1
HESI RN EXIT EXAM ACTUAL EXAM STUDY
GUIDE QUESTIONS AND ANSWERS
2026-27 VERSION
The nurse is giving preop instructions to a 14 yr old scheduled to
correct a spinal curvature. Which statement best demonstrates that
learning has taken place? -Answer- I understand I will be in a body cast
and I will show you hoy you taught me to turn
To take the vital signs of a 4 month old child which order will give the
most accurate results? -Answer- Respiratory rate, heart rate, rectal
temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is
pearly gray, slightly bulging and not movable. What action should the
nurse take next? -Answer- Ask the child if he has has a cold, runny
nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair?
-Answer- elbow
What preoperative nursing intervention should be included in the plan
of care for an infant with pyloric stenosis? -Answer- Observe for
projectile vomiting
,2
A six month old returns from surgery with elbow restraints in
place. What nursing intervention should be included when caring
for any restrained child? -Answer- remove restraints one at a time
and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is frequently
associated with Down Syndrome? -Answer- Congenital Heart Disease
When assessing a child with asthma the nurse should expect
intercostal retractions during -Answer- inspiration
When planning the care for a child who has had a cleft lip repair, the
nurse knows that crying should be minimized because it -Answer-
stresses the suture line
A client with a productive cough has obtained a sputum specimen for
culture as instructed. What action is the best initial nursing action? -
Answer- Administer the first dose of prescribed antibiotic therapy
A client is brought to the Emergency Department by ambulance in
cardiac arrest with CPR in progress. The client is intubated and
receiving 100% O2 per ambu bag. The nurse determines the client is
cyanotic, cold, and diaphoretic. Which assessment is most important to
obtain? -Answer- deep tendon reflexes
,3
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first? -Answer- Reorientate
client to his room
A male client with heart failure (HF) calls the clinic and reports he
cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain? -Answer- Has his weight
changed in the last several days
An older adult with a long hx of COPD is admitted with progressive
shortness of breath and a persistent cough. She is anxious and is
complaining of a dry mouth. Which intervention should the nurse
implement? -Answer- Apply a high flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with
SOB, productive cough with thickened tenacious mucous and the
inability to walk up a flight of stairs without experiencing
breathlessness. Which action is important for the nurse to instruct the
client about self care? -Answer- Increase the daily intake of oral fluids
to to liquefy secretions
A cardiac catherization of a client with heart disease indicates the
following blockages 95% LAD 99% proximal circumflex and 95%
proximal RCA. The client later asks the nurse "what does all that mean
for me" -Answer- 3 main arteries have major blockages with only 1 to
5% of blood flow getting through to the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess
which position should the nurse instruct the client to maintain -
Answer- left lateral
A client with cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without nausea and vomiting. Which
finding should the nurse report to the healthcare provider -Answer-
, 4
yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the
nurse performs a neuro assessment every 4 hours. which assessment
finding warrants immediate intervention by the nurse? -Answer-
Increasing Anxiety
The nurse is providing preoperative education for a Jewish client
scheduled to receive a xenograft to promote burn healing. Which info
should the nurse provide this client? -Answer- The xenograft is taken
from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requests
assistance to reposition. The wound dehiscences and eviscerates. The
nurse moistens an available sterile dressing and places it over the
wound which intervention should the nurse implement next? -Answer-
prepare the client to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has
a serum sodium level of 117 mEq/L. Which nursing problem should the
nurse include in this client's plan of care? -Answer- Fluid volume excess
HESI RN EXIT EXAM ACTUAL EXAM STUDY
GUIDE QUESTIONS AND ANSWERS
2026-27 VERSION
The nurse is giving preop instructions to a 14 yr old scheduled to
correct a spinal curvature. Which statement best demonstrates that
learning has taken place? -Answer- I understand I will be in a body cast
and I will show you hoy you taught me to turn
To take the vital signs of a 4 month old child which order will give the
most accurate results? -Answer- Respiratory rate, heart rate, rectal
temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is
pearly gray, slightly bulging and not movable. What action should the
nurse take next? -Answer- Ask the child if he has has a cold, runny
nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair?
-Answer- elbow
What preoperative nursing intervention should be included in the plan
of care for an infant with pyloric stenosis? -Answer- Observe for
projectile vomiting
,2
A six month old returns from surgery with elbow restraints in
place. What nursing intervention should be included when caring
for any restrained child? -Answer- remove restraints one at a time
and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is frequently
associated with Down Syndrome? -Answer- Congenital Heart Disease
When assessing a child with asthma the nurse should expect
intercostal retractions during -Answer- inspiration
When planning the care for a child who has had a cleft lip repair, the
nurse knows that crying should be minimized because it -Answer-
stresses the suture line
A client with a productive cough has obtained a sputum specimen for
culture as instructed. What action is the best initial nursing action? -
Answer- Administer the first dose of prescribed antibiotic therapy
A client is brought to the Emergency Department by ambulance in
cardiac arrest with CPR in progress. The client is intubated and
receiving 100% O2 per ambu bag. The nurse determines the client is
cyanotic, cold, and diaphoretic. Which assessment is most important to
obtain? -Answer- deep tendon reflexes
,3
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first? -Answer- Reorientate
client to his room
A male client with heart failure (HF) calls the clinic and reports he
cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain? -Answer- Has his weight
changed in the last several days
An older adult with a long hx of COPD is admitted with progressive
shortness of breath and a persistent cough. She is anxious and is
complaining of a dry mouth. Which intervention should the nurse
implement? -Answer- Apply a high flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with
SOB, productive cough with thickened tenacious mucous and the
inability to walk up a flight of stairs without experiencing
breathlessness. Which action is important for the nurse to instruct the
client about self care? -Answer- Increase the daily intake of oral fluids
to to liquefy secretions
A cardiac catherization of a client with heart disease indicates the
following blockages 95% LAD 99% proximal circumflex and 95%
proximal RCA. The client later asks the nurse "what does all that mean
for me" -Answer- 3 main arteries have major blockages with only 1 to
5% of blood flow getting through to the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess
which position should the nurse instruct the client to maintain -
Answer- left lateral
A client with cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without nausea and vomiting. Which
finding should the nurse report to the healthcare provider -Answer-
, 4
yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the
nurse performs a neuro assessment every 4 hours. which assessment
finding warrants immediate intervention by the nurse? -Answer-
Increasing Anxiety
The nurse is providing preoperative education for a Jewish client
scheduled to receive a xenograft to promote burn healing. Which info
should the nurse provide this client? -Answer- The xenograft is taken
from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requests
assistance to reposition. The wound dehiscences and eviscerates. The
nurse moistens an available sterile dressing and places it over the
wound which intervention should the nurse implement next? -Answer-
prepare the client to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has
a serum sodium level of 117 mEq/L. Which nursing problem should the
nurse include in this client's plan of care? -Answer- Fluid volume excess
