HESI Final Exit Real Exam |
A View of 805 Selected Past Papers
Questions With Accurate Answers With
Rationales| Guaranteed Pass |Reviewed
2026 (New!)
1. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child?
a. Wheat products
b. Foods sweetened with aspartame.
c. High fat foods
d. High calories foods. - ANSWER - b. Foods sweetened with aspartame.
2. Before preparing a client for the first surgical case of the day, a part-time scrub nurse
asks the circulating nurse if a 3-minute surgical hand scrub is adequate preparation
for this client. Which response should the circulating nurse provide?
a. Ask a more experience nurse to perform that scrub since it is the first time of
the day
b. Validate the nurse is implementing the OR policy for surgical hand scrub
c. Inform the nurse that hand scrubs should be 3 minutes between cases.
d. Direct the nurse to continue the surgical hand scrub for a 5-minute duration. -
ANSWER - d. Direct the nurse to continue the surgical hand scrub for a 5-
minute duration.
3. Which breakfast selection indicates that the client understands the nurse's
instructions about the dietary management of osteoporosis?
a. Egg whites, toast and coffee.
b. Bran muffin, mixed fruits, and orange juice.
c. Granola and grapefruit juice
d. Bagel with jelly and skim milk. - ANSWER - d. Bagel with jelly and skim
milk.
,4. 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 34-year -old admitted today after an emergency appendendectomy who has
a peripheral intravenous catheter and a Foley catheter.
b. A 48-year-old marathon runner with a central venous catheter who is
experiencing nausea and vomiting due to electrolyte disturbance following a
race.
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 newly-fractures femur who
has a Foley catheter and soft wrist restrains applied - ANSWER - d. An 82-
year-old client with Alzheimer's disease newly-fractures femur who has a
Foley catheter and soft wrist restrains applied
5. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through the
shoe and pierced the bottom of the child's foot. Which action should the nurse
implement first?
a. Cleanse the foot with soap and water and apply an antibiotic ointment
b. Provide teaching about the need for a tetanus booster within the next 72
hours.
c. Have the mother check the child's temperature q4h for the next 24 hours
d. transfers the child to the emergency department to receive a gamma globulin
injection - ANSWER - a. Cleanse the foot with soap and water and apply an
antibiotic ointment
6. The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I have
been applying triple antibiotic ointment for two days, but there has been no
improvement." What instruction should the nurse provide?
a. Antibiotics take two weeks to become effective against infections such as
athlete's foot.
b. Continue using the ointment for a full week, even after the symptoms
disappear.
c. Applying too much ointment can deter its effectiveness. Apply a thin layer to
prevent maceration.
, d. Stop using the ointment and encourage complete drying of the feet and
wearing clean socks. - ANSWER - d. Stop using the ointment and encourage
complete drying of the feet and wearing clean socks.
7. A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The client
experiences
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Lethargy and lack of appetite
d. Muscle cramping and dry, flushed skin - ANSWER - a. Palpitations and
shortness of breath
8. A client with a history of heart failure presents to the clinic with a nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the nurse to
assess to the client?
a. Determine the client's level of orientation and cognition
b. Assess distal pulses and signs of peripheral edema
c. Obtain a list of medications taken for cardiac history.
d. Ask the client about exposure to environmental heat. - ANSWER - c. Obtain
a list of medications taken for cardiac history.
9. The nurse is auscultating a client's heart sounds. Which description should the nurse
use to document this sound? (Please listen to the audio first to select the option that
applies)
a. S1 S2
b. S1 S2 S3
c. Murmur
d. Pericardial friction rub. - ANSWER - c. Murmur
10. The nurse notes that a client has been receiving hydromorphone (Dilaudid) every
six hours for four days. What assessment is most important for the nurse to
complete?
a. Auscultate the client's bowel sounds
b. Observe for edema around the ankles
c. Measure the client's capillary glucose level
d. Count the apical and radial pulses simultaneously - ANSWER - a. Auscultate
the client's bowel sounds
, 11. A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour
and has developed diarrhea. The client has a new prescription to change the feeding
to half strength. What intervention should the nurse implement?
a. Add equal amounts of water and feeding to a feeding bag and infuse at
50ml/hour
b. Continue the full strength feeding after decreasing the rate of infusion to 25
ml/hr.
c. Maintain the present feeding until diarrhea subsides and the begin the next
new prescription.
d. Withhold any further feeding until clarifying the prescription with healthcare
provides. - ANSWER - a. Add equal amounts of water and feeding to a
feeding bag and infuse at 50ml/hour
12. A female client reports that her hair is becoming coarse and breaking off, that the
outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which
follow-up question is best for the nurse to ask?
a. "Is there a history of female baldness in your family?"
b. "Are you under any unusual stress at home or work?"
c. "Do you work with hazardous chemicals?"
d. "Have you noticed any changes in your fingernails?" - ANSWER - d. "Have
you noticed any changes in your fingernails?"
13. After a third hospitalization 6 months ago, a client is admitted to the hospital with
ascites and malnutrition. The client is drowsy but responding to verbal stimuli and
reports recently spitting up blood. What assessment finding warrants immediate
intervention by the nurse?
a. Bruises on arms and legs
b. Round and tight abdomen
c. Pitting edema in lower legs
d. Capillary refill of 8 seconds - ANSWER - d. Capillary refill of 8 seconds
14. Following surgery, a male client with antisocial personality disorder frequently
requests that a specific nurse be assigned to his care and is belligerent when another
nurse is assigned. What action should the charge nurse implement?
a. Ask the client to explain why he constantly request the nurse
b. Encourage the client to verbalize his feelings about the nurse
c. Reassure the client that his request will be met whenever possible.
