HESI RN EXIT V3 COMPREHENSIVE STUDY
GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ The nurse is caring for an adolescent who fell 20 feet 5 months ago while
climbing the side of a cliff and has been in a sustained vegetative state since
the accident. Which intervention should the nurse implement?.
Answer: talk directly to the adolescent while providing care
◍ The nurse is providing teaching to a client about management of type 2
diabetes mellitus. Which information stated by the client indicates
understanding?.
Answer: Avoid seasoning foods with salt and salt-containing spices
◍ A client is admitted to the hospital with a traumatic brain injury after his
head violently struck a brick wall during a gang fight. Which finding is most
important for the nurse to assess further?A) A scalp laceration oozing
blood.B) Serosanguineous nasal drainage.C) Headache rated 10 on a 0-10
scale.D) Dizziness, nausea and transient confusion..
Answer: b
◍ The nurse is preparing a teaching plan for a client with newly diagnosed
glacoma and a history of allergic rhinitis. Which information is most
important for the nurse to provide the client about using over-the-counter
(OTC) medications for allergies?A) Notify your healthcare provider if there
is an increase in heart rate.B) Increase fluid intake while taking an
antihistamine or decongestant.C) Avoid allergy medications that contain
pseudoephedrine or phenylephrine.D) Ophthalmic lubricating drops may be
used for eye dryness due to allergy medications..
Answer: c
,◍ What instruction should the nurse include in the discharge teaching for a
client who needs to perform self-catheterization technique at home?A)
Catheterize every 3 to 4 hours.B) Maintain sterile technique.C) Use the
Credé maneuver before catheterization.D) Drink 500 ml of fluid within 2
hours of catheterization..
Answer: a
◍ What assessment finding should the nurse identify that indicates a client
with an acute asthma exacerbation is beginning to improve after
treatment?A) Wheezing becomes louder.B) Cough remains unproductive.C)
Vesicular breath sounds decrease.D) Bronchodilators stimulate coughing..
Answer: a (indicates airflow is going through airway)
◍ The school nurse is called to the soccer field because a child has a
nosebleed. I which position should the nurse place the child?.
Answer: Sitting up and leaning forward.
◍ The nurse is giving discharge instructions to a client with chronic prostatitis.
What instruction should the nurse provide the client to reduce the risk of
spreading the infection to other areas of the client's urinary tract?A) Wear a
condom when having sexual intercourse.B) Avoid consuming alcohol and
caffeinated beverages.C) Empty the bladder completely with each
voiding.D) Have intercourse or masturbate at least twice a week..
Answer: d
◍ An adult male with end-stage liver disease has been unresponsive for the
past 3 days. This electroencephalography reveals no active brain activity.
The family wants to discontinue feeding and donate his viable organs.
Which action should the nurse to take?.
Answer: • Contact the regional organ procurement agency
◍ A client with metastatic bone cancer is requesting pain medication. Which
approach should the nurse use to assess the quality of the client's pain?.
Answer: Ask the client to describe the pain
◍ Which clinical manifestation further supports an assessment of a left-sided
, brain attack?A) Visual field deficit on the left side.B) Spatial-perceptual
deficits.C) Paresthesia of the left side.D) Global aphasia..
Answer: D
◍ Four days after exposure to the coronavirus a client has a negative
COVID-19 test result. Eight days after the negative test result, the client
presents with fever, fatigue, and cough and the nurse performs a second
COVID-19 test. Which action is most important for the nurse to take?.
Answer: move the client to a private room, keep the door closed, and initiate
droplet precaution
◍ A client with acute appendicitis is experiencing anxiety and loss of sleep
about missing final examination week at college. Which outcome is most
important for the nurse to include in the plan of care?A) Sleeping six to
eight hours.B) Achieve a sense of control.C) Utilize problem solving
skills.D) Increased focus of attention..
Answer: b
◍ A client who is receiving a whole blood transfusion develops chills, fever,
and a headache 30 minutes after the transfusion is started. The nurse should
recognize these symptoms as characteristic of what reaction?A) A mild
allergic reaction.B) A febrile transfusion reaction.C) An anaphylactic
transfusion reaction.D) An acute hemolytic transfusion reaction..
