HESI EXAM ms
Exam Solution ms
EXIT HESI V1 2026 A+ GRADE ASSURED COMPLETE SO
ms ms ms ms ms ms ms ms
LUTIONS AND VERIFIED ANSWERS (CD08D) ms ms ms ms
QUESTION 1 ms
A client is receiving ophthalmic drops preoperatively for a cataract extraction and ask
ms ms ms ms ms ms ms ms ms ms ms ms
s the nurse why the healthcare provider has prescribed all these medications. Which i
ms ms ms ms ms ms ms ms ms ms ms ms ms
nformation should the nurse included when responding to this client? (Select all that
ms ms ms ms ms ms ms ms ms ms ms ms ms
apply.)
ANSWER
• B Pupillary dilation is necessary to access the eye chamber for lens removal. • C The iris must be
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
paralyzed during surgery to prevent it from reacting to light. E One of the medications is used to an
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
esthetize the corneal surface. ms ms ms
QUESTION 2 ms
An adult client presents to the clinic with large draining ulcers on both lower legs tha
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
t are characteristic of Kaposi's sarcoma lesions. The client is accompanied by two fami
ms ms ms ms ms ms ms ms ms ms ms ms ms
ly members. Which action should the nurse take?
ms ms ms ms ms ms ms
ANSWER
• C Send family to the waiting area while the client's history is taken.
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 3 ms
The nurse is developing a teaching plan for a client with acute gastritis caused by dri
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nking contaminated water. The nurse should emphasize the need to report the onset
ms ms ms ms ms ms ms ms ms ms ms ms ms
of which problem?
ms ms
ANSWER
A Bloody mesis
ms ms
QUESTION 4 ms
,The charge nurse in an extended care facility is organizing unit activities for the day.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Which action may be safely delegated to the practical nurse (PN)?
ms ms ms ms ms ms ms ms ms ms
ANSWER
Establish blood pressure parameters for client monitoring.
ms ms ms ms ms ms
QUESTION 5 ms
The school nurse is preparing a teaching pamphlet in response to requests from pare
ms ms ms ms ms ms ms ms ms ms ms ms ms
nts regarding an outbreak of pinworms at the local preschool. Which information abo
ms ms ms ms ms ms ms ms ms ms ms ms
ut the most commonly prescribed medication, mebendazole, should be included?
ms ms ms ms ms ms ms ms ms
ANSWER
A Only children with perianal itching should take the medication.
ms ms ms ms ms ms ms ms ms
QUESTION 6 ms
A 3-year-
ms
old boy was successfully toilet trained prior to his admission to the hospital for inurie
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
s sustained from a fall. His parents are very concerned that the child has regressed in
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
his toileting behaviors. Which information should the nurse provide to the parents?
s ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Children usually resume their toileting behaviors when they leave the hospital.
ms ms ms ms ms ms ms ms ms ms
QUESTION 7 ms
A 10-year-
ms
old with acute decompensated heart failure has a 3 pound (1.4 kg) weight gain in the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
last 24 hours. Which intervention is most important for the nurse to implement?
ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Assess bilateral lung sounds.
ms ms ms
QUESTION 8 ms
The nurse is caring for a client who receives a prescription for valproic acid in which
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
the maximum safe dosage is 60 mg/kg/day. How many mg/day is the maximum safe d
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
osage for a client who weighs 176 pounds? (Enter numerical value only.)
ms ms ms ms ms ms ms ms ms ms ms
ANSWER
4800
, QUESTION 9 ms
A client is admitted with the diagnosis of Wernicke's syndrome. Which assessment fin
ms ms ms ms ms ms ms ms ms ms ms ms
ding should the nurse use in planning the client's care?
ms ms ms ms ms ms ms ms ms
ANSWER
Confusion.
QUESTION 10 ms
The nurse is caring for a client after a thoracentesis that drained 50 mL of clear fluid
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
from the left lung. Which assessment finding should the nurse report to the healthcar
ms ms ms ms ms ms ms ms ms ms ms ms ms
e provider immediately?
ms ms
ANSWER
Mediastinal shift to the right. ms ms ms ms
QUESTION 11 ms
A client arrives to the emergency department with chest pain after taking sildenafil. B
ms ms ms ms ms ms ms ms ms ms ms ms ms
ased on the client's history, which medication should the nurse withhold?
ms ms ms ms ms ms ms ms ms ms
ANSWER
Nitroglycerin.
QUESTION 12 ms
Six weeks after the birth of a child with Trisomy 21, the parents return to the prenata
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
l clinic for a follow-
ms ms ms ms
up visit. They have spoken with a genetic counselor, but are still unsure about the ris
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
k of having another child with Trisomy 21. The couple brings literature from the coun
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
selor with them, and asks the nurse to explain it. Which action should the nurse take?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Review the literature and answer any questions the nurse is able to answer.
