HESI RN EXIT EXAM V4 (180 QUESTIONS WITH ANSWERS)
2026 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.
, 8. A nurse is caring for a client who is in a seclusion room following violent behavior. The client
continues to display aggressive behavior. Which of the following actions should the nurse take?
A. . Confront the client about this behavior.
B. Express sympathy for the client’s situation.
C. Speak assertively to the client.
D. Stand within 30 cm (1 ft) of the client when speaking with them.
9. A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer.
Which of the following actions should the nurse take?
2026 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.
, 8. A nurse is caring for a client who is in a seclusion room following violent behavior. The client
continues to display aggressive behavior. Which of the following actions should the nurse take?
A. . Confront the client about this behavior.
B. Express sympathy for the client’s situation.
C. Speak assertively to the client.
D. Stand within 30 cm (1 ft) of the client when speaking with them.
9. A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer.
Which of the following actions should the nurse take?
