RN HESI Exit Exam
Remediation 2026 |
Questions, Answers &
Detailed Rationales Study
Guide
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,The UAP is assisting a client getting into the shower. The b) Notify the delegating nurse of the current request from the cast clinic.
charge nurse answers a call from the cast clinic to
immediately send the UAP's other assigned client to the Rationale
clinic. Which action should the nurse take? The charge nurse should notify the delegating nurse of the situation. The third
principle of delegation is "The person to whom the assignment was delegated
a) Ask the UAP to find another team member to take the cannot delegate that assignment to someone else... the delegating nurse needs to
client to the clinic. be notified and reassign the task..."
b) Notify the delegating nurse of the current request
from the cast clinic.
c) Instruct the UAP to take the client to clinic after
helping the other client taking a shower.
d) While the client is showering the UAP should take the
other client to cast clinic.
During a literature review for a research study, the nurse c) Perform the current study as a replication study.
discovers a separate study has already proved the
proposed hypothesis to be true. Which action should the Rationale
nurse take regarding the proposed research study? Because of inherent scientific error that may exist within all research studies,
hypotheses require more than one test to support their accuracy. A critical
a) Discontinue the research. weakness with nursing research is a lack of replication. Retesting a hypothesis that
b) Revise the hypothesis of the current study so it is has been shown to be true strengthens the findings of the earlier study and
unique. supports the use of those findings to influence clinical practice.
c) Perform the current study as a replication study.
d) Contact the authors of the original study for
permission to continue.
In assessing the scrotum of a male client, which finding b) Taut appearance of skin surface.
would need to be reported to the healthcare provider?
Rationale
a) Asymmetric appearance. The skin surface of the scrotum should appear coarse, rather than taut, which may
b) Taut appearance of skin surface. indicate swelling or edema and should be reported to the healthcare provider.
c) Deeper pigmentation of the underside.
d) Presence of sebaceous cysts.
Which nursing intervention should the nurse implement d) Monitor fluid intake and urine output.
when caring for a child with nephrotic syndrome?
Rationale
a) Take vital signs every 2 hours. Due to the pathophysiology of nephrotic syndrome, decreased colloidal osmotic
b) Restrict the number of visitors. pressure in the capillaries is decreased, resulting in overall body edema.
c) Reposition the client every 2 hours. Treatment usually includes infusion of 25% albumin and use of diuretics to help
d) Monitor fluid intake and urine output. pull fluids out of the interstitial tissues back into the vascular system. Fluid intake
and urine output should be carefully monitored to prevent hypervolemia and
edema and monitor the efficacy of the medical interventions.
, A six-year-old client, who received a kidney transplant c) Transplant rejection.
presents with signs including fever, decreased urine
output, and tenderness over the transplanted organ. Rationale
Laboratory results reveal an elevated serum creatinine Transplant rejection is caused by the recipient's immune system response to
level. This presentation is likely due to which cause? foreign tissue. Signs that may alert the nurse to rejection of a kidney transplant
include fever, tenderness over the graft area, decreased urine output, and
a) Immunosuppression medications. elevated serum creatinine.
b) Obstructive uropathy.
c) Transplant rejection.
d) Nephrotic syndrome.
A child recently treated for strep throat presents with b) Acute glomerular nephritis.
gross hematuria, facial swelling, and elevated blood
pressure. Laboratory tests reveal proteinuria and Rationale
azotemia. Which condition should the nurse suspect? Acute glomerulonephritis (GN) usually manifests after strept throat or other
streptococcal infection. Typical signs of acute GN include gross hematuria, facial
a) Acute pyelonephritis. edema, hypertension, and proteinuria.
b) Acute glomerular nephritis.
c) Nephrotic syndrome.
d) IgA nephropathy.
A child who is recovering from surgery for removal of a a) Intestinal obstruction.
Wilms tumor develops abdominal pain and distension,
absence of bowel sounds, and vomiting. Which Rationale
complication should the nurse suspect? Surgical intervention for Wilms tumor involves removal of the tumor, which
requires either a partial or radical nephrectomy. Small bowel obstruction is one of
a) Intestinal obstruction. the most common postoperative complications following removal of a Wilms
b) Abdominal peritonitis. tumor.
c) Pyloric stenosis.
d) Infectious gastritis.
A child diagnosed with Wilms tumor is being treated with b) Antitumor antibiotic.
dactinomycin. What class of drug is this medication?
Rationale
a) Mitotic inhibitor. Dactinomycin, also known as actinomycin D, is an anti-tumor antibiotic used in the
b) Antitumor antibiotic. treatment of a variety of cancers, including Wilms tumor.
c) Corticosteroid.
d) Alkylating agent.
The nurse is reviewing medication education with a client c) Cover weeping or denuded areas with an occlusive dressing after medication
who was prescribed triamcinolone (Dermasorb) for the application.
treatment of eczema. Which statement by the client
indicates the client misunderstands safe administration?
a) Apply to affected areas, avoiding contact with the
eyes.
b) Continue to apply medication for a few days after area
has cleared.
c) Cover weeping or denuded areas with an occlusive
dressing after medication application.
d) Affected areas treated with the medication can burn
easily with sunlight exposure.
