HESI DIAGNOSTIC EXIT FINAL EXAM
QUESTIONS 2025/2026 WITH CORRECT
DETAILED ANSWERS || ALREADY GRADED
A+ <RECENT VERSION>
1. Following discharge teaching, a male client with a duodenal ulcer tells the
nurse that he will drink plenty of dairy products, such as milk, to help coat
and protect his ulcer. What is the best follow-up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated
coffee and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce
discomfort
c. Review with the client the need to avoid foods that are rich in milk
and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he
might select. - ANSWER c. Review with the client the need to
avoid foods that are rich in milk and cream.
2. The nurse observes an unlicensed assistive personnel (UAP) positioning a
newly admitted client who has a seizure disorder. The client is supine, and
the UAP is placing soft pillows along the side rails. What action should the
nurse implement?
a. Ensure that the UAP has placed the pillows effectively to protect the
client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails
instead of pillows.
, c. Assume responsibility for placing the pillows while the UAP
completes another task.
d. Ask the UAP to use some of the pillows to prop the client in a side-
lying position. - ANSWER b. Instruct the UAP to obtain soft
blankets to secure to the side rails instead of pillows.
3. A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate
his blood pressure (BP). His BP is 158/106, and he admits that he has not
been taking the prescribed medication because the drugs make him "feel
bad". In explaining the need for hypertension control, the nurse should stress
that an elevated BP places the client at risk for which pathophysiological
condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage - ANSWER c. Stroke
secondary to hemorrhage
4. An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires
immediate follow-up
a. Describes life without purpose
b. Complaints of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating. - ANSWER a. Describes life
without purpose
5. A 60-year-old female client with a positive family history of ovarian cancer
has developed an abdominal mass and is being evaluated for possible
, ovarian cancer. Her Papanicolau (Pap smear results are negative. What
information should the nurse include in the client's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six months. One
additional negative pap smear in six months is needed. -
ANSWER a. Further evaluation involving surgery may be needed
6. A client who recently underwent a tracheostomy is being prepared for
discharge home. Which instructions are most important for the nurse to
include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean the tracheostomy site. - ANSWER b.
Teach tracheostomy suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes
that the oxygen reservoir bag does not deflate completely during inspiration,
and the client's respiratory rate is 14 breaths/minute. What action should the
nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data - ANSWER d. Document the
assessment data
8. During the shift report, the central electrocardiogram (EKG) monitoring
system alarms. Which client alarm should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
, c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes. - ANSWER a.
Respiratory apnea of 30 seconds
9. During a home visit, the nurse observed an elderly client with diabetes slip
and fall. What action should the nurse take first?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Assess clients' blood sugar level - ANSWER c. Check the client for
lacerations or fractures
10.At 0600, while admitting a woman for a scheduled repeat cesarean section
(C-Section), the client tells the nurse that she drank a cup of coffee at 0400
because she wanted to avoid getting a headache. Which action should the
nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician. - ANSWER c. Inform the
anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nurse take first
a. Place the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
QUESTIONS 2025/2026 WITH CORRECT
DETAILED ANSWERS || ALREADY GRADED
A+ <RECENT VERSION>
1. Following discharge teaching, a male client with a duodenal ulcer tells the
nurse that he will drink plenty of dairy products, such as milk, to help coat
and protect his ulcer. What is the best follow-up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated
coffee and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce
discomfort
c. Review with the client the need to avoid foods that are rich in milk
and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he
might select. - ANSWER c. Review with the client the need to
avoid foods that are rich in milk and cream.
2. The nurse observes an unlicensed assistive personnel (UAP) positioning a
newly admitted client who has a seizure disorder. The client is supine, and
the UAP is placing soft pillows along the side rails. What action should the
nurse implement?
a. Ensure that the UAP has placed the pillows effectively to protect the
client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails
instead of pillows.
, c. Assume responsibility for placing the pillows while the UAP
completes another task.
d. Ask the UAP to use some of the pillows to prop the client in a side-
lying position. - ANSWER b. Instruct the UAP to obtain soft
blankets to secure to the side rails instead of pillows.
3. A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate
his blood pressure (BP). His BP is 158/106, and he admits that he has not
been taking the prescribed medication because the drugs make him "feel
bad". In explaining the need for hypertension control, the nurse should stress
that an elevated BP places the client at risk for which pathophysiological
condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage - ANSWER c. Stroke
secondary to hemorrhage
4. An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires
immediate follow-up
a. Describes life without purpose
b. Complaints of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating. - ANSWER a. Describes life
without purpose
5. A 60-year-old female client with a positive family history of ovarian cancer
has developed an abdominal mass and is being evaluated for possible
, ovarian cancer. Her Papanicolau (Pap smear results are negative. What
information should the nurse include in the client's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six months. One
additional negative pap smear in six months is needed. -
ANSWER a. Further evaluation involving surgery may be needed
6. A client who recently underwent a tracheostomy is being prepared for
discharge home. Which instructions are most important for the nurse to
include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean the tracheostomy site. - ANSWER b.
Teach tracheostomy suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes
that the oxygen reservoir bag does not deflate completely during inspiration,
and the client's respiratory rate is 14 breaths/minute. What action should the
nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data - ANSWER d. Document the
assessment data
8. During the shift report, the central electrocardiogram (EKG) monitoring
system alarms. Which client alarm should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
, c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes. - ANSWER a.
Respiratory apnea of 30 seconds
9. During a home visit, the nurse observed an elderly client with diabetes slip
and fall. What action should the nurse take first?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Assess clients' blood sugar level - ANSWER c. Check the client for
lacerations or fractures
10.At 0600, while admitting a woman for a scheduled repeat cesarean section
(C-Section), the client tells the nurse that she drank a cup of coffee at 0400
because she wanted to avoid getting a headache. Which action should the
nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician. - ANSWER c. Inform the
anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nurse take first
a. Place the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
