HESI RN 2026 EXIT EXAM MOST TESTED EXAM
QUESTIONS AND ANSWERS GRADED A+ ASSURED
SUCCESS
WhenRpreparingRtoRadministerRaRprescribedRmedicationRtoRaRhomelessRclientRatRaRcommunityRpsy
chiatricRclinic.RTheRclientRtellsRtheRnurseRthatRtheRusualRdosageRtakenRisRdifferentRfromRtheRdoseRth
eRnurseRisRgiving.RWhichRactionRshouldRtheRnurseRtake?R
A)RInformRtheRclientRthatRheRmayRrefuseRtheRmedicationRandRdocumentRwhetherRorRnotRtheRclientR
takesRit.R
B)RWithholdRtheRmedicationRuntilRtheRdosageRcanRbeRconfirmed.R
C)RExplainRtoRtheRclientRthatRtheRdosageRhasRbeenRchanged.R
D)RTellRtheRclientRtoRtakeRtheRmedicationRthenRverifyRtheRdosageRatRtheRnextRhealthcareRteamRmee
ting.R-RCORRECTRANSWERSR-B)RWithholdRtheRmedicationRuntilRtheRdosageRcanRbeRconfirmed.
TheRchargeRnurseRisRmakingRassignmentsRforRoneRpracticalRnurseRandRthreeRregisteredRnursesRwho
RareRcaringRforRneurologicallyRcompromisedRclients.RWhichRclientRwithRwhichRchangeRinRstatusRisRb
estRtoRassignRtoRtheRPN?R
A)RSubduralRhematomaRwhoseRbloodRpressureRchangedRfromR150/80RtoR170/60.
B)RViralRmeningitisRwhoseRtemperatureRchangeRfromR101RSRtoR102F.R
C)RDiabeticRketoRacidosisRwhoRisRGlasgowRcomaRscaleRscoreRchangedRfromR10RtoR7.R
D)RMyxedema,RwhoseRbloodRpressureRchangeRfromR80/50RtoR70/40.R-RCORRECTRANSWERSR-
B)RViralRmeningitisRwhoseRtemperatureRchangeRfromR101RSRtoR102F.
TheRnurseRisRcaringRforRaRclientRwithRpneumoniaRwhoRnowRdevelopsRinitialRsignsRofRsepticRshockRa
ndRmultiRorganRfailure.RTheRhealthcareRproviderRprescribesRaRsepsisRprotocol.RWhichRinterventionR
isRmostRimportantRforRtheRnurseRtoRincludeRinRtheRplanRofRcare?R
,A)RMaintainRstrictRintakeRandRoutput.R
B)RKeepRheadRofRbedRraisedR45°.R
C)RExcessRwarmthRofRextremities.R
D)RMonitorRbloodRglucoseRlevel.R-RCORRECTRANSWERSR-A)RMaintainRstrictRintakeRandRoutput.
AndRadolescentRclientRisRadmittedRtoRtheRhospitalRbecauseRofRwritingRaRsuicideRnoteRtoRaRteacherRa
tRschool.ROnRtheRsecondRdayRofRhospitalization,RtheRnurseRaskedRtheRclientRtoRmeetRwithRtheRtreat
mentRteam.RAfterRtheRteamRmeeting,RtheRclientRleavesRinRtearsRandRgoesRtoRtheirRroom.RWhichRnur
singRinterventionRisRbest?R
A)RLetRtheRclientRrestRquietlyRinRtheirRroomRforRaRwhile.R
B)RExploreRtheRclientsRgoalsRandRdesireRforRtreatment.R
C)RAskRtheRtreatmentRteamRaboutRtheRclientsRbehavior.R
D)RGoRtoRtheRclientsRroomRandRaskRwhatRhappened.R-RCORRECTRANSWERSR-
D)RGoRtoRtheRclientsRroomRandRaskRwhatRhappened.
