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HESI Exit Final Exam (2026) – Assessed Questions and Answers Review

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This document contains assessed questions and answers for the HESI Exit Final Exam (2026), focusing on comprehensive nursing concepts and clinical readiness. It covers key topics such as patient care management, pharmacology, medical-surgical nursing, maternal-child health, and prioritization strategies. The material is structured to reinforce critical knowledge, improve clinical judgment, and support successful exam performance.

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ASSESSED HESI EXIT FINAL
EXAM QUESTIONS AND
ANSWERS 2026
181. In assessing a client twelve hours following transurethral resection of the prostate (TURP), the
nurse observes that the urinary drainage tubing contains a large amount of clear pale pink urine and the
continuous bladder irrigation is infusing slowly. What action should the nurse implement? - CORRECT
ANSWER -Ensure that no dependent loops are present in the tubing.



182. The healthcare provider prescribes the antibiotic Cefdinir (cephalosporin) 300mg PO every 12 h
for a client with postoperative wound infections. Which feeds should the nurse encourage this client to
eat?
- CORRECT ANSWER -Yogurt and/or buttermilk.



183. The charge nurse is making assignment on a psychiatric unit for a practical nurse (PN) and newly
license register nurse (RN). Which client should be assigned to the RN? - CORRECT ANSWER -A young
male with schizophrenia who said voices is telling him to kill his psychiatric.



184. A client at 30 week gestation is admitted due to preterm labor. A prescription of terbutaline
sulfate 8.35 mg is gives subcutaneously. Based on which finding should the nurse withhold the next dose
of this drug? - CORRECT ANSWER -Maternal pulse rate of 162 beats per min



185. In assessing an older female client with complication associated with chronic obstructive
pulmonary disease (COPD), the nurse notices a change in the client's appearance. Her face appears
tense and she begs the nurse not to leave her alone. Her pulse rate is 100, and respirations are 26 per
min. What is the primary nursing diagnosis? - CORRECT ANSWER -Anxiety related to fear of suffocation.



186. A client with a cervical spinal cord injury (SCI) has Crutchfield tongs and skeletal traction applied
as a method of closed reduction. Which intervention is most important for the nurse to include in the

, client's ma mplan mof mcare? m- mCORRECT mANSWER m-Provide mdaily mcare mof mtong minsertion msites musing
msaline mand mantibiotic mointment m


m



187. A mclient marrives mon mthe msurgical mfloor mafter mmajor mabdominal msurgery. mWhat mintervention
mshould mthe mnurse mperform mfirst? m- mCORRECT mANSWER m-Determine mthe mclient's mvital msign. m


m



188. A mclient mis madmitted mto mthe memergency mdepartment mwith ma mrespiratory mrate mof m34 mbreaths
mper mminute mand mhigh mpitched mwheezing mon minspiration mand mexpiration, mthe mmedical mdiagnosis mis

msevere mexacerbation mof masthma. mWhich massessment mfinding, mobtained m10 mmin mafter mthe madmission


massessment, mshould mthe mnurse mreport mimmediately mto mthe memergency mdepartment mhealthcare


mprovider? m- mCORRECT mANSWER m-No mwheezing mupon mauscultation mof mthe mchest. m


m



189. The mnurse mis mplanning ma mclass mfor ma mgroup mof mclients mwith mdiabetes mmellitus mabout mblood
mglucose mmonitoring. mIn mteaching mthe mclass mas ma mwhole, mthe mnurse mshould memphasize mthe mneed mto


mcheck mglucose mlevels min mwhich msituation? m- mCORRECT mANSWER m-During macute millness m


m



190. A m350-bed macute mcare mhospital mdeclares man minternal mdisaster mbecause mthe memergency
mgenerators mmalfunctioned mduring ma mcity-wide mpower mfailure. mThe mUAPs mworking mon ma mgeneral


mmedical munit mask mthe mcharge mnurse mwhat mthey mshould mdo mfirst. mWhat minstruction mshould mthe


mcharge mnurse mprovide mto mthese mUAPs? m- mCORRECT mANSWER m-Tell mall mtheir massigned mclients mto mstay

min mtheir mrooms. m


m



191. The mnurse mis mauscultating mis mauscultating ma mclient's mheart msounds. mWhich mdescription mshould
mthe mnurse muse mto mdocument mthis msound? m(Please mlisten mto mthe maudio mfile mto mselect mthe moption


mthat mapplies.) m- mCORRECT mANSWER m-Murmur m


m



192. The mhealthcare mprovider mchanges ma mclient's mmedication mprescription mfrom mIV mto mPO
madministration mand mdouble mthe mdose. mThe mnurse mnotes min mthe mdrug mguide mthat mthe mprescribed

mmedication, mwhen mgiven morally, mhas ma mhigh mfirst-pass meffect mand mreduce mbioavailability. mWhat maction

mshould mthe mnurse mimplement? m- m


CORRECT mANSWER m-Administer mthe mmedication mvia mthe moral mroute mas mprescribed m
m



193. A mclient mrefuses mto mambulate, mreporting mabdominal mdiscomfort mand mbloating mcaused mby m"too
mmuch mgas mbuildup" mthe mclient's mabdomen mis mdistended. mWhich mprescribed mPRN mmedication mshould


mthe mnurse madminister? m- mCORRECT mANSWER m-Simethicone m(Mylicon) m


m

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