HESI RN EXIT V2 QUESTIONS WITH
CORRECT ANSWERS 2026\2027 UPDATE
The nurse assumes care of a postoperative adult client with type 2 diabetes mellitus
and learns that the client has a current blood glucose level of 720 mg/dL. When
assessing the client, what is the priority? A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate CORRECT ANSWER ) A. Assess for signs of
fluid volume deficit
A male client tells the nurse that he is concerned that he may have a stomach ulcer,
because he is experiencing heartburn and dull gnawing pain that is relieved when he
eats. Which is the best response by the nurse?
A. Encourage the client to obtain a complete physical exam, since these symptoms
are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since ulcer pain is
not relieved with food
C. Instruct the client that these mild symptoms can generally be controlled with
changes in his diet
D. Advise the client that he needs to seek immediate medical evaluation and
treatment of these symptoms CORRECT ANSWER ) A. Encourage the client to obtain
a complete physical exam, since these symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following a total gastrectomy. He
has a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75
mL/hr IV. One hour after admission to the unit, the nurse notes 300mL of blood in the
suction canister, the client's heart rate is 155 beats/minute, and his blood pressure is
78/48 mmHg. In addition to reporting the findings to the surgeon, which action should
the nurse implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's solution CORRECT ANSWER ) D.
Increase the infusion rate of Lactated Ringer's solution
ALREADY GRADED A+
,A heparin infusion is prescribed for a client who weighs 220 pounds. After
administering a bolus dose of 80 units/kg, the nurse calculates the infusion rate for
the heparin solution as 18 units/kg/hour. The available solution is Heparin Sodium
25,000 Units in 5% Dextrose Injection 250 mL. The nurse should program the infusion
pump to deliver how many mL/hour? CORRECT ANSWER ) -1st: calculate the weight
= 220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/hr
- 25000 units - in 250 1800
units ---in X ml x = 1800 x
250/25000 =18 mL/hr
An adult male who fell 20 feet from the roof of his home has multiple injuries,
including a right pneumothorax. Chest tubes were inserted in the emergency
department prior to his transfer to the intensive care unit (ICU). The nurse notes that
the suction control chamber is bubbling at the -10cm H2O mark, which fluctuation in
the water seal, and over the past hour 75 mL of bright red blood is measured in the
collection chamber. Which intervention should the nurse implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusion
C. Manipulate blood in tubing to drain into chamber
D. Increase wall suction to eliminate fluctuation in water seal CORRECT ANSWER )
A. Add sterile water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife
approaches the nurse and asks how she will know that her husband's death is
imminent because their two adult children want to be there when he dies. Which is the
best response by the nurse?
A. Gather information regarding how long it will take for the children to arrive B.
Explain that the client will start to lose consciousness and the body systems will
slow down
C. Reassure the spouse that the healthcare provider will notify when to call the
children
D. Offer to discuss the client's health status with each of the adult children
CORRECT ANSWER ) B. Explain that the client will start to lose consciousness and
the body systems will slow down
The charge nurse of a critical care unit is informed at the beginning of the shift that
less than the optimal number of registered nurses will be working that shift. In
planning assignments, which client should receive the most care hours by a registered
nurse (RN)?
A. A 48-year-old marathon runner with a central venous catheter who is
experiencing nausea and vomiting due to electrolyte disturbance following a race
ALREADY GRADED A+
,B. A 34-year-old admitted today after an emergency appendectomy who has a
peripheral intravenous catheter and a Foley catheter
C. A 63-year-old chain smoker admitted with chronic bronchitis who is receiving
oxygen via nasal cannula and has a saline-locked peripheral intravenous catheter
D. An 82-year-old client with Alzheimer's disease and a newly-fractured femur
who has a Foley catheter and soft wrist restraints applied CORRECT ANSWER ) D.
An 82year-old client with Alzheimer's disease and a newly-fractured femur who has a
Foley catheter and soft wrist restraints applied
The nurse is preparing a dose of 60 mcg of teriparatide. The medication is labeled "750
mcg/2.4mL". How many mL should the nurse administer? Round to nearest tenth.
CORRECT ANSWER ) 0.2 mL
In caring for a client with Cushing's Syndrome, which serum laboratory value is most
important for the nurse to monitor?
A. Creatinine
B. Lactate
C. Glucose
D. Hemoglobin CORRECT ANSWER ) C. Glucose
A client who received hemodialysis yesterday is experiencing a blood pressure of
200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute.
The client is manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen
saturation on room air of 89%. Which action should the nurse take first?
