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Nightingale College HESI Exit Exam Test
Bank Updated Questions with Verified
Correct Answers 2025/2026 Nursing Exam
Prep
1. A nurse from the maternity unit is floated to the critical care
unit because of staff shortage on the evening shift. Which
client would be appropriate to assign to this nurse? A client
with
A) A Dopamine drip IV with vital signs monitored every 5
minutes
B) A myocardial infarction that is free from pain and
dysrhythmias
C) A tracheotomy of 24 hours in some respiratory distress
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D) A pacemaker inserted this morning with intermittent capture
- correct answer-B) A myocardial infarction that is free from
pain and dysrhythmias
2. An unlicensed assistive personnel (UAP), who usually works
on a surgical unit is assigned to float to a pediatric unit.
Which question by the charge nurse would be most
appropriate when making delegation decisions?
A) "How long have you been a UAP and what units you have
worked on?"
B) "What type of care do you give on the surgical unit and what
ages of clients?"
C) "What is your comfort level in caring for children and at what
ages?"
D) "Have you reviewed the list of expected skills you might
need on this unit?" - correct answer-D) "Have you reviewed
the list of expected skills you might need on this unit?"
3. A client frequently admitted to the locked psychiatric unit
repeatedly compliments and invites one of the nurses to go
out on a date. The nurse's response should be to
A) Ask to not be assigned to this client or to work on another
unit
B) Tell the client that such behavior is inappropriate
C) Inform the client that hospital policy prohibits staff to date
clients
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D) Discuss the boundaries of the therapeutic relationship with
the client - correct answer-D) Discuss the boundaries of the
therapeutic relationship with the client
4. In order to enhance a client's response to medication for
chest pain from acute angina, the nurse should emphasize
A) Learning relaxation techniques
B) Limiting alcohol use
C) Eating smaller meals
D) Avoiding passive smoke - correct answer-A) Learning
relaxation techniques
5. The nurse is caring for 2 children who have had surgical
repair of congenital heart defects. For which defect is it a
priority to assess for findings of heart conduction
disturbance?
A) Arterial septal defect
B) Patent ductus arteriosus
C) Aortic stenosis
D) Ventricular septal defect - correct answer-D) Ventricular
septal defect
6. Clients with mitral stenosis would likely manifest findings
associated with congestion in the
A) Pulmonary circulation
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B) Descending aorta
C) Superior vena cava
D) Bundle of His - correct answer-A) Pulmonary circulation
7. 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 - correct
answer-B) There is a relationship between smoking and low
birth weight
8. 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 -
correct answer-B) Allow an opportunity for the teen to
express feelings
Nightingale College HESI Exit Exam Test
Bank Updated Questions with Verified
Correct Answers 2025/2026 Nursing Exam
Prep
1. A nurse from the maternity unit is floated to the critical care
unit because of staff shortage on the evening shift. Which
client would be appropriate to assign to this nurse? A client
with
A) A Dopamine drip IV with vital signs monitored every 5
minutes
B) A myocardial infarction that is free from pain and
dysrhythmias
C) A tracheotomy of 24 hours in some respiratory distress
, Page | 2
D) A pacemaker inserted this morning with intermittent capture
- correct answer-B) A myocardial infarction that is free from
pain and dysrhythmias
2. An unlicensed assistive personnel (UAP), who usually works
on a surgical unit is assigned to float to a pediatric unit.
Which question by the charge nurse would be most
appropriate when making delegation decisions?
A) "How long have you been a UAP and what units you have
worked on?"
B) "What type of care do you give on the surgical unit and what
ages of clients?"
C) "What is your comfort level in caring for children and at what
ages?"
D) "Have you reviewed the list of expected skills you might
need on this unit?" - correct answer-D) "Have you reviewed
the list of expected skills you might need on this unit?"
3. A client frequently admitted to the locked psychiatric unit
repeatedly compliments and invites one of the nurses to go
out on a date. The nurse's response should be to
A) Ask to not be assigned to this client or to work on another
unit
B) Tell the client that such behavior is inappropriate
C) Inform the client that hospital policy prohibits staff to date
clients
, Page | 3
D) Discuss the boundaries of the therapeutic relationship with
the client - correct answer-D) Discuss the boundaries of the
therapeutic relationship with the client
4. In order to enhance a client's response to medication for
chest pain from acute angina, the nurse should emphasize
A) Learning relaxation techniques
B) Limiting alcohol use
C) Eating smaller meals
D) Avoiding passive smoke - correct answer-A) Learning
relaxation techniques
5. The nurse is caring for 2 children who have had surgical
repair of congenital heart defects. For which defect is it a
priority to assess for findings of heart conduction
disturbance?
A) Arterial septal defect
B) Patent ductus arteriosus
C) Aortic stenosis
D) Ventricular septal defect - correct answer-D) Ventricular
septal defect
6. Clients with mitral stenosis would likely manifest findings
associated with congestion in the
A) Pulmonary circulation
, Page | 4
B) Descending aorta
C) Superior vena cava
D) Bundle of His - correct answer-A) Pulmonary circulation
7. 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 - correct
answer-B) There is a relationship between smoking and low
birth weight
8. 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 -
correct answer-B) Allow an opportunity for the teen to
express feelings
