HESI RN EXIT V2 EXAM 2026/2027 | 150 HIGH-
YIELD QUESTIONS & VERIFIED ANSWERS |
LATEST TEST PREP | RECENT & MOST
TESTED TOPICS | A+ PREPARATION
The nurse assumes care of a postoperative adult client with type 2 diabetes mellitus and
learns that the client has a current blood glucose level of 720 mg/dL. When assessing the
client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate - correct answer-A. Assess for signs of fluid volume deficit
An older woman with history of atrial fibrillation fell at home and fractured her left hip.
She is currently taking warfarin 5 mg daily and has an international normalized ratio (INR)
value of 5.0. Upon admission, which prescription should the nurse expect to implement?
A. Administer Vitamin K injection
B. Start continuous heparin infusion
C. Continue warfarin at same dose
D. Transfuse unit of packed red blood cells - correct answer-A. Administer Vitamin K injection
A 12-year-old client who had an appendectomy two days ago is receiving 0.9% normal saline
at 50mL/hr. The client's urine specific gravity is 1.035. Which action should the nurse
implement?
A. Assess bowel sounds in all quadrants
B. Encourage popsicles and fluids of choice
C. Evaluate postural blood pressure measurements
D. Obtain a specimen for urinalysis - correct answer-B. Encourage popsicles and fluids of choice
Which instruction should the nurse provide to a client who is preparing to have a
cystoscopy?
,A. Report any allergies to shellfish or iodine
B. Report any painful urination, blood in urine, or fever
C. Lay prone for 24 hours after the procedure
D. Avoid strenuous activity and sports for at least 2 weeks - correct answer-B. Report any painful
urination, blood in urine, or fever
What statement by a client who is 24 hours post-subtotal thyroidectomy requires an
immediate investigation by the nurse?
A. "When I get out of bed quickly, I feel a little dizzy."
B. "The dressing over my incision feels like it is too tight
C. "I'm most comfortable when the head of the bed is raised"
D. "This IV infusion makes me urinate more often than usual" - correct answer-A. "When I get out of
bed quickly, I feel a little dizzy."
An older adult male who is in his early 70s admitted to the emergency department because
of a COPD exacerbation. The client is struggling to breath and the healthcare team is
preparing for endotracheal intubation. The spouse's wife, who is 30 years younger than the
client, asks the nurse to stop the procedure and provides the nurse a copy of the client's
living will. Which action should the nurse take?
A. Facilitate a family meeting with the palliative care team
B. Notify the healthcare provider of the client's wishes
C. Place a certified copy of the living will in the client's record
D. Alert the nursing staff of the client's do not resuscitate status - correct answer-B. Notify the
healthcare provider of the client's wishes
While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's
lips and nares are dry and cracked. Which intervention should the nurse implement?
A. Use a topical lidocaine analgesic for cracked lips
B. Use a water soluble lubricant on affected oral and nasal mucosa
C. Ask the mother what she usually uses on the child's lips and nose
D. Apply a petroleum jelly to the child's lips and nose - correct answer-B. Use a water soluble
lubricant on affected oral and nasal mucosa
,An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client
who's prescribed activity is bedrest with bedside commode use. The UAP reports to the
nurse that the client is so obese that the UAP feels unable to safely assist the client in
transferring from the bed to the bedside commode. How should the nurse respond?
A. Determine the client's level of mobility and need for assistance
B. Instruct the UAP that all clients deserve equal care
C. Advise the client to maintain bedrest so that safety can be ensured
D. Assign another UAP to care for the client - correct answer-A. Determine the client's level of
mobility and need for assistance
Which information is most important for the nurse to obtain when determining a client's
risk for obstructive sleep apnea syndrome (OSAS)?
A. Body mass index
B. Breath sounds
C. Self-description of pain
D. Level of consciousness - correct answer-A. Body mass index
The nurse is caring for a client who is entering the second stage of labor. Which action
should the nurse implement first?
