RN HESI EXIT EXAM VERSIONS V1-
V10 (2026-2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!
.The nurse is completing the admission assessment of a 3-year old who is admitted with
bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is
experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - CORRECT ANSWERS-B. Sluggish and
unequal pupillary responses
2. A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an
elevated serum amylase. Which additional information is the client most likely to report
to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - CORRECT ANSWERS-A.
Abdominal pain decreases when lying supine
3. 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. Signs of addiction to opioid pain medications
, C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - CORRECT ANSWERS-A.
Instructions about how much fluid the child should drink daily
4. To auscultate for a carotid bruit, the nurse places the stethoscope at what location.
(Select the location on the image with a red dot). - CORRECT ANSWERS-I placed the red
dot on the base of the neck on the right side
5. After receiving report on an inpatient acute care unit, which client should the nurse
assess first?
A. The client with an obstruction of the large intestine who is experiencing
abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus with
absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is
draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity - CORRECT ANSWERS-D. The client with a bowel obstruction
due to a volvulus who is experiencing abdominal rigidity
6. A teenager presents to the emergency department with palpitations after vaping at a
party. The client is anxious, fearful, and hyperventilating. The nurse anticipates the client
developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - CORRECT ANSWERS-D. Respiratory alkalosis
7. A client with dyspnea is being admitted to the medical unit. To best prepare for the
client's arrival, the nurse should ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers - CORRECT ANSWERS-Fowlers
,8. The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
Which information in the client's admission assessment is relevant to the nurse's plan
for taking the blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling - CORRECT ANSWERS-A. Frequent syncope
9. C. Flat affect
10. D. Blurred vision
11. Whiledcaringdfordadclient'sdpostoperativeddressing,dthednursedobservesdpurulentddrainageda
tdthedwound.dBeforedreportingdthisdfindingdtodthedhealthcaredprovider,dthednursedshoulddre
viewdwhichdofdthedclient'sdlaboratorydvalues?
A. Serumdalbumin
B. Culturedfordsensitivedorganisms
C. Serumdblooddglucosedlevel
D. Creatininedleveld-ddCORRECTdANSWERS-B.dCulturedfordsensitivedorganisms
12. Adpreschool-
ageddboydisdadmitteddtodthedpediatricdunitdfollowingdsuccessfuldresuscitationdfromdadnear-
drowningdincident.dWhiledprovidingdcaredtodthedchild,dthednursedbeginsdtalkingdwithdhisdpr
eadolescentdbrotherdwhodrescueddthedchilddfromdthedswimmingdpooldanddinitiateddresusci
tation.dThednursednoticesdthedolderdboydbecomesdwithdrawndwhendaskeddaboutdwhatdhap
pened.dWhichdactiondshoulddthednursedtake?
A. Developdadwaterdsafetydteachingdplandfordthedfamily
B. Askdthedolderdbrotherdhowdhedfeltdduringdthedincident
C. Telldthedolderdbrotherdthatdhedseemsddepressed
D. Commenddthedolderdbrotherdfordhisdheroicdactionsd-ddCORRECTdANSWERS-
B.dAskdthedolderdbrotherdhowdhedfeltdduringdthedincident
13. Admaledclientdwithdcirrhosisdhasdjaundicedanddpruritus.dHedtellsdthednursedthatdhedhasdbeen
dsoakingdindhotdbathsdatdnightdwithdnodreliefdofdhisddiscomfort.dWhichdactiondshoulddthednu
rsedtake?
