HESI Exit v4 (NGN style Qs & Case studies)
TEST STUDY GUIDE 2025/2026 QUESTIONS BANK
AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction.
Which nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN. -
ANSWER ✓ A
2. The nurse is assessing a healthy child at the 2 year check up. Which of the
following should the nurse report immediately to the health care provider?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven - ANSWER ✓ A
3. The parents of a 2 year-old child report that he has been holding his breath
whenever he has temper tantrums. What is the best action by the nurse?
A) Teach the parents how to perform cardiopulmonary resuscitation
B) Recommend that the parents give in when he holds his breath to
prevent anoxia
C) Advise the parents to ignore breath holding because breathing will
begin as a reflex
D) Instruct the parents on how to reason with the child about possible
harmful effects - ANSWER ✓ C
4. The nurse is assessing a client in the emergency room. Which statement
suggests that the problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
, B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area." - ANSWER ✓ A
5. The nurse is teaching a smoking cessation class and notices there are 2
pregnant women in the group. Which information is a priority for these
women?
A) Low tar cigarettes are less harmful during pregnancy
B) There is a relationship between smoking and low birth weight
C) The placenta serves as a barrier to nicotine
D) Moderate smoking is effective in weight control - ANSWER ✓ B
6. What is the best way for the nurse to accomplish a health history on a 14
year-old client?
A) Have the mother present to verify information
B) Allow an opportunity for the teen to express feelings
C) Use the same type of language as the adolescent
D) Focus the discussion of risk factors in the peer group - ANSWER ✓ B
7. What principle of HIV disease should the nurse keep in mind when planning
care for a newborn who was infected in utero?
A) The disease will incubate longer and progress more slowly in this
infant
B) The infant is very susceptible to infections
C) Growth and development patterns will proceed at a normal rate
D) Careful monitoring of renal function is indicated - ANSWER ✓ B
8. While planning care for a preschool aged child, the nurse understands
developmental needs. Which of the following would be of the most concern
to the nurse?
A) Playing imaginatively
B) Expressing shame
C) Identifying with family
D) Exploring the playroom - ANSWER ✓ B
9. A client has been receiving lithium (Lithane) for the past two weeks for the
treatment of bipolar illness. When planning client teaching, what is most
important to emphasize to the client?
A) Maintain a low sodium diet
, B) Take a diuretic with lithium
C) Come in for evaluation of serum lithium levels every 1-3 months
D) Have blood lithium levels drawn during the summer months -
ANSWER ✓ D
10.While teaching a client about their medications, the client asks how long it
will take before the effects of lithium take place. What is the best response
of the nurse?
A) Immediately
B) Several days
C) 2 weeks
D) 1 month - ANSWER ✓ C
11.An adult woman who has a history of inferior myocardial infarction,
esophageal reflux, and type 1 diabetes mellitus is admitted to the telemetry
unit for sudden onset of dizziness with palpitations and a burning sensation
in her chest. Which intervention should the nurse implement first?
a. Evaluate telemetry cardiac rhythm
b. Administer an oral antacid
c. Assess blood glucose level
d. Review clients last meal choices - ANSWER ✓ a. Evaluate
telemetry cardiac rhythm
12.When conducting diet teaching for a client who was diagnosed with a
myocardial infarction, which snack foods should the nurse encourage the
client to eat? Select all that apply.
a. Chicken bouillon soup and toast
b. Fresh vegetables with mayonnaise dip
c. Fresh Turkey slices and berries
d. Raw unsalted almonds and apples
e. Soda crackers and peanut butter - ANSWER ✓ c. Fresh
Turkey slices and berries
d. Raw unsalted almonds and apples
13.A male client who is experiencing musculoskeletal pain is discharged with
instructions to take ibuprofen, on non-steroidal anti-inflammatory drug by
mouth BID. After receiving discharge teaching, the client states he plans to
take the medication twice daily, with breakfast and dinner. How should the
nurse respond?
, a. Review the need to limit intake of leafy, green vegetables
such as spinach
b. Confirm that the client has an effective plan for when to take
the medication
c. Explain the need to take the medication before meals to
increase absorption
d. Remind the client to increase fluid intake while taking the
medication - ANSWER ✓ b. Confirm that the client has an
effective plan for when to take the medication
14.A client at 28 weeks' gestation is admitted to the obstetrical unit following
her involvement in a motor vehicle collision. After stabilizing the client, the
nurse obtains a fetal monitor reading. What action should the nurse take if
fetal tachycardia is assessed on the monitor?
a. Recount the heart rate manually to confirm a monitor
malfunction
b. Contact the health care provider after initiating oxygen per
face mask
c. Explain that there is no indication the fetal heart rate is due to
trauma
d. Evaluate the presence of preterm labor by performing a
vaginal examination - ANSWER ✓ b. Contact the health care
provider after initiating oxygen per face mask
15.Four hours after the nurse administers interferon alpha subcutaneously into a
client, the client develops a headache, muscle aches and a fever of 101.8
degrees Fahrenheit. What action should the nurse implement?
a. Administer prescribed PRN dose of acetaminophen for these
side effects
b. Explain that an antihistamine may be needed in response to
this allergic reaction
c. Document these findings as an idiosyncratic response to this
medication
d. Observed the site where the medication was injected for signs
of local reaction - ANSWER ✓ a. Administer prescribed PRN
dose of acetaminophen for these side effects
TEST STUDY GUIDE 2025/2026 QUESTIONS BANK
AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction.
