HESI EXIT 6 ICHS EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
2. When gathering for a group therapy session at 1400 hours, a female client complains
to the nurse that a smoking break has not been allowed all day. The nurse responds that
15 minute breaks were called over the unit intercom after breakfast and after lunch. The
nurse is using what communication technique in responding to the client?
a) Doubt
b) Observation
c) Confrontation
d) ReflectionCORRECT-ANSWERSd) Reflection
c) Confrontation
3. The nurse is interviewing a client with schizophrenia. Which client behavior requires
immediate intervention?
a) Lip smacking and frequent eye blinking
b) Shuffling gait and stooped posture
,c) Rocks back and forth in the chair
d) Muscle spasms of the back and neckCORRECT-ANSWERSd) Muscle spasms of the
back and neck
4. A female client with rheumatoid arthritis (RA) comes to the clinic complaining of joint
pain and swelling. The client has been taking prednisone (Deltasone) and ibuprofen
(Motrin Extra Strength) every day. To assist the client with self-management of her pain,
which information should the nurse obtain?
a) Presence of bruising, weakness, or fatigue
b) Therapeutic exercise included in daily routine.
c) Average amount of protein eaten daily
d) Existence of gastrointestinal discomfortCORRECT-ANSWERSb) Therapeutic
exercise included in daily routine.
d) Existence of gastrointestinal discomfort
5. The charge nurse of the Intensive Care Unit is making assignments for the permanent
staff and one RN who was floated from a medical unit. The client with which condition is
the best to assign to the float nurse?
, a) Diabetic ketoacidosis and titrated IV insulin infusion
b) Emphysema extubated 3 hours ago receiving heated mist
c) Subdural hematoma with an intracranial monitoring device
d) Acute coronary syndrome treated with vasopressorsCORRECT-ANSWERSa)
Diabetic ketoacidosis and titrated IV insulin infusion
b) Emphysema extubated 3 hours ago receiving heated mist
9. A male client with renal cell carcinoma is returned to the unit following a radical
nephrectomy. The nurse notes that his vital signs and urine output are within normal
range, his bandage is dry, and the drain from the incision site is producing a small
amount of serasanguinous drainage. Which intervention should the nurse implement?
a) Place a pressure bandage at the drainage site
b) Document assessment findings in the electronic medical record
c) Monitor urinary catheter output for a decrease below 30 ml/hr
d) Notify surgeon of color and amount of wound drainage.CORRECT-ANSWERSNotify
surgeon of color and amount of wound drainage
b) Document assessment findings in the electronic medical record
CORRECT QUESTIONS AND ANSWERS
2025
2. When gathering for a group therapy session at 1400 hours, a female client complains
to the nurse that a smoking break has not been allowed all day. The nurse responds that
15 minute breaks were called over the unit intercom after breakfast and after lunch. The
nurse is using what communication technique in responding to the client?
a) Doubt
b) Observation
c) Confrontation
d) ReflectionCORRECT-ANSWERSd) Reflection
c) Confrontation
3. The nurse is interviewing a client with schizophrenia. Which client behavior requires
immediate intervention?
a) Lip smacking and frequent eye blinking
b) Shuffling gait and stooped posture
,c) Rocks back and forth in the chair
d) Muscle spasms of the back and neckCORRECT-ANSWERSd) Muscle spasms of the
back and neck
4. A female client with rheumatoid arthritis (RA) comes to the clinic complaining of joint
pain and swelling. The client has been taking prednisone (Deltasone) and ibuprofen
(Motrin Extra Strength) every day. To assist the client with self-management of her pain,
which information should the nurse obtain?
a) Presence of bruising, weakness, or fatigue
b) Therapeutic exercise included in daily routine.
c) Average amount of protein eaten daily
d) Existence of gastrointestinal discomfortCORRECT-ANSWERSb) Therapeutic
exercise included in daily routine.
d) Existence of gastrointestinal discomfort
5. The charge nurse of the Intensive Care Unit is making assignments for the permanent
staff and one RN who was floated from a medical unit. The client with which condition is
the best to assign to the float nurse?
, a) Diabetic ketoacidosis and titrated IV insulin infusion
b) Emphysema extubated 3 hours ago receiving heated mist
c) Subdural hematoma with an intracranial monitoring device
d) Acute coronary syndrome treated with vasopressorsCORRECT-ANSWERSa)
Diabetic ketoacidosis and titrated IV insulin infusion
b) Emphysema extubated 3 hours ago receiving heated mist
9. A male client with renal cell carcinoma is returned to the unit following a radical
nephrectomy. The nurse notes that his vital signs and urine output are within normal
range, his bandage is dry, and the drain from the incision site is producing a small
amount of serasanguinous drainage. Which intervention should the nurse implement?
a) Place a pressure bandage at the drainage site
b) Document assessment findings in the electronic medical record
c) Monitor urinary catheter output for a decrease below 30 ml/hr
d) Notify surgeon of color and amount of wound drainage.CORRECT-ANSWERSNotify
surgeon of color and amount of wound drainage
b) Document assessment findings in the electronic medical record
