RN EXIT HESI EXAM V5 questions and
answers 2026\2027 A+ Grade
After placing a 36-week gestation newborn in and isolette and drying the infant with several blankets,
what should the nurse implement next?
a. Administer the vitamin K injection
b. Remove the wet blankets and linens from the isolette
c. Place erythromycin ophthalmic ointment in both eyes
d. Open the isolate door to assess the infants' vital signs
- correct answer c. Place erythromycin ophthalmic ointment in both eyes
A client in the third trimester of pregnancy complaints of frequent nasal stuffiness and occasional
nosebleeds. Her chest circumference has increased by 5 cm during the pregnancy, and she uses thoracic
breathing. Her diaphragm is elevated, and she has an increased costal angle. Which intervention should
the nurse implement?
A. Ask a nurse with more experience to validate the costal angle finding
B. Ask the health care provider to evaluate the client's respiratory status
C. Examine the client for signs of tissue and anoxia, such as pallor
D. Record the respiratory finding in the client's record as normal
- correct answer C. Examine the client for signs of tissue and anoxia, such as pallor
A terminally ill male hospice client who is at home is showing decreased awareness of his surroundings.
His appetite is poor, and he often uses oral intake of solids and liquids. For the past several days he has
been unable to get out of bed. Which action should the hospice nurse implement?
A. Ask family to remain nearby, but in another room
B. Encourage family to speak often with the client
C. Teach family how to assist the client to a wheelchair
D. Instruct family to offer client only soft bland foods
- correct answer C. Teach family how to assist the client to a wheelchair
,A woman was admitted yesterday afternoon with severe abdominal pain. Her pregnancy tests and
ultrasounds were negative, so an exploratory laparotomy was completed during the night. When coffee
ground material is observed in the drainage from the nasal gastric tube, which intervention should the
nurse implement?
a. Verify correct placement of the nasogastric tube
b. Perform gastroccult test on the nasogastric drainage
c. Listen for evidence of diminished bowel sounds
d. Irrigate the nasogastric tube with water until clear
- correct answer a. Verify correct placement of the nasogastric tube
The nurse is reviewing the laboratory values for a client with acute pancreatitis who reports that the
abdominal pain is not as severe as it was on admission. Which laboratory test should the nurse review to
evaluate the client's clinical recovery?
a. Lipase
b. Creatinine
c. Bilirubin
d. Glucose
- correct answer a. Lipase
While assessing a client who had a laparotomy the previous day, the nurse notices that 300 mL of dark
red fluid has drained from the nasogastric tube in the last hour. Which action should the nurse take
first?
a. Determine the client's vital signs
b. Monitor urinary output hourly
c. Notify the surgeon immediately
d. Assess the client's level of pain
- correct answer b. Monitor urinary output hourly
The nurse is reviewing the recommended preventative care for clients with asthma, chronic bronchitis,
and emphysema. Which healthcare measure is most important for the nurse to recommend to these
clients?
a. Ensure supplemental oxygen and respiratory medications are available at all times
,b. Use nasal or cough tissues followed by hand washing at all times
c. Get annual flu and pneumococcal vaccine polyvalent vaccines
d. Avoid large crowded areas during the colder months of the year
- correct answer d. Avoid large crowded areas during the colder months of the year
A mother of a one-month-old infant calls the clinic to report that the back of her infant's head is flat.
