HESI Exit Exam Test Bank 2025/2026 –
Complete Questions, Answers, and
Rationales for Nursing Students
While assessing a radial artery catheter, the client complains of numbness and pain distal to the
insertion site. What interventions should the nurse implement?
Ans: Promptly remove the arterial catheter from the radial artery.
Quiz 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?
Ans: Rapid onset of decreased level of consciousness.
Quiz 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?
Ans: Report any signs of cloudy urine output.
,Quiz After repositioning an immobile client, the nurse observes an area of hyperemia. To assess
for blanching, what action should the nurse take?
Ans: Apply light pressure over the area.
Quiz 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?
Ans: Reposition the restraint tie onto the bedframe.
Quiz 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?
Ans: 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.
Quiz 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)
Ans: 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
Quiz 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?
Ans: Oliguria signals tubular necrosis related to hypoperfusion
Quiz 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?
Ans: Skills of staff and client acuity
Quiz When performing postural drainage on a client with Chronic Obstructive Pulmonary
Disease (COPD), which approach should the nurse use?
Ans: Explain that the client may be placed in five positions
Quiz 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?
Ans: Inability to close the affected eye, raise brow, or smile
, Quiz 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?
Ans: Keeps the irrigating container less than 18 inches above the stoma
Quiz The nurse should teach the client to observe which precaution while taking dronedarone?
Ans: Avoid grapefruits and its juice
Quiz 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?
Ans: Increased Glasgow coma scale score.
Nuchal rigidity and papilledema.
Confusion and papilledema
Periorbital ecchymosis.
Rationale: papilledema is always an indicator of increased ICP, and confusion is usually the first
sign of
increased ICP. Other options do not necessarily reflect increased ICP.
Quiz The nurse is caring for a client receiving continuous IV fluids through a single lumen central
venous catheter (CVC). Based on the CVC care bundle, which action should be completed daily
to reduce the
risk for infection?
Complete Questions, Answers, and
Rationales for Nursing Students
While assessing a radial artery catheter, the client complains of numbness and pain distal to the
insertion site. What interventions should the nurse implement?
Ans: Promptly remove the arterial catheter from the radial artery.
Quiz 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?
Ans: Rapid onset of decreased level of consciousness.
Quiz 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?
Ans: Report any signs of cloudy urine output.
,Quiz After repositioning an immobile client, the nurse observes an area of hyperemia. To assess
for blanching, what action should the nurse take?
Ans: Apply light pressure over the area.
Quiz 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?
Ans: Reposition the restraint tie onto the bedframe.
Quiz 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?
Ans: 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.
Quiz 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)
Ans: 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
Quiz 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?
Ans: Oliguria signals tubular necrosis related to hypoperfusion
Quiz 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?
Ans: Skills of staff and client acuity
Quiz When performing postural drainage on a client with Chronic Obstructive Pulmonary
Disease (COPD), which approach should the nurse use?
Ans: Explain that the client may be placed in five positions
Quiz 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?
Ans: Inability to close the affected eye, raise brow, or smile
, Quiz 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?
Ans: Keeps the irrigating container less than 18 inches above the stoma
Quiz The nurse should teach the client to observe which precaution while taking dronedarone?
Ans: Avoid grapefruits and its juice
Quiz 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?
Ans: Increased Glasgow coma scale score.
Nuchal rigidity and papilledema.
Confusion and papilledema
Periorbital ecchymosis.
Rationale: papilledema is always an indicator of increased ICP, and confusion is usually the first
sign of
increased ICP. Other options do not necessarily reflect increased ICP.
Quiz The nurse is caring for a client receiving continuous IV fluids through a single lumen central
venous catheter (CVC). Based on the CVC care bundle, which action should be completed daily
to reduce the
risk for infection?