TheRhealthcareRproviderRprescribesRdalteparinR200RunitsRperRkilogramRsubcutaneousRonceRaRdayRf
orRaRclientRwhoRweighsR154Rpounds.RTheRmedicationRisRavailableRandR25,000RunitsRperRmilliliterRvi
al.RHowRmanyRmillilitersRshouldRtheRnurseRadminister?R(EnterRnumericalRvalueRonly.RIfRroundingRisR
required,RroundRtoRtheRnearestR10th.)R-RCORRECTRANSWERSR-0.6
NGN:RTheRclientRisRaR49-year-
oldRmaleRwhoRreportsRfluRlikeRsymptomsRincludingRfeverRandRchestRcongestionRforRfourRdays.RHeRc
ameRtoRtheRemergencyRdepartmentRlastRnightRwhenRheRwasRhavingRmoreRdifficultyRbreathingRheRh
asRaRhistoryRofR1/2RpackRaRdayRcigaretteRsmokingRforR20Ryears.RHeRhasRnoRsignificantRmedicalRorRsur
gicalRhistory.R
WhichRtwoRordersRshouldRtheRnurseRcompleteRfirst?R
,A)RSputumRculture.R
B)RStartRoxygenR3RLRperRminuteRviaRnasalRcannula.R
C)RPlaceRtheRclientRonRaRcardioRrespiratoryRmonitor.R
D)RChestRx-ray.R
E)RAcetominophenR350RmgRPOReveryRsixRhoursRforRtemperatureRcontrol.R
F)RRunR0.9%RsodiumRchlorideRIVRinfusionRatR150RmLRperRhour.R
G)RStartRperipheralRIV.R
H)RNPO.R-RCORRECTRANSWERSR-B)RStartRoxygenR3RLRperRminuteRviaRnasalRcannula.R
C)RPlaceRtheRclientRonRaRcardioRrespiratoryRmonitor.
NGN:R0330:RplaceRtheRclientRonRaRcardioRrespiratoryRmonitor,RNPO,RsputumRculture,RstartRaRperiph
eralRIVRinfusion,RstartRoxygenR3RLRperRminuteRviaRnasalRcannula,RbeginR0.9%RsodiumRchlorideRIVRinf
usionRatR150RmLRperRhour,RacetaminophenR350RmgRPOReveryRsixRhoursRforRtemperature.
ToRstartRtheRclientRonRoxygenRasRorderedRwhichRitemsRshouldRtheRnurseRcollectsRfromRtheRsupplyRr
oom?RSATAR
A)RhumidifierRbottle.R
B)SuctionRcanister.R
C)SterileRwater.R
D)RNasalRcannula.R
E)RFlowRmeter.R
F)RLambsRwool.R
G)RTape.R-RCORRECTRANSWERSR-D)RNasalRcannula.R
E)RFlowRmeter.
NGN:Rstates,RIRamRfeelingRextremelyRanxiousRrightRnow.RTheRclientRhasRdecreasedRbreathRsoundsRi
nRtheRleftRlowerRlow.RHisRmucusRmembranesRareRdry.RHeRhasRaRproductiveRcoughRwithRthick,Ryello
wRsecretions.RHisRcapillaryRrefillRisRfourRseconds.RVitalRsigns,RtemperatureR100.2.RHeartRrateR101Rb
, pm,RrespiratoryRrateR28RbreathsRperRminute,RbloodRpressureR145/89,RoxygenRsaturationR90%RonRr
oomRair.
(forReachRbodyRsystemRclickRtoRspecifyRtheRassessmentRfindingsRthatRindicatesRhypoxia)
Cardiovascular:RheartRrateR100Rbpm,RcapillaryRrefillRforRseconds,RbloodRpressureR145/89.
Neurological:Ranxious,RawakeRandRalert,Rrestless.
Respiratory:RoxygenRsaturationR90%RonRroomRair,RrespiratoryRrateR28Rbpm,RproductiveRcough.R-
RCORRECTRANSWERSR-Cardiovascular:RcapillaryRrefillRforRseconds,RbloodRpressureR145/89.
Neurological:Ranxious,Rrestless.
Respiratory:RoxygenRsaturationR90%RonRroomRair,RrespiratoryRrateR28Rbpm.
NGN:RTheRclientRisRaR49-year-
oldRmaleRwhoRreportsRfluRlikeRsymptomsRincludingRfeverRandRchestRcongestionRforRfourRdays.RHeRc
ameRtoRtheRemergencyRdepartmentRlastRnightRwhenRheRwasRhavingRmoreRdifficultyRbreathingRheRh
asRaRhistoryRofR1/2RpackRaRdayRcigaretteRsmokingRforR20Ryears.RHeRhasRnoRsignificantRmedicalRorRsur
gicalRhistory.R
TheRnurseRshouldRplaceRtheRclientRinRaR_______________RpositionRtoRpromoteR_____________.R-
RCORRECTRANSWERSR-Semi-FowlerR,RlungRexpansion.
NGN:ROrders:R0330:RplaceRtheRclientRonRaRcardioRrespiratoryRmonitor,RNPO,RsputumRculture,RstartR
aRPIV,RstartRoxygenR3LRviaRnasalRcannula,RnormalRsalineR150RMLRperRhour,RacetaminophenR350mgR
POReveryRsixRhoursRforRtempRgreaterRthanR101F,RchestRx-ray.
0500:ROxygenR8LviaRsimpleRfacemask,RtitrateRtoRkeepRoxygenRsaturationRgreaterRthanR94%.
