A Review of 4 Different HESI Exit Past Exams with
750+ Real Exam Questions Correct Answers/ 2026-
2027 Updated Review of 4 Previous HESI EXIT
Exams – Questions and Correct Answers
Contents
HESI Exit Version D ................................................................................................1
HESI Exit Version E...............................................................................................44
HESI Exit Version F...............................................................................................85
HESI Exit Version G ............................................................................................123
HESI Exit Version D
A client is admitted with acute pancreatitis. The client admits to drinking a pint of
bourbon daily. The nurse medicates the client for pain and monitors vital signs
every 2 hours. Which finding should the nurse report immediately to the healthcare
provider?
A. Anorexia and abdominal distention
B. Abdominal pain and vomiting
C. Confusion and tremors
D. Yellowing and itching of skin
C. Confusion and tremors
An adolescent receives a prescription for an injection of S-matriptan succinate 4mg
subcutaneously for a migraine headache. Using a vial labeled, 6mg/0.5mL, how
many mL should the nurse administer?
0.33 mL
6mg -- 0.5 mL
4mg -- X mL
X = 4 x 0.5/6 = 0.33
The nurse provides sliding scale insulin administration instructions to an adult who
was recently diagnosed with diabetes mellitus. The client demonstrates an
understanding of the instructions provided by performing the procedure in which
1
,order?
1. Obtain blood glucose level
2. Verify the insulin prescription
3. Draw insulin into insulin syringe
4. Clean the selected site
1. Obtain blood glucose level
2. Verify the insulin prescription
3. Draw insulin into insulin syringe
4. Clean the selected site
The nurse is caring for a client who is having a sickle cell crisis. What intervention
should the nurse include in this client's plan of care?
A. Ensure adequate IV and oral fluid intake
B. Provide ice packs to major joint areas
C. Space analgesics to prevent addiction to narcotics
D. Re-enforce the importance of nutritional balance
A. Ensure adequate IV and oral fluid intake
The nurse is preparing to administer an IV dose of ciprofloxacin to a client with a
urinary tract infection. Which client data requires the most immediate intervention
by the nurse?
A. Urine culture positive for MRSA
B. Serum creatinine of 4.5 mg/dL
C. Serum sodium of 145 mEq/L
D. White blood cell count of 12,000mm3
B. Serum creatinine of 4.5mg/dL
A client with atrial fibrillation receives a new prescription for dabigatran etexilate.
Which instruction is important for the nurse to emphasize when teaching the client
about this medication?
A. Monitor your blood pressure regularly
B. Report unusual bruising or bleeding
C. Elevate your feet if swelling occurs
D. Check your pulse rate every day
B. Report unusual bruising or bleeding
2
,Which snack selection indicates to the nurse that a school-age boy with
gastroesophageal reflux understands his dietary restrictions?
A. Sugar cookies
B. Pizza
C. Chocolate milkshake
D. Tacos
A. Sugar cookies
After placement of a left subclavian central venous catheter (CVC), the nurse
receives report of the X-ray findings that indicate the CVC tip is in the client's
superior vena cava. Which action should the nurse implement?
A. Notify the healthcare provider of the need to reposition the catheter
B. Remove the catheter and apply direct pressure for 5 minutes
C. Secure the catheter using aseptic techniques
D. Initiate intravenous fluids as prescribed
D. Initiate intravenous fluids as prescribed
A client with leukemia who is receiving a myleosuppressive chemotherapy has a
platelet count of 25,000/mm3. Which intervention is most important for the nurse
to include in this client's plan of care?
A. Assess urine and stool for occult blood
B. Monitor for signs of activity intolerance
C. Require visitors to wear respiratory masks
D. Obtain client's temperature q4 hours
A. Assess urine and stool for occult blood
When assessing a 6-month-old infant, the nurse determines that the anterior
fontanel is bulging. In which situation would these findings be most significant?
A. Crying
B. Sitting upright
C. Vomiting
D. Straining on stool
B. Sitting upright
A client who is admitted to the intensive care unit with syndrome of inappropriate
antidiuretic hormone (SIADH) has developed osmotic demyelination. Which
intervention should the nurse implement first?
3
, A. Patch one eye
B. Evaluate swallow
C. Reorient often
D. Range of motion
B. Evaluate swallow
The nurse is caring for a client with chronic obstructive disease (COPD) who uses
oxygen at 2L/minute per nasal cannula continuously. The nurse observes that the
client is having increased shortness of breath with respirations at 23
breaths/minute. Which action should the nurse implement first?
A. Determine if the client is experiencing any anxiety
B. Auscultate the client's bilateral lung sounds and oxygen saturation
C. Notify the healthcare provider about the client's distress
D. Assess the delivery mechanism of the oxygen tank, tubing, and cannula
D. Assess the delivery mechanism of the oxygen tank, tubing, and cannula
A client with a history of using illicit drugs intravenously is admitted with Kaposi's
sarcoma. Which intervention should the nurse include in this client's admission
plan of care?
A. Assess for symptoms of AIDS dementia
B. Monitor for secondary infections
C. Identify local HIV support groups
D. Observe for adverse drug reactions
B. Monitor for secondary infections
An older woman who has difficulty hearing is being discharged from day surgery
following a cataract extraction and lens implantation. Which intervention is most
important for the nurse to implement to help ensure the client's compliance with
self-care?