A. Elevate the foot of the bed
B. Restrict the client's fluids
C. Begin supplemental oxygen
D. Prepare client for hemodialysis CORRECT ANSWER ) C. Begin supplemental
oxygen
When caring for a client with full thickness burns to both lower extremities, which
assessment findings warrant immediate intervention? Select all that apply
A. Sloughing tissue around wound edges
B. Complaint of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
E. Weeping serosanguineous fluid from wounds CORRECT ANSWER ) B. Complaint
of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
ALREADY GRADED A+
, An older client is admitted with fluid volume deficit and dehydration. Which
assessment finding is the best indicator of hydration that the nurse should report
to the healthcare provider? A. Urine specific gravity is 1.040
B. Systolic blood pressure decreases 10 points when standing
C. The client denies being thirsty
D. Skin tenting occurs when the client's forearm is pinched CORRECT ANSWER ) D.
Skin tenting occurs when the client's forearm is pinched
The healthcare provider prescribes methylergonovine maleate for a postpartum client
with uterine atony. What finding should indicate to the nurse to withhold the next dose
of the medication?
A. Difficulty locating the uterine fundus
B. Excessive lochia
C. Saturation of more than one pad per hour
D. Hypertension CORRECT ANSWER ) D. Hypertension
After an inservice about electronic health record (EHR) security and safeguarding
client information, the nurse observes a colleague going home with printed copies of
client information in a uniform pocket. Which action should the nurse take?
A. File a detailed incident report with the specific hiring facility
B. Warn the colleague that their actions are unprofessional
C. Comment anonymously about the action on a staff discussion board
D. Communicate the colleague's actions to the unit charge nurse CORRECT ANSWER
) A. File a detailed incident report with the specific hiring facility
The nurse is evaluating a tertiary prevention program for clients with cardiovascular
disease implemented in a rural health clinic. Which outcome indicates the program is
effective?
A. At-risk clients received an increased number of routine health screenings
B. Clients reported having new confidence in making healthy food choices
C. Clients who incurred disease complications promptly received rehabilitation D.
Client relapse of 30% in a 5-year community-wide anti-smoking campaign
CORRECT ANSWER ) C. Clients who incurred disease complications promptly
received rehabilitation
While caring for a client's postoperative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the healthcare provider, the
nurse should review which of the client's laboratory values?
A. Culture for sensitive organisms B.
Serum blood glucose (BG) level
C. Creatinine level
D. Serum albumin CORRECT ANSWER ) A. Culture for sensitive organisms
ALREADY GRADED A+
CORRECT ANSWERS 2026\2027 UPDATE
The nurse assumes care of a postoperative adult client with type 2 diabetes mellitus
and learns that the client has a current blood glucose level of 720 mg/dL. When
assessing the client, what is the priority? A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate CORRECT ANSWER ) A. Assess for signs of
fluid volume deficit
A male client tells the nurse that he is concerned that he may have a stomach ulcer,
because he is experiencing heartburn and dull gnawing pain that is relieved when he
eats. Which is the best response by the nurse?
A. Encourage the client to obtain a complete physical exam, since these symptoms
are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since ulcer pain is
not relieved with food
C. Instruct the client that these mild symptoms can generally be controlled with
changes in his diet
D. Advise the client that he needs to seek immediate medical evaluation and
treatment of these symptoms CORRECT ANSWER ) A. Encourage the client to obtain
a complete physical exam, since these symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following a total gastrectomy. He
has a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75
mL/hr IV. One hour after admission to the unit, the nurse notes 300mL of blood in the
suction canister, the client's heart rate is 155 beats/minute, and his blood pressure is
78/48 mmHg. In addition to reporting the findings to the surgeon, which action should
the nurse implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's solution CORRECT ANSWER ) D.
Increase the infusion rate of Lactated Ringer's solution
ALREADY GRADED A+
,A heparin infusion is prescribed for a client who weighs 220 pounds. After
administering a bolus dose of 80 units/kg, the nurse calculates the infusion rate for
the heparin solution as 18 units/kg/hour. The available solution is Heparin Sodium
25,000 Units in 5% Dextrose Injection 250 mL. The nurse should program the infusion
pump to deliver how many mL/hour? CORRECT ANSWER ) -1st: calculate the weight
= 220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/hr
- 25000 units - in 250 1800
units ---in X ml x = 1800 x
250/25000 =18 mL/hr
An adult male who fell 20 feet from the roof of his home has multiple injuries,
including a right pneumothorax. Chest tubes were inserted in the emergency
department prior to his transfer to the intensive care unit (ICU). The nurse notes that
the suction control chamber is bubbling at the -10cm H2O mark, which fluctuation in
the water seal, and over the past hour 75 mL of bright red blood is measured in the
collection chamber. Which intervention should the nurse implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusion
C. Manipulate blood in tubing to drain into chamber
D. Increase wall suction to eliminate fluctuation in water seal CORRECT ANSWER )
A. Add sterile water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife
approaches the nurse and asks how she will know that her husband's death is
imminent because their two adult children want to be there when he dies. Which is the
best response by the nurse?