(markRwhetherRtheRstatementsRbyRtheRnewRgradRnurseRindicateRunderstandingRorRnoRunderstandi
ngRofRtheRuseRofRfacemaskRinRtheRcareRofRthisRclient)
QUESTIONS AND ANSWERS GRADED A+ ASSURED
SUCCESS
WhenRpreparingRtoRadministerRaRprescribedRmedicationRtoRaRhomelessRclientRatRaRcommunityRpsy
chiatricRclinic.RTheRclientRtellsRtheRnurseRthatRtheRusualRdosageRtakenRisRdifferentRfromRtheRdoseRth
eRnurseRisRgiving.RWhichRactionRshouldRtheRnurseRtake?R
A)RInformRtheRclientRthatRheRmayRrefuseRtheRmedicationRandRdocumentRwhetherRorRnotRtheRclientR
takesRit.R
B)RWithholdRtheRmedicationRuntilRtheRdosageRcanRbeRconfirmed.R
C)RExplainRtoRtheRclientRthatRtheRdosageRhasRbeenRchanged.R
D)RTellRtheRclientRtoRtakeRtheRmedicationRthenRverifyRtheRdosageRatRtheRnextRhealthcareRteamRmee
ting.R-RCORRECTRANSWERSR-B)RWithholdRtheRmedicationRuntilRtheRdosageRcanRbeRconfirmed.
TheRchargeRnurseRisRmakingRassignmentsRforRoneRpracticalRnurseRandRthreeRregisteredRnursesRwho
RareRcaringRforRneurologicallyRcompromisedRclients.RWhichRclientRwithRwhichRchangeRinRstatusRisRb
estRtoRassignRtoRtheRPN?R
A)RSubduralRhematomaRwhoseRbloodRpressureRchangedRfromR150/80RtoR170/60.
B)RViralRmeningitisRwhoseRtemperatureRchangeRfromR101RSRtoR102F.R
C)RDiabeticRketoRacidosisRwhoRisRGlasgowRcomaRscaleRscoreRchangedRfromR10RtoR7.R
D)RMyxedema,RwhoseRbloodRpressureRchangeRfromR80/50RtoR70/40.R-RCORRECTRANSWERSR-
B)RViralRmeningitisRwhoseRtemperatureRchangeRfromR101RSRtoR102F.
TheRnurseRisRcaringRforRaRclientRwithRpneumoniaRwhoRnowRdevelopsRinitialRsignsRofRsepticRshockRa
ndRmultiRorganRfailure.RTheRhealthcareRproviderRprescribesRaRsepsisRprotocol.RWhichRinterventionR
isRmostRimportantRforRtheRnurseRtoRincludeRinRtheRplanRofRcare?R
,A)RMaintainRstrictRintakeRandRoutput.R
B)RKeepRheadRofRbedRraisedR45°.R
C)RExcessRwarmthRofRextremities.R
D)RMonitorRbloodRglucoseRlevel.R-RCORRECTRANSWERSR-A)RMaintainRstrictRintakeRandRoutput.
AndRadolescentRclientRisRadmittedRtoRtheRhospitalRbecauseRofRwritingRaRsuicideRnoteRtoRaRteacherRa
tRschool.ROnRtheRsecondRdayRofRhospitalization,RtheRnurseRaskedRtheRclientRtoRmeetRwithRtheRtreat
mentRteam.RAfterRtheRteamRmeeting,RtheRclientRleavesRinRtearsRandRgoesRtoRtheirRroom.RWhichRnur
singRinterventionRisRbest?R
A)RLetRtheRclientRrestRquietlyRinRtheirRroomRforRaRwhile.R
B)RExploreRtheRclientsRgoalsRandRdesireRforRtreatment.R
C)RAskRtheRtreatmentRteamRaboutRtheRclientsRbehavior.R
D)RGoRtoRtheRclientsRroomRandRaskRwhatRhappened.R-RCORRECTRANSWERSR-
D)RGoRtoRtheRclientsRroomRandRaskRwhatRhappened.
TheRhealthcareRproviderRprescribesRdalteparinR200RunitsRperRkilogramRsubcutaneousRonceRaRdayRf
orRaRclientRwhoRweighsR154Rpounds.RTheRmedicationRisRavailableRandR25,000RunitsRperRmilliliterRvi
al.RHowRmanyRmillilitersRshouldRtheRnurseRadminister?R(EnterRnumericalRvalueRonly.RIfRroundingRisR
required,RroundRtoRtheRnearestR10th.)R-RCORRECTRANSWERSR-0.6
NGN:RTheRclientRisRaR49-year-
oldRmaleRwhoRreportsRfluRlikeRsymptomsRincludingRfeverRandRchestRcongestionRforRfourRdays.RHeRc
ameRtoRtheRemergencyRdepartmentRlastRnightRwhenRheRwasRhavingRmoreRdifficultyRbreathingRheRh
asRaRhistoryRofR1/2RpackRaRdayRcigaretteRsmokingRforR20Ryears.RHeRhasRnoRsignificantRmedicalRorRsur
gicalRhistory.R
WhichRtwoRordersRshouldRtheRnurseRcompleteRfirst?R
,A)RSputumRculture.R
B)RStartRoxygenR3RLRperRminuteRviaRnasalRcannula.R
C)RPlaceRtheRclientRonRaRcardioRrespiratoryRmonitor.R
D)RChestRx-ray.R
E)RAcetominophenR350RmgRPOReveryRsixRhoursRforRtemperatureRcontrol.R
F)RRunR0.9%RsodiumRchlorideRIVRinfusionRatR150RmLRperRhour.R
G)RStartRperipheralRIV.R
H)RNPO.R-RCORRECTRANSWERSR-B)RStartRoxygenR3RLRperRminuteRviaRnasalRcannula.R
C)RPlaceRtheRclientRonRaRcardioRrespiratoryRmonitor.