A. Prepare the client for spinal anesthesia
B. Empty the client's bladder using a straight catheter
C. Convey to the client that birth is imminent
D. Prepare the coach to accompany the client to delivery - correct answer-C. Convey to the client
that birth is imminent
A nurse determines that more than 25% of the students at a middle school are overweight. The
nurse presents the information at a parent-teacher meeting. What action is most important for the
nurse to include in the meeting?
A. Provide information on ways to increase activity for the family
B. Have several teachers talk about health risks associated with obesity
C. Distribute a shopping list of suggested healthy snack ideas
, D. Determine the parents' degree of concern - correct answer-A. Provide information on ways to
increase activity for the family
The nurse is assigning rooms for four clients, each newly diagnosed, and being admitted to the acute
neuro unit for treatment. The client with which condition should be assigned the only private room
available?
A. Bacterial meningitis
B. Viral encephalitis
C. Septic shock
D. Brain abscess - correct answer-A. Bacterial meningitis
A male client on the psychiatric unit is making sexual advances towards a female nurse. Which action
should this nurse implement first?
A. Document as specifically as possible the client's behavior in the nurse's notes
B. Discuss with the client why he is making sexual advances toward the nurse
C. Tell the client in a matter-of-fact manner to stop the sexual advances
D. Request an immediate team meeting to discuss the inappropriate behavior - correct answer-C.
Tell the client in a matter-of-fact manner to stop the sexual advances
A male client tells the nurse that he is concerned that he may have a stomach ulcer, because he is
experiencing heartburn and dull gnawing pain that is relieved when he eats. Which is the best
response by the nurse?
A. Encourage the client to obtain a complete physical exam, since these symptoms are consistent
with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since ulcer pain is not relieved with
food
C. Instruct the client that these mild symptoms can generally be controlled with changes in his diet
D. Advise the client that he needs to seek immediate medical evaluation and treatment of these
symptoms - correct answer-A. Encourage the client to obtain a complete physical exam, since
these symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following a total gastrectomy. He has a
nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hr IV. One hour after
admission to the unit, the nurse notes 300mL of blood in the suction canister, the client's heart rate
YIELD QUESTIONS & VERIFIED ANSWERS |
LATEST TEST PREP | RECENT & MOST
TESTED TOPICS | A+ PREPARATION
The nurse assumes care of a postoperative adult client with type 2 diabetes mellitus and
learns that the client has a current blood glucose level of 720 mg/dL. When assessing the
client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate - correct answer-A. Assess for signs of fluid volume deficit
An older woman with history of atrial fibrillation fell at home and fractured her left hip.
She is currently taking warfarin 5 mg daily and has an international normalized ratio (INR)
value of 5.0. Upon admission, which prescription should the nurse expect to implement?
A. Administer Vitamin K injection
B. Start continuous heparin infusion
C. Continue warfarin at same dose
D. Transfuse unit of packed red blood cells - correct answer-A. Administer Vitamin K injection
A 12-year-old client who had an appendectomy two days ago is receiving 0.9% normal saline
at 50mL/hr. The client's urine specific gravity is 1.035. Which action should the nurse
implement?
A. Assess bowel sounds in all quadrants
B. Encourage popsicles and fluids of choice
C. Evaluate postural blood pressure measurements
D. Obtain a specimen for urinalysis - correct answer-B. Encourage popsicles and fluids of choice
Which instruction should the nurse provide to a client who is preparing to have a
cystoscopy?
,A. Report any allergies to shellfish or iodine
B. Report any painful urination, blood in urine, or fever
C. Lay prone for 24 hours after the procedure
D. Avoid strenuous activity and sports for at least 2 weeks - correct answer-B. Report any painful
urination, blood in urine, or fever
What statement by a client who is 24 hours post-subtotal thyroidectomy requires an
immediate investigation by the nurse?
A. "When I get out of bed quickly, I feel a little dizzy."
B. "The dressing over my incision feels like it is too tight
C. "I'm most comfortable when the head of the bed is raised"
D. "This IV infusion makes me urinate more often than usual" - correct answer-A. "When I get out of
bed quickly, I feel a little dizzy."
