HESI exit exam 799 questions, HESI 700 Exit
Practice Test, HESI RN Exit Exam 2026, HESI RN
2027 EXIT EXAM , HESI RN EXIT Exam Questions
and Verified Answers
A client is admitted with acute pancreatitis. The client admits to drinking a pint of bourbon
daily. The nurse medicates the client for pain and monitors vital signs q2 hours. Which finding
should the nurse report immediately to the healthcare provider?
a. Confusion and tremors
b. Yellowing and itching of skin.
c. Abdominal pain and vomiting
d. Anorexia and abdominal distention
a. Confusion and tremors
Rationale: daily alcohol is the likely etiology for the client's pancreatitis. Abrupt cessation of
alcohol can result in delirium tremens (DT) causing confusion and tremors, which can
precipitate cardiovascular complications and should be reported immediately to avoid life-
threatening complications. The other options are expected findings in those with liver
dysfunction or pancreatitis, but do not require immediate action.
Following and gunshot wound, an adult client a hemoglobin level of 4 grams/dl (40 mmol/L SI).
The nurse prepares to administer a unit of blood for an emergency transfusion. The client has
AB negative blood type and the blood bank sends a unit of type A Rh negative, reporting that
there is not type AB negative blood currently available. Which intervention should the nurse
implement?
a. Transfuse Type A negative blood until type AB negative is available.
b. Recheck the client's hemoglobin, blood type and Rh factor.
c. Administer normal saline solution until type AB negative is available
d. Obtain additional consent for administration of type A negative blood
Transfuse Type A negative blood until type AB negative is available
Rationale: those who have type AB blood are considered universal recipients using A or B blood
types that is the same Rh factor. The client's hemoglobin is critically low, and the client should
receive a unit of blood that is type A, which must be Rh negative blood. Other options are not
indicated in this situation.
1
,The nurse is teaching a mother of a newborn with a cleft lip how to bottle feed her baby using
medela haberman feeder, which has a valve to control the release of milk and a slit nipple
opening. The nurse discusses placing the nipple's elongated tip in the back of the oral cavity.
What instructions should the nurse provide the mother about feedings?
a. Squeeze the nipple base to introduce milk into the mouth
b. Position the baby in the left lateral position after feeding
c. Alternate milk with water during feeding
d. Hold the newborn in an upright position
d. Hold the newborn in an upright position
Rationale: the mother should be instructed to hold the infant during feedings in a sitting or
upright position to prevent aspiration. Impaired sucking is compensated using special feeding
appliances and nipples such as the Haberman feeder that prevents aspiration by adjusting the
flow of mild according to the effort of the neonate. Squeezing the nipple base may introduce a
volume that is greater than the neonate can coordinate swallowing. The preferred position of
an infant after feeding is on the right side to facilitate stomach emptying. Sucking difficulty
impedes the neonate's intake of adequate nutrient needed for weight gain and water should be
provided after the feeding to cleanse the oral cavity and not fill up the neonate's stomach.
A young adult female college student visits the health clinic in early winter to obtain birth
control pills. The clinic nurse asks if the student has received an influenza vaccination. The
student stated she did not receive vaccination because she has asthma. How should the nurse
respond?
a. Offer to provide the influenza vaccination to the student while she is at the clinic
b. Encourage the student to obtain a vaccination prior to the next influenza season.
c. Confirm that a history of asthma can increase risks associated with the vaccine.
d. Advise the student that the nasal spray vaccine reduces side effects for people with asthma.
a. Offer to provide the influenza vaccination to the student while she is at the clinic
Rationale: person with asthma are at increased risk related to influenza and should receive the
influenza vaccination prior to or during influenza season. Waiting until the start of the next
season places the student at risk for the current season. The vaccination does not increase risk
for persons with asthma, but the nasal spray may result in increased wheezing after receiving
that form of the vaccination.
2
,A client with eczema is experiencing severe pruritus. Which PRN prescriptions should the nurse
administer? (Select all that apply)
a. Topical corticosteroid.
b. Topical scabicide.
c. Topical alcohol rub.
d. Transdermal analgesic.
e. Oral antihistamine
a. Topical corticosteroid.
e. Oral antihistamine
Rationale: anti-inflammatory actions of topical corticosteroids and oral antihistamines provide
relief from severe pruritus (itching). Other options are not indicated.
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife approaches
the nurse and asks how she will know that her husband's death is imminent because their two
adult children want to be there when he dies. What is the best response by the nurse?
a. Explain that the client will start to lose consciousness and his body system will slow down
b. Reassure the spouse that the healthcare provider will let her know when to call the children
c. Offer to discuss the client's health status with each of the adult children
d. Gather information regarding how long it will take for the children to arrive
a. Explain that the client will start to lose consciousness and his body system will slow down
Rationale: Expected signs of approaching death include noticeable changes in the client's level
of consciousness and a slowing down of body systems. The nurse should answer the spouse's
questions about the signs of imminent death rather than offering reassurance that may or may
not be true. Other options listed may be implemented but the nurse should first answer the
spouse's question directly.