NGN:R0330:RplaceRtheRclientRonRaRcardioRrespiratoryRmonitor,RNPO,RsputumRculture,RstartRaRperiph
eralRIVRinfusion,RstartRoxygenR3RLRperRminuteRviaRnasalRcannula,RbeginR0.9%RsodiumRchlorideRIVRinf
usionRatR150RmLRperRhour,RacetaminophenR350RmgRPOReveryRsixRhoursRforRtemperature.
ToRstartRtheRclientRonRoxygenRasRorderedRwhichRitemsRshouldRtheRnurseRcollectsRfromRtheRsupplyRr
oom?RSATAR
A)RhumidifierRbottle.R
B)SuctionRcanister.R
C)SterileRwater.R
D)RNasalRcannula.R
E)RFlowRmeter.R
F)RLambsRwool.R
G)RTape.R-RCORRECTRANSWERSR-D)RNasalRcannula.R
E)RFlowRmeter.
NGN:Rstates,RIRamRfeelingRextremelyRanxiousRrightRnow.RTheRclientRhasRdecreasedRbreathRsoundsRi
nRtheRleftRlowerRlow.RHisRmucusRmembranesRareRdry.RHeRhasRaRproductiveRcoughRwithRthick,Ryello
wRsecretions.RHisRcapillaryRrefillRisRfourRseconds.RVitalRsigns,RtemperatureR100.2.RHeartRrateR101Rb
, pm,RrespiratoryRrateR28RbreathsRperRminute,RbloodRpressureR145/89,RoxygenRsaturationR90%RonRr
oomRair.
(forReachRbodyRsystemRclickRtoRspecifyRtheRassessmentRfindingsRthatRindicatesRhypoxia)
Cardiovascular:RheartRrateR100Rbpm,RcapillaryRrefillRforRseconds,RbloodRpressureR145/89.
Neurological:Ranxious,RawakeRandRalert,Rrestless.
Respiratory:RoxygenRsaturationR90%RonRroomRair,RrespiratoryRrateR28Rbpm,RproductiveRcough.R-
RCORRECTRANSWERSR-Cardiovascular:RcapillaryRrefillRforRseconds,RbloodRpressureR145/89.
Neurological:Ranxious,Rrestless.
Respiratory:RoxygenRsaturationR90%RonRroomRair,RrespiratoryRrateR28Rbpm.
NGN:RTheRclientRisRaR49-year-
oldRmaleRwhoRreportsRfluRlikeRsymptomsRincludingRfeverRandRchestRcongestionRforRfourRdays.RHeRc
ameRtoRtheRemergencyRdepartmentRlastRnightRwhenRheRwasRhavingRmoreRdifficultyRbreathingRheRh
asRaRhistoryRofR1/2RpackRaRdayRcigaretteRsmokingRforR20Ryears.RHeRhasRnoRsignificantRmedicalRorRsur
gicalRhistory.R
TheRnurseRshouldRplaceRtheRclientRinRaR_______________RpositionRtoRpromoteR_____________.R-
RCORRECTRANSWERSR-Semi-FowlerR,RlungRexpansion.
NGN:ROrders:R0330:RplaceRtheRclientRonRaRcardioRrespiratoryRmonitor,RNPO,RsputumRculture,RstartR
aRPIV,RstartRoxygenR3LRviaRnasalRcannula,RnormalRsalineR150RMLRperRhour,RacetaminophenR350mgR
POReveryRsixRhoursRforRtempRgreaterRthanR101F,RchestRx-ray.
0500:ROxygenR8LviaRsimpleRfacemask,RtitrateRtoRkeepRoxygenRsaturationRgreaterRthanR94%.
(markRwhetherRtheRstatementsRbyRtheRnewRgradRnurseRindicateRunderstandingRorRnoRunderstandi
ngRofRtheRuseRofRfacemaskRinRtheRcareRofRthisRclient)
