HESI RN EXIT 2025/2026, HESI EXIT V1, HESI
EXIT V2, HESI EXIT V3, HESI EXIT V5, HESI EXIT
RN V4, HESI EXIT V6, HESI EXIT V7 2025/2026
QUESTIONS AND CORRECT VERIFIED
ANSWERS, GRADED A+, HESI EXIT EXAM V1-7
The employee health nurse administers a hepatitis B immunoglobulin to the worker who
suffered a needlestick injury with a contaminated needle. Which form of immunity is
provided by this treatment?
a) Passive immunity.
b) Active immunity.
c) Adaptive immunity.
d) Natural active immunity.
a) Passive immunity.
Rationale
Antibody-mediated immunity involves antigen-antibody interaction to neutralize,
eliminate, or destroy foreign proteins. Passive immunity is provided by administration of
the hepatitis B immunoglobulins. Passive immunity occurs when the antibodies are
transferred to a person's body after first being made in the body of another person or
animal.
The nurse is initiating an IV transfusion of packed red blood cells for a client with sickle
cell anemia. Shortly after the transfusion starts, the client becomes very agitated, begins
breathing rapidly, and complains of lower back pain. Which action should the nurse
implement first?
a) Notify the health care provider.
b) Obtain the client's vital signs.
c) Infuse normal saline solution through a separate IV line.
d) Stop the blood transfusion.
d) Stop the blood transfusion.
Rationale
Tachypnea, lower back pain, and agitation (caused by feelings of "impending doom"
and confusion) are signs of a hemolytic transfusion reaction, a life-threatening
complication that can occur when blood products are not compatible with the client's
blood. The nurse must stop the transfusion immediately to prevent the reaction from
progressing any further.
A client contracted measles as a child. How will the client's healthy immune system
respond to repeated exposure to measles as an adult?
a) No change in the immune response time or intensity.
b) A stronger and faster immune response will occur.
1|Page
,c) A rebound reaction and delayed response will happen.
An overwhelmed response followed by an inactive response
b) A stronger and faster immune response will occur.
The nurse is caring for a 68-year-old nursing home client with human immunodeficiency
virus (HIV). Which expected outcome is likely to occur as the client ages?
a) Cognitive decline.
b) Weight gain.
c) Skin rash.
d) Intolerance to antiviral medication.
a) Cognitive decline.
Rationale
Dementia associated with HIV/AIDS may be mistaken for Alzheimer's disease. Older
adults with HIV are at higher risk for cognitive decline.
The nurse's assessment indicates the need to test a female client for chlamydia. Which
type of urine test should be ordered to confirm this diagnosis?
a) Specific gravity.
b) Microscopic examination.
c) Leukocyte esterase.
d) Nucleic acid amplification.
d) Nucleic acid amplification.
Rationale
Chlamydia is a sexually transmitted disease caused by Chlamydia trachomatis bacteria.
A diagnosis of chlamydia may be confirmed by a nucleic acid amplification test (NAAT),
which uses a series of reactions to identify bacterial nucleic acids; NAATs can be
performed on urine samples.
The parents of a 13-year-old male client are concerned that he may not have started
puberty. The client's stage of puberty is assessed using the Tanner scale of
development. Which type of test is performed to determine this child's Tanner stage?
a) Orchidometry.
b) Radiological examination.
c) Bone densitometry.
d) Muscle mass calculation.
a) Orchidometry.
Rationale
Tanner's staging is used to assess puberty milestones and compare individuals. In
males, the stages are partly based on testes volume, which is measured with an
orchidometer.
During a physical exam, the nurse observes the external genitalia of an older adult
female. The nurse notes that the client's pubic hair is thin and sparse. What follow-up
action should the nurse take in response to this finding?
2|Page
,a) Review the client's metabolic profile.
b) Conduct a nutritional assessment.
c) Document the finding in the medical record.
d) Determine if the client uses estrogen cream.
c) Document the finding in the medical record.
Rationale
Changes in estrogen production following menopause result in many physical changes,
including a reduction and thinning of pubic hair in the older adult woman. The nurse
should document this normal finding in the client's medical record.
When counseling a client with a pressure ulcer, which type of diet should the nurse
recommend to promote wound healing?
a) Low sodium.
b) High fiber.
c) High protein.
d) Low fat.
c) High protein.
The nurse should identify which factor as the leading contributor to basal cell
carcinoma?
a) Dark skin.
b) Sun exposure.
c) Radiation therapy.
d) Genetic disease.
b) Sun exposure.
The nurse is caring for a client with suspected basal cell carcinoma. The nurse should
prepare the client to undergo which procedure to confirm the diagnosis?
a) Gram stain.
b) Mohs surgery.
c) Scraping with KOH.
d) Skin biopsy.
d) Skin biopsy.
