HESI Exit Exam Retake B) Give information about advance
directives
2025-2026: Complete C) Assume that this client wishes a full
code
180-Question Test Bank D) Refer this issue to the unit secretary -
with Verified Answers to 100 correct answer as-is B: Give
information about advance directives
Pass
A nurse administers the influenza
vaccine to a client in a clinic. Within 15
minutes after
the immunization was given, the client
The nurse knows that which statement complains of itchy and watery eyes,
by the mother indicates that the mother increased
understands safety precautions with her anxiety, and difficulty breathing. The
four month-old infant and her 4 year-old nurse expects that the first action in the
child? sequence of
A) "I strap the infant car seat on the front care for this client will be to
seat to face backwards." A) Maintain the airway
B) "I place my infant in the middle of the B) Administer epinephrine 1:1000 as
living room floor on a blanket to play ordered
with my C) Monitor for hypotension with shock
4 year old while I make supper in the D) Administer diphenhydramine as
kitchen." ordered - 100 correct answer as-is
C) "My sleeping baby lies so cute in the B: Administer epinephrine 1:1000 as
crib with the little buttocks stuck up in ordered .
the air
while the four year old naps on the Which of these children at the site of a
sofa." disaster at a child day care center would
D) "I have the 4 year-old hold and help the
feed the four month-old a bottle in the triage nurse put in the "treat last"
kitchen category?
while I make supper." - 100 correct A) An infant with intermittent bulging
answer as-is D: "I have the four year- anterior fontanel between crying
old hold and help feed the four month- episodes
old B) A toddler with severe deep abrasions
a bottle in the kitchen over 98% of the body
C) A preschooler with 1 lower leg
Upon completing the admission fracture and the other leg with an upper
documents, the nurse learns that the 87 leg fracture
year-old client D) A school-age child with singed
does not have an advance directive. eyebrows and hair on the arms - 100
What action should the nurse take? correct answer as-is B: A toddler
A) Record the information on the chart with severe deep abrasions over 98% of
the body .
, D) open the client's airway - 100
When admitting a client to an acute care correct answer as-is D: open the
facility, an identification bracelet is sent
client''s airway
up
with the admission form. In the event
A client has an order for 1000 ml of
these do not match, the nurse's best
D5W over an 8 hour period. The nurse
action is to
discovers
A) Change whichever item is incorrect to
that 800 ml has been infused after 4
the correct information
hours. What is the priority nursing
B) Use the bracelet and admission form
action?
until a replacement is supplied
A) Ask the client if there are any
C) Notify the admissions office and wait
breathing problems
to apply the bracelet
B) Have the client void as much as
D) Make a corrected identification
possible
bracelet for the client - 100 correct C) Check the vital signs
answer as-is C: notify the admissions D) Auscultate the lungs - 100 correct
office and wait to apply the bracelet answer as-is D: Auscultate the lungs
The nurse is having difficulty reading the
Following change-of-shift report on an
health care provider's written order that
orthopedic unit, which client should the
was
nurse
written right before the shift change.
see first?
What action should be taken?
A) 16 year-old who had an open
A) Leave the order for the oncoming
reduction of a fractured wrist 10 hours
staff to follow-up
ago
B) Contact the charge nurse for an
B) 20 year-old in skeletal traction for 2
interpretation
weeks since a motor cycle accident
C) Ask the pharmacy for assistance in
C) 72 year-old recovering from surgery
the interpretation
after a hip replacement 2 hours ago
D) Call the provider for clarification - D) 75 year-old who is in skin traction
100 correct answer as-is D: Call prior to planned hip pinning surgery. -
the provider for clarification 100 correct answer as-is C: 72
year-old recovering from surgery after a
An adult client is found to be
hip replacement 2
unresponsive on morning rounds. After
hours ago
checking for
1
responsiveness and calling for help, the
next action that should be taken by the
A nurse observes a family member
nurse is
administer a rectal suppository by
to:
having the
A) check the carotid pulse
client lie on the left side for the
B) deliver 5 abdominal thrusts
administration. The family member
C) give 2 rescue breaths
pushed the
, suppository until the finger went up to D) Void continuously and catch some of
the second knuckle. After 10 minutes the urine - 100 correct answer as-
the client is B: clean the meatus, begin voiding,
was told by the family member to turn to then catch urine stream
the right side and the client did this. 1
What is the
appropriate comment for the nurse to The provider orders Lanoxin (digoxin)
make? 125 mg PO and furosomide 40 mg
A) Why don't we now have the client every
turn back to the left side. day. Which of these foods would the
B) That was done correctly. Did you nurse reinforce for the client to eat at
have any problems with the insertion? least daily?