An older adult male who is in his early 70s admitted to the emergency department because
of a COPD exacerbation. The client is struggling to breath and the healthcare team is
preparing for endotracheal intubation. The spouse's wife, who is 30 years younger than the
client, asks the nurse to stop the procedure and provides the nurse a copy of the client's
living will. Which action should the nurse take?
A. Facilitate a family meeting with the palliative care team
B. Notify the healthcare provider of the client's wishes
C. Place a certified copy of the living will in the client's record
D. Alert the nursing staff of the client's do not resuscitate status - correct answer-B. Notify the
healthcare provider of the client's wishes
While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's
lips and nares are dry and cracked. Which intervention should the nurse implement?
A. Use a topical lidocaine analgesic for cracked lips
B. Use a water soluble lubricant on affected oral and nasal mucosa
C. Ask the mother what she usually uses on the child's lips and nose
D. Apply a petroleum jelly to the child's lips and nose - correct answer-B. Use a water soluble
lubricant on affected oral and nasal mucosa
,An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client
who's prescribed activity is bedrest with bedside commode use. The UAP reports to the
nurse that the client is so obese that the UAP feels unable to safely assist the client in
transferring from the bed to the bedside commode. How should the nurse respond?
A. Determine the client's level of mobility and need for assistance
B. Instruct the UAP that all clients deserve equal care
C. Advise the client to maintain bedrest so that safety can be ensured
D. Assign another UAP to care for the client - correct answer-A. Determine the client's level of
mobility and need for assistance
Which information is most important for the nurse to obtain when determining a client's
risk for obstructive sleep apnea syndrome (OSAS)?
A. Body mass index
B. Breath sounds
C. Self-description of pain
D. Level of consciousness - correct answer-A. Body mass index
The nurse is caring for a client who is entering the second stage of labor. Which action
should the nurse implement first?
A. Prepare the client for spinal anesthesia
B. Empty the client's bladder using a straight catheter
C. Convey to the client that birth is imminent
D. Prepare the coach to accompany the client to delivery - correct answer-C. Convey to the client
that birth is imminent
A nurse determines that more than 25% of the students at a middle school are overweight. The
nurse presents the information at a parent-teacher meeting. What action is most important for the
nurse to include in the meeting?
A. Provide information on ways to increase activity for the family
B. Have several teachers talk about health risks associated with obesity
C. Distribute a shopping list of suggested healthy snack ideas
, D. Determine the parents' degree of concern - correct answer-A. Provide information on ways to
increase activity for the family
The nurse is assigning rooms for four clients, each newly diagnosed, and being admitted to the acute
neuro unit for treatment. The client with which condition should be assigned the only private room
available?
A. Bacterial meningitis
B. Viral encephalitis
C. Septic shock
D. Brain abscess - correct answer-A. Bacterial meningitis
A male client on the psychiatric unit is making sexual advances towards a female nurse. Which action
should this nurse implement first?
A. Document as specifically as possible the client's behavior in the nurse's notes
B. Discuss with the client why he is making sexual advances toward the nurse
C. Tell the client in a matter-of-fact manner to stop the sexual advances
D. Request an immediate team meeting to discuss the inappropriate behavior - correct answer-C.
Tell the client in a matter-of-fact manner to stop the sexual advances
A male client tells the nurse that he is concerned that he may have a stomach ulcer, because he is
experiencing heartburn and dull gnawing pain that is relieved when he eats. Which is the best
response by the nurse?
A. Encourage the client to obtain a complete physical exam, since these symptoms are consistent
with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since ulcer pain is not relieved with
food
C. Instruct the client that these mild symptoms can generally be controlled with changes in his diet
D. Advise the client that he needs to seek immediate medical evaluation and treatment of these
symptoms - correct answer-A. Encourage the client to obtain a complete physical exam, since
these symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following a total gastrectomy. He has a
nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hr IV. One hour after
admission to the unit, the nurse notes 300mL of blood in the suction canister, the client's heart rate
