing care to child, the
nurse begins talking with his preadolescent brother who rescued the child from
the swimming pool and initiated resuscitation. The nurse notices the older
boy becomes withdrawn when asked about what happened. What action should
the nurse take? - CORRECT ANSWER-Ask the older brother how he felt during
the incident.
,After six days on a mechanical ventilator, a male client is extubated and place on
40% oxygen via face mask. He is awake and cooperative, but complaining of a
severe sore throat. While sipping water to swallow a medication, the client begins
coughing, as if strangled. What intervention is most important for the nurse to
implement? - CORRECT ANSWER-Hold oral intake until swallow evaluation is
done.
The nurse is interacting with a female client who is diagnosed with postpartum
depression. Which finding should the nurse document as an objective signs of
depression? (Select all that apply) - CORRECT ANSWER-Interacts with a flat
affect.
Avoids eye contact.
Has a disheveled appearance.
A client in the postanesthesia care unit (PACU) has an eight (8) on the Aldrete
postanesthesia scoring system. What intervention should nurse implement? -
CORRECT ANSWER-Transfer the client to the surgical floor.
In caring for the body of a client who just died, which tasks can be delegate to the
unlicensed assistive personnel (UAP)? (Select all that apply.) - CORRECT
ANSWER-Place personal religious artifacts on the body.
Attach identifying name tags to the body.
,Follow cultural beliefs in preparing the body.
An adult male reports the last time he received penicillin he developed a severe
maculopapular rash all over his chest. What information should the nurse provide
the client about future antibiotic prescriptions? - CORRECT ANSWER-Be alert
for possible cross-sensitivity to cephalosporin agents.
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs
of impending death. After notifying the family of the client's status, what priority
action should the nurse implement? - CORRECT ANSWER-The client's need for
pain medication should be determined.
A client with cirrhosis of the liver is admitted with complications related to end
stage liver disease. Which intervention should the nurse implement? (Select all
that apply.) - CORRECT ANSWER-Monitor abdominal girth.
Increase oral fluid intake to 1500 ml daily.
Report serum albumin and globulin levels.
Provide diet low in phosphorous.
Note signs of swelling and edema.
, Rational: monitoring for increasing abdominal girth and generalized tissue edema
and swelling are
focused assessments that provide data about the progression of disease related
complications. In
advanced cirrhosis, liver function failure results in low serum albumin and serum
protein levels, which
caused third spacing that results in generalized fluid retention and ascites. Other
options are not
indicated in end stage liver disease.
What interventions should the nurse implement? - CORRECT ANSWER-
Promptly remove the arterial catheter from the radial artery.
A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the intracranial
bleeding, which finding should the nurse monitor? - CORRECT ANSWER-Rapid
onset of decreased level of consciousness.
When preparing a client for discharge from the hospital following a cystectomy
and a urinary diversion to treat bladder cancer, which instruction is most
important for the nurse to include in the client's discharge teaching plan? -
CORRECT ANSWER-Report any signs of cloudy urine output.
