HESI Exit Exam
Real 2026 HESI Exit Exams Review Test
Bank 3 Versions / HESI Exit Exams
(Versions 1, 2 & 3) Review – Each
Version Contains 160 Questions and
Correct Answers (A review of Past Real
Exams
The nurse is caring for a client with ulcerative colitis and formulates a nursing problem of,
"Impaired skin integrity related to diarrhea." Which client behavior demonstrates that the
teaching regarding perianal care is effective?
A+ TEST BANK 1
, HESI Exit Exam
A. Soaks in a sitz bath for 40 minutes after each diarrhea stool.
B. Takes prescribed antidiarrheal medication after each diarrhea stool.
C. Applies witch hazel compresses to provide relief from anal irritation.
D. Cleans perianal area with mild soap and water after each diarrhea stool. –
Correct Answer :D. Cleans perianal area with mild soap and water after each diarrhea stool.
To remove bacteria, provide comfort, stimulate circulation, and prevent skin breakdown, the
client is demonstrating effective perianal care when the perianal area is cleansed after each
bowel movement with mild soap and warm water and then dried thoroughly.
While conducting a routine health assessment of a woman who recently immigrated to the
U.S., the nurse notes that the client makes little direct eye contact, is deferential to
healthcare personnel, and avoids sharing her personal thoughts and feelings. What action
should the nurse take?
A. Continue the interview process and record the findings.
B. Refer the client to a psychiatric outpatient clinic.
C. Determine if there is a family history of emotional disorders.
D. Encourage the woman to attend citizenship classes. –
Correct Answer :A. Continue the interview process and record the findings.
The nurse should accept these behaviors as culturally determined and continue with the
interview. These behaviors are common in multiple cultures where people are members of
strong, cohesive groups that focus on the group rather than the individual.
A+ TEST BANK 2
, HESI Exit Exam
A high school senior is complaining of a persistent cough and admits to smoking 10 to 15
cigarettes daily for the past year. He is convinced that he is hopelessly addicted to tobacco
since he tried unsuccessfully to quit smoking last week. Which intervention is best for the
nurse to implement?
A. Encourage the student to associate with non-smokers only while attempting to stop
smoking.
B. Tell the student that he is still young and should continue to try various smoking cessation
methods.
C. Describe cigarette smoking as a habit that requires a strong will to overcome its
addictiveness.
D. Provide the student with the latest research data describing the long-term effects of
tobacco use. –
Correct Answer :A. Encourage the student to associate with non-smokers only while
attempting to stop smoking.
It is difficult to cease smoking when surrounded by those who smoke, and adolescents are
particularly influenced by peers.
The charge nurse observes that a demographic screen has been left open on a hallway
computer by a nurse who is responding to a call light because the unlicensed assistive
personnel (UAP) is involved in a personal phone call. Which action should the charge nurse
take first?
A. Page the unit manager to address the situation.
B. Close the demographic screen on the computer.
C. Instruct the UAP to end the phone call immediately.
D. Send a UAP into the client's room to relieve the nurse. –
A+ TEST BANK 3
, HESI Exit Exam
Correct Answer :B. Close the demographic screen on the computer.
The priority is for the charge nurse to close the computer screen, so the health information
stored in computerized systems is secured because it is considered to be Protected Health
Information (PHI) under HIPAA (Health Insurance Portability and Accountability Act).
A client with terminal pancreatic cancer is receiving hospice care at home and reports
increasing shortness of breath and associated anxiety. Which prescription should the nurse
implement first?
A. Prednisone 10 mg PO.
B. Albuterol 0.5% solution per nebulizer.
C. Morphine sulfate 5 to 10 mg SL as needed.
D. Oxygen 2 to 6 liters per minute using a nasal cannula. –
Correct Answer :C. Morphine sulfate 5 to 10 mg SL as needed.
Comfort and pain management using an effective analgesic-sedative such as morphine is the
most important standard of care therapy in hospice home care to ensure comfort and
enhance the quality of life for a client with a life expectancy of less than six months, as in this
case. Adjunct therapy that promotes a sense of well-being works to supplement morphine in
easing a client's discomfort, associated shortness of breath, and anxiety during a terminal
illness.
A client with severe depression tells the nurse, "I do not know why you bother with me or
give me pills. I am never going to get well." Which is the most therapeutic response?
