HESI 799 RN EXIT RELIABLE EXAM QUESTIONS WITH
ANSWERS 2025/2026 GRADED A+
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
with incontinence. Which action should the nurse implement
a. Auscultate for renal bruits
b. Obtain a clean catch mid-stream specimen
c. Use a dipstick to measure for urinary ketone
d. Begin to strain the client's urine. - b. Obtain a clean catch mid-stream specimen
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods
that are in keeping with the child's dietary restrictions. Which foods are contraindicated
for this child?
a. Wheat products
b. Foods sweetened with aspartame.
c. High fat foods
d. High calories foods. - b. Foods sweetened with aspartame.
Before preparing a client for the first surgical case of the day, a part-time scrub nurse
asks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for
this client. Which response should the circulating nurse provide?
a. Ask a more experience nurse to perform that scrub since it is the first time of the day
b. Validate the nurse is implementing the OR policy for surgical hand scrub
c. Inform the nurse that hand scrubs should be 3 minutes between cases.
d. Direct the nurse to continue the surgical hand scrub for a 5-minute duration. - d.
Direct the nurse to continue the surgical hand scrub for a 5-minute duration.
Which breakfast selection indicates that the client understands the nurse's instructions
about the dietary management of osteoporosis?
a. Egg whites, toast and coffee.
b. Bran muffin, mixed fruits, and orange juice.
c. Granola and grapefruit juice
d. Bagel with jelly and skim milk. - d. Bagel with jelly and skim milk.
The charge nurse of a critical care unit is informed at the beginning of the shift that less
than the optimal number of registered nurses will be working that shift. In planning
assignments, which client should receive the most care hours by a registered nurse
(RN)
a. A 34-year -old admitted today after an emergency appendendectomy who has a
peripheral intravenous catheter and a Foley catheter.
b. A 48-year-old marathon runner with a central venous catheter who is experiencing
nausea and vomiting due to electrolyte disturbance following a race.
c. A 63-year-old chain smoker admitted with chronic bronchitis who is receiving oxygen
via nasal cannula and has a saline-locked peripheral intravenous catheter.
,d. An 82-year-old client with Alzheimer's disease newly-fractures femur who has a Foley
catheter and soft wrist restrains applied - d. An 82-year-old client with Alzheimer's
disease newly-fractures femur who has a Foley catheter and soft wrist restrains applied
A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through the
shoe and pierced the bottom of the child's foot. Which action should the nurse
implement first?
a. Cleanse the foot with soap and water and apply an antibiotic ointment
b. Provide teaching about the need for a tetanus booster within the next 72 hours.
c. have the mother check the child's temperature q4h for the next 24 hours
d. transfer the child to the emergency department to receive a gamma globulin injection
- a. Cleanse the foot with soap and water and apply an antibiotic ointment
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I have
been applying triple antibiotic ointment for two days, but there has been no
improvement." What instruction should the nurse provide?
a. Antibiotics take two weeks to become effective against infections such as athlete's
foot.
b. Continue using the ointment for a full week, even after the symptoms disappear.
c. Applying too much ointment can deter its effectiveness. Apply a thin layer to prevent
maceration.
d. Stop using the ointment and encourage complete drying of the feet and wearing
clean socks. - d. Stop using the ointment and encourage complete drying of the feet and
wearing clean socks.
A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,
and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the
nurse that the prescribed dosage is too high for this client? The client experiences
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Lethargy and lack of appetite
d. Muscle cramping and dry, flushed skin - a. Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with a nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the nurse to assess to
the client?
a. Determine the client's level of orientation and cognition
b. Assess distal pulses and signs of peripheral edema
c. Obtain a list of medications taken for cardiac history.
d. Ask the client about exposure to environmental heat. - c. Obtain a list of medications
taken for cardiac history.
The nurse is auscultating a client's heart sounds. Which description should the nurse
use to document this sound? (Please listen to the audio first to select the option that
applies)
,a. S1 S2
b. S1 S2 S3
c. Murmur
d. Pericardial friction rub. - c. Murmur
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six
hours for four days. What assessment is most important for the nurse to complete?
a. Auscultate the client's bowel sounds
b. Observe for edema around the ankles
c. Measure the client's capillary glucose level
d. Count the apical and radial pulses simultaneously - a. Auscultate the client's bowel
sounds
A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and
has developed diarrhea. The client has a new prescription to change the feeding to half
strength. What intervention should the nurse implement?
a. Add equal amounts of water and feeding to a feeding bag and infuse at 50ml/hour
b. Continue the full strength feeding after decreasing the rate of infusion to 25 ml/hr.
c. Maintain the present feeding until diarrhea subsides and the begin the next new
prescription.
d. Withhold any further feeding until clarifying the prescription with healthcare provides.
