HESI EXIT 7 PRACTICE SCRIPT 2026
QUESTIONS WITH SOLUTIONS
◉ An elderly male client is experiencing urinary incontinence. What
is the best initial nursing action? Answer: Apply an external condom
catheter
◉ 3. A male Muslim client with pneumonia is scheduled to receive a
dose of an intravenous antibiotic but refuses to allow the nurse to
begin the medication, stating he cannot allow fluids to enter his
body once he is cleansed for prayer. What action should the nurse
implement? Answer: Reschedule administration of the antibiotic
until after he completes his prayers
◉ UAP using a hand sanitzers that is alcohol for 2 minutes Answer:
tell that hand sanitizer use is less > 2min
◉ 5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one
hour before a scheduled procedure. The child weighs 44 pounds.
How many mg of the medication should the nurse administer
Answer: Answer: 800 Rationale: First, convert the child's weight to
kg: 44 pounds divided by
2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg
= 800mg
,◉ 6. While assisting a postpartum client with perineal care, the
nurse notes that her vaginal bleeding spurts rather than trickles
from the vagina. The uterine fundus is firm and the client's vital
signs are pulse 88 beats/minute; respiratory rate, 21
breaths/minute; and blood pressure, 104/68 mmHg. What action
should the nurse take next? Answer: Compare current vital signs
with previous vital signs
◉ A 6-year old boy was hit with a bat while playing at school. He has
a splinter of wood imbedded in his eye. Which action should the
school nurse take? Answer: Have the parent take the child for
emergency help
◉ Within four weeks of childbirth, a client is admitted to the
hospital for disorganized speech bizarre behavior, and strange
thoughts about her infant being possessed by demons. The nurse
identifies a nursing diagnosis of "Altered thought processes,
secondary to" what condition? Answer: Postpartum psychosis
◉ The nurse identifies a priority diagnosis of, "Altered comfort
related to menstrual cramps" for a 25-year-old female client. Which
self-care activity should the nurse emphasize in the client's teaching
plan? Answer: Regular aerobic exercise.
◉ Psych/Alcohol/Tylenol overdose antidote Answer: Give Mucomyst
, ◉ Medical Surgical/Laxative abuses Answer: Patient -taking Milk of
Magnesium
◉ Spiritual/Documentation Answer: Native American - Allow pt's
family to stay in the room
◉ Leadership- Interpreter informed consent Answer: Pt should sign
the consent
◉ Geriatrics/Emergency Rib fractures fall Answer: Pulmonary
embolism
◉ A client diagnosed with major depression is being allowed a
weekend pass from the psychiatric unit. Which instruction should
the nurse provide to the client's family? Answer: Involve the client in
usual at home activities
◉ Upon assessment, the nurse discovers that a postpartum client
has persistent red lochia.
Which of the following does this assessment finding suggest to the
nurse? Answer: Coagulation disorders
◉ The healthcare provider performs peritoneal dialysis on a client,
after which 2 liters of fluid is drained. What action should the nurse
complete first? Answer: Assess vital signs.
QUESTIONS WITH SOLUTIONS
◉ An elderly male client is experiencing urinary incontinence. What
is the best initial nursing action? Answer: Apply an external condom
catheter
◉ 3. A male Muslim client with pneumonia is scheduled to receive a
dose of an intravenous antibiotic but refuses to allow the nurse to
begin the medication, stating he cannot allow fluids to enter his
body once he is cleansed for prayer. What action should the nurse
implement? Answer: Reschedule administration of the antibiotic
until after he completes his prayers
◉ UAP using a hand sanitzers that is alcohol for 2 minutes Answer:
tell that hand sanitizer use is less > 2min
◉ 5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one
hour before a scheduled procedure. The child weighs 44 pounds.
How many mg of the medication should the nurse administer
Answer: Answer: 800 Rationale: First, convert the child's weight to
kg: 44 pounds divided by
2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg
= 800mg
,◉ 6. While assisting a postpartum client with perineal care, the
nurse notes that her vaginal bleeding spurts rather than trickles
from the vagina. The uterine fundus is firm and the client's vital
signs are pulse 88 beats/minute; respiratory rate, 21
breaths/minute; and blood pressure, 104/68 mmHg. What action
should the nurse take next? Answer: Compare current vital signs
with previous vital signs
◉ A 6-year old boy was hit with a bat while playing at school. He has
a splinter of wood imbedded in his eye. Which action should the
school nurse take? Answer: Have the parent take the child for
emergency help
◉ Within four weeks of childbirth, a client is admitted to the
hospital for disorganized speech bizarre behavior, and strange
thoughts about her infant being possessed by demons. The nurse
identifies a nursing diagnosis of "Altered thought processes,
secondary to" what condition? Answer: Postpartum psychosis
◉ The nurse identifies a priority diagnosis of, "Altered comfort
related to menstrual cramps" for a 25-year-old female client. Which
self-care activity should the nurse emphasize in the client's teaching
plan? Answer: Regular aerobic exercise.
◉ Psych/Alcohol/Tylenol overdose antidote Answer: Give Mucomyst
, ◉ Medical Surgical/Laxative abuses Answer: Patient -taking Milk of
Magnesium
◉ Spiritual/Documentation Answer: Native American - Allow pt's
family to stay in the room
◉ Leadership- Interpreter informed consent Answer: Pt should sign
the consent
◉ Geriatrics/Emergency Rib fractures fall Answer: Pulmonary
embolism
◉ A client diagnosed with major depression is being allowed a
weekend pass from the psychiatric unit. Which instruction should
the nurse provide to the client's family? Answer: Involve the client in
usual at home activities
◉ Upon assessment, the nurse discovers that a postpartum client
has persistent red lochia.
Which of the following does this assessment finding suggest to the
nurse? Answer: Coagulation disorders
◉ The healthcare provider performs peritoneal dialysis on a client,
after which 2 liters of fluid is drained. What action should the nurse
complete first? Answer: Assess vital signs.
