HESI EXIT Comprehensive PN Exam (New
2026/ 2027 Update) Questions & Answers
100% Correct (Verified Solutions) - [Grade A]
The nurse is assessing a client using the Snellen chart and determines that the client's
visual acuity is the same as in a previous examination, which was recorded as 20/100.
When the client asks the meaning of this, which information should the nurse
provide?
A.This visual acuity result is five times worse that of a normal finding.
B.This line should be seen clearly when the client wears corrective lenses.
C.A client with normal vision can read at 100 feet what this client reads at 20 feet.
D.This client can see at 100 feet what a client with normal vision can see at 20 feet. -
correct answer C
The interpretation of the client's visual acuity is compared to the Snellen scale of
20/20, which indicates that the letter size on the Snellen chart is seen clearly and read
by a client with normal vision at 20 feet. A finding of 20/100 means that this client can
read at 20 feet what a person with normal vision can read at 100 feet (C). (A, B, and D)
are inaccurate.
A client with small cell carcinoma of the lung has also developed syndrome of
inappropriate antidiuretic hormone (SIADH). Which outcome finding is the priority
for this client?
A.Reduced peripheral edema
, HESI EXIT Comprehensive PN Exam (New
2026/ 2027 Update) Questions & Answers
100% Correct (Verified Solutions) - [Grade A]
B.Urinary output of at least 70 mL/hr
C.Decrease in urine osmolarity
D.Serum sodium level of 137 mEq/L - correct answer D
Syndrome of inappropriate antidiuretic hormone (SIADH) results from an abnormal
production or sustained secretion of antidiuretic hormone, causing fluid retention,
hyponatremia, and central nervous system (CNS) fluid shifts. The client's
normalization of the serum sodium level (normal is 135 to 145 mEq/L) (D) is the most
important outcome because sudden and severe hyponatremia caused by fluid
overload can result in heart failure. Fluid retention of SIADH contributes to daily
weight gain, which can predispose to peripheral edema (A), but the higher priority
outcome is the effect on serum electrolyte levels. Although (B and C) are findings
associated with resolving SIADH, they do not have the priority of (D).
Two days after swallowing 30 tablets of alprazolam (Xanax), a client with a history of
depression is hemodynamically stable but wants to leave the hospital against medical
advice. Which nursing action(s) is(are) most likely to maintain client safety?
(Select all that apply.)
A.Direct the client to sign a liability release form.
B.Restrict the client's ability to leave the unit.
C.Explain the benefits of remaining in the hospital.
D.Instruct the client to take medications as prescribed.
, HESI EXIT Comprehensive PN Exam (New
2026/ 2027 Update) Questions & Answers
100% Correct (Verified Solutions) - [Grade A]
E.Provide the client with names of local support groups.
F.Notify the health care provider of the client's intention. - correct answer CDF
Correct responses are (C, D, and F). To maintain safety and to provide information,
the nurse should explain the potential benefits of continuing treatment in the
hospital (C) and the need to take prescribed medications (D). This client, who is very
likely self-destructive, should remain on the unit and the health care provider should
be notified (F). Signing a release form (A) before leaving the hospital does not
contribute to safety. The nurse may ask the client not to leave the hospital (B), but
pressuring clients is unethical behavior. (E) may be helpful at a later time in this
client's treatment program.
Which assessment finding indicates that nystatin (Mycostatin) swish and swallow,
prescribed for a client with oral candidiasis, has been effective?
A.The client denies dysphagia.
B.The client is afebrile with warm and dry skin.
C.The oral mucosa is pink and intact.
D.There is no reflux following food intake. - correct answer C
Mycostatin swish and swallow is prescribed for its local effect on the oral mucosa,
reducing the white curdlike lesions in the mouth and larynx (C). The ability to swallow
, HESI EXIT Comprehensive PN Exam (New
2026/ 2027 Update) Questions & Answers
100% Correct (Verified Solutions) - [Grade A]
(A) does not indicate that the medication has been effective. (B and D) do not reflect
effectiveness of the local medication.
Because of census overload, the charge nurse of an acute care medical unit must
select a client who can be transferred back to a residential facility. The client with
which symptomology is the most stable?
A.A stage 3 sacral pressure ulcer, with colonized methicillin-resistant Staphylococcus
aureus (MRSA)
B.Pneumonia, with a sputum culture of gram-negative bacteria
C.Urinary tract infection, with positive blood cultures
D.Culture of a diabetic foot ulcer shows gram-positive cocci - correct answer A
The client with colonized MRSA (A) is the most stable client, because colonization
does not cause symptomatic disease. The gram-negative organisms causing
pneumonia are typically resistant to drug therapy (B), which makes recovery very
difficult. Positive blood cultures (C) indicate a systemic infection. Poor circulation
places the diabetic with an infected ulcer (D) at high risk for poor healing and bone
infection.
An older client who resides in a long-term care facility is hearing-impaired. How
should the nurse modify interventions for this client?