, A. Encouragedthedclientdtodusedcoolerdwaterdanddapplydcalaminedlotiondafterdsoaking
B. ObtaindadPRNdprescriptiondfordandanalgesicdthatdthedclientdcandusedfordsymptomdrel
ief
C. Suggestdthatdthedclientdtakedbriefdshowersdanddapplydoil-
baseddlotiondafterdshowering
D. Explaindthatdthedsymptomsdaredcauseddbydliverddamagedanddcannotdbedrelievedd-
ddCORRECTdANSWERS-
A.dEncouragedthedclientdtodusedcoolerdwaterdanddapplydcalaminedlotiondafterdsoakin
g
14. Andolderdclientdwithdadlongdhistorydofdcoronarydarteryddiseased(CAD),dhypertensiond(HTN),d
anddheartdfailured(HF)darrivesdindthedEmergencydDepartmentd(ED)dindrespiratoryddistress.dT
hedhealthcaredproviderdprescribesdfurosemidedIV.dWhichdtherapeuticdresponsedtodfurosem
idedshoulddthednursedexpecteddindthedclientdwithdacutedHF?
A. Increaseddcardiacdcontractility
B. Reduceddpreload
C. Relaxeddvasculardtone
D. Decreaseddafterloadd-ddCORRECTdANSWERS-B.dReduceddpreload
15. Whichdinterventiondshoulddthednursedincludedindthedplandofdcaredfordadchilddwithdtetanus?
A. Encouragedcoughingdandddeepdbreathing
B. Minimizedthedamountdofdstimulidindthedroom
C. Repositiondfromdsidedtodsidedeverydhour
D. Opendwindowdshadesdtodprovidednaturaldlightd-ddCORRECTdANSWERS-
B.dMinimizedthedamountdofdstimulidindthedroom
16. AndadolescentdwhodwasddiagnoseddwithddiabetesdmellitusdTyped1datdthedagedofd9,disdadmitt
eddtodthedhospitaldinddiabeticdketoacidosis.dWhichdoccurrencedisdthedmostdlikelydcausedofdt
hedketoacidosis?
A. Atedandextradpeanutdbutterdsandwichdbeforedgymdclass
B. incorrectlydadministereddtoodmuchdinsulind
C. Haddadcolddanddeardinfectiondfordthedpastdtwoddaysd
D. Skippeddeatingdlunchd-ddCORRECTdANSWERS-
C.dHaddadcolddanddeardinfectiondfordthedpastdtwoddays
V10 (2026-2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!
.The nurse is completing the admission assessment of a 3-year old who is admitted with
bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is
experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - CORRECT ANSWERS-B. Sluggish and
unequal pupillary responses
2. A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an
elevated serum amylase. Which additional information is the client most likely to report
to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - CORRECT ANSWERS-A.
Abdominal pain decreases when lying supine
3. 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. Signs of addiction to opioid pain medications
, C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - CORRECT ANSWERS-A.
Instructions about how much fluid the child should drink daily
4. To auscultate for a carotid bruit, the nurse places the stethoscope at what location.
(Select the location on the image with a red dot). - CORRECT ANSWERS-I placed the red
dot on the base of the neck on the right side
5. After receiving report on an inpatient acute care unit, which client should the nurse
assess first?
A. The client with an obstruction of the large intestine who is experiencing
abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus with
absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is
draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity - CORRECT ANSWERS-D. The client with a bowel obstruction
due to a volvulus who is experiencing abdominal rigidity
6. A teenager presents to the emergency department with palpitations after vaping at a
party. The client is anxious, fearful, and hyperventilating. The nurse anticipates the client
developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - CORRECT ANSWERS-D. Respiratory alkalosis
7. A client with dyspnea is being admitted to the medical unit. To best prepare for the
client's arrival, the nurse should ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers - CORRECT ANSWERS-Fowlers
,8. The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
Which information in the client's admission assessment is relevant to the nurse's plan
for taking the blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling - CORRECT ANSWERS-A. Frequent syncope
9. C. Flat affect
10. D. Blurred vision
11. Whiledcaringdfordadclient'sdpostoperativeddressing,dthednursedobservesdpurulentddrainageda
tdthedwound.dBeforedreportingdthisdfindingdtodthedhealthcaredprovider,dthednursedshoulddre
viewdwhichdofdthedclient'sdlaboratorydvalues?
