HESI RN EXIT EXAM WITH CORRECT
ANSWER: 2026/2027
1. A male client with stomach cancer returns to the unit following a total
gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer's
solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300
mL of blood in the suction canister, the client's heart rate is 155 beats/minute, and his
blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon.
Which action should the nurse implement first? ( CORRECT ANSWER: ) d. Increase
the infusion rate of Lactated Ringer's solution.
2. an adult male who fell 20 feet from the roof of this home has multiple injuries,
including a right pneumothorax. Chest tubes were inserted in the emergency
department prior to his transfer to the intensive care unit (ICU). the nurse notes that
the suction control chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of
bright red blood is measured in the collection chamber. Which intervention should the
nurse implement? ( CORRECT ANSWER: ) a. Add sterile water to the suction control
chamber.
3. A client who received hemodialysis yesterday is experiencing a blood pressure
of 200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute.
The client is manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen
satur ation on room air of 89%. Which action should the nurse take first? ( CORRECT
ANSWER: ) c. Begin supplemental oxygen.
4. A client with Addison's crisis is admitted for treatment with adrenal cortical
supplementation. Based on the client's admitting diagnosis, which findings require
immediate action by the nurse? (Select all that apply) ( CORRECT ANSWER: )
Headache and tremors
Irregular heart rate
pallor and diaphoresis
5. An older client is admitted with fluid volume deficit and dehydration. Which
assessment finding is the best indicator of hydration that the nurse should report to
the healthcare provider? ( CORRECT ANSWER: ) d. Skin tenting occurs when the
client's forearm is pinched.
,6. After an inservice about electronic health record (EHR) security and
safeguarding client information, the nurse observes a colleague going home with
printed copies of client information in a uniform pocket. Which action should the nurse
take? ( CORRECT ANSWER: ) a. File a detailed incident report with the specific hiring
facility.
7. The nurse is evaluating a tertiary prevention program for clients with
cardiovascular disease implemented in a rural health clinic. Which outcome indicate
the program is effective? ( CORRECT ANSWER: ) c. Clients who incurred disease
complications promptly received rehabilitation.
8. The nurse is caring for a client with chronic obstructive pulmonary disease
(COPD) who uses oxygen at 2 L/minute per nasal cannula continuously. The nurse
observes that the client is having increased shortness of breath with respirations at 23
breaths/minu te. Which action should the nurse implement first? ( CORRECT
ANSWER: ) d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
9. Which statement by a client who is 24 hours post - subtotal thyroidectomy
requires an immediate investigation by the nurse? ( CORRECT ANSWER: ) When I get
out of bed quickly, I feel a little dizzy."
10. An older adult male who is in his early 70's is admitted to the emergency
department because of a COPD exacerbation. This client is struggling to breathe and
the healthcare team is preparing for endotracheal intubation. The spouse's wife, who is
30 years y ounger than the client, asks the nurse to stop the procedure and provide the
nurse a copy of the client's living will. Which action should the nurse take? (
CORRECT ANSWER: ) b. Notify the healthcare provider of the client's wishes.
11. An unlicensed assistive personnel (UAP) is assigned to provide personal care
for a client whose prescribed activity is bedrest with bedside commode use. The UAP
reports to the nurse that the client is so obese that the UAP feels unable to safely
assist the client in transferring from the bed to the bedside commode. How should the
nurse respond? ( CORRECT ANSWER: ) c. Advice the client to maintain bedrest so
that safety can be ensured.
12. A nurse determines that more than 25% of the students at a middle school are
overweight. The nurse presents the information at the parent - teacher meeting. What
action is most important for the nurse to include in the meeting? ( CORRECT
ANSWER: ) c. Distribute a shopping list of suggested healthy snack items.
, 13. After several months of chronic fatigue, morning stiffness, and join pain, a
young adult is diagnosed with rheumatoid arthritis, and the healthcare provider
prescribes prednisone. Which education should the nurse provide the client with
regard to taking pr ednisone? ( CORRECT ANSWER: ) c. If sequential doses are
missed, notify the healthcare provider.
