Hesi Exit RN V3 Questions
2026 Exam All Answers and
Illustrations Given
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?
a. Measure and document the client's urinary output.
b. Request the client's reserved unit if packed red blood cells.
c. Prepare the placement of a central venous catheter.
d. Increase the infusion rate of Lactated Ringer's solution - ANSWER
✔✔d. Increase the infusion rate of Lactated Ringer's solution
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?
a. Add sterile water to the suction control chamber.
b. Give blood from the collection chamber as autotransfusion
,c. Manipulate blood in tubing to drain into chamber.
d. Increase wall suction to eliminate fluctuation in water seal -
ANSWER ✔✔a. Add sterile water to the suction control chamber.
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 saturation on room air
of 89%. Which action should the nurse take first?
a. Elevate the foot of the bed.
b. Restrict the client's fluid.
c. Begin supplemental oxygen.
d. Prepare the client for hemodialysis. - ANSWER ✔✔c. Begin
supplemental oxygen.
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?
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
, (Select all that apply)
a. Headache and tremors
b. Irregular heart rate
c. Skin hyperpigmentation
d. Postural hypotension
e. Pallor and diaphoresis - ANSWER ✔✔a. Headache and tremors
b. Irregular heart rate
e. Pallor and diaphoresis
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?
a. Urine specific gravity is 1.040
b. Systolic blood pressure decreases 10 points when standing.
c. The client denies being thirsty.
d. Skin tenting occurs when the client's forearm is pinched. -
ANSWER ✔✔d. Skin tenting occurs when the client's forearm is
pinched.
2026 Exam All Answers and
Illustrations Given
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?
a. Measure and document the client's urinary output.
b. Request the client's reserved unit if packed red blood cells.
c. Prepare the placement of a central venous catheter.
d. Increase the infusion rate of Lactated Ringer's solution - ANSWER
✔✔d. Increase the infusion rate of Lactated Ringer's solution
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?
a. Add sterile water to the suction control chamber.
b. Give blood from the collection chamber as autotransfusion
,c. Manipulate blood in tubing to drain into chamber.
d. Increase wall suction to eliminate fluctuation in water seal -
ANSWER ✔✔a. Add sterile water to the suction control chamber.
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 saturation on room air
of 89%. Which action should the nurse take first?
a. Elevate the foot of the bed.
b. Restrict the client's fluid.
c. Begin supplemental oxygen.
d. Prepare the client for hemodialysis. - ANSWER ✔✔c. Begin
supplemental oxygen.
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?
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, (Select all that apply)
a. Headache and tremors
b. Irregular heart rate
c. Skin hyperpigmentation
d. Postural hypotension
e. Pallor and diaphoresis - ANSWER ✔✔a. Headache and tremors
b. Irregular heart rate
e. Pallor and diaphoresis
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?
a. Urine specific gravity is 1.040
b. Systolic blood pressure decreases 10 points when standing.
c. The client denies being thirsty.
d. Skin tenting occurs when the client's forearm is pinched. -
ANSWER ✔✔d. Skin tenting occurs when the client's forearm is
pinched.