C) Let's check to see if the suppository A) spaghetti
is in far enough. B) watermelon
D) Did you feel any stool in the intestinal C) chicken
tract? - 100 correct answer as-is D) tomatoes - 100 correct answer
B: That was done correctly. Did you as-is B: watermelon
have any problems with the
1
insertion?
1
A nurse is stuck in the hand by an
exposed needle. What immediate action
A client with a diagnosis of Methicillin
should the
resistant Staphylococcus aureus
nurse take?
(MRSA) has
A) Look up the policy on needle sticks
died. Which type of precautions is the
B) Contact employee health services
appropriate type to use when performing
C) Immediately wash the hands with
postmortem care?
vigor
A) airborne precautions
D) Notify the supervisor and risk
B) droplet precautions
C) contact precautions management - 100 correct answer
D) compromised host precautions - 100 as-is C: Immediately wash the hands
with vigor
correct answer as-is C: contact
1
precautions
1
As the nurse observes the student nurse
during the administration of a narcotic
The nurse is reviewing with a client how
analgesic IM injection, the nurse notes
to collect a clean catch urine specimen.
that the student begins to give the
Which sequence is appropriate
medication
teaching?
without first aspirating. What should the
A) Void a little, clean the meatus, then
nurse do?
collect specimen
A) Ask the student: "What did you forget
B) clean the meatus, begin voiding, then
to do?"
catch urine stream
B) Stop. Tell me why aspiration is
C) Clean the meatus, then urinate into
needed.
container
C) Loudly state: "You forgot to aspirate."
directives
2025-2026: Complete C) Assume that this client wishes a full
code
180-Question Test Bank D) Refer this issue to the unit secretary -
with Verified Answers to 100 correct answer as-is B: Give
information about advance directives
Pass
A nurse administers the influenza
vaccine to a client in a clinic. Within 15
minutes after
the immunization was given, the client
The nurse knows that which statement complains of itchy and watery eyes,
by the mother indicates that the mother increased
understands safety precautions with her anxiety, and difficulty breathing. The
four month-old infant and her 4 year-old nurse expects that the first action in the
child? sequence of
A) "I strap the infant car seat on the front care for this client will be to
seat to face backwards." A) Maintain the airway
B) "I place my infant in the middle of the B) Administer epinephrine 1:1000 as
living room floor on a blanket to play ordered
with my C) Monitor for hypotension with shock
4 year old while I make supper in the D) Administer diphenhydramine as
kitchen." ordered - 100 correct answer as-is
C) "My sleeping baby lies so cute in the B: Administer epinephrine 1:1000 as
crib with the little buttocks stuck up in ordered .
the air
while the four year old naps on the Which of these children at the site of a
sofa." disaster at a child day care center would
D) "I have the 4 year-old hold and help the
feed the four month-old a bottle in the triage nurse put in the "treat last"
kitchen category?
while I make supper." - 100 correct A) An infant with intermittent bulging
answer as-is D: "I have the four year- anterior fontanel between crying
old hold and help feed the four month- episodes
old B) A toddler with severe deep abrasions
a bottle in the kitchen over 98% of the body
C) A preschooler with 1 lower leg
Upon completing the admission fracture and the other leg with an upper
documents, the nurse learns that the 87 leg fracture
year-old client D) A school-age child with singed
does not have an advance directive. eyebrows and hair on the arms - 100
What action should the nurse take? correct answer as-is B: A toddler
A) Record the information on the chart with severe deep abrasions over 98% of
the body .