A. Serumdalbumin
B. Culturedfordsensitivedorganisms
C. Serumdblooddglucosedlevel
D. Creatininedleveld-ddCORRECTdANSWERS-B.dCulturedfordsensitivedorganisms
12. Adpreschool-
ageddboydisdadmitteddtodthedpediatricdunitdfollowingdsuccessfuldresuscitationdfromdadnear-
drowningdincident.dWhiledprovidingdcaredtodthedchild,dthednursedbeginsdtalkingdwithdhisdpr
eadolescentdbrotherdwhodrescueddthedchilddfromdthedswimmingdpooldanddinitiateddresusci
tation.dThednursednoticesdthedolderdboydbecomesdwithdrawndwhendaskeddaboutdwhatdhap
pened.dWhichdactiondshoulddthednursedtake?
A. Developdadwaterdsafetydteachingdplandfordthedfamily
B. Askdthedolderdbrotherdhowdhedfeltdduringdthedincident
C. Telldthedolderdbrotherdthatdhedseemsddepressed
D. Commenddthedolderdbrotherdfordhisdheroicdactionsd-ddCORRECTdANSWERS-
B.dAskdthedolderdbrotherdhowdhedfeltdduringdthedincident
13. Admaledclientdwithdcirrhosisdhasdjaundicedanddpruritus.dHedtellsdthednursedthatdhedhasdbeen
dsoakingdindhotdbathsdatdnightdwithdnodreliefdofdhisddiscomfort.dWhichdactiondshoulddthednu
rsedtake?
, A. Encouragedthedclientdtodusedcoolerdwaterdanddapplydcalaminedlotiondafterdsoaking
B. ObtaindadPRNdprescriptiondfordandanalgesicdthatdthedclientdcandusedfordsymptomdrel
ief
C. Suggestdthatdthedclientdtakedbriefdshowersdanddapplydoil-
baseddlotiondafterdshowering
D. Explaindthatdthedsymptomsdaredcauseddbydliverddamagedanddcannotdbedrelievedd-
ddCORRECTdANSWERS-
A.dEncouragedthedclientdtodusedcoolerdwaterdanddapplydcalaminedlotiondafterdsoakin
g
14. Andolderdclientdwithdadlongdhistorydofdcoronarydarteryddiseased(CAD),dhypertensiond(HTN),d
anddheartdfailured(HF)darrivesdindthedEmergencydDepartmentd(ED)dindrespiratoryddistress.dT
hedhealthcaredproviderdprescribesdfurosemidedIV.dWhichdtherapeuticdresponsedtodfurosem
idedshoulddthednursedexpecteddindthedclientdwithdacutedHF?
A. Increaseddcardiacdcontractility
B. Reduceddpreload
C. Relaxeddvasculardtone
D. Decreaseddafterloadd-ddCORRECTdANSWERS-B.dReduceddpreload
15. Whichdinterventiondshoulddthednursedincludedindthedplandofdcaredfordadchilddwithdtetanus?
A. Encouragedcoughingdandddeepdbreathing
B. Minimizedthedamountdofdstimulidindthedroom
C. Repositiondfromdsidedtodsidedeverydhour
D. Opendwindowdshadesdtodprovidednaturaldlightd-ddCORRECTdANSWERS-
B.dMinimizedthedamountdofdstimulidindthedroom
16. AndadolescentdwhodwasddiagnoseddwithddiabetesdmellitusdTyped1datdthedagedofd9,disdadmitt
eddtodthedhospitaldinddiabeticdketoacidosis.dWhichdoccurrencedisdthedmostdlikelydcausedofdt
hedketoacidosis?
A. Atedandextradpeanutdbutterdsandwichdbeforedgymdclass
B. incorrectlydadministereddtoodmuchdinsulind
C. Haddadcolddanddeardinfectiondfordthedpastdtwoddaysd
D. Skippeddeatingdlunchd-ddCORRECTdANSWERS-
C.dHaddadcolddanddeardinfectiondfordthedpastdtwoddays
