ACTUAL HESI RN EXIT CERTIFICATION
EVALUATION TEST 2026 COMPLETE
QUESTIONS AND ANSWERS 100 PERCENT
CORRECT
◉ The nurse identifies the presence of clear fluid on the surgical
dressing of a client who just returned to the unit following lumbar
spinal surgery. Which action should the nurse implement
immediately? Answer: Test the fluid on the dressing for glucose
◉ An older client with a long history of coronary artery disease,
hypertension, and heart failure arrives in the ED with respiratory
distress. The healthcare provider prescribes furosemide IV. Which
therapeutic response to furosemide should the nurse expect with
the acute HR? Answer: Reduced preload.
◉ A young adult visits the clinic reporting symptoms associated
with gastritis. Which information in the pt history is most important
for the nurse to address in the teaching? Answer: consume 10 or
more drinks of alcohol every weekend.
◉ The nurse completed the admission assessment of a 3-year-old
who is admitted with bacterial meningitis and hydrocephalus. Which
assesses evidence that the child is experiencing increased
,intracranial pressure. Answer: sluggish and unequal pupillary
responses
◉ A teenager presents to the emergency dept with palpitations after
vaping at a party. The pt is anxious, fearful, and hyperventilating.
The nurse anticipates the developing acid base imbalance? Answer:
respiratory alkalosis
◉ Which intervention should the nurse include in the plan of care
for a child with tetanus? Answer: minimize the amount of stimuli in
the room
◉ The nurse is caring for a 24 month old toddler who has sensory
sensitivity, difficulty engaging in social interactions, and has not yet
spoken two word phrases. Which assessment should the nurse
administer? Answer: The modified checklist for Autism
◉ A client fell in the bathroom when left unattended by the UAP.
Which information should the nurse include in the pt health record?
Answer: The pt fell sustaining a fracture to the left hip
◉ the nurse is caring for a group of clients with the help of a PN.
Which nursing actions should the nurse assign to the PN? Answer:
Administer a dose of insulin per sliding scale with type 2 diabetes
mellitus
,Perform daily surgical dressing change for a pt who had an
abdominal hysterectomy
Obtain postoperative vital signs for a pt one day post op.
◉ A UAP is assigned to ambulate a pt with influenza who has droplet
precautions implemented. The UAP requests a change in
assignment, stating the reason of having not been fitted yet for a
N95 respirator mask. Which action should the nurse take? Answer:
Instruct the UAP that a standard face mask is sufficient for the
provision of care for the assigned client.
◉ When providing patient care, the nurse sees a problem and
develops a related clinical question. Next, the nurse intends to
gather evidence so that the decision making process in response to
the problem and clinical question is evidence- based. When
gathering evidence, which consideration is most important? Answer:
Relevance to the situation
◉ The nurse is auscultating a pt lung sounds. Which description
should the nurse use to document this sound? Answer: High pitched
or fine crackles
◉ When admitting a pt with a dx of transient ischemic attack (TIA),
which intervention is most important for the nurse to include in the
client's plan of care? Answer: Initiate neurological monitoring every
2 hours
, ◉ The nurse is developing a plan of care for a pt who reports
tingling of the feet and who is newly diagnosed with peripheral
vascular disease. Which outcome should the nurse include in the
plan of care for this client? Answer: The pt blood pressure readings
will be less than 160/90
◉ Prior to surgery, written consent must be obtained. Which is the
nurse's legal responsibility with regard to obtaining written
consent? Answer: Determine that the surgical consent form has been
signed and is included in the pt record
◉ A client presents to the emergency dept with muscle aches,
headache, fever, and describes a recent loss of taste and smell. The
nurse obtains a swab for COVID -19 testing. Which action is most
important for the nurse to take? Answer: place the nasal swab
specimen for COVID 19 directly in a biohazard bag.
◉ What might the nurse suggest to a pt with fibrocystic breasts in an
attempt to help relieve her symptoms? Answer: increase high
calcium foods in diet
◉ The nurse is assessing a pt who reported falling 2 days ago and
has a history of gouty arthritis that is controlled with allopurinol.