A View of 805 Selected Past Papers
Questions With Accurate Answers With
Rationales| Guaranteed Pass |Reviewed
2026 (New!)
1. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child?
a. Wheat products
b. Foods sweetened with aspartame.
c. High fat foods
d. High calories foods. - ANSWER - b. Foods sweetened with aspartame.
2. Before preparing a client for the first surgical case of the day, a part-time scrub nurse
asks the circulating nurse if a 3-minute surgical hand scrub is adequate preparation
for this client. Which response should the circulating nurse provide?
a. Ask a more experience nurse to perform that scrub since it is the first time of
the day
b. Validate the nurse is implementing the OR policy for surgical hand scrub
c. Inform the nurse that hand scrubs should be 3 minutes between cases.
d. Direct the nurse to continue the surgical hand scrub for a 5-minute duration. -
ANSWER - d. Direct the nurse to continue the surgical hand scrub for a 5-
minute duration.
3. Which breakfast selection indicates that the client understands the nurse's
instructions about the dietary management of osteoporosis?
a. Egg whites, toast and coffee.
b. Bran muffin, mixed fruits, and orange juice.
c. Granola and grapefruit juice
d. Bagel with jelly and skim milk. - ANSWER - d. Bagel with jelly and skim
milk.
,4. 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 34-year -old admitted today after an emergency appendendectomy who has
a peripheral intravenous catheter and a Foley catheter.
b. A 48-year-old marathon runner with a central venous catheter who is
experiencing nausea and vomiting due to electrolyte disturbance following a
race.
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 newly-fractures femur who
has a Foley catheter and soft wrist restrains applied - ANSWER - d. An 82-
year-old client with Alzheimer's disease newly-fractures femur who has a
Foley catheter and soft wrist restrains applied
5. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through the
shoe and pierced the bottom of the child's foot. Which action should the nurse
implement first?
a. Cleanse the foot with soap and water and apply an antibiotic ointment
b. Provide teaching about the need for a tetanus booster within the next 72
hours.
c. Have the mother check the child's temperature q4h for the next 24 hours
d. transfers the child to the emergency department to receive a gamma globulin
injection - ANSWER - a. Cleanse the foot with soap and water and apply an
antibiotic ointment
6. The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I have
been applying triple antibiotic ointment for two days, but there has been no
improvement." What instruction should the nurse provide?
a. Antibiotics take two weeks to become effective against infections such as
athlete's foot.
b. Continue using the ointment for a full week, even after the symptoms
disappear.
c. Applying too much ointment can deter its effectiveness. Apply a thin layer to
prevent maceration.
, d. Stop using the ointment and encourage complete drying of the feet and
wearing clean socks. - ANSWER - d. Stop using the ointment and encourage
complete drying of the feet and wearing clean socks.
7. A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The client
experiences
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Lethargy and lack of appetite
d. Muscle cramping and dry, flushed skin - ANSWER - a. Palpitations and
shortness of breath
8. A client with a history of heart failure presents to the clinic with a nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the nurse to
assess to the client?
a. Determine the client's level of orientation and cognition
b. Assess distal pulses and signs of peripheral edema
c. Obtain a list of medications taken for cardiac history.
d. Ask the client about exposure to environmental heat. - ANSWER - c. Obtain
a list of medications taken for cardiac history.
9. The nurse is auscultating a client's heart sounds. Which description should the nurse
use to document this sound? (Please listen to the audio first to select the option that
applies)
a. S1 S2
b. S1 S2 S3
c. Murmur
d. Pericardial friction rub. - ANSWER - c. Murmur
10. The nurse notes that a client has been receiving hydromorphone (Dilaudid) every
six hours for four days. What assessment is most important for the nurse to
complete?
a. Auscultate the client's bowel sounds
b. Observe for edema around the ankles
c. Measure the client's capillary glucose level
d. Count the apical and radial pulses simultaneously - ANSWER - a. Auscultate
the client's bowel sounds
, 11. A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour
and has developed diarrhea. The client has a new prescription to change the feeding
to half strength. What intervention should the nurse implement?
a. Add equal amounts of water and feeding to a feeding bag and infuse at
50ml/hour
b. Continue the full strength feeding after decreasing the rate of infusion to 25
ml/hr.
c. Maintain the present feeding until diarrhea subsides and the begin the next
new prescription.
d. Withhold any further feeding until clarifying the prescription with healthcare
provides. - ANSWER - a. Add equal amounts of water and feeding to a
feeding bag and infuse at 50ml/hour
12. A female client reports that her hair is becoming coarse and breaking off, that the
outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which
follow-up question is best for the nurse to ask?
a. "Is there a history of female baldness in your family?"
b. "Are you under any unusual stress at home or work?"
c. "Do you work with hazardous chemicals?"
d. "Have you noticed any changes in your fingernails?" - ANSWER - d. "Have
you noticed any changes in your fingernails?"
13. After a third hospitalization 6 months ago, a client is admitted to the hospital with
ascites and malnutrition. The client is drowsy but responding to verbal stimuli and
reports recently spitting up blood. What assessment finding warrants immediate
intervention by the nurse?
a. Bruises on arms and legs
b. Round and tight abdomen
c. Pitting edema in lower legs
d. Capillary refill of 8 seconds - ANSWER - d. Capillary refill of 8 seconds
14. Following surgery, a male client with antisocial personality disorder frequently
requests that a specific nurse be assigned to his care and is belligerent when another
nurse is assigned. What action should the charge nurse implement?
a. Ask the client to explain why he constantly request the nurse
b. Encourage the client to verbalize his feelings about the nurse
c. Reassure the client that his request will be met whenever possible.