Answer: b
◍ A Korean-American client, who speaks very little English, is being
discharged following surgery. Which nurse should the nurse manager assign
to provide the discharge instructions for the client?A) A graduate registered
nurse (RN) with three weeks of experience.B) The registered nurse (RN)
case manager for the unit with 1 year's experience.C) A floating registered
nurse (RN) with five years of nursing experience.D) A Korean-American
practical nurse (PN) with six years of nursing experience..
Answer: b
◍ A female client calls the clinic with a report of fever, dizziness, and a
diffuse rash. When obtaining a health history, the nurse confirms the use of
, tampons for her menstrual cycle. Which instruction should the nurse
provide?.
Answer: Seek immediate emergency medical care.
◍ A client's daughter is sitting by her mother's bedside who was recently
transferred to the Intermediate Care Unit. She states "I don't understand
what a brain attack is. The healthcare provider told me my mother is in
serious condition and they are going to run several tests. I just don't know
what is going on. What happened to my mother?" What is the best response
by the nurse?A) "I am sorry, but according to the Health Insurance
Portability and Accounting Act (HIPAA), I cannot give you any
information."B) "Your mother has had a stroke, and the blood supply to the
brain has been blocked."C) "How do you feel about what the healthcare
provider said?"D) "I will call the healthcare provider so he/she can talk to
you about your mother's serious condition.".
Answer: B
◍ A client with sickle cell anemia is admitted with severe abdominal pain and
the diagnosis is sickle cell crisis. What is the most important nursing action
to implement?A) Limit the client's intake of oral fluids and food.B) Evaluate
the effectiveness of narcotic analgesics.C) Encourage the client to ambulate
as tolerated.D) Teach the client about prevention of crises..
Answer: b
◍ The nurse is planning group therapy for clients in a substance abuse
program. The focus of the group is, "Risk factors for hepatitis." What
intervention should the nurse plan for the gorup?.
Answer: Summarize what the group talked about
◍ The nurse is developing the plan of care for a hospitalized child with von
Willebrand's disease. What priority nursing interventions should be included
in this child's plan of care?.
Answer: Guard against bleeding injuries
◍ The nurse is caring for a client with human immunodeficiency virus (HIV)
infection who develops Mycobacterium avium complex (MAC). What is the
GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ The nurse is caring for an adolescent who fell 20 feet 5 months ago while
climbing the side of a cliff and has been in a sustained vegetative state since
the accident. Which intervention should the nurse implement?.
Answer: talk directly to the adolescent while providing care
◍ The nurse is providing teaching to a client about management of type 2
diabetes mellitus. Which information stated by the client indicates
understanding?.
Answer: Avoid seasoning foods with salt and salt-containing spices
◍ A client is admitted to the hospital with a traumatic brain injury after his
head violently struck a brick wall during a gang fight. Which finding is most
important for the nurse to assess further?A) A scalp laceration oozing
blood.B) Serosanguineous nasal drainage.C) Headache rated 10 on a 0-10
scale.D) Dizziness, nausea and transient confusion..
Answer: b
◍ The nurse is preparing a teaching plan for a client with newly diagnosed
glacoma and a history of allergic rhinitis. Which information is most
important for the nurse to provide the client about using over-the-counter
(OTC) medications for allergies?A) Notify your healthcare provider if there
is an increase in heart rate.B) Increase fluid intake while taking an
antihistamine or decongestant.C) Avoid allergy medications that contain
pseudoephedrine or phenylephrine.D) Ophthalmic lubricating drops may be
used for eye dryness due to allergy medications..
Answer: c
,◍ What instruction should the nurse include in the discharge teaching for a
client who needs to perform self-catheterization technique at home?A)
Catheterize every 3 to 4 hours.B) Maintain sterile technique.C) Use the
Credé maneuver before catheterization.D) Drink 500 ml of fluid within 2
hours of catheterization..
Answer: a
◍ What assessment finding should the nurse identify that indicates a client
with an acute asthma exacerbation is beginning to improve after
treatment?A) Wheezing becomes louder.B) Cough remains unproductive.C)
Vesicular breath sounds decrease.D) Bronchodilators stimulate coughing..
Answer: a (indicates airflow is going through airway)
◍ The school nurse is called to the soccer field because a child has a
nosebleed. I which position should the nurse place the child?.
Answer: Sitting up and leaning forward.
