HESI RN EXIT EXAM V4 (180 QUESTIONS WITH ANSWERS)
2026/2027 update
1. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.
Which of the following findings should the nurse report to the provider?
A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. E rythrocyte sedimentation rate 75 mm/hr
2. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse
should expect a prescription for which of the following laboratory tests?
A. Platelet count.
B. Potassium level.
C. Creatine clearance.
D. Prealbumin.
3. A nurse is caring for a client following application of a cast. Which of the following actions
should the nurse take first?
A. Place an ice pack over the cast.
B. P alpate the pulse distal to the cast.
,C. Teach the client to keep the cast clean and dry.
D. Position the casted extremity on a pillow.
,4. A nurse is caring for a client who has vision loss. Which of the following actions should the
nurse take? (Select all that apply)
A. Keep objects in the client’s room in the
same place.
B. Ensure there is high-wattage lighting in the
client’s room.
C. Approach the client from the side.
D. Allow extra time for the client to perform tasks.
E. Touch the client gently to
announce presence.
5. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions
, about the disease. To research the nurse should identify that which of the following
electronic database has the most comprehensive collection of nursing (Unable to read) articles?
A. MEDLINE
B. C INAHL.
C. ProQuest.
D. Health Source.
6. A nurse in an emergency department is assessing newly admitted client who is
experiencing drooling and hoarseness following a burn injury. Which of the following should
actions should the nurse take first?
A. Obtain a baseline ECG.
B. Obtain a blood specimen for ABG analysis.
C. Insert an 18-gauge IV catheter.
D. A dminister 100% humidified oxygen.
7. A nurse is planning care for a client who has unilateral paralysis and dysphagia
following a right hemispheric stroke. Which of the following interventions should the
nurse include in the plan?
A. Place food on the left side of the client’s mouth when he is ready to eat.
B. Provide total care in performing the client’s ADLs.
C. Maintain the client on bed rest.
D. P lace the client’s left arm on a pillow while he is sitting.
2026/2027 update
1. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.
Which of the following findings should the nurse report to the provider?
A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. E rythrocyte sedimentation rate 75 mm/hr
2. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse
should expect a prescription for which of the following laboratory tests?
A. Platelet count.
B. Potassium level.
C. Creatine clearance.
D. Prealbumin.
3. A nurse is caring for a client following application of a cast. Which of the following actions
should the nurse take first?
A. Place an ice pack over the cast.
B. P alpate the pulse distal to the cast.
,C. Teach the client to keep the cast clean and dry.
D. Position the casted extremity on a pillow.
,4. A nurse is caring for a client who has vision loss. Which of the following actions should the
nurse take? (Select all that apply)
A. Keep objects in the client’s room in the
same place.
B. Ensure there is high-wattage lighting in the
client’s room.
C. Approach the client from the side.
D. Allow extra time for the client to perform tasks.
E. Touch the client gently to
announce presence.
5. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions
, about the disease. To research the nurse should identify that which of the following
electronic database has the most comprehensive collection of nursing (Unable to read) articles?
A. MEDLINE
B. C INAHL.
C. ProQuest.
D. Health Source.
6. A nurse in an emergency department is assessing newly admitted client who is
experiencing drooling and hoarseness following a burn injury. Which of the following should
actions should the nurse take first?
A. Obtain a baseline ECG.
B. Obtain a blood specimen for ABG analysis.
C. Insert an 18-gauge IV catheter.
D. A dminister 100% humidified oxygen.
7. A nurse is planning care for a client who has unilateral paralysis and dysphagia
following a right hemispheric stroke. Which of the following interventions should the
nurse include in the plan?
A. Place food on the left side of the client’s mouth when he is ready to eat.
B. Provide total care in performing the client’s ADLs.
C. Maintain the client on bed rest.
D. P lace the client’s left arm on a pillow while he is sitting.