How should the nurse respond?
a. Position the infant on the stomach occasionally when awake and active
b. Turn the infant on the left side braced against the crib when sleeping
c. Prop the infant in a sitting position with a cushion when not sleeping
d. Place a small pillow under the infants head while lying on the back
- correct answer a. Position the infant on the stomach occasionally when awake and active
A woman is brought to the labor and delivery unit after delivering a term infant and the placenta in the
hospital parking lot 10 minutes ago. Which action should the nurse perform first?
a. Inspect the perineum for lacerations
b. Collect specimen for hemoglobin and hematocrit
c. Massage the fundus and give oxytocic agent
d. Place the infant to breast for bonding
- correct answer c. Massage the fundus and give oxytocic agent
A client has a new prescription for the maximum recommended dosage of piperacillin/tazobactam for
nosocomial pneumonia. The nurse should report which laboratory finding to the health care provider
before administering the prescribed dose?
a. Elevated white blood cell count
b. Presence of gram-positive bacteria in the sputum
c. Decrease creatinine clearance
d. Elevated cholesterol and lipoproteins
- correct answer b. Presence of gram-positive bacteria in the sputum
, A client who is admitted with diabetic ketoacidosis is demonstrating Kussmaul breathing and has a
severe headache along with nausea. Her arterial blood gases are: ph 7.50; paco2 30 mmhg; HCO3 24
meq/L. Which assessment finding warrants immediate intervention by the nurse?
a. Muscle stiffness
b. Abdominal pain
c. Mental stupor
d. Fruity breath
- correct answer d. Fruity breath
When performing postural drainage on a client with chronic obstructive pulmonary disease, which
approach should the nurse use?
a. Explain that the client may be placed in five positions
b. Instruct the client to breathe shallow and fast
c. Obtain arterial blood gases prior to the procedure
d. Perform the drainage immediately after meals
- correct answer a. Explain that the client may be placed in five positions
A young male client with testicular cancer has a living will that describes his desire that no extraordinary
measures be taken to save his life. The health care provider knows the client has a good prognosis and
refuses to write a "do not resuscitate" (DNR) prescription. Which action should the nurse take?
A. Initiate an Ethics Committee review of the case
B. Place a DNR bracelet on the client's arm
C. Ensure resuscitation equipment is available
D. Ask the family to review options with the client
- correct answer A. Initiate an Ethics Committee review of the case
In observing a client's face, which assessment finding requires the most immediate intervention by the
nurse?
a. Cornea are jaundiced
b. Oral mucosa is cyanotic
c. Face is flushed and diaphoretic
answers 2026\2027 A+ Grade
After placing a 36-week gestation newborn in and isolette and drying the infant with several blankets,
what should the nurse implement next?
a. Administer the vitamin K injection
b. Remove the wet blankets and linens from the isolette
c. Place erythromycin ophthalmic ointment in both eyes
d. Open the isolate door to assess the infants' vital signs
- correct answer c. Place erythromycin ophthalmic ointment in both eyes
A client in the third trimester of pregnancy complaints of frequent nasal stuffiness and occasional
nosebleeds. Her chest circumference has increased by 5 cm during the pregnancy, and she uses thoracic
breathing. Her diaphragm is elevated, and she has an increased costal angle. Which intervention should
the nurse implement?
A. Ask a nurse with more experience to validate the costal angle finding
B. Ask the health care provider to evaluate the client's respiratory status
C. Examine the client for signs of tissue and anoxia, such as pallor
D. Record the respiratory finding in the client's record as normal
- correct answer C. Examine the client for signs of tissue and anoxia, such as pallor
A terminally ill male hospice client who is at home is showing decreased awareness of his surroundings.
His appetite is poor, and he often uses oral intake of solids and liquids. For the past several days he has
been unable to get out of bed. Which action should the hospice nurse implement?
A. Ask family to remain nearby, but in another room
B. Encourage family to speak often with the client
C. Teach family how to assist the client to a wheelchair
D. Instruct family to offer client only soft bland foods
- correct answer C. Teach family how to assist the client to a wheelchair
,A woman was admitted yesterday afternoon with severe abdominal pain. Her pregnancy tests and
ultrasounds were negative, so an exploratory laparotomy was completed during the night. When coffee
ground material is observed in the drainage from the nasal gastric tube, which intervention should the
nurse implement?