, D) open the client's airway - 100
When admitting a client to an acute care correct answer as-is D: open the
facility, an identification bracelet is sent
client''s airway
up
with the admission form. In the event
A client has an order for 1000 ml of
these do not match, the nurse's best
D5W over an 8 hour period. The nurse
action is to
discovers
A) Change whichever item is incorrect to
that 800 ml has been infused after 4
the correct information
hours. What is the priority nursing
B) Use the bracelet and admission form
action?
until a replacement is supplied
A) Ask the client if there are any
C) Notify the admissions office and wait
breathing problems
to apply the bracelet
B) Have the client void as much as
D) Make a corrected identification
possible
bracelet for the client - 100 correct C) Check the vital signs
answer as-is C: notify the admissions D) Auscultate the lungs - 100 correct
office and wait to apply the bracelet answer as-is D: Auscultate the lungs
The nurse is having difficulty reading the
Following change-of-shift report on an
health care provider's written order that
orthopedic unit, which client should the
was
nurse
written right before the shift change.
see first?
What action should be taken?
A) 16 year-old who had an open
A) Leave the order for the oncoming
reduction of a fractured wrist 10 hours
staff to follow-up
ago
B) Contact the charge nurse for an
B) 20 year-old in skeletal traction for 2
interpretation
weeks since a motor cycle accident
C) Ask the pharmacy for assistance in
C) 72 year-old recovering from surgery
the interpretation
after a hip replacement 2 hours ago
D) Call the provider for clarification - D) 75 year-old who is in skin traction
100 correct answer as-is D: Call prior to planned hip pinning surgery. -
the provider for clarification 100 correct answer as-is C: 72
year-old recovering from surgery after a
An adult client is found to be
hip replacement 2
unresponsive on morning rounds. After
hours ago
checking for
1
responsiveness and calling for help, the
next action that should be taken by the
A nurse observes a family member
nurse is
administer a rectal suppository by
to:
having the
A) check the carotid pulse
client lie on the left side for the
B) deliver 5 abdominal thrusts
administration. The family member
C) give 2 rescue breaths
pushed the
, suppository until the finger went up to D) Void continuously and catch some of
the second knuckle. After 10 minutes the urine - 100 correct answer as-
the client is B: clean the meatus, begin voiding,
was told by the family member to turn to then catch urine stream
the right side and the client did this. 1
What is the
appropriate comment for the nurse to The provider orders Lanoxin (digoxin)
make? 125 mg PO and furosomide 40 mg
A) Why don't we now have the client every
turn back to the left side. day. Which of these foods would the
B) That was done correctly. Did you nurse reinforce for the client to eat at
have any problems with the insertion? least daily?
C) Let's check to see if the suppository A) spaghetti
is in far enough. B) watermelon
D) Did you feel any stool in the intestinal C) chicken
tract? - 100 correct answer as-is D) tomatoes - 100 correct answer
B: That was done correctly. Did you as-is B: watermelon
have any problems with the
1
insertion?
1
A nurse is stuck in the hand by an
exposed needle. What immediate action
A client with a diagnosis of Methicillin
should the
resistant Staphylococcus aureus
nurse take?
(MRSA) has
A) Look up the policy on needle sticks
died. Which type of precautions is the
B) Contact employee health services
appropriate type to use when performing
C) Immediately wash the hands with
postmortem care?
vigor
A) airborne precautions
D) Notify the supervisor and risk
B) droplet precautions
C) contact precautions management - 100 correct answer
D) compromised host precautions - 100 as-is C: Immediately wash the hands
with vigor
correct answer as-is C: contact
1
precautions
1
As the nurse observes the student nurse
during the administration of a narcotic
The nurse is reviewing with a client how
analgesic IM injection, the nurse notes
to collect a clean catch urine specimen.
that the student begins to give the
Which sequence is appropriate
medication
teaching?
without first aspirating. What should the
A) Void a little, clean the meatus, then
nurse do?
collect specimen
A) Ask the student: "What did you forget
B) clean the meatus, begin voiding, then
to do?"
catch urine stream
B) Stop. Tell me why aspiration is
C) Clean the meatus, then urinate into
needed.
container
C) Loudly state: "You forgot to aspirate."
