HESI EXIT V5 EXAM 2025 | 180 QUESTIONS WITH
ACCURATE SOLUTIONS
1. The clinic nurse has completed teaching the teenager about skin care and
acne prevention. Which statement by the teenager indicates the need for
additional teaching?
"I shouldn't squeeze my blackheads or pimples."
"I should avoid applying drying materials, such as astringents, to
my face"
"I need to watch my diet and cut out all chocolates."
"I should wash my hands frequently and avoid touching my face."
2. A nurse is assisting with discharge planning for a group of clients. Which
of the following clients should the nurse recommend a home health
referral?
A middle adult client who had a mastectomy and requires
chemotherapy
A young adult client who has substance abuse disorder
An older adult client who has heart failure and lives alone
3. A nurse is caring for a preterm newborn who is receiving oxygen therapy.
Which of the following findings should the nurse identify as a potential
complication from the oxygen therapy?
Necrotizing enterocolitis
Atelectasis
Retinopathy
Interstitial emphysema
,4. Why is restlessness and confusion considered a more urgent finding in a
COPD patient compared to the other symptoms listed?
, Irritating cough and liquefied sputum are typical symptoms of
COPD and are not urgent.
Nausea and vomiting are common side effects of medication and
do not require immediate attention.
Low-grade fever and cough suggest a mild infection that can be
monitored.
Restlessness and confusion indicate potential hypoxia or
respiratory distress, which require immediate intervention.
5. In a scenario where a patient with late-stage A.L.S. exhibits shallow
respirations, what nursing intervention should be prioritized?
Encourage the patient to engage in physical therapy exercises.
Provide education on the importance of deep breathing
exercises.
Increase the patient's fluid intake to improve respiratory function.
Administer supplemental oxygen and monitor respiratory status
closely.
6. What is the most appropriate dietary advice for an adolescent with acne
according to nursing guidelines?
Decrease fatty foods from your diet.
Eat a balanced diet for your age.
Increase your intake of protein and Vitamin A.
Do not use caffeine in any form, including chocolate.
7. Which activity would the nurse manager expect in the unfreezing
phase/stage of change?
Supporting others during the change process
Setting target dates for implementation
, Making others aware of the need for the change
Developing appropriate strategies
8. A young child is receiving treatment for lead poisoning. Which of the
following is the most serious effect of long-term exposure to lead?
Lead colic and constipation
Anemia and fatigue
Damage to the central nervous system
Impaired kidney function
9. At a routine health assessment, a client tells the nurse that she is planning
a pregnancy in the near future. The client asks about preconception diet
changes. Which of these statements made by the nurse is the best
approach in this situation?
"Include fiber in your daily diet."
"Drink a glass of milk with each meal."
"Eat at least one serving of fish weekly."
"Increase your intake of green leafy vegetables."
10. What is the highest priority nursing intervention for a client with
thrombophlebitis of the left leg?
Apply warm compresses
Elevate leg on 2 pillows
Apply support stockings
Maintain complete bed rest
11. A nurse is caring for a client who is recovering from a femur fracture
sustained in a motor-vehicle crash. Their partner died in the collision.
ACCURATE SOLUTIONS
1. The clinic nurse has completed teaching the teenager about skin care and
acne prevention. Which statement by the teenager indicates the need for
additional teaching?
"I shouldn't squeeze my blackheads or pimples."
"I should avoid applying drying materials, such as astringents, to
my face"
"I need to watch my diet and cut out all chocolates."
"I should wash my hands frequently and avoid touching my face."
2. A nurse is assisting with discharge planning for a group of clients. Which
of the following clients should the nurse recommend a home health
referral?
A middle adult client who had a mastectomy and requires
chemotherapy
A young adult client who has substance abuse disorder
An older adult client who has heart failure and lives alone
3. A nurse is caring for a preterm newborn who is receiving oxygen therapy.
Which of the following findings should the nurse identify as a potential
complication from the oxygen therapy?
Necrotizing enterocolitis
Atelectasis
Retinopathy
Interstitial emphysema
,4. Why is restlessness and confusion considered a more urgent finding in a
COPD patient compared to the other symptoms listed?
, Irritating cough and liquefied sputum are typical symptoms of
COPD and are not urgent.
Nausea and vomiting are common side effects of medication and
do not require immediate attention.
Low-grade fever and cough suggest a mild infection that can be
monitored.
Restlessness and confusion indicate potential hypoxia or
respiratory distress, which require immediate intervention.
5. In a scenario where a patient with late-stage A.L.S. exhibits shallow
respirations, what nursing intervention should be prioritized?
Encourage the patient to engage in physical therapy exercises.
Provide education on the importance of deep breathing
exercises.
Increase the patient's fluid intake to improve respiratory function.
Administer supplemental oxygen and monitor respiratory status
closely.
6. What is the most appropriate dietary advice for an adolescent with acne
according to nursing guidelines?
Decrease fatty foods from your diet.
Eat a balanced diet for your age.
Increase your intake of protein and Vitamin A.
Do not use caffeine in any form, including chocolate.
7. Which activity would the nurse manager expect in the unfreezing
phase/stage of change?
Supporting others during the change process
Setting target dates for implementation
, Making others aware of the need for the change
Developing appropriate strategies
8. A young child is receiving treatment for lead poisoning. Which of the
following is the most serious effect of long-term exposure to lead?
Lead colic and constipation
Anemia and fatigue
Damage to the central nervous system
Impaired kidney function
9. At a routine health assessment, a client tells the nurse that she is planning
a pregnancy in the near future. The client asks about preconception diet
changes. Which of these statements made by the nurse is the best
approach in this situation?
"Include fiber in your daily diet."
"Drink a glass of milk with each meal."
"Eat at least one serving of fish weekly."
"Increase your intake of green leafy vegetables."
10. What is the highest priority nursing intervention for a client with
thrombophlebitis of the left leg?
Apply warm compresses
Elevate leg on 2 pillows
Apply support stockings
Maintain complete bed rest
11. A nurse is caring for a client who is recovering from a femur fracture
sustained in a motor-vehicle crash. Their partner died in the collision.
