RN HESI EXIT EXAM VERSION 1 (V1) ALL 160
FINAL PAPER 2026 TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ While the nurse is assessing an older client's fall risk, the client
reports living at home alone and never falling. Which action should
the nurse take?
A. Inform the client that falls occur more often in the hospital than at
home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk
survey
D. Place the client on a high fall risk protocol because of advanced
age. Answer: C. Continue to obtain client data needed to complete
the fall risk survey
◉ The nurse is providing education to a client who experiences
recurrent levels of moderate anxiety to situations and perceived
stress. In addition to information about prescribed medication and
administration, which instruction should the nurse include in the
teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
,D. Think about reasons the episodes occur. Answer: B. Practice using
muscle relaxation techniques
◉ A young woman with multiple sclerosis just received several
immunizations in preparation for moving into a college dormitory.
Two days later, she reports to the nurse that she is experiencing
increasing fatigue and visual problems. What teaching should the
nurse provide?
A. Plans to move into the dormitory need to be postponed for at
least a semester
B. These are common side effects of the vaccines and will resolve in
a few days
C. Immunizations can trigger a relapse of the disease, so get plenty
of extra rest
D. these early signs of an infection may require medical treatment
with antibiotics. Answer: C. Immunizations can trigger a relapse of
the disease, so get plenty of extra rest
◉ The nurse is caring for a preterm newborn with nasal flaring,
grunting, and sternal retractions. After administering surfactant,
which assessment is most important for the nurse to monitor?
A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate. Answer: A. Arterial blood gasses
,◉ An S3 heart sound is auscultated in a client in her third trimester
of pregnancy. What intervention should the nurse take?
A. Prepare the client for an echocardiogram
B. Document in the client's record
C. Notify the healthcare provider
D. Limit the client's fluids. Answer: B. Document in the client's
record
◉ A young male client is admitted to rehabilitation following a right
above-knee amputation (AKA) for a severe traumatic injury. He is in
the commons room and anxiously calls out to the nurse, stating that
his "right foot is aching". The nurse offers reassurance and support.
Which additional intervention is most important for the nurse to
implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
D. Offer to assist the client to a quieter location so he can relax.
Answer: A. Encourage discussion of feelings about the loss of his
limb
◉ A combination multi-drug cocktail is being considered for an
asymptomatic HIV-infected client with a CD4 cell count of 500.
, Which nursing assessment of the client is most crucial in
determining whether therapy should be initiated?
A. Willing to comply with complex drug schedules
B. Maintains an adequate social support system
C. Qualifies for a prescription assistance program
D. States various side effects of retroviral agents. Answer: A. Willing
to comply with complex drug schedules
◉ The nurse is caring for a seated client who is experiencing a tonic-
clonic seizure. Which actions should the nurse implement? (Select
all that apply)
A. Loosen restrictive clothing
B. Insert a bite block
C. Ease the client to the floor
D. Note the duration of the seizure
E. Restrain the client. Answer: A. Loosen restrictive clothing
C. Ease the client to the floor
D. Note the duration of the seizure
◉ On admission to the Emergency Department, a female client who
was diagnosed with bipolar disorder 3 years ago reports that this
morning she took a handful of medications and left a suicide note for
her family. Which information is most important for the nurse to
obtain?
FINAL PAPER 2026 TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ While the nurse is assessing an older client's fall risk, the client
reports living at home alone and never falling. Which action should
the nurse take?
A. Inform the client that falls occur more often in the hospital than at
home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk
survey
D. Place the client on a high fall risk protocol because of advanced
age. Answer: C. Continue to obtain client data needed to complete
the fall risk survey
◉ The nurse is providing education to a client who experiences
recurrent levels of moderate anxiety to situations and perceived
stress. In addition to information about prescribed medication and
administration, which instruction should the nurse include in the
teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
,D. Think about reasons the episodes occur. Answer: B. Practice using
muscle relaxation techniques
◉ A young woman with multiple sclerosis just received several
immunizations in preparation for moving into a college dormitory.
Two days later, she reports to the nurse that she is experiencing
increasing fatigue and visual problems. What teaching should the
nurse provide?
A. Plans to move into the dormitory need to be postponed for at
least a semester
B. These are common side effects of the vaccines and will resolve in
a few days
C. Immunizations can trigger a relapse of the disease, so get plenty
of extra rest
D. these early signs of an infection may require medical treatment
with antibiotics. Answer: C. Immunizations can trigger a relapse of
the disease, so get plenty of extra rest
◉ The nurse is caring for a preterm newborn with nasal flaring,
grunting, and sternal retractions. After administering surfactant,
which assessment is most important for the nurse to monitor?
A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate. Answer: A. Arterial blood gasses
,◉ An S3 heart sound is auscultated in a client in her third trimester
of pregnancy. What intervention should the nurse take?
A. Prepare the client for an echocardiogram
B. Document in the client's record
C. Notify the healthcare provider
D. Limit the client's fluids. Answer: B. Document in the client's
record
◉ A young male client is admitted to rehabilitation following a right
above-knee amputation (AKA) for a severe traumatic injury. He is in
the commons room and anxiously calls out to the nurse, stating that
his "right foot is aching". The nurse offers reassurance and support.
Which additional intervention is most important for the nurse to
implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
D. Offer to assist the client to a quieter location so he can relax.
Answer: A. Encourage discussion of feelings about the loss of his
limb
◉ A combination multi-drug cocktail is being considered for an
asymptomatic HIV-infected client with a CD4 cell count of 500.
, Which nursing assessment of the client is most crucial in
determining whether therapy should be initiated?
A. Willing to comply with complex drug schedules
B. Maintains an adequate social support system
C. Qualifies for a prescription assistance program
D. States various side effects of retroviral agents. Answer: A. Willing
to comply with complex drug schedules
◉ The nurse is caring for a seated client who is experiencing a tonic-
clonic seizure. Which actions should the nurse implement? (Select
all that apply)
A. Loosen restrictive clothing
B. Insert a bite block
C. Ease the client to the floor
D. Note the duration of the seizure
E. Restrain the client. Answer: A. Loosen restrictive clothing
C. Ease the client to the floor
D. Note the duration of the seizure
◉ On admission to the Emergency Department, a female client who
was diagnosed with bipolar disorder 3 years ago reports that this
morning she took a handful of medications and left a suicide note for
her family. Which information is most important for the nurse to
obtain?