a. Verify correct placement of the nasogastric tube
b. Perform gastroccult test on the nasogastric drainage
c. Listen for evidence of diminished bowel sounds
d. Irrigate the nasogastric tube with water until clear
- correct answer a. Verify correct placement of the nasogastric tube
The nurse is reviewing the laboratory values for a client with acute pancreatitis who reports that the
abdominal pain is not as severe as it was on admission. Which laboratory test should the nurse review to
evaluate the client's clinical recovery?
a. Lipase
b. Creatinine
c. Bilirubin
d. Glucose
- correct answer a. Lipase
While assessing a client who had a laparotomy the previous day, the nurse notices that 300 mL of dark
red fluid has drained from the nasogastric tube in the last hour. Which action should the nurse take
first?
a. Determine the client's vital signs
b. Monitor urinary output hourly
c. Notify the surgeon immediately
d. Assess the client's level of pain
- correct answer b. Monitor urinary output hourly
The nurse is reviewing the recommended preventative care for clients with asthma, chronic bronchitis,
and emphysema. Which healthcare measure is most important for the nurse to recommend to these
clients?
a. Ensure supplemental oxygen and respiratory medications are available at all times
,b. Use nasal or cough tissues followed by hand washing at all times
c. Get annual flu and pneumococcal vaccine polyvalent vaccines
d. Avoid large crowded areas during the colder months of the year
- correct answer d. Avoid large crowded areas during the colder months of the year
A mother of a one-month-old infant calls the clinic to report that the back of her infant's head is flat.
How should the nurse respond?
a. Position the infant on the stomach occasionally when awake and active
b. Turn the infant on the left side braced against the crib when sleeping
c. Prop the infant in a sitting position with a cushion when not sleeping
d. Place a small pillow under the infants head while lying on the back
- correct answer a. Position the infant on the stomach occasionally when awake and active
A woman is brought to the labor and delivery unit after delivering a term infant and the placenta in the
hospital parking lot 10 minutes ago. Which action should the nurse perform first?
a. Inspect the perineum for lacerations
b. Collect specimen for hemoglobin and hematocrit
c. Massage the fundus and give oxytocic agent
d. Place the infant to breast for bonding
- correct answer c. Massage the fundus and give oxytocic agent
A client has a new prescription for the maximum recommended dosage of piperacillin/tazobactam for
nosocomial pneumonia. The nurse should report which laboratory finding to the health care provider
before administering the prescribed dose?
a. Elevated white blood cell count
b. Presence of gram-positive bacteria in the sputum
c. Decrease creatinine clearance
d. Elevated cholesterol and lipoproteins
- correct answer b. Presence of gram-positive bacteria in the sputum
, A client who is admitted with diabetic ketoacidosis is demonstrating Kussmaul breathing and has a
severe headache along with nausea. Her arterial blood gases are: ph 7.50; paco2 30 mmhg; HCO3 24
meq/L. Which assessment finding warrants immediate intervention by the nurse?
a. Muscle stiffness
b. Abdominal pain
c. Mental stupor
d. Fruity breath
- correct answer d. Fruity breath
When performing postural drainage on a client with chronic obstructive pulmonary disease, which
approach should the nurse use?
a. Explain that the client may be placed in five positions
b. Instruct the client to breathe shallow and fast
c. Obtain arterial blood gases prior to the procedure
d. Perform the drainage immediately after meals
- correct answer a. Explain that the client may be placed in five positions
A young male client with testicular cancer has a living will that describes his desire that no extraordinary
measures be taken to save his life. The health care provider knows the client has a good prognosis and
refuses to write a "do not resuscitate" (DNR) prescription. Which action should the nurse take?
A. Initiate an Ethics Committee review of the case
B. Place a DNR bracelet on the client's arm
C. Ensure resuscitation equipment is available
D. Ask the family to review options with the client
- correct answer A. Initiate an Ethics Committee review of the case
In observing a client's face, which assessment finding requires the most immediate intervention by the
nurse?
a. Cornea are jaundiced
b. Oral mucosa is cyanotic
c. Face is flushed and diaphoretic