◍ The nurse is giving discharge instructions to a client with chronic prostatitis.
What instruction should the nurse provide the client to reduce the risk of
spreading the infection to other areas of the client's urinary tract?A) Wear a
condom when having sexual intercourse.B) Avoid consuming alcohol and
caffeinated beverages.C) Empty the bladder completely with each
voiding.D) Have intercourse or masturbate at least twice a week..
Answer: d
◍ An adult male with end-stage liver disease has been unresponsive for the
past 3 days. This electroencephalography reveals no active brain activity.
The family wants to discontinue feeding and donate his viable organs.
Which action should the nurse to take?.
Answer: • Contact the regional organ procurement agency
◍ A client with metastatic bone cancer is requesting pain medication. Which
approach should the nurse use to assess the quality of the client's pain?.
Answer: Ask the client to describe the pain
◍ Which clinical manifestation further supports an assessment of a left-sided
, brain attack?A) Visual field deficit on the left side.B) Spatial-perceptual
deficits.C) Paresthesia of the left side.D) Global aphasia..
Answer: D
◍ Four days after exposure to the coronavirus a client has a negative
COVID-19 test result. Eight days after the negative test result, the client
presents with fever, fatigue, and cough and the nurse performs a second
COVID-19 test. Which action is most important for the nurse to take?.
Answer: move the client to a private room, keep the door closed, and initiate
droplet precaution
◍ A client with acute appendicitis is experiencing anxiety and loss of sleep
about missing final examination week at college. Which outcome is most
important for the nurse to include in the plan of care?A) Sleeping six to
eight hours.B) Achieve a sense of control.C) Utilize problem solving
skills.D) Increased focus of attention..
Answer: b
◍ A client who is receiving a whole blood transfusion develops chills, fever,
and a headache 30 minutes after the transfusion is started. The nurse should
recognize these symptoms as characteristic of what reaction?A) A mild
allergic reaction.B) A febrile transfusion reaction.C) An anaphylactic
transfusion reaction.D) An acute hemolytic transfusion reaction..
Answer: b
◍ A Korean-American client, who speaks very little English, is being
discharged following surgery. Which nurse should the nurse manager assign
to provide the discharge instructions for the client?A) A graduate registered
nurse (RN) with three weeks of experience.B) The registered nurse (RN)
case manager for the unit with 1 year's experience.C) A floating registered
nurse (RN) with five years of nursing experience.D) A Korean-American
practical nurse (PN) with six years of nursing experience..
Answer: b
◍ A female client calls the clinic with a report of fever, dizziness, and a
diffuse rash. When obtaining a health history, the nurse confirms the use of
, tampons for her menstrual cycle. Which instruction should the nurse
provide?.
Answer: Seek immediate emergency medical care.
◍ A client's daughter is sitting by her mother's bedside who was recently
transferred to the Intermediate Care Unit. She states "I don't understand
what a brain attack is. The healthcare provider told me my mother is in
serious condition and they are going to run several tests. I just don't know
what is going on. What happened to my mother?" What is the best response
by the nurse?A) "I am sorry, but according to the Health Insurance
Portability and Accounting Act (HIPAA), I cannot give you any
information."B) "Your mother has had a stroke, and the blood supply to the
brain has been blocked."C) "How do you feel about what the healthcare
provider said?"D) "I will call the healthcare provider so he/she can talk to
you about your mother's serious condition.".
Answer: B
◍ A client with sickle cell anemia is admitted with severe abdominal pain and
the diagnosis is sickle cell crisis. What is the most important nursing action
to implement?A) Limit the client's intake of oral fluids and food.B) Evaluate
the effectiveness of narcotic analgesics.C) Encourage the client to ambulate
as tolerated.D) Teach the client about prevention of crises..
Answer: b
◍ The nurse is planning group therapy for clients in a substance abuse
program. The focus of the group is, "Risk factors for hepatitis." What
intervention should the nurse plan for the gorup?.
Answer: Summarize what the group talked about
◍ The nurse is developing the plan of care for a hospitalized child with von
Willebrand's disease. What priority nursing interventions should be included
in this child's plan of care?.
Answer: Guard against bleeding injuries
◍ The nurse is caring for a client with human immunodeficiency virus (HIV)
infection who develops Mycobacterium avium complex (MAC). What is the
