HESI EXIT RN VERSION 2 SCRIPT 2026
QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET
◉ A well-known public official of a small community is admitted to
the emergency department following an episode of chest pain.
Several nurses from the medical unit are aware of the admission and
access the official's electronic medical record to obtain a status
update. What is the best response for the nurse manager to make to
the nurses regarding this situation?
Answer: "Assessing the official's medical record is a breach of
confidentiality."
◉
Answer: Protect your child from infections because his resistance
toinfection is decreased
◉ The nurse is caring for a client with influenza. The most effective
way to decrease the spread of microorganisms is:
Answer: washing the hands frequently.
,◉ A client with a history of hypertension has been prescribed a new
antihypertensive medication and is reporting dizziness. Which is the
best way for the nurse to assess blood pressure?
Answer: in the supine, sitting, and standing positions
◉ A client has a soft wrist-safety device. Which assessment finding
should the nurse investigate further?
Answer: cool, pale fingers
◉ A nurse is caring for a female client before surgery. The client
states that she is glad that she will not be going through menopause
as a result of her surgery and is only having her uterus removed. The
nurse reviews the consent form and notes that the surgery is for a
total abdominal hysterectomy with a salpingo-oophorectomy. What
should the nurse do in this situation?
Answer: Contact the surgeon to explain that the client needs further
clarification regarding surgery.
◉ A young client diagnosed with schizophrenia is talking with the
nurse and says, "You know, when I thought everyone was out to get
me, I was staying in my apartment all the time. Now, I would like to
get out and do things again." What is the best initial response by the
nurse?
Answer: • "What activities did you enjoy in the past?"
,◉ A client with anemia has been admitted to the medical-surgical
unit.Which assessment findings are characteristic of iron deficiency
anemia?
Answer: • dyspnea, tachycardia, and pallor
◉ The nurse is discontinuing an intravenous catheter on a 10-year-
old client with hemophilia. What would be the most important
intervention for this client?
Answer: • Apply firm pressure on the site for 5 minutes after
removal.
◉ When a client returns from the recovery room postmastectomy,
an initial postoperative assessment is performed by the nurse. What
is the nurse's priority assessment?
Answer: • assessing the vital signs and oxygen saturation levels
◉ A client with an uncomplicated term pregnancy arrives at the
labor- and- delivery unit in early labor saying that she thinks her
water has broken. What is the nurse's best action?
Answer: • Ask what time this happened and note the color, amount,
andodor of the fluid.
◉ When documenting the care of a client, the nurse is aware of the
need to use abbreviations conscientiously and safely. This includes
, Answer: limiting abbreviations to those approved for use by the
institution
◉ During routine prenatal screening, a nurse tells a client that her
blood sample will be used for alpha fetoprotein (AFP) testing. Which
statement best describes what AFP testing indicates?
Answer: "This test will screen for spina bifida, Down syndrome, or
other genetic defects."
◉ A client is recovering from an infected abdominal wound. Which
foods should the nurse encourage the client to eat to support wound
healing and recovery from the infection?
Answer: • chicken and orange slices
◉ A nurse suspects that the laboring client may have been physically
abused by her partner. What is the most appropriate intervention by
the nurse?
Answer: • Collaborate with the interprofessional team to make a
referral to social services.
◉ A client is newly diagnosed with asthma. While learning to use a
metered dose inhaler (MDI) for delivery of a short-term beta
agonist, the client asks if a spacer is appropriate to use with this
device. What is the nurse's best response?
QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET
◉ A well-known public official of a small community is admitted to
the emergency department following an episode of chest pain.
Several nurses from the medical unit are aware of the admission and
access the official's electronic medical record to obtain a status
update. What is the best response for the nurse manager to make to
the nurses regarding this situation?
Answer: "Assessing the official's medical record is a breach of
confidentiality."
◉
Answer: Protect your child from infections because his resistance
toinfection is decreased
◉ The nurse is caring for a client with influenza. The most effective
way to decrease the spread of microorganisms is:
Answer: washing the hands frequently.
,◉ A client with a history of hypertension has been prescribed a new
antihypertensive medication and is reporting dizziness. Which is the
best way for the nurse to assess blood pressure?
Answer: in the supine, sitting, and standing positions
◉ A client has a soft wrist-safety device. Which assessment finding
should the nurse investigate further?
Answer: cool, pale fingers
◉ A nurse is caring for a female client before surgery. The client
states that she is glad that she will not be going through menopause
as a result of her surgery and is only having her uterus removed. The
nurse reviews the consent form and notes that the surgery is for a
total abdominal hysterectomy with a salpingo-oophorectomy. What
should the nurse do in this situation?
Answer: Contact the surgeon to explain that the client needs further
clarification regarding surgery.
◉ A young client diagnosed with schizophrenia is talking with the
nurse and says, "You know, when I thought everyone was out to get
me, I was staying in my apartment all the time. Now, I would like to
get out and do things again." What is the best initial response by the
nurse?
Answer: • "What activities did you enjoy in the past?"
,◉ A client with anemia has been admitted to the medical-surgical
unit.Which assessment findings are characteristic of iron deficiency
anemia?
Answer: • dyspnea, tachycardia, and pallor
◉ The nurse is discontinuing an intravenous catheter on a 10-year-
old client with hemophilia. What would be the most important
intervention for this client?
Answer: • Apply firm pressure on the site for 5 minutes after
removal.
◉ When a client returns from the recovery room postmastectomy,
an initial postoperative assessment is performed by the nurse. What
is the nurse's priority assessment?
Answer: • assessing the vital signs and oxygen saturation levels
◉ A client with an uncomplicated term pregnancy arrives at the
labor- and- delivery unit in early labor saying that she thinks her
water has broken. What is the nurse's best action?
Answer: • Ask what time this happened and note the color, amount,
andodor of the fluid.
◉ When documenting the care of a client, the nurse is aware of the
need to use abbreviations conscientiously and safely. This includes
, Answer: limiting abbreviations to those approved for use by the
institution
◉ During routine prenatal screening, a nurse tells a client that her
blood sample will be used for alpha fetoprotein (AFP) testing. Which
statement best describes what AFP testing indicates?
Answer: "This test will screen for spina bifida, Down syndrome, or
other genetic defects."
◉ A client is recovering from an infected abdominal wound. Which
foods should the nurse encourage the client to eat to support wound
healing and recovery from the infection?
Answer: • chicken and orange slices
◉ A nurse suspects that the laboring client may have been physically
abused by her partner. What is the most appropriate intervention by
the nurse?
Answer: • Collaborate with the interprofessional team to make a
referral to social services.
◉ A client is newly diagnosed with asthma. While learning to use a
metered dose inhaler (MDI) for delivery of a short-term beta
agonist, the client asks if a spacer is appropriate to use with this
device. What is the nurse's best response?