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
Which information is most important for the nurse to provide the parents prior to discharge?
a. Instructions about how much fluid the child should drink daily
b. information about non-pharmaceutical pain reliever measures
c. Referral for social services for the child and family
d. Signs of addiction to opioid and medications
Instructions about how much fluid the child should drink daily
3
, Rationale: It is essential that the child and family understands the importance of adequate
hydration in preventing the stasis-thrombosis-ischemia cycle of a crisis that has a specific plan
for hydration is developed so that a crisis can be delayed. Other choices listed are not the most
important topics to include in the discharge teaching.
What action should the school nurse implement to provide secondary prevention to a school-
age children?
a. Collaborate with a science teacher to prepare a health lesson
b. Prepare a presentation on how to prevent the spread of lice
c. Initiate a hearing and vision screening program for first-graders
d. Observe a person with type 1 diabetes self-administer a dose of insulin
Initiate a hearing and vision screening program for first-grader
While making rounds, the charge nurse notices that a young adult client with asthma who was
admitted yesterday is sitting on the side of the bed and leaning over the bed-side-table. The
client is currently receiving at 2 liters/minute via nasal cannula. The client is wheezing and is
using pursed-lip breathing. Which intervention should the nurse implement?
a. Assist the client to lie back in bed
b. Call for an Ambu resuscitating bag
c. Increase oxygen to 6 liters/minute
d. Administer a nebulizer Treatment
Administer a nebulizer Treatment
Rationale: The client needs an immediate medicated nebulizer treatment. Sitting in an upright
position with head and arms resting on the over-bed table is an ideal position to promote
breathing because it promotes lung expansion. Other actions me be accurate but not yet
indicated.
While assisting a client who recently had a hip replacement into a bed pan, the nurse notices
that there is a small amount of bloody drainage on the surgical dressing, the client's skin is
warm to the touch, and there is a strong odor from the urine. Which action should the nurse
take?
a. Obtain a urine sample from the bed pan
b. Remove dressing and assess surgical site
c. Insert an indwelling urinary catheter
4
Practice Test, HESI RN Exit Exam 2026, HESI RN
2027 EXIT EXAM , HESI RN EXIT Exam Questions
and Verified Answers
A client is admitted with acute pancreatitis. The client admits to drinking a pint of bourbon
daily. The nurse medicates the client for pain and monitors vital signs q2 hours. Which finding
should the nurse report immediately to the healthcare provider?
a. Confusion and tremors
b. Yellowing and itching of skin.
c. Abdominal pain and vomiting
d. Anorexia and abdominal distention
a. Confusion and tremors
Rationale: daily alcohol is the likely etiology for the client's pancreatitis. Abrupt cessation of
alcohol can result in delirium tremens (DT) causing confusion and tremors, which can
precipitate cardiovascular complications and should be reported immediately to avoid life-
threatening complications. The other options are expected findings in those with liver
dysfunction or pancreatitis, but do not require immediate action.
Following and gunshot wound, an adult client a hemoglobin level of 4 grams/dl (40 mmol/L SI).
The nurse prepares to administer a unit of blood for an emergency transfusion. The client has
AB negative blood type and the blood bank sends a unit of type A Rh negative, reporting that
there is not type AB negative blood currently available. Which intervention should the nurse
implement?
a. Transfuse Type A negative blood until type AB negative is available.
b. Recheck the client's hemoglobin, blood type and Rh factor.
c. Administer normal saline solution until type AB negative is available
d. Obtain additional consent for administration of type A negative blood
Transfuse Type A negative blood until type AB negative is available
Rationale: those who have type AB blood are considered universal recipients using A or B blood
types that is the same Rh factor. The client's hemoglobin is critically low, and the client should
receive a unit of blood that is type A, which must be Rh negative blood. Other options are not
indicated in this situation.
1
,The nurse is teaching a mother of a newborn with a cleft lip how to bottle feed her baby using
medela haberman feeder, which has a valve to control the release of milk and a slit nipple
opening. The nurse discusses placing the nipple's elongated tip in the back of the oral cavity.