2026/ 2027 Update) Questions & Answers
100% Correct (Verified Solutions) - [Grade A]
The nurse is assessing a client using the Snellen chart and determines that the client's
visual acuity is the same as in a previous examination, which was recorded as 20/100.
When the client asks the meaning of this, which information should the nurse
provide?
A.This visual acuity result is five times worse that of a normal finding.
B.This line should be seen clearly when the client wears corrective lenses.
C.A client with normal vision can read at 100 feet what this client reads at 20 feet.
D.This client can see at 100 feet what a client with normal vision can see at 20 feet. -
correct answer C
The interpretation of the client's visual acuity is compared to the Snellen scale of
20/20, which indicates that the letter size on the Snellen chart is seen clearly and read
by a client with normal vision at 20 feet. A finding of 20/100 means that this client can
read at 20 feet what a person with normal vision can read at 100 feet (C). (A, B, and D)
are inaccurate.
A client with small cell carcinoma of the lung has also developed syndrome of
inappropriate antidiuretic hormone (SIADH). Which outcome finding is the priority
for this client?
A.Reduced peripheral edema
, HESI EXIT Comprehensive PN Exam (New
2026/ 2027 Update) Questions & Answers
100% Correct (Verified Solutions) - [Grade A]
B.Urinary output of at least 70 mL/hr
C.Decrease in urine osmolarity
D.Serum sodium level of 137 mEq/L - correct answer D
Syndrome of inappropriate antidiuretic hormone (SIADH) results from an abnormal
production or sustained secretion of antidiuretic hormone, causing fluid retention,
hyponatremia, and central nervous system (CNS) fluid shifts. The client's
normalization of the serum sodium level (normal is 135 to 145 mEq/L) (D) is the most
important outcome because sudden and severe hyponatremia caused by fluid
overload can result in heart failure. Fluid retention of SIADH contributes to daily
weight gain, which can predispose to peripheral edema (A), but the higher priority
outcome is the effect on serum electrolyte levels. Although (B and C) are findings
associated with resolving SIADH, they do not have the priority of (D).
Two days after swallowing 30 tablets of alprazolam (Xanax), a client with a history of
depression is hemodynamically stable but wants to leave the hospital against medical
advice. Which nursing action(s) is(are) most likely to maintain client safety?
(Select all that apply.)
A.Direct the client to sign a liability release form.
B.Restrict the client's ability to leave the unit.
C.Explain the benefits of remaining in the hospital.
D.Instruct the client to take medications as prescribed.
, HESI EXIT Comprehensive PN Exam (New
2026/ 2027 Update) Questions & Answers
100% Correct (Verified Solutions) - [Grade A]
E.Provide the client with names of local support groups.
F.Notify the health care provider of the client's intention. - correct answer CDF
Correct responses are (C, D, and F). To maintain safety and to provide information,
the nurse should explain the potential benefits of continuing treatment in the
hospital (C) and the need to take prescribed medications (D). This client, who is very
likely self-destructive, should remain on the unit and the health care provider should
be notified (F). Signing a release form (A) before leaving the hospital does not
contribute to safety. The nurse may ask the client not to leave the hospital (B), but
pressuring clients is unethical behavior. (E) may be helpful at a later time in this
client's treatment program.
Which assessment finding indicates that nystatin (Mycostatin) swish and swallow,
prescribed for a client with oral candidiasis, has been effective?
A.The client denies dysphagia.
B.The client is afebrile with warm and dry skin.
C.The oral mucosa is pink and intact.
D.There is no reflux following food intake. - correct answer C
Mycostatin swish and swallow is prescribed for its local effect on the oral mucosa,
reducing the white curdlike lesions in the mouth and larynx (C). The ability to swallow
, HESI EXIT Comprehensive PN Exam (New
2026/ 2027 Update) Questions & Answers
100% Correct (Verified Solutions) - [Grade A]
(A) does not indicate that the medication has been effective. (B and D) do not reflect
effectiveness of the local medication.
Because of census overload, the charge nurse of an acute care medical unit must
select a client who can be transferred back to a residential facility. The client with
which symptomology is the most stable?
A.A stage 3 sacral pressure ulcer, with colonized methicillin-resistant Staphylococcus
aureus (MRSA)
B.Pneumonia, with a sputum culture of gram-negative bacteria
C.Urinary tract infection, with positive blood cultures
D.Culture of a diabetic foot ulcer shows gram-positive cocci - correct answer A
The client with colonized MRSA (A) is the most stable client, because colonization
does not cause symptomatic disease. The gram-negative organisms causing
pneumonia are typically resistant to drug therapy (B), which makes recovery very
difficult. Positive blood cultures (C) indicate a systemic infection. Poor circulation
places the diabetic with an infected ulcer (D) at high risk for poor healing and bone
infection.
An older client who resides in a long-term care facility is hearing-impaired. How
should the nurse modify interventions for this client?