Which type of medication is often prescribed to treat eczema exacerbations?
a) Oral steroids.
b) Topical antibiotics.
c) Topical steroids.
d) Oral antibiotics.
c) Topical steroids.
The nurse case manager is preparing a discharge plan for a client who has had a total
hip arthroplasty. What is the most important device the client should have at home as
part of the post-op care of the hip prosthesis?
3|Page
, a) Crutches.
b) A raised toilet seat.
c) An assistive ambulatory walker.
d) Grab bars throughout the home.
b) A raised toilet seat.
Rationale
Clients who have a total hip arthroplasty (hip replacement) need to ensure that they do
not flex their hips beyond 90° in order not to put strained on the hip prosthesis and
cause it to dislodge out of place. Using a raised toilet seat will prevent the client flexing
more than 90° (hyper flexing) when they sit down to use the toilet.
The nurse administered cyclobenzaprine (Flexeril) to a client approximately one hour
ago. Which situation is an expected therapeutic outcome?
a) The client's temperature has decreased and is now afebrile.
b) The client states the pain level has gone from 8 to 3.
c) The client states that heartburn pain and gas have diminished.
d) The client's erythema has subsided and skin is pale pink in color.
b) The client states the pain level has gone from 8 to 3.
The nurse is assessing a client with a deep puncture wound, accompanied with swelling
and erythema noted at the base of frontal (L) knee; the area is hot to touch; and the
client complains of constant, throbbing pain which increases with movement. Client's
current temperature is 101.6°F (38.7°C) and their leukocytes are double the normal
value and the erythrocyte sedimentation rate (ESR) reflects a normal value. The
presenting clinical signs and symptoms are indicative of which condition?
a) Osteomyelitis.
b) Ewing's sarcoma.
c) Rheumatoid arthritis.
d) Compartment syndrome.
a) Osteomyelitis.
In assessing the flexion of a client's neck, which action should the nurse instruct the
client to perform?
a) Tilt the chin toward the ceiling.
b) Move the chin toward each shoulder..
c) Press the chin against the chest.
d) Direct one ear toward the shoulder.
c) Press the chin against the chest.
A client is having a surgical procedure to relieve their lower back pain caused by a
herniated disk. Which surgical procedure if repeated several times may necessitate the
client to have a spinal fusion?
a) Allografts.
b) Diskectomy.
4|Page
EXIT V2, HESI EXIT V3, HESI EXIT V5, HESI EXIT
RN V4, HESI EXIT V6, HESI EXIT V7 2025/2026
QUESTIONS AND CORRECT VERIFIED
ANSWERS, GRADED A+, HESI EXIT EXAM V1-7
The employee health nurse administers a hepatitis B immunoglobulin to the worker who
suffered a needlestick injury with a contaminated needle. Which form of immunity is
provided by this treatment?
a) Passive immunity.
b) Active immunity.
c) Adaptive immunity.
d) Natural active immunity.
a) Passive immunity.
Rationale
Antibody-mediated immunity involves antigen-antibody interaction to neutralize,
eliminate, or destroy foreign proteins. Passive immunity is provided by administration of
the hepatitis B immunoglobulins. Passive immunity occurs when the antibodies are
transferred to a person's body after first being made in the body of another person or
animal.
The nurse is initiating an IV transfusion of packed red blood cells for a client with sickle
cell anemia. Shortly after the transfusion starts, the client becomes very agitated, begins
breathing rapidly, and complains of lower back pain. Which action should the nurse
implement first?
a) Notify the health care provider.
b) Obtain the client's vital signs.
c) Infuse normal saline solution through a separate IV line.
d) Stop the blood transfusion.
d) Stop the blood transfusion.
Rationale
Tachypnea, lower back pain, and agitation (caused by feelings of "impending doom"
and confusion) are signs of a hemolytic transfusion reaction, a life-threatening
complication that can occur when blood products are not compatible with the client's
blood. The nurse must stop the transfusion immediately to prevent the reaction from
progressing any further.
A client contracted measles as a child. How will the client's healthy immune system
respond to repeated exposure to measles as an adult?
a) No change in the immune response time or intensity.
b) A stronger and faster immune response will occur.
1|Page
,c) A rebound reaction and delayed response will happen.
An overwhelmed response followed by an inactive response
b) A stronger and faster immune response will occur.
The nurse is caring for a 68-year-old nursing home client with human immunodeficiency
virus (HIV). Which expected outcome is likely to occur as the client ages?
a) Cognitive decline.
b) Weight gain.
c) Skin rash.
d) Intolerance to antiviral medication.
a) Cognitive decline.