A. Have the client vocalize the instructions provided
B. Ensure that someone will stay with the client for 24 hours
C. Speak clearly and face the client for lip reading
D. Provide written instructions for eye drop administration
A. Have the client vocalize the instructions provided
An older woman with history of atrial fibrillation fell at home and fractured her left
hip. She is currently taking warfarin 5 mg daily and has an international
4
750+ Real Exam Questions Correct Answers/ 2026-
2027 Updated Review of 4 Previous HESI EXIT
Exams – Questions and Correct Answers
Contents
HESI Exit Version D ................................................................................................1
HESI Exit Version E...............................................................................................44
HESI Exit Version F...............................................................................................85
HESI Exit Version G ............................................................................................123
HESI Exit Version D
A client is admitted with acute pancreatitis. The client admits to drinking a pint of
bourbon daily. The nurse medicates the client for pain and monitors vital signs
every 2 hours. Which finding should the nurse report immediately to the healthcare
provider?
A. Anorexia and abdominal distention
B. Abdominal pain and vomiting
C. Confusion and tremors
D. Yellowing and itching of skin
C. Confusion and tremors
An adolescent receives a prescription for an injection of S-matriptan succinate 4mg
subcutaneously for a migraine headache. Using a vial labeled, 6mg/0.5mL, how
many mL should the nurse administer?
0.33 mL
6mg -- 0.5 mL
4mg -- X mL
X = 4 x 0.5/6 = 0.33
The nurse provides sliding scale insulin administration instructions to an adult who
was recently diagnosed with diabetes mellitus. The client demonstrates an
understanding of the instructions provided by performing the procedure in which
1
,order?
1. Obtain blood glucose level
2. Verify the insulin prescription
3. Draw insulin into insulin syringe
4. Clean the selected site
1. Obtain blood glucose level
2. Verify the insulin prescription
3. Draw insulin into insulin syringe
4. Clean the selected site
The nurse is caring for a client who is having a sickle cell crisis. What intervention
should the nurse include in this client's plan of care?
A. Ensure adequate IV and oral fluid intake
B. Provide ice packs to major joint areas
C. Space analgesics to prevent addiction to narcotics
D. Re-enforce the importance of nutritional balance
A. Ensure adequate IV and oral fluid intake
The nurse is preparing to administer an IV dose of ciprofloxacin to a client with a
urinary tract infection. Which client data requires the most immediate intervention
by the nurse?
A. Urine culture positive for MRSA
B. Serum creatinine of 4.5 mg/dL
C. Serum sodium of 145 mEq/L
D. White blood cell count of 12,000mm3
B. Serum creatinine of 4.5mg/dL
A client with atrial fibrillation receives a new prescription for dabigatran etexilate.
Which instruction is important for the nurse to emphasize when teaching the client
about this medication?
A. Monitor your blood pressure regularly
B. Report unusual bruising or bleeding
C. Elevate your feet if swelling occurs
D. Check your pulse rate every day
B. Report unusual bruising or bleeding
2
,Which snack selection indicates to the nurse that a school-age boy with
gastroesophageal reflux understands his dietary restrictions?
A. Sugar cookies
B. Pizza
C. Chocolate milkshake
D. Tacos
A. Sugar cookies
After placement of a left subclavian central venous catheter (CVC), the nurse
receives report of the X-ray findings that indicate the CVC tip is in the client's
superior vena cava. Which action should the nurse implement?
A. Notify the healthcare provider of the need to reposition the catheter
B. Remove the catheter and apply direct pressure for 5 minutes
C. Secure the catheter using aseptic techniques
D. Initiate intravenous fluids as prescribed
D. Initiate intravenous fluids as prescribed
A client with leukemia who is receiving a myleosuppressive chemotherapy has a
platelet count of 25,000/mm3. Which intervention is most important for the nurse
to include in this client's plan of care?
A. Assess urine and stool for occult blood
B. Monitor for signs of activity intolerance
C. Require visitors to wear respiratory masks
D. Obtain client's temperature q4 hours
A. Assess urine and stool for occult blood
When assessing a 6-month-old infant, the nurse determines that the anterior
fontanel is bulging. In which situation would these findings be most significant?
A. Crying
B. Sitting upright
C. Vomiting
D. Straining on stool
B. Sitting upright
A client who is admitted to the intensive care unit with syndrome of inappropriate
antidiuretic hormone (SIADH) has developed osmotic demyelination. Which
intervention should the nurse implement first?
3
, A. Patch one eye
B. Evaluate swallow
C. Reorient often
D. Range of motion
B. Evaluate swallow
The nurse is caring for a client with chronic obstructive disease (COPD) who uses
oxygen at 2L/minute per nasal cannula continuously. The nurse observes that the
client is having increased shortness of breath with respirations at 23
breaths/minute. Which action should the nurse implement first?
A. Determine if the client is experiencing any anxiety
B. Auscultate the client's bilateral lung sounds and oxygen saturation
C. Notify the healthcare provider about the client's distress
D. Assess the delivery mechanism of the oxygen tank, tubing, and cannula
D. Assess the delivery mechanism of the oxygen tank, tubing, and cannula
A client with a history of using illicit drugs intravenously is admitted with Kaposi's
sarcoma. Which intervention should the nurse include in this client's admission
plan of care?
A. Assess for symptoms of AIDS dementia
B. Monitor for secondary infections
C. Identify local HIV support groups
D. Observe for adverse drug reactions
B. Monitor for secondary infections
An older woman who has difficulty hearing is being discharged from day surgery
following a cataract extraction and lens implantation. Which intervention is most
important for the nurse to implement to help ensure the client's compliance with
self-care?
A. Have the client vocalize the instructions provided
B. Ensure that someone will stay with the client for 24 hours
C. Speak clearly and face the client for lip reading
D. Provide written instructions for eye drop administration
A. Have the client vocalize the instructions provided
An older woman with history of atrial fibrillation fell at home and fractured her left
hip. She is currently taking warfarin 5 mg daily and has an international
4