14. The psychiatric nurse is caring for clients on an adolescent unit. Which client
requires the nurse's immediate attention? ( CORRECT ANSWER: ) c. An 18 - year- old
client with antisocial behavior who is being yelled at by other clients
15. The nurse caring for a child with mononucleosis can expect the child to exhibit
which symptoms? ( CORRECT ANSWER: ) b. Ear pain and fever.
16. A client arrives for an annual physical exam and complains of having calf pain.
The client's health history reveals peripheral atrial disease. Which question should the
nurse ask the client about expected finding related to chronic arterial symptoms? (
CORRECT ANSWER: ) b. Does the calf pain occur when walking short distances?
17. The nurse is preparing to send a client to the cardiac catheterization lab for an
angioplasty. Which client report is most important for them to explore further prior to
the start of the procedure? ( CORRECT ANSWER: ) d. Experience facial swelling
after eating crab.
18. The nurse is assessing a 4 - year- old child with eczema. The child's skin is dry
and scaly, and the mother reports that the child frequently scratches the lesions on
the skin to the point of causing bleeding. Which guideline is indicated for care of this
chi ld? ( CORRECT ANSWER: ) b. Apply baby lotion to the skin twice daily.
19. A new mother on the postpartum unit runs out of the room screaming that her
newborn infant's crib is empty and the baby is missing. What action should the nurse
take first? ( CORRECT ANSWER: ) d. Match ID bands of all infants and mothers on
the unit.
20. While providing a health history, a female client tells the clinic nurse that she
frequently thinks about hurting herself. Which question is most important for the nurse
to ask? ( CORRECT ANSWER: ) c. "Have you thought about taking your life?"
21. A college student brings a dorm roommate to the campus clinic because the
roommate has been talking to someone who is not present. The client tells the nurse
that the voices are saying, "kill, kill." What question should the nurse ask the client
next? ( CORRECT ANSWER: ) c. "Are you planning to obey the voices?"
ANSWER: 2026/2027
1. A male client with stomach cancer returns to the unit following a total
gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer's
solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300
mL of blood in the suction canister, the client's heart rate is 155 beats/minute, and his
blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon.
Which action should the nurse implement first? ( CORRECT ANSWER: ) d. Increase
the infusion rate of Lactated Ringer's solution.
2. an adult male who fell 20 feet from the roof of this home has multiple injuries,
including a right pneumothorax. Chest tubes were inserted in the emergency
department prior to his transfer to the intensive care unit (ICU). the nurse notes that
the suction control chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of
bright red blood is measured in the collection chamber. Which intervention should the
nurse implement? ( CORRECT ANSWER: ) a. Add sterile water to the suction control
chamber.
3. A client who received hemodialysis yesterday is experiencing a blood pressure
of 200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute.
The client is manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen
satur ation on room air of 89%. Which action should the nurse take first? ( CORRECT
ANSWER: ) c. Begin supplemental oxygen.
4. A client with Addison's crisis is admitted for treatment with adrenal cortical
supplementation. Based on the client's admitting diagnosis, which findings require
immediate action by the nurse? (Select all that apply) ( CORRECT ANSWER: )
Headache and tremors
Irregular heart rate
pallor and diaphoresis
5. An older client is admitted with fluid volume deficit and dehydration. Which
assessment finding is the best indicator of hydration that the nurse should report to
the healthcare provider? ( CORRECT ANSWER: ) d. Skin tenting occurs when the
client's forearm is pinched.
,6. After an inservice about electronic health record (EHR) security and
safeguarding client information, the nurse observes a colleague going home with
printed copies of client information in a uniform pocket. Which action should the nurse
take? ( CORRECT ANSWER: ) a. File a detailed incident report with the specific hiring
facility.
7. The nurse is evaluating a tertiary prevention program for clients with
cardiovascular disease implemented in a rural health clinic. Which outcome indicate
the program is effective? ( CORRECT ANSWER: ) c. Clients who incurred disease
complications promptly received rehabilitation.