Rationale
Dementia associated with HIV/AIDS may be mistaken for Alzheimer's disease. Older
adults with HIV are at higher risk for cognitive decline.
The nurse's assessment indicates the need to test a female client for chlamydia. Which
type of urine test should be ordered to confirm this diagnosis?
a) Specific gravity.
b) Microscopic examination.
c) Leukocyte esterase.
d) Nucleic acid amplification.
d) Nucleic acid amplification.
Rationale
Chlamydia is a sexually transmitted disease caused by Chlamydia trachomatis bacteria.
A diagnosis of chlamydia may be confirmed by a nucleic acid amplification test (NAAT),
which uses a series of reactions to identify bacterial nucleic acids; NAATs can be
performed on urine samples.
The parents of a 13-year-old male client are concerned that he may not have started
puberty. The client's stage of puberty is assessed using the Tanner scale of
development. Which type of test is performed to determine this child's Tanner stage?
a) Orchidometry.
b) Radiological examination.
c) Bone densitometry.
d) Muscle mass calculation.
a) Orchidometry.
Rationale
Tanner's staging is used to assess puberty milestones and compare individuals. In
males, the stages are partly based on testes volume, which is measured with an
orchidometer.
During a physical exam, the nurse observes the external genitalia of an older adult
female. The nurse notes that the client's pubic hair is thin and sparse. What follow-up
action should the nurse take in response to this finding?
2|Page
,a) Review the client's metabolic profile.
b) Conduct a nutritional assessment.
c) Document the finding in the medical record.
d) Determine if the client uses estrogen cream.
c) Document the finding in the medical record.
Rationale
Changes in estrogen production following menopause result in many physical changes,
including a reduction and thinning of pubic hair in the older adult woman. The nurse
should document this normal finding in the client's medical record.
When counseling a client with a pressure ulcer, which type of diet should the nurse
recommend to promote wound healing?
a) Low sodium.
b) High fiber.
c) High protein.
d) Low fat.
c) High protein.
The nurse should identify which factor as the leading contributor to basal cell
carcinoma?
a) Dark skin.
b) Sun exposure.
c) Radiation therapy.
d) Genetic disease.
b) Sun exposure.
The nurse is caring for a client with suspected basal cell carcinoma. The nurse should
prepare the client to undergo which procedure to confirm the diagnosis?
a) Gram stain.
b) Mohs surgery.
c) Scraping with KOH.
d) Skin biopsy.
d) Skin biopsy.
Which type of medication is often prescribed to treat eczema exacerbations?
a) Oral steroids.
b) Topical antibiotics.
c) Topical steroids.
d) Oral antibiotics.
c) Topical steroids.
The nurse case manager is preparing a discharge plan for a client who has had a total
hip arthroplasty. What is the most important device the client should have at home as
part of the post-op care of the hip prosthesis?
3|Page
, a) Crutches.
b) A raised toilet seat.
c) An assistive ambulatory walker.
d) Grab bars throughout the home.
b) A raised toilet seat.
Rationale
Clients who have a total hip arthroplasty (hip replacement) need to ensure that they do
not flex their hips beyond 90° in order not to put strained on the hip prosthesis and
cause it to dislodge out of place. Using a raised toilet seat will prevent the client flexing
more than 90° (hyper flexing) when they sit down to use the toilet.
The nurse administered cyclobenzaprine (Flexeril) to a client approximately one hour
ago. Which situation is an expected therapeutic outcome?
a) The client's temperature has decreased and is now afebrile.
b) The client states the pain level has gone from 8 to 3.
c) The client states that heartburn pain and gas have diminished.
d) The client's erythema has subsided and skin is pale pink in color.
b) The client states the pain level has gone from 8 to 3.
The nurse is assessing a client with a deep puncture wound, accompanied with swelling
and erythema noted at the base of frontal (L) knee; the area is hot to touch; and the
client complains of constant, throbbing pain which increases with movement. Client's
current temperature is 101.6°F (38.7°C) and their leukocytes are double the normal
value and the erythrocyte sedimentation rate (ESR) reflects a normal value. The
presenting clinical signs and symptoms are indicative of which condition?
a) Osteomyelitis.
b) Ewing's sarcoma.
c) Rheumatoid arthritis.
d) Compartment syndrome.
a) Osteomyelitis.
In assessing the flexion of a client's neck, which action should the nurse instruct the
client to perform?
a) Tilt the chin toward the ceiling.
b) Move the chin toward each shoulder..
c) Press the chin against the chest.
d) Direct one ear toward the shoulder.
c) Press the chin against the chest.
A client is having a surgical procedure to relieve their lower back pain caused by a
herniated disk. Which surgical procedure if repeated several times may necessitate the
client to have a spinal fusion?
a) Allografts.
b) Diskectomy.
4|Page