A. "You need to stop thinking negative thoughts. They get in the way of your recovery."
A+ TEST BANK 4
Real 2026 HESI Exit Exams Review Test
Bank 3 Versions / HESI Exit Exams
(Versions 1, 2 & 3) Review – Each
Version Contains 160 Questions and
Correct Answers (A review of Past Real
Exams
The nurse is caring for a client with ulcerative colitis and formulates a nursing problem of,
"Impaired skin integrity related to diarrhea." Which client behavior demonstrates that the
teaching regarding perianal care is effective?
A+ TEST BANK 1
, HESI Exit Exam
A. Soaks in a sitz bath for 40 minutes after each diarrhea stool.
B. Takes prescribed antidiarrheal medication after each diarrhea stool.
C. Applies witch hazel compresses to provide relief from anal irritation.
D. Cleans perianal area with mild soap and water after each diarrhea stool. –
Correct Answer :D. Cleans perianal area with mild soap and water after each diarrhea stool.
To remove bacteria, provide comfort, stimulate circulation, and prevent skin breakdown, the
client is demonstrating effective perianal care when the perianal area is cleansed after each
bowel movement with mild soap and warm water and then dried thoroughly.
While conducting a routine health assessment of a woman who recently immigrated to the
U.S., the nurse notes that the client makes little direct eye contact, is deferential to
healthcare personnel, and avoids sharing her personal thoughts and feelings. What action
should the nurse take?
A. Continue the interview process and record the findings.
B. Refer the client to a psychiatric outpatient clinic.
C. Determine if there is a family history of emotional disorders.
D. Encourage the woman to attend citizenship classes. –
Correct Answer :A. Continue the interview process and record the findings.
The nurse should accept these behaviors as culturally determined and continue with the
interview. These behaviors are common in multiple cultures where people are members of
strong, cohesive groups that focus on the group rather than the individual.
A+ TEST BANK 2
, HESI Exit Exam
A high school senior is complaining of a persistent cough and admits to smoking 10 to 15
cigarettes daily for the past year. He is convinced that he is hopelessly addicted to tobacco
since he tried unsuccessfully to quit smoking last week. Which intervention is best for the
nurse to implement?
A. Encourage the student to associate with non-smokers only while attempting to stop
smoking.
B. Tell the student that he is still young and should continue to try various smoking cessation
methods.
C. Describe cigarette smoking as a habit that requires a strong will to overcome its
addictiveness.
D. Provide the student with the latest research data describing the long-term effects of
tobacco use. –
Correct Answer :A. Encourage the student to associate with non-smokers only while
attempting to stop smoking.
It is difficult to cease smoking when surrounded by those who smoke, and adolescents are
particularly influenced by peers.
The charge nurse observes that a demographic screen has been left open on a hallway
computer by a nurse who is responding to a call light because the unlicensed assistive
personnel (UAP) is involved in a personal phone call. Which action should the charge nurse
take first?
A. Page the unit manager to address the situation.
B. Close the demographic screen on the computer.
C. Instruct the UAP to end the phone call immediately.
D. Send a UAP into the client's room to relieve the nurse. –
A+ TEST BANK 3
, HESI Exit Exam
Correct Answer :B. Close the demographic screen on the computer.
The priority is for the charge nurse to close the computer screen, so the health information
stored in computerized systems is secured because it is considered to be Protected Health
Information (PHI) under HIPAA (Health Insurance Portability and Accountability Act).
A client with terminal pancreatic cancer is receiving hospice care at home and reports
increasing shortness of breath and associated anxiety. Which prescription should the nurse
implement first?
A. Prednisone 10 mg PO.
B. Albuterol 0.5% solution per nebulizer.
C. Morphine sulfate 5 to 10 mg SL as needed.
D. Oxygen 2 to 6 liters per minute using a nasal cannula. –
Correct Answer :C. Morphine sulfate 5 to 10 mg SL as needed.
Comfort and pain management using an effective analgesic-sedative such as morphine is the
most important standard of care therapy in hospice home care to ensure comfort and
enhance the quality of life for a client with a life expectancy of less than six months, as in this
case. Adjunct therapy that promotes a sense of well-being works to supplement morphine in
easing a client's discomfort, associated shortness of breath, and anxiety during a terminal
illness.
A client with severe depression tells the nurse, "I do not know why you bother with me or
give me pills. I am never going to get well." Which is the most therapeutic response?
A. "You need to stop thinking negative thoughts. They get in the way of your recovery."
A+ TEST BANK 4