8. The nurse is caring for a client with chronic obstructive pulmonary disease
(COPD) who uses oxygen at 2 L/minute per nasal cannula continuously. The nurse
observes that the client is having increased shortness of breath with respirations at 23
breaths/minu te. Which action should the nurse implement first? ( CORRECT
ANSWER: ) d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
9. Which statement by a client who is 24 hours post - subtotal thyroidectomy
requires an immediate investigation by the nurse? ( CORRECT ANSWER: ) When I get
out of bed quickly, I feel a little dizzy."
10. An older adult male who is in his early 70's is admitted to the emergency
department because of a COPD exacerbation. This client is struggling to breathe and
the healthcare team is preparing for endotracheal intubation. The spouse's wife, who is
30 years y ounger than the client, asks the nurse to stop the procedure and provide the
nurse a copy of the client's living will. Which action should the nurse take? (
CORRECT ANSWER: ) b. Notify the healthcare provider of the client's wishes.
11. An unlicensed assistive personnel (UAP) is assigned to provide personal care
for a client whose prescribed activity is bedrest with bedside commode use. The UAP
reports to the nurse that the client is so obese that the UAP feels unable to safely
assist the client in transferring from the bed to the bedside commode. How should the
nurse respond? ( CORRECT ANSWER: ) c. Advice the client to maintain bedrest so
that safety can be ensured.
12. A nurse determines that more than 25% of the students at a middle school are
overweight. The nurse presents the information at the parent - teacher meeting. What
action is most important for the nurse to include in the meeting? ( CORRECT
ANSWER: ) c. Distribute a shopping list of suggested healthy snack items.
, 13. After several months of chronic fatigue, morning stiffness, and join pain, a
young adult is diagnosed with rheumatoid arthritis, and the healthcare provider
prescribes prednisone. Which education should the nurse provide the client with
regard to taking pr ednisone? ( CORRECT ANSWER: ) c. If sequential doses are
missed, notify the healthcare provider.
14. The psychiatric nurse is caring for clients on an adolescent unit. Which client
requires the nurse's immediate attention? ( CORRECT ANSWER: ) c. An 18 - year- old
client with antisocial behavior who is being yelled at by other clients
15. The nurse caring for a child with mononucleosis can expect the child to exhibit
which symptoms? ( CORRECT ANSWER: ) b. Ear pain and fever.
16. A client arrives for an annual physical exam and complains of having calf pain.
The client's health history reveals peripheral atrial disease. Which question should the
nurse ask the client about expected finding related to chronic arterial symptoms? (
CORRECT ANSWER: ) b. Does the calf pain occur when walking short distances?
17. The nurse is preparing to send a client to the cardiac catheterization lab for an
angioplasty. Which client report is most important for them to explore further prior to
the start of the procedure? ( CORRECT ANSWER: ) d. Experience facial swelling
after eating crab.
18. The nurse is assessing a 4 - year- old child with eczema. The child's skin is dry
and scaly, and the mother reports that the child frequently scratches the lesions on
the skin to the point of causing bleeding. Which guideline is indicated for care of this
chi ld? ( CORRECT ANSWER: ) b. Apply baby lotion to the skin twice daily.
19. A new mother on the postpartum unit runs out of the room screaming that her
newborn infant's crib is empty and the baby is missing. What action should the nurse
take first? ( CORRECT ANSWER: ) d. Match ID bands of all infants and mothers on
the unit.
20. While providing a health history, a female client tells the clinic nurse that she
frequently thinks about hurting herself. Which question is most important for the nurse
to ask? ( CORRECT ANSWER: ) c. "Have you thought about taking your life?"
21. A college student brings a dorm roommate to the campus clinic because the
roommate has been talking to someone who is not present. The client tells the nurse
that the voices are saying, "kill, kill." What question should the nurse ask the client
next? ( CORRECT ANSWER: ) c. "Are you planning to obey the voices?"