The pt states the left knee is swollen and extremely painful to the
touch. Which instructions should the nurse include in the discharge
EVALUATION TEST 2026 COMPLETE
QUESTIONS AND ANSWERS 100 PERCENT
CORRECT
◉ The nurse identifies the presence of clear fluid on the surgical
dressing of a client who just returned to the unit following lumbar
spinal surgery. Which action should the nurse implement
immediately? Answer: Test the fluid on the dressing for glucose
◉ An older client with a long history of coronary artery disease,
hypertension, and heart failure arrives in the ED with respiratory
distress. The healthcare provider prescribes furosemide IV. Which
therapeutic response to furosemide should the nurse expect with
the acute HR? Answer: Reduced preload.
◉ A young adult visits the clinic reporting symptoms associated
with gastritis. Which information in the pt history is most important
for the nurse to address in the teaching? Answer: consume 10 or
more drinks of alcohol every weekend.
◉ The nurse completed the admission assessment of a 3-year-old
who is admitted with bacterial meningitis and hydrocephalus. Which
assesses evidence that the child is experiencing increased
,intracranial pressure. Answer: sluggish and unequal pupillary
responses
◉ A teenager presents to the emergency dept with palpitations after
vaping at a party. The pt is anxious, fearful, and hyperventilating.
The nurse anticipates the developing acid base imbalance? Answer:
respiratory alkalosis
◉ Which intervention should the nurse include in the plan of care
for a child with tetanus? Answer: minimize the amount of stimuli in
the room
◉ The nurse is caring for a 24 month old toddler who has sensory
sensitivity, difficulty engaging in social interactions, and has not yet
spoken two word phrases. Which assessment should the nurse
administer? Answer: The modified checklist for Autism
◉ A client fell in the bathroom when left unattended by the UAP.
Which information should the nurse include in the pt health record?
Answer: The pt fell sustaining a fracture to the left hip
◉ the nurse is caring for a group of clients with the help of a PN.
Which nursing actions should the nurse assign to the PN? Answer:
Administer a dose of insulin per sliding scale with type 2 diabetes
mellitus
,Perform daily surgical dressing change for a pt who had an
abdominal hysterectomy
Obtain postoperative vital signs for a pt one day post op.
◉ A UAP is assigned to ambulate a pt with influenza who has droplet
precautions implemented. The UAP requests a change in
assignment, stating the reason of having not been fitted yet for a
N95 respirator mask. Which action should the nurse take? Answer:
Instruct the UAP that a standard face mask is sufficient for the
provision of care for the assigned client.
◉ When providing patient care, the nurse sees a problem and
develops a related clinical question. Next, the nurse intends to
gather evidence so that the decision making process in response to
the problem and clinical question is evidence- based. When
gathering evidence, which consideration is most important? Answer:
Relevance to the situation
◉ The nurse is auscultating a pt lung sounds. Which description
should the nurse use to document this sound? Answer: High pitched
or fine crackles
◉ When admitting a pt with a dx of transient ischemic attack (TIA),
which intervention is most important for the nurse to include in the
client's plan of care? Answer: Initiate neurological monitoring every
2 hours
, ◉ The nurse is developing a plan of care for a pt who reports
tingling of the feet and who is newly diagnosed with peripheral
vascular disease. Which outcome should the nurse include in the
plan of care for this client? Answer: The pt blood pressure readings
will be less than 160/90
◉ Prior to surgery, written consent must be obtained. Which is the
nurse's legal responsibility with regard to obtaining written
consent? Answer: Determine that the surgical consent form has been
signed and is included in the pt record
◉ A client presents to the emergency dept with muscle aches,
headache, fever, and describes a recent loss of taste and smell. The
nurse obtains a swab for COVID -19 testing. Which action is most
important for the nurse to take? Answer: place the nasal swab
specimen for COVID 19 directly in a biohazard bag.
◉ What might the nurse suggest to a pt with fibrocystic breasts in an
attempt to help relieve her symptoms? Answer: increase high
calcium foods in diet
◉ The nurse is assessing a pt who reported falling 2 days ago and
has a history of gouty arthritis that is controlled with allopurinol.
The pt states the left knee is swollen and extremely painful to the
touch. Which instructions should the nurse include in the discharge