- a. Add equal amounts of water and feeding to a feeding bag and infuse at 50ml/hour
A female client reports that her hair is becoming coarse and breaking off, that the outer
part of her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up
question is best for the nurse to ask?
a. "Is there a history of female baldness in your family?"
b. "Are you under any unusual stress at home or work?"
c. "Do you work with hazardous chemicals?"
d. "Have you noticed any changes in your fingernails?" - d. "Have you noticed any
changes in your fingernails?"
After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites
and malnutrition. The client is drowsy but responding to verbal stimuli and reports
recently spitting up blood. What assessment finding warrants immediate intervention by
the nurse?
a. Bruises on arms and legs
b. Round and tight abdomen
c. Pitting edema in lower legs
d. Capillary refill of 8 seconds - d. Capillary refill of 8 seconds
Following surgery, a male client with antisocial personality disorder frequently requests
that a specific nurse be assigned to his care and is belligerent when another nurse is
assigned. What action should the charge nurse implement?
a. Ask the client to explain why he constantly request the nurse
, b. Encourage the client to verbalize his feelings about the nurse
c. Reassure the client that his request will be met whenever possible.
d. Advise the client that assignments are not based on client requests - d. Advise the
client that assignments are not based on client requests
A client with cervical cancer is hospitalized for insertion of a sealed internal cervical
radiation implant. While providing care, the nurse finds the radiation implant in the bed.
What action should the nurse take?
a. Call the radiology department
b. Reinsert the implant into the vagina
c. Apply double gloves to retrieve the implant for disposal.
d. Place the implant in a lead container using long-handled forceps - d. Place the
implant in a lead container using long-handled forceps
The client with which type of wound is most likely to need immediate intervention by the
nurse?
a. Laceration
b. Abrasion
c. Contusion
d. Ulceration - a. Laceration
The nurse is planning care for a client admitted with a diagnosis of pheochromocytoma.
Which intervention has the highest priority for inclusion in this client's plan of care?
a. Record urine output every hour
b. Monitor blood pressure frequently
c. Evaluate neurological status
d. Maintain seizure precautions - b. Monitor blood pressure frequently
When caring for a client who has acute respiratory distress syndrome (ARDS), the
nurse elevates the head of the bed 30 degrees. What is the reason for this intervention?
a. To reduce abdominal pressure on the diaphragm
b. to promote retraction of the intercostal accessory muscle of respiration
c. to promote bronchodilation and effective airway clearance
d. to decrease pressure on the medullary center which stimulates breathing - a. To
reduce abdominal pressure on the diaphragm
When assessing a mildly obese 35-year-old female client, the nurse is unable to locate
the gallbladder when palpating below the liver margin at the lateral border of the rectus
abdominal muscle. What is the most likely explanation for failure to locate the
gallbladder by palpation?
a. The client is too obese
b. Palpating in the wrong abdominal quadrant
c. The gallbladder is normal
d. Deeper palpation technique is needed - c. The gallbladder is normal
ANSWERS 2025/2026 GRADED A+
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
with incontinence. Which action should the nurse implement
a. Auscultate for renal bruits
b. Obtain a clean catch mid-stream specimen
c. Use a dipstick to measure for urinary ketone
d. Begin to strain the client's urine. - b. Obtain a clean catch mid-stream specimen
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods
that are in keeping with the child's dietary restrictions. Which foods are contraindicated
for this child?
a. Wheat products
b. Foods sweetened with aspartame.
c. High fat foods
d. High calories foods. - b. Foods sweetened with aspartame.
Before preparing a client for the first surgical case of the day, a part-time scrub nurse
asks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for
this client. Which response should the circulating nurse provide?
a. Ask a more experience nurse to perform that scrub since it is the first time of the day
b. Validate the nurse is implementing the OR policy for surgical hand scrub
c. Inform the nurse that hand scrubs should be 3 minutes between cases.
d. Direct the nurse to continue the surgical hand scrub for a 5-minute duration. - d.
