HESI EXIT RN NEXT GENERATION EXAM 2026/2027
SUMMER-FALL QUESTIONS AND CORRECT
ANSWERS GRADED A+LATEST
While caring for a client's postoperative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the healthcare provider, the
nurse should review which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level
B. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following successful
resuscitation from a near-drowning incident. While providing care to the child, the
nurse begins talking with his preadolescent brother who rescued the child from the
swimming pool and initiated resuscitation. The nurse notices the older boy
becomes withdrawn when asked about what happened. Which action should the
nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions
B. Ask the older brother how he felt during the incident
,A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has
been soaking in hot baths at night with no relief of his discomfort. Which action
should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for symptom
relief
C. Suggest that the client take brief showers and apply oil-based lotion after
showering
D. Explain that the symptoms are caused by liver damage and cannot be relieved
A. Encourage the client to use cooler water and apply calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD), hypertension
(HTN), and heart failure (HF) arrives in the Emergency Department (ED) in
respiratory distress. The healthcare provider prescribes furosemide IV. Which
therapeutic response to furosemide should the nurse expected in the client with
acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload
B. Reduced preload
Which intervention should the nurse include in the plan of care for a child with
tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
,C. Reposition from side to side every hour
D. Open window shades to provide natural light
B. Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is
admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most
likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch
C. Had a cold and ear infection for the past two days
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs
of impending death. After notifying the family of the client's status, what priority
action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status
C. The client's need for pain medication should be determined
Which self care measure is most important for the nurse to include in the plan of
care of a client recently diagnosed with type 2 diabetes mellitus?
, A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan
B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During
the assessment, the nurse observes that both breasts are swollen, warm, and tender
on palpation. Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
A. Apply ice to the breasts for comfort
The nurse is completing the admission assessment of a 3-year old who is admitted
with bacterial meningitis and hydrocephalus. Which assessment finding is
evidence that the child is experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
B. Sluggish and unequal pupillary responses
SUMMER-FALL QUESTIONS AND CORRECT
ANSWERS GRADED A+LATEST
While caring for a client's postoperative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the healthcare provider, the
nurse should review which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level
B. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following successful
resuscitation from a near-drowning incident. While providing care to the child, the
nurse begins talking with his preadolescent brother who rescued the child from the
swimming pool and initiated resuscitation. The nurse notices the older boy
becomes withdrawn when asked about what happened. Which action should the
nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions
B. Ask the older brother how he felt during the incident
,A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has
been soaking in hot baths at night with no relief of his discomfort. Which action
should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for symptom
relief
C. Suggest that the client take brief showers and apply oil-based lotion after
showering
D. Explain that the symptoms are caused by liver damage and cannot be relieved
A. Encourage the client to use cooler water and apply calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD), hypertension
(HTN), and heart failure (HF) arrives in the Emergency Department (ED) in
respiratory distress. The healthcare provider prescribes furosemide IV. Which
therapeutic response to furosemide should the nurse expected in the client with
acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload
B. Reduced preload
Which intervention should the nurse include in the plan of care for a child with
tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
,C. Reposition from side to side every hour
D. Open window shades to provide natural light
B. Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is
admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most
likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch
C. Had a cold and ear infection for the past two days
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs
of impending death. After notifying the family of the client's status, what priority
action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status
C. The client's need for pain medication should be determined
Which self care measure is most important for the nurse to include in the plan of
care of a client recently diagnosed with type 2 diabetes mellitus?
, A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan
B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During
the assessment, the nurse observes that both breasts are swollen, warm, and tender
on palpation. Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
A. Apply ice to the breasts for comfort
The nurse is completing the admission assessment of a 3-year old who is admitted
with bacterial meningitis and hydrocephalus. Which assessment finding is
evidence that the child is experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
B. Sluggish and unequal pupillary responses