Which nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN. -
ANSWER ✓ A
2. The nurse is assessing a healthy child at the 2 year check up. Which of the
following should the nurse report immediately to the health care provider?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven - ANSWER ✓ A
3. The parents of a 2 year-old child report that he has been holding his breath
whenever he has temper tantrums. What is the best action by the nurse?
A) Teach the parents how to perform cardiopulmonary resuscitation
B) Recommend that the parents give in when he holds his breath to
prevent anoxia
C) Advise the parents to ignore breath holding because breathing will
begin as a reflex
D) Instruct the parents on how to reason with the child about possible
harmful effects - ANSWER ✓ C
4. The nurse is assessing a client in the emergency room. Which statement
suggests that the problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
, B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area." - ANSWER ✓ A
5. The nurse is teaching a smoking cessation class and notices there are 2
pregnant women in the group. Which information is a priority for these
women?
A) Low tar cigarettes are less harmful during pregnancy
B) There is a relationship between smoking and low birth weight
C) The placenta serves as a barrier to nicotine
D) Moderate smoking is effective in weight control - ANSWER ✓ B
6. What is the best way for the nurse to accomplish a health history on a 14
year-old client?
A) Have the mother present to verify information
B) Allow an opportunity for the teen to express feelings
C) Use the same type of language as the adolescent
D) Focus the discussion of risk factors in the peer group - ANSWER ✓ B
7. What principle of HIV disease should the nurse keep in mind when planning
care for a newborn who was infected in utero?
A) The disease will incubate longer and progress more slowly in this
infant
B) The infant is very susceptible to infections
C) Growth and development patterns will proceed at a normal rate
D) Careful monitoring of renal function is indicated - ANSWER ✓ B
8. While planning care for a preschool aged child, the nurse understands
developmental needs. Which of the following would be of the most concern
to the nurse?
A) Playing imaginatively
B) Expressing shame
C) Identifying with family
D) Exploring the playroom - ANSWER ✓ B
9. A client has been receiving lithium (Lithane) for the past two weeks for the
treatment of bipolar illness. When planning client teaching, what is most
important to emphasize to the client?
A) Maintain a low sodium diet
, B) Take a diuretic with lithium
C) Come in for evaluation of serum lithium levels every 1-3 months
D) Have blood lithium levels drawn during the summer months -
ANSWER ✓ D
10.While teaching a client about their medications, the client asks how long it
will take before the effects of lithium take place. What is the best response
of the nurse?
A) Immediately
B) Several days
C) 2 weeks
D) 1 month - ANSWER ✓ C
11.An adult woman who has a history of inferior myocardial infarction,
esophageal reflux, and type 1 diabetes mellitus is admitted to the telemetry
unit for sudden onset of dizziness with palpitations and a burning sensation
in her chest. Which intervention should the nurse implement first?
a. Evaluate telemetry cardiac rhythm
b. Administer an oral antacid
c. Assess blood glucose level
d. Review clients last meal choices - ANSWER ✓ a. Evaluate
telemetry cardiac rhythm
12.When conducting diet teaching for a client who was diagnosed with a
myocardial infarction, which snack foods should the nurse encourage the
client to eat? Select all that apply.
a. Chicken bouillon soup and toast
b. Fresh vegetables with mayonnaise dip
c. Fresh Turkey slices and berries
d. Raw unsalted almonds and apples
e. Soda crackers and peanut butter - ANSWER ✓ c. Fresh
Turkey slices and berries
d. Raw unsalted almonds and apples
13.A male client who is experiencing musculoskeletal pain is discharged with
instructions to take ibuprofen, on non-steroidal anti-inflammatory drug by
mouth BID. After receiving discharge teaching, the client states he plans to
take the medication twice daily, with breakfast and dinner. How should the
nurse respond?
, a. Review the need to limit intake of leafy, green vegetables
such as spinach
b. Confirm that the client has an effective plan for when to take
the medication
c. Explain the need to take the medication before meals to
increase absorption
d. Remind the client to increase fluid intake while taking the
medication - ANSWER ✓ b. Confirm that the client has an
effective plan for when to take the medication
14.A client at 28 weeks' gestation is admitted to the obstetrical unit following
her involvement in a motor vehicle collision. After stabilizing the client, the
nurse obtains a fetal monitor reading. What action should the nurse take if
fetal tachycardia is assessed on the monitor?
a. Recount the heart rate manually to confirm a monitor
malfunction
b. Contact the health care provider after initiating oxygen per
face mask
c. Explain that there is no indication the fetal heart rate is due to
trauma
d. Evaluate the presence of preterm labor by performing a
vaginal examination - ANSWER ✓ b. Contact the health care
provider after initiating oxygen per face mask
15.Four hours after the nurse administers interferon alpha subcutaneously into a
client, the client develops a headache, muscle aches and a fever of 101.8
degrees Fahrenheit. What action should the nurse implement?
a. Administer prescribed PRN dose of acetaminophen for these
side effects
b. Explain that an antihistamine may be needed in response to
this allergic reaction
c. Document these findings as an idiosyncratic response to this
medication
d. Observed the site where the medication was injected for signs
of local reaction - ANSWER ✓ a. Administer prescribed PRN
dose of acetaminophen for these side effects
