HESI EXIT RN Exam V1–V7 (2025/2026) | Verified Questions
& Correct Answers | Latest Versions for Guaranteed High
Score
1. Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he will drink plenty of dairy products, such as milk, to help coat
and protect his ulcer. What is the best follow-up action by the nurse?
a- Remind the client that it is also important to switch to decaffeinated coffee
and tea.
b- Suggest that the client also plan to eat frequent small meals to reduce
discomfort
c- Review with the client the need to avoid foods that are rich in milk and
cream.
d- Reinforce this teaching by asking the client to list a dairy food that he might
select.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and
should be avoided.
2. A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to
evaluate his blood pressure (BP). His BP is 158/106 and he admits that he
has not been taking the prescribed medication because the drugs make him
“feel bad”. In explaining the need for hypertension control, the nurse
should stress that an elevated BP places the client at risk for which
pathophysiological condition?
a- Blindness secondary to cataracts
b- Acute kidney injury due to glomerular damage c-
Stroke secondary to hemorrhage
, d- Heart block due to myocardial damage
Rationale: Stroke related to cerebral hemorrhage is major risk for
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,uncontrolled hypertension.
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a
newly admitted client who has a seizure disorder. The client is supine and
the UAP is placing soft pillows along the side rails. What action should
the nurse implement?
a- Ensure that the UAP has placed the pillows effectively to protect the client.
b- Instruct the UAP to obtain soft blankets to secure to the side rails instead
of pillows.
a- Assume responsibility for placing the pillows while the UAP
completes another task.
b- Ask the UAP to use some of the pillows to prop the client in a side lying
position.
Rationale: The nurse should instruct the UAP to pad the side rails with soft
blankest because the use of pillows could result in suffocation and would need
to be removed at the onset of the seizure. The nurse can delegate paddling the
side rails to the UAP
4. An adolescent with major depressive disorder has been taking
duloxetine (Cymbalta) for the past 12 days. Which assessment finding
requires immediate follow-up?
a- Describes life without purpose
b- Complains of nausea and loss of appetite c-
States is often fatigued and drowsy
d- Exhibits an increase in sweating.
Rationale: Cymbalta is a selective serotonin and norepinephrine
reuptake inhibitor that is known to increase the risk of suicidal thinking
in adolescents and young adults with major depressive disorder. B, C
, and D are side effects
5. A 60-year-old female client with a positive family history of ovarian
cancer has developed an abdominal mass and is being evaluated for
possible ovarian cancer. Her Papanicolau (Pap) smear results are
negative. What information should the nurse include in the client’s
teaching plan?
a- Further evaluation involving surgery may be needed b- A
pelvic exam is also needed before cancer is ruled out
c- Pap smear evaluation should be continued every six month d- One
additional negative pap smear in six months is needed.
Rationale: An abdominal mass in a client with a family history for ovarian
cancer should be evaluated carefully
6. A client who recently underwear a tracheostomy is being prepared
for discharge to home. Which instructions is most important for the
nurse to include in the discharge plan?
a- Explain how to use communication tools. b-
Teach tracheal suctioning techniques
c- Encourage self-care and independence.
d- Demonstrate how to clean tracheostomy site.
Rationale: Suctioning helps to clear secretions and maintain an open airway,
which is critical.
7. In assessing an adult client with a partial rebreather mask, the nurse
notes that the oxygen reservoir bag does not deflate completely during
inspiration and the client’s respiratory rate is 14 breaths / minute. What
action should the nurse implement?
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& Correct Answers | Latest Versions for Guaranteed High
Score
1. Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he will drink plenty of dairy products, such as milk, to help coat
and protect his ulcer. What is the best follow-up action by the nurse?
a- Remind the client that it is also important to switch to decaffeinated coffee
and tea.
b- Suggest that the client also plan to eat frequent small meals to reduce
discomfort
c- Review with the client the need to avoid foods that are rich in milk and
cream.
d- Reinforce this teaching by asking the client to list a dairy food that he might
select.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and
should be avoided.
2. A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to
evaluate his blood pressure (BP). His BP is 158/106 and he admits that he
has not been taking the prescribed medication because the drugs make him
“feel bad”. In explaining the need for hypertension control, the nurse
should stress that an elevated BP places the client at risk for which
pathophysiological condition?
a- Blindness secondary to cataracts
b- Acute kidney injury due to glomerular damage c-
Stroke secondary to hemorrhage
, d- Heart block due to myocardial damage
Rationale: Stroke related to cerebral hemorrhage is major risk for
Downloaded by: redsautobody23 |
Distribution of this document is illegal
Downloaded by DJ poppy paps
()
,uncontrolled hypertension.
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a
newly admitted client who has a seizure disorder. The client is supine and
the UAP is placing soft pillows along the side rails. What action should
the nurse implement?
a- Ensure that the UAP has placed the pillows effectively to protect the client.
b- Instruct the UAP to obtain soft blankets to secure to the side rails instead
of pillows.
a- Assume responsibility for placing the pillows while the UAP
completes another task.
b- Ask the UAP to use some of the pillows to prop the client in a side lying
position.
Rationale: The nurse should instruct the UAP to pad the side rails with soft
blankest because the use of pillows could result in suffocation and would need
to be removed at the onset of the seizure. The nurse can delegate paddling the
side rails to the UAP
4. An adolescent with major depressive disorder has been taking
duloxetine (Cymbalta) for the past 12 days. Which assessment finding
requires immediate follow-up?
a- Describes life without purpose
b- Complains of nausea and loss of appetite c-
States is often fatigued and drowsy
d- Exhibits an increase in sweating.
Rationale: Cymbalta is a selective serotonin and norepinephrine
reuptake inhibitor that is known to increase the risk of suicidal thinking
in adolescents and young adults with major depressive disorder. B, C
, and D are side effects
5. A 60-year-old female client with a positive family history of ovarian
cancer has developed an abdominal mass and is being evaluated for
possible ovarian cancer. Her Papanicolau (Pap) smear results are
negative. What information should the nurse include in the client’s
teaching plan?
a- Further evaluation involving surgery may be needed b- A
pelvic exam is also needed before cancer is ruled out
c- Pap smear evaluation should be continued every six month d- One
additional negative pap smear in six months is needed.
Rationale: An abdominal mass in a client with a family history for ovarian
cancer should be evaluated carefully
6. A client who recently underwear a tracheostomy is being prepared
for discharge to home. Which instructions is most important for the
nurse to include in the discharge plan?
a- Explain how to use communication tools. b-
Teach tracheal suctioning techniques
c- Encourage self-care and independence.
d- Demonstrate how to clean tracheostomy site.
Rationale: Suctioning helps to clear secretions and maintain an open airway,
which is critical.
7. In assessing an adult client with a partial rebreather mask, the nurse
notes that the oxygen reservoir bag does not deflate completely during
inspiration and the client’s respiratory rate is 14 breaths / minute. What
action should the nurse implement?
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