Ultimate HESI Exit Exam Prep Bundle V1–V7 | Latest
2026 Test Bank | Real Exam Questions, Verified
Answers & Detailed Rationales | Nursing Final Exam
Study Guide | Pass First Attempt Guaranteed
1. A client with heart failure is prescribed furosemide (Lasix) 40 mg IV push.
Which laboratory value requires immediate intervention by the nurse?
• A. Serum potassium 3.2 mEq/L
• B. Serum sodium 135 mEq/L
• C. Serum creatinine 0.9 mg/dL
• D. Blood glucose 110 mg/dL
2. The nurse is caring for a client immediately following a cardiac
catheterization via the right femoral artery. Which assessment finding
requires immediate action?
• A. Blood pressure 118/76 mm Hg
• B. Right foot colder than left foot
• C. Heart rate 88 beats per minute
• D. Client reports mild groin discomfort
3. A client with type 1 diabetes mellitus is found unconscious. After
establishing an airway, what is the nurse's priority action?
• A. Administer glucagon 1 mg IM
• B. Check blood glucose level
• C. Administer 50% dextrose IV push
• D. Start an insulin drip
4. The nurse is providing discharge teaching to a client prescribed warfarin
(Coumadin). Which statement by the client indicates a need for further
teaching?
, • A. "I will use a soft toothbrush to brush my teeth."
• B. "I can take ibuprofen for my headaches."
• C. "I will avoid eating large amounts of green leafy vegetables."
• D. "I will get my blood drawn regularly as scheduled."
5. A primigravida client at 38 weeks gestation presents with a bloody show
and irregular contractions every 10-15 minutes. What is the nurse's priority
action?
• A. Send the client directly to the delivery room
• B. Assess cervical dilation and effacement
• C. Administer terbutaline to stop contractions
• D. Prepare for immediate cesarean section
6. The nurse is assessing a client receiving a blood transfusion. Which finding
indicates a possible hemolytic transfusion reaction?
• A. Urticaria and itching
• B. Low back pain and dark urine
• C. Wheezing and dyspnea
• D. Temperature of 100.2°F (37.9°C)
7. A client with major depressive disorder is started on phenelzine (Nardil), an
MAOI. Which food should the nurse instruct the client to avoid?
• A. Baked chicken
• B. White rice
• C. Aged cheddar cheese
• D. Apple juice
8. The nurse is suctioning a client with a tracheostomy. Which action is
correct?
• A. Apply suction for 20-30 seconds
• B. Hyperoxygenate before and after suctioning
, • C. Insert the catheter with suction applied
• D. Suction every 5 minutes until clear
9. A postoperative client reports sudden chest pain and dyspnea. The nurse
notes tachycardia and petechiae over the chest wall. Which condition should
the nurse suspect?
• A. Atelectasis
• B. Pneumothorax
• C. Pulmonary embolism
• D. Wound infection
10. The nurse is teaching a client with chronic kidney disease (CKD) about
dietary restrictions. Which food choice by the client indicates understanding?
• A. Banana and orange juice
• B. Apple slices and white rice
• C. Baked potato with salt
• D. Peanut butter sandwich
11. A client experiencing alcohol withdrawal becomes agitated and reports
seeing snakes on the walls. Which medication should the nurse prepare to
administer?
• A. Naltrexone (ReVia)
• B. Disulfiram (Antabuse)
• C. Lorazepam (Ativan)
• D. Acamprosate (Campral)
12. The nurse is assessing a newborn's Apgar score at 1 minute. The infant
has a heart rate of 110, cries with stimulation, active motion, acrocyanosis,
and a weak cry. What is the Apgar score?
• A. 6
• B. 7
• C. 8
, • D. 9
13. A client with cirrhosis has an elevated ammonia level. Which prescribed
medication should the nurse anticipate administering?
• A. Furosemide (Lasix)
• B. Lactulose (Cephulac)
• C. Spironolactone (Aldactone)
• D. Metoclopramide (Reglan)
14. The nurse is delegating tasks to unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
• A. Measuring intake and output for a stable client
• B. Assessing a client's pain level
• C. Teaching a client about insulin injection
• D. Suctioning a tracheostomy
15. A client on mechanical ventilation has an endotracheal tube. Which
assessment finding requires immediate action?
• A. Crackles heard in bilateral lung bases
• B. Asymmetric chest movement
• C. Oral secretions in the mouth
• D. Client coughs during suctioning
16. The nurse is caring for a client with bipolar disorder taking lithium
carbonate. Which serum lithium level indicates toxicity?