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 13 ms
A client who is one day postpartum tells the nurse that her baby cannot latch onto th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e breast. The nurse determines that the client's nipples are inverted.
ms ms ms ms ms ms ms ms ms ms
ANSWER
Recommend using a breast shield. ms ms ms ms
Exam Solution ms
EXIT HESI V1 2026 A+ GRADE ASSURED COMPLETE SO
ms ms ms ms ms ms ms ms
LUTIONS AND VERIFIED ANSWERS (CD08D) ms ms ms ms
QUESTION 1 ms
A client is receiving ophthalmic drops preoperatively for a cataract extraction and ask
ms ms ms ms ms ms ms ms ms ms ms ms
s the nurse why the healthcare provider has prescribed all these medications. Which i
ms ms ms ms ms ms ms ms ms ms ms ms ms
nformation should the nurse included when responding to this client? (Select all that
ms ms ms ms ms ms ms ms ms ms ms ms ms
apply.)
ANSWER
• B Pupillary dilation is necessary to access the eye chamber for lens removal. • C The iris must be
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
paralyzed during surgery to prevent it from reacting to light. E One of the medications is used to an
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
esthetize the corneal surface. ms ms ms
QUESTION 2 ms
An adult client presents to the clinic with large draining ulcers on both lower legs tha
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
t are characteristic of Kaposi's sarcoma lesions. The client is accompanied by two fami
ms ms ms ms ms ms ms ms ms ms ms ms ms
ly members. Which action should the nurse take?
ms ms ms ms ms ms ms
ANSWER
• C Send family to the waiting area while the client's history is taken.
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 3 ms
The nurse is developing a teaching plan for a client with acute gastritis caused by dri
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nking contaminated water. The nurse should emphasize the need to report the onset
ms ms ms ms ms ms ms ms ms ms ms ms ms
of which problem?
ms ms
ANSWER
A Bloody mesis
ms ms
QUESTION 4 ms
,The charge nurse in an extended care facility is organizing unit activities for the day.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Which action may be safely delegated to the practical nurse (PN)?
ms ms ms ms ms ms ms ms ms ms
ANSWER
Establish blood pressure parameters for client monitoring.
ms ms ms ms ms ms
QUESTION 5 ms
The school nurse is preparing a teaching pamphlet in response to requests from pare
ms ms ms ms ms ms ms ms ms ms ms ms ms
nts regarding an outbreak of pinworms at the local preschool. Which information abo
ms ms ms ms ms ms ms ms ms ms ms ms
ut the most commonly prescribed medication, mebendazole, should be included?
ms ms ms ms ms ms ms ms ms
ANSWER
A Only children with perianal itching should take the medication.
ms ms ms ms ms ms ms ms ms
QUESTION 6 ms
A 3-year-
ms
old boy was successfully toilet trained prior to his admission to the hospital for inurie
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
s sustained from a fall. His parents are very concerned that the child has regressed in
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
his toileting behaviors. Which information should the nurse provide to the parents?
s ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Children usually resume their toileting behaviors when they leave the hospital.
ms ms ms ms ms ms ms ms ms ms
QUESTION 7 ms
A 10-year-
ms
old with acute decompensated heart failure has a 3 pound (1.4 kg) weight gain in the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
last 24 hours. Which intervention is most important for the nurse to implement?
ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Assess bilateral lung sounds.
ms ms ms
QUESTION 8 ms
The nurse is caring for a client who receives a prescription for valproic acid in which
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
the maximum safe dosage is 60 mg/kg/day. How many mg/day is the maximum safe d
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
osage for a client who weighs 176 pounds? (Enter numerical value only.)
ms ms ms ms ms ms ms ms ms ms ms
ANSWER
4800
, QUESTION 9 ms
A client is admitted with the diagnosis of Wernicke's syndrome. Which assessment fin
ms ms ms ms ms ms ms ms ms ms ms ms
ding should the nurse use in planning the client's care?
ms ms ms ms ms ms ms ms ms
ANSWER
Confusion.
QUESTION 10 ms
The nurse is caring for a client after a thoracentesis that drained 50 mL of clear fluid
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
from the left lung. Which assessment finding should the nurse report to the healthcar
ms ms ms ms ms ms ms ms ms ms ms ms ms
e provider immediately?
ms ms
ANSWER
Mediastinal shift to the right. ms ms ms ms
QUESTION 11 ms
A client arrives to the emergency department with chest pain after taking sildenafil. B
ms ms ms ms ms ms ms ms ms ms ms ms ms
ased on the client's history, which medication should the nurse withhold?
ms ms ms ms ms ms ms ms ms ms
ANSWER
Nitroglycerin.
QUESTION 12 ms
Six weeks after the birth of a child with Trisomy 21, the parents return to the prenata
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
l clinic for a follow-
ms ms ms ms
up visit. They have spoken with a genetic counselor, but are still unsure about the ris
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
k of having another child with Trisomy 21. The couple brings literature from the coun
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
selor with them, and asks the nurse to explain it. Which action should the nurse take?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Review the literature and answer any questions the nurse is able to answer.
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 13 ms
A client who is one day postpartum tells the nurse that her baby cannot latch onto th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e breast. The nurse determines that the client's nipples are inverted.
ms ms ms ms ms ms ms ms ms ms
ANSWER
Recommend using a breast shield. ms ms ms ms