HESI RN EXIT EXAM 6 2026 COMPREHENSIVE
QUESTIONS SOLUTIONS GRADED A PLUS
SAFE AND EFFECTIVE CARE PRACTICE
PACKAGE
◉ The nurse is preparing to insert an IV, and cap off the IV with an
intermittent infusion devise for an 80-year-old who is prescribed IV
antibiotics every 8 hours. The client is taking po fluids well. What
supplies will the nurse take into the room for this procedure? (Select
all that apply.)
A.
A 16 gauge IV catheter
B.
Normal saline in a 10 mL syringe
C.
Clear plastic sterile bandage
D.
Skin preparation antiseptic swab
E.
1000 mL bag of normal saline
Answer: B, C, D
,Rationale: Items not needed to insert an IV for intermittent
antibiotic therapy for an 80-year-old are a 16 gauge intracath; the
intracath is too large. Large bore intracaths are for rapid infusions. A
small bag of NS, e.g. 250 mL, will be needed to flush the line. The
remaining items are needed to start an IV.
◉ The nurse is instructing a client with cholecystitis regarding diet
choices. Which meal best meets the dietary needs of this client?
A.
Steak, baked beans, and a salad
B.
Broiled fish, green beans, and an apple
C.
Pork chops, macaroni and cheese, and grapes
D.
Avocado salad, milk, and angel food cake
Answer: B
Rationale: Clients with cholecystitis (inflammation of the
gallbladder) should follow a low-fat diet, such as option B. Option A
is a high-protein diet, and options C and D contain high-fat foods,
which are contraindicated for this client.
,◉ A 65-year-old client who attends an adult daycare program and is
wheelchair mobile has redness in the sacral area. Which instruction
is most important for the nurse to provide?
A.
"Take a vitamin supplement tablet once a day."
B.
"Change positions in the chair frequently"
C.
"Increase daily intake of water or other oral fluids."
D.
"Purchase a newer model wheelchair."
Answer: B
Rationale: The most important teaching is to change positions
frequently because pressure is the most significant factor related to
the development of pressure ulcers. Increased vitamin and fluid
intake may also be beneficial and promote healing and reduce
further risk. Option D is an intervention of last resort because this
will be very expensive for the client.
◉ Which nonverbal action should the nurse implement to
demonstrate active listening?
A.
Sit facing the client.
B.
, Cross arms and legs.
C.
Avoid eye contact.
D.
Lean back in the chair.
Answer: A
Rationale: Active listening is conveyed using attentive verbal and
nonverbal communication techniques. To facilitate therapeutic
communication and attentiveness, the nurse should sit facing the
client, which lets the client know that the nurse is there to listen.
Active listening skills include postures that are open to the client,
such as keeping the arms open and relaxed, not option B, and
leaning toward the client, not option D. To communicate
involvement and willingness to listen to the client, eye contact
should be established and maintained.
◉ The nurse is assisting a client to the bathroom. When the client is
5 feet from the bathroom door, he states, "I feel faint." Before the
nurse can get the client to a chair, the client starts to fall. Which is
the priority action for the nurse to take?
A.
Check the client's carotid pulse.
B.
Encourage the client to get to the toilet.
C.
QUESTIONS SOLUTIONS GRADED A PLUS
SAFE AND EFFECTIVE CARE PRACTICE
PACKAGE
◉ The nurse is preparing to insert an IV, and cap off the IV with an
intermittent infusion devise for an 80-year-old who is prescribed IV
antibiotics every 8 hours. The client is taking po fluids well. What
supplies will the nurse take into the room for this procedure? (Select
all that apply.)
A.
A 16 gauge IV catheter
B.
Normal saline in a 10 mL syringe
C.
Clear plastic sterile bandage
D.
Skin preparation antiseptic swab
E.
1000 mL bag of normal saline
Answer: B, C, D
,Rationale: Items not needed to insert an IV for intermittent
antibiotic therapy for an 80-year-old are a 16 gauge intracath; the
intracath is too large. Large bore intracaths are for rapid infusions. A
small bag of NS, e.g. 250 mL, will be needed to flush the line. The
remaining items are needed to start an IV.
◉ The nurse is instructing a client with cholecystitis regarding diet
choices. Which meal best meets the dietary needs of this client?
A.
Steak, baked beans, and a salad
B.
Broiled fish, green beans, and an apple
C.
Pork chops, macaroni and cheese, and grapes
D.
Avocado salad, milk, and angel food cake
Answer: B
Rationale: Clients with cholecystitis (inflammation of the
gallbladder) should follow a low-fat diet, such as option B. Option A
is a high-protein diet, and options C and D contain high-fat foods,
which are contraindicated for this client.
,◉ A 65-year-old client who attends an adult daycare program and is
wheelchair mobile has redness in the sacral area. Which instruction
is most important for the nurse to provide?
A.
"Take a vitamin supplement tablet once a day."
B.
"Change positions in the chair frequently"
C.
"Increase daily intake of water or other oral fluids."
D.
"Purchase a newer model wheelchair."
Answer: B
Rationale: The most important teaching is to change positions
frequently because pressure is the most significant factor related to
the development of pressure ulcers. Increased vitamin and fluid
intake may also be beneficial and promote healing and reduce
further risk. Option D is an intervention of last resort because this
will be very expensive for the client.
◉ Which nonverbal action should the nurse implement to
demonstrate active listening?
A.
Sit facing the client.
B.
, Cross arms and legs.
C.
Avoid eye contact.
D.
Lean back in the chair.
Answer: A
Rationale: Active listening is conveyed using attentive verbal and
nonverbal communication techniques. To facilitate therapeutic
communication and attentiveness, the nurse should sit facing the
client, which lets the client know that the nurse is there to listen.
Active listening skills include postures that are open to the client,
such as keeping the arms open and relaxed, not option B, and
leaning toward the client, not option D. To communicate
involvement and willingness to listen to the client, eye contact
should be established and maintained.
◉ The nurse is assisting a client to the bathroom. When the client is
5 feet from the bathroom door, he states, "I feel faint." Before the
nurse can get the client to a chair, the client starts to fall. Which is
the priority action for the nurse to take?
A.
Check the client's carotid pulse.
B.
Encourage the client to get to the toilet.
C.