Remediation 2026 |
Questions, Answers &
Detailed Rationales Study
Guide
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,The UAP is assisting a client getting into the shower. The b) Notify the delegating nurse of the current request from the cast clinic.
charge nurse answers a call from the cast clinic to
immediately send the UAP's other assigned client to the Rationale
clinic. Which action should the nurse take? The charge nurse should notify the delegating nurse of the situation. The third
principle of delegation is "The person to whom the assignment was delegated
a) Ask the UAP to find another team member to take the cannot delegate that assignment to someone else... the delegating nurse needs to
client to the clinic. be notified and reassign the task..."
b) Notify the delegating nurse of the current request
from the cast clinic.
c) Instruct the UAP to take the client to clinic after
helping the other client taking a shower.
d) While the client is showering the UAP should take the
other client to cast clinic.
During a literature review for a research study, the nurse c) Perform the current study as a replication study.
discovers a separate study has already proved the
proposed hypothesis to be true. Which action should the Rationale
nurse take regarding the proposed research study? Because of inherent scientific error that may exist within all research studies,
hypotheses require more than one test to support their accuracy. A critical
a) Discontinue the research. weakness with nursing research is a lack of replication. Retesting a hypothesis that
b) Revise the hypothesis of the current study so it is has been shown to be true strengthens the findings of the earlier study and
unique. supports the use of those findings to influence clinical practice.
c) Perform the current study as a replication study.
d) Contact the authors of the original study for
permission to continue.
In assessing the scrotum of a male client, which finding b) Taut appearance of skin surface.
would need to be reported to the healthcare provider?
Rationale
a) Asymmetric appearance. The skin surface of the scrotum should appear coarse, rather than taut, which may
b) Taut appearance of skin surface. indicate swelling or edema and should be reported to the healthcare provider.
c) Deeper pigmentation of the underside.
d) Presence of sebaceous cysts.
Which nursing intervention should the nurse implement d) Monitor fluid intake and urine output.
when caring for a child with nephrotic syndrome?
Rationale
a) Take vital signs every 2 hours. Due to the pathophysiology of nephrotic syndrome, decreased colloidal osmotic
b) Restrict the number of visitors. pressure in the capillaries is decreased, resulting in overall body edema.
c) Reposition the client every 2 hours. Treatment usually includes infusion of 25% albumin and use of diuretics to help
d) Monitor fluid intake and urine output. pull fluids out of the interstitial tissues back into the vascular system. Fluid intake
and urine output should be carefully monitored to prevent hypervolemia and
edema and monitor the efficacy of the medical interventions.
, A six-year-old client, who received a kidney transplant c) Transplant rejection.
presents with signs including fever, decreased urine
output, and tenderness over the transplanted organ. Rationale
Laboratory results reveal an elevated serum creatinine Transplant rejection is caused by the recipient's immune system response to
level. This presentation is likely due to which cause? foreign tissue. Signs that may alert the nurse to rejection of a kidney transplant
include fever, tenderness over the graft area, decreased urine output, and
a) Immunosuppression medications. elevated serum creatinine.
b) Obstructive uropathy.
c) Transplant rejection.
d) Nephrotic syndrome.
A child recently treated for strep throat presents with b) Acute glomerular nephritis.
gross hematuria, facial swelling, and elevated blood
pressure. Laboratory tests reveal proteinuria and Rationale
azotemia. Which condition should the nurse suspect? Acute glomerulonephritis (GN) usually manifests after strept throat or other
streptococcal infection. Typical signs of acute GN include gross hematuria, facial
a) Acute pyelonephritis. edema, hypertension, and proteinuria.
b) Acute glomerular nephritis.
c) Nephrotic syndrome.
d) IgA nephropathy.
A child who is recovering from surgery for removal of a a) Intestinal obstruction.
Wilms tumor develops abdominal pain and distension,
absence of bowel sounds, and vomiting. Which Rationale
complication should the nurse suspect? Surgical intervention for Wilms tumor involves removal of the tumor, which
requires either a partial or radical nephrectomy. Small bowel obstruction is one of
a) Intestinal obstruction. the most common postoperative complications following removal of a Wilms
b) Abdominal peritonitis. tumor.
c) Pyloric stenosis.
d) Infectious gastritis.
A child diagnosed with Wilms tumor is being treated with b) Antitumor antibiotic.
dactinomycin. What class of drug is this medication?
Rationale
a) Mitotic inhibitor. Dactinomycin, also known as actinomycin D, is an anti-tumor antibiotic used in the
b) Antitumor antibiotic. treatment of a variety of cancers, including Wilms tumor.
c) Corticosteroid.
d) Alkylating agent.
The nurse is reviewing medication education with a client c) Cover weeping or denuded areas with an occlusive dressing after medication
who was prescribed triamcinolone (Dermasorb) for the application.
treatment of eczema. Which statement by the client
indicates the client misunderstands safe administration?
a) Apply to affected areas, avoiding contact with the
eyes.
b) Continue to apply medication for a few days after area
has cleared.
c) Cover weeping or denuded areas with an occlusive
dressing after medication application.
d) Affected areas treated with the medication can burn
easily with sunlight exposure.