What instructions should the nurse provide the mother about feedings?
a. Squeeze the nipple base to introduce milk into the mouth
b. Position the baby in the left lateral position after feeding
c. Alternate milk with water during feeding
d. Hold the newborn in an upright position
d. Hold the newborn in an upright position
Rationale: the mother should be instructed to hold the infant during feedings in a sitting or
upright position to prevent aspiration. Impaired sucking is compensated using special feeding
appliances and nipples such as the Haberman feeder that prevents aspiration by adjusting the
flow of mild according to the effort of the neonate. Squeezing the nipple base may introduce a
volume that is greater than the neonate can coordinate swallowing. The preferred position of
an infant after feeding is on the right side to facilitate stomach emptying. Sucking difficulty
impedes the neonate's intake of adequate nutrient needed for weight gain and water should be
provided after the feeding to cleanse the oral cavity and not fill up the neonate's stomach.
A young adult female college student visits the health clinic in early winter to obtain birth
control pills. The clinic nurse asks if the student has received an influenza vaccination. The
student stated she did not receive vaccination because she has asthma. How should the nurse
respond?
a. Offer to provide the influenza vaccination to the student while she is at the clinic
b. Encourage the student to obtain a vaccination prior to the next influenza season.
c. Confirm that a history of asthma can increase risks associated with the vaccine.
d. Advise the student that the nasal spray vaccine reduces side effects for people with asthma.
a. Offer to provide the influenza vaccination to the student while she is at the clinic
Rationale: person with asthma are at increased risk related to influenza and should receive the
influenza vaccination prior to or during influenza season. Waiting until the start of the next
season places the student at risk for the current season. The vaccination does not increase risk
for persons with asthma, but the nasal spray may result in increased wheezing after receiving
that form of the vaccination.
2
,A client with eczema is experiencing severe pruritus. Which PRN prescriptions should the nurse
administer? (Select all that apply)
a. Topical corticosteroid.
b. Topical scabicide.
c. Topical alcohol rub.
d. Transdermal analgesic.
e. Oral antihistamine
a. Topical corticosteroid.
e. Oral antihistamine
Rationale: anti-inflammatory actions of topical corticosteroids and oral antihistamines provide
relief from severe pruritus (itching). Other options are not indicated.
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife approaches
the nurse and asks how she will know that her husband's death is imminent because their two
adult children want to be there when he dies. What is the best response by the nurse?
a. Explain that the client will start to lose consciousness and his body system will slow down
b. Reassure the spouse that the healthcare provider will let her know when to call the children
c. Offer to discuss the client's health status with each of the adult children
d. Gather information regarding how long it will take for the children to arrive
a. Explain that the client will start to lose consciousness and his body system will slow down
Rationale: Expected signs of approaching death include noticeable changes in the client's level
of consciousness and a slowing down of body systems. The nurse should answer the spouse's
questions about the signs of imminent death rather than offering reassurance that may or may
not be true. Other options listed may be implemented but the nurse should first answer the
spouse's question directly.
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
Which information is most important for the nurse to provide the parents prior to discharge?
a. Instructions about how much fluid the child should drink daily
b. information about non-pharmaceutical pain reliever measures
c. Referral for social services for the child and family
d. Signs of addiction to opioid and medications
Instructions about how much fluid the child should drink daily
3
, Rationale: It is essential that the child and family understands the importance of adequate
hydration in preventing the stasis-thrombosis-ischemia cycle of a crisis that has a specific plan
for hydration is developed so that a crisis can be delayed. Other choices listed are not the most
important topics to include in the discharge teaching.
What action should the school nurse implement to provide secondary prevention to a school-
age children?
a. Collaborate with a science teacher to prepare a health lesson
b. Prepare a presentation on how to prevent the spread of lice
c. Initiate a hearing and vision screening program for first-graders
d. Observe a person with type 1 diabetes self-administer a dose of insulin
Initiate a hearing and vision screening program for first-grader
While making rounds, the charge nurse notices that a young adult client with asthma who was
admitted yesterday is sitting on the side of the bed and leaning over the bed-side-table. The
client is currently receiving at 2 liters/minute via nasal cannula. The client is wheezing and is
using pursed-lip breathing. Which intervention should the nurse implement?
a. Assist the client to lie back in bed
b. Call for an Ambu resuscitating bag
c. Increase oxygen to 6 liters/minute
d. Administer a nebulizer Treatment
Administer a nebulizer Treatment
Rationale: The client needs an immediate medicated nebulizer treatment. Sitting in an upright
position with head and arms resting on the over-bed table is an ideal position to promote
breathing because it promotes lung expansion. Other actions me be accurate but not yet
indicated.
While assisting a client who recently had a hip replacement into a bed pan, the nurse notices
that there is a small amount of bloody drainage on the surgical dressing, the client's skin is
warm to the touch, and there is a strong odor from the urine. Which action should the nurse
take?
a. Obtain a urine sample from the bed pan
b. Remove dressing and assess surgical site
c. Insert an indwelling urinary catheter
4