A. Gather information regarding how long it will take for the children to arrive B.
Explain that the client will start to lose consciousness and the body systems will
slow down
C. Reassure the spouse that the healthcare provider will notify when to call the
children
D. Offer to discuss the client's health status with each of the adult children
CORRECT ANSWER ) B. Explain that the client will start to lose consciousness and
the body systems will slow down
The charge nurse of a critical care unit is informed at the beginning of the shift that
less than the optimal number of registered nurses will be working that shift. In
planning assignments, which client should receive the most care hours by a registered
nurse (RN)?
A. A 48-year-old marathon runner with a central venous catheter who is
experiencing nausea and vomiting due to electrolyte disturbance following a race
ALREADY GRADED A+
,B. A 34-year-old admitted today after an emergency appendectomy who has a
peripheral intravenous catheter and a Foley catheter
C. A 63-year-old chain smoker admitted with chronic bronchitis who is receiving
oxygen via nasal cannula and has a saline-locked peripheral intravenous catheter
D. An 82-year-old client with Alzheimer's disease and a newly-fractured femur
who has a Foley catheter and soft wrist restraints applied CORRECT ANSWER ) D.
An 82year-old client with Alzheimer's disease and a newly-fractured femur who has a
Foley catheter and soft wrist restraints applied
The nurse is preparing a dose of 60 mcg of teriparatide. The medication is labeled "750
mcg/2.4mL". How many mL should the nurse administer? Round to nearest tenth.
CORRECT ANSWER ) 0.2 mL
In caring for a client with Cushing's Syndrome, which serum laboratory value is most
important for the nurse to monitor?
A. Creatinine
B. Lactate
C. Glucose
D. Hemoglobin CORRECT ANSWER ) C. Glucose
A client who received hemodialysis yesterday is experiencing a blood pressure of
200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute.
The client is manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen
saturation on room air of 89%. Which action should the nurse take first?
A. Elevate the foot of the bed
B. Restrict the client's fluids
C. Begin supplemental oxygen
D. Prepare client for hemodialysis CORRECT ANSWER ) C. Begin supplemental
oxygen
When caring for a client with full thickness burns to both lower extremities, which
assessment findings warrant immediate intervention? Select all that apply
A. Sloughing tissue around wound edges
B. Complaint of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
E. Weeping serosanguineous fluid from wounds CORRECT ANSWER ) B. Complaint
of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
ALREADY GRADED A+
, An older client is admitted with fluid volume deficit and dehydration. Which
assessment finding is the best indicator of hydration that the nurse should report
to the healthcare provider? A. Urine specific gravity is 1.040
B. Systolic blood pressure decreases 10 points when standing
C. The client denies being thirsty
D. Skin tenting occurs when the client's forearm is pinched CORRECT ANSWER ) D.
Skin tenting occurs when the client's forearm is pinched
The healthcare provider prescribes methylergonovine maleate for a postpartum client
with uterine atony. What finding should indicate to the nurse to withhold the next dose
of the medication?
A. Difficulty locating the uterine fundus
B. Excessive lochia
C. Saturation of more than one pad per hour
D. Hypertension CORRECT ANSWER ) D. Hypertension
After an inservice about electronic health record (EHR) security and safeguarding
client information, the nurse observes a colleague going home with printed copies of
client information in a uniform pocket. Which action should the nurse take?
A. File a detailed incident report with the specific hiring facility
B. Warn the colleague that their actions are unprofessional
C. Comment anonymously about the action on a staff discussion board
D. Communicate the colleague's actions to the unit charge nurse CORRECT ANSWER
) A. File a detailed incident report with the specific hiring facility
The nurse is evaluating a tertiary prevention program for clients with cardiovascular
disease implemented in a rural health clinic. Which outcome indicates the program is
effective?
A. At-risk clients received an increased number of routine health screenings
B. Clients reported having new confidence in making healthy food choices
C. Clients who incurred disease complications promptly received rehabilitation D.
Client relapse of 30% in a 5-year community-wide anti-smoking campaign
CORRECT ANSWER ) C. Clients who incurred disease complications promptly
received rehabilitation
While caring for a client's postoperative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the healthcare provider, the
nurse should review which of the client's laboratory values?
A. Culture for sensitive organisms B.
Serum blood glucose (BG) level
C. Creatinine level
D. Serum albumin CORRECT ANSWER ) A. Culture for sensitive organisms
ALREADY GRADED A+
