HESI Exit Exam 2026 Exam
Questions and Answers |
Already Graded A+
While assessing a radial artery catheter, the client complains of
numbness and pain distal to the insertion site. What interventions should
the nurse implement? - ANSWER ✔✔Promptly remove the arterial
catheter from the radial artery.
A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the
intracranial bleeding, which finding should the nurse monitor? -
ANSWER ✔✔Rapid onset of decreased level of consciousness.
,When preparing a client for discharge from the hospital following a
cystectomy and a urinary diversion to treat bladder cancer, which
instruction is most important for the nurse to include in the client's
discharge teaching plan? - ANSWER ✔✔Report any signs of cloudy
urine output.
After repositioning an immobile client, the nurse observes an area of
hyperemia. To assess for blanching, what action should the nurse take?
- ANSWER ✔✔Apply light pressure over the area.
The nurse enters a client's room and observes the client's wrist restraint
secured as seen in the picture. What action should the nurse take? -
ANSWER ✔✔Reposition the restraint tie onto the bedframe.
A female client with acute respiratory distress syndrome (ARDS) is
chemically paralyzed and sedated while she is on as assist-control
ventilator using 50% FIO2. Which assessment finding warrants
immediate intervention by the nurse? - ANSWER ✔✔Diminished left
lower lobe sounds
Rationale: Diminished lobe sounds indicate collapsed alveoli or tension
pneumothorax, which required
,immediate chest tube insertion to re-inflate the lung.
The development of atherosclerosis is a process of sequential events.
Arrange the pathophysiological events in orders of occurrence. (Place
the first event on top and the last on the bottom) - ANSWER
✔✔Arterial endothelium injury causes inflammation
Macrophages consume low density lipoprotein (LDL), creating foam cells
Foam cells release growth factors for smooth muscle cells
Smooth muscle grows over fatty streaks creating fibrous plaques
Vessel narrowing results in ischemia
Following a motor vehicle collision, an adult female with a ruptured
spleen and a blood pressure of 70/44, had an emergency splenectomy.
Twelve hours after the surgery, her urine output is 25 ml/hour for the last
two hours. What pathophysiological reason supports the nurse's
decision to report this finding to the healthcare provider? - ANSWER
✔✔Oliguria signals tubular necrosis related to hypoperfusion
A nurse-manager is preparing the curricula for a class for charge nurses.
A staffing formula based on what data ensures quality client care and is
most cost-effective? - ANSWER ✔✔Skills of staff and client acuity
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, When performing postural drainage on a client with Chronic Obstructive
Pulmonary Disease (COPD), which approach should the nurse use? -
ANSWER ✔✔Explain that the client may be placed in five positions
A client presents in the emergency room with right-sided facial
asymmetry. The nurse asks the client to perform a series of movements
that require use of the facial muscles. What symptoms suggest that the
client has most likely experience a Bell's palsy rather than a stroke? -
ANSWER ✔✔Inability to close the affected eye, raise brow, or smile
The nurse is teaching a client how to perform colostomy irrigations.
When observing the client's return demonstration, which action indicated
that the client understood the teaching? - ANSWER ✔✔Keeps the
irrigating container less than 18 inches above the stoma
The nurse should teach the client to observe which precaution while
taking dronedarone? - ANSWER ✔✔Avoid grapefruits and its juice
A client who sustained a head injury following an automobile collision is
admitted to the hospital. The nurse include the client's risk for developing
increased intracranial pressure (ICP) in the plan of care. Which signs
indicate to the nurse that ICP has increased? - ANSWER
✔✔Increased Glasgow coma scale score.
Questions and Answers |
Already Graded A+
While assessing a radial artery catheter, the client complains of
numbness and pain distal to the insertion site. What interventions should
the nurse implement? - ANSWER ✔✔Promptly remove the arterial
catheter from the radial artery.
A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the
intracranial bleeding, which finding should the nurse monitor? -
ANSWER ✔✔Rapid onset of decreased level of consciousness.
,When preparing a client for discharge from the hospital following a
cystectomy and a urinary diversion to treat bladder cancer, which
instruction is most important for the nurse to include in the client's
discharge teaching plan? - ANSWER ✔✔Report any signs of cloudy
urine output.
After repositioning an immobile client, the nurse observes an area of
hyperemia. To assess for blanching, what action should the nurse take?
- ANSWER ✔✔Apply light pressure over the area.
The nurse enters a client's room and observes the client's wrist restraint
secured as seen in the picture. What action should the nurse take? -
ANSWER ✔✔Reposition the restraint tie onto the bedframe.
A female client with acute respiratory distress syndrome (ARDS) is
chemically paralyzed and sedated while she is on as assist-control
ventilator using 50% FIO2. Which assessment finding warrants
immediate intervention by the nurse? - ANSWER ✔✔Diminished left
lower lobe sounds
Rationale: Diminished lobe sounds indicate collapsed alveoli or tension
pneumothorax, which required
,immediate chest tube insertion to re-inflate the lung.
The development of atherosclerosis is a process of sequential events.
Arrange the pathophysiological events in orders of occurrence. (Place
the first event on top and the last on the bottom) - ANSWER
✔✔Arterial endothelium injury causes inflammation
Macrophages consume low density lipoprotein (LDL), creating foam cells
Foam cells release growth factors for smooth muscle cells
Smooth muscle grows over fatty streaks creating fibrous plaques
Vessel narrowing results in ischemia
Following a motor vehicle collision, an adult female with a ruptured
spleen and a blood pressure of 70/44, had an emergency splenectomy.
Twelve hours after the surgery, her urine output is 25 ml/hour for the last
two hours. What pathophysiological reason supports the nurse's
decision to report this finding to the healthcare provider? - ANSWER
✔✔Oliguria signals tubular necrosis related to hypoperfusion
A nurse-manager is preparing the curricula for a class for charge nurses.
A staffing formula based on what data ensures quality client care and is
most cost-effective? - ANSWER ✔✔Skills of staff and client acuity
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, When performing postural drainage on a client with Chronic Obstructive
Pulmonary Disease (COPD), which approach should the nurse use? -
ANSWER ✔✔Explain that the client may be placed in five positions
A client presents in the emergency room with right-sided facial
asymmetry. The nurse asks the client to perform a series of movements
that require use of the facial muscles. What symptoms suggest that the
client has most likely experience a Bell's palsy rather than a stroke? -
ANSWER ✔✔Inability to close the affected eye, raise brow, or smile
The nurse is teaching a client how to perform colostomy irrigations.
When observing the client's return demonstration, which action indicated
that the client understood the teaching? - ANSWER ✔✔Keeps the
irrigating container less than 18 inches above the stoma
The nurse should teach the client to observe which precaution while
taking dronedarone? - ANSWER ✔✔Avoid grapefruits and its juice
A client who sustained a head injury following an automobile collision is
admitted to the hospital. The nurse include the client's risk for developing
increased intracranial pressure (ICP) in the plan of care. Which signs
indicate to the nurse that ICP has increased? - ANSWER
✔✔Increased Glasgow coma scale score.