• A. 0.6 mEq/L
• B. 0.8 mEq/L
• C. 1.2 mEq/L
• D. 1.8 mEq/L
2026 Test Bank | Real Exam Questions, Verified
Answers & Detailed Rationales | Nursing Final Exam
Study Guide | Pass First Attempt Guaranteed
1. A client with heart failure is prescribed furosemide (Lasix) 40 mg IV push.
Which laboratory value requires immediate intervention by the nurse?
• A. Serum potassium 3.2 mEq/L
• B. Serum sodium 135 mEq/L
• C. Serum creatinine 0.9 mg/dL
• D. Blood glucose 110 mg/dL
2. The nurse is caring for a client immediately following a cardiac
catheterization via the right femoral artery. Which assessment finding
requires immediate action?
• A. Blood pressure 118/76 mm Hg
• B. Right foot colder than left foot
• C. Heart rate 88 beats per minute
• D. Client reports mild groin discomfort
3. A client with type 1 diabetes mellitus is found unconscious. After
establishing an airway, what is the nurse's priority action?
• A. Administer glucagon 1 mg IM
• B. Check blood glucose level
• C. Administer 50% dextrose IV push
• D. Start an insulin drip
4. The nurse is providing discharge teaching to a client prescribed warfarin
(Coumadin). Which statement by the client indicates a need for further
teaching?
, • A. "I will use a soft toothbrush to brush my teeth."
• B. "I can take ibuprofen for my headaches."
• C. "I will avoid eating large amounts of green leafy vegetables."
• D. "I will get my blood drawn regularly as scheduled."
5. A primigravida client at 38 weeks gestation presents with a bloody show
and irregular contractions every 10-15 minutes. What is the nurse's priority
action?
• A. Send the client directly to the delivery room
• B. Assess cervical dilation and effacement
• C. Administer terbutaline to stop contractions
• D. Prepare for immediate cesarean section
6. The nurse is assessing a client receiving a blood transfusion. Which finding
indicates a possible hemolytic transfusion reaction?
• A. Urticaria and itching
• B. Low back pain and dark urine
• C. Wheezing and dyspnea
• D. Temperature of 100.2°F (37.9°C)
7. A client with major depressive disorder is started on phenelzine (Nardil), an
MAOI. Which food should the nurse instruct the client to avoid?
• A. Baked chicken
• B. White rice
• C. Aged cheddar cheese
• D. Apple juice
8. The nurse is suctioning a client with a tracheostomy. Which action is
correct?
• A. Apply suction for 20-30 seconds
• B. Hyperoxygenate before and after suctioning
, • C. Insert the catheter with suction applied
• D. Suction every 5 minutes until clear
9. A postoperative client reports sudden chest pain and dyspnea. The nurse
notes tachycardia and petechiae over the chest wall. Which condition should
the nurse suspect?
• A. Atelectasis
• B. Pneumothorax
• C. Pulmonary embolism
• D. Wound infection
10. The nurse is teaching a client with chronic kidney disease (CKD) about
dietary restrictions. Which food choice by the client indicates understanding?
• A. Banana and orange juice
• B. Apple slices and white rice
• C. Baked potato with salt
• D. Peanut butter sandwich
11. A client experiencing alcohol withdrawal becomes agitated and reports
seeing snakes on the walls. Which medication should the nurse prepare to
administer?
• A. Naltrexone (ReVia)
• B. Disulfiram (Antabuse)
• C. Lorazepam (Ativan)
• D. Acamprosate (Campral)
12. The nurse is assessing a newborn's Apgar score at 1 minute. The infant
has a heart rate of 110, cries with stimulation, active motion, acrocyanosis,
and a weak cry. What is the Apgar score?
• A. 6
• B. 7
• C. 8
, • D. 9
13. A client with cirrhosis has an elevated ammonia level. Which prescribed
medication should the nurse anticipate administering?
• A. Furosemide (Lasix)
• B. Lactulose (Cephulac)
• C. Spironolactone (Aldactone)
• D. Metoclopramide (Reglan)
14. The nurse is delegating tasks to unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
• A. Measuring intake and output for a stable client
• B. Assessing a client's pain level
• C. Teaching a client about insulin injection
• D. Suctioning a tracheostomy
15. A client on mechanical ventilation has an endotracheal tube. Which
assessment finding requires immediate action?
• A. Crackles heard in bilateral lung bases
• B. Asymmetric chest movement
• C. Oral secretions in the mouth
• D. Client coughs during suctioning
16. The nurse is caring for a client with bipolar disorder taking lithium
carbonate. Which serum lithium level indicates toxicity?
• A. 0.6 mEq/L
• B. 0.8 mEq/L
• C. 1.2 mEq/L
• D. 1.8 mEq/L