Direct the nurse to continue the surgical hand scrub for a 5-minute duration.
Which breakfast selection indicates that the client understands the nurse's instructions
about the dietary management of osteoporosis?
a. Egg whites, toast and coffee.
b. Bran muffin, mixed fruits, and orange juice.
c. Granola and grapefruit juice
d. Bagel with jelly and skim milk. - d. Bagel with jelly and skim milk.
The charge nurse of a critical care unit is informed at the beginning of the shift that less
than the optimal number of registered nurses will be working that shift. In planning
assignments, which client should receive the most care hours by a registered nurse
(RN)
a. A 34-year -old admitted today after an emergency appendendectomy who has a
peripheral intravenous catheter and a Foley catheter.
b. A 48-year-old marathon runner with a central venous catheter who is experiencing
nausea and vomiting due to electrolyte disturbance following a race.
c. A 63-year-old chain smoker admitted with chronic bronchitis who is receiving oxygen
via nasal cannula and has a saline-locked peripheral intravenous catheter.
,d. An 82-year-old client with Alzheimer's disease newly-fractures femur who has a Foley
catheter and soft wrist restrains applied - d. An 82-year-old client with Alzheimer's
disease newly-fractures femur who has a Foley catheter and soft wrist restrains applied
A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through the
shoe and pierced the bottom of the child's foot. Which action should the nurse
implement first?
a. Cleanse the foot with soap and water and apply an antibiotic ointment
b. Provide teaching about the need for a tetanus booster within the next 72 hours.
c. have the mother check the child's temperature q4h for the next 24 hours
d. transfer the child to the emergency department to receive a gamma globulin injection
- a. Cleanse the foot with soap and water and apply an antibiotic ointment
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I have
been applying triple antibiotic ointment for two days, but there has been no
improvement." What instruction should the nurse provide?
a. Antibiotics take two weeks to become effective against infections such as athlete's
foot.
b. Continue using the ointment for a full week, even after the symptoms disappear.
c. Applying too much ointment can deter its effectiveness. Apply a thin layer to prevent
maceration.
d. Stop using the ointment and encourage complete drying of the feet and wearing
clean socks. - d. Stop using the ointment and encourage complete drying of the feet and
wearing clean socks.
A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,
and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the
nurse that the prescribed dosage is too high for this client? The client experiences
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Lethargy and lack of appetite
d. Muscle cramping and dry, flushed skin - a. Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with a nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the nurse to assess to
the client?
a. Determine the client's level of orientation and cognition
b. Assess distal pulses and signs of peripheral edema
c. Obtain a list of medications taken for cardiac history.
d. Ask the client about exposure to environmental heat. - c. Obtain a list of medications
taken for cardiac history.
The nurse is auscultating a client's heart sounds. Which description should the nurse
use to document this sound? (Please listen to the audio first to select the option that
applies)
,a. S1 S2
b. S1 S2 S3
c. Murmur
d. Pericardial friction rub. - c. Murmur
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six
hours for four days. What assessment is most important for the nurse to complete?
a. Auscultate the client's bowel sounds
b. Observe for edema around the ankles
c. Measure the client's capillary glucose level
d. Count the apical and radial pulses simultaneously - a. Auscultate the client's bowel
sounds
A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and
has developed diarrhea. The client has a new prescription to change the feeding to half
strength. What intervention should the nurse implement?
a. Add equal amounts of water and feeding to a feeding bag and infuse at 50ml/hour
b. Continue the full strength feeding after decreasing the rate of infusion to 25 ml/hr.
c. Maintain the present feeding until diarrhea subsides and the begin the next new
prescription.
d. Withhold any further feeding until clarifying the prescription with healthcare provides.
- a. Add equal amounts of water and feeding to a feeding bag and infuse at 50ml/hour
A female client reports that her hair is becoming coarse and breaking off, that the outer
part of her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up
question is best for the nurse to ask?
a. "Is there a history of female baldness in your family?"
b. "Are you under any unusual stress at home or work?"
c. "Do you work with hazardous chemicals?"
d. "Have you noticed any changes in your fingernails?" - d. "Have you noticed any
changes in your fingernails?"
After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites
and malnutrition. The client is drowsy but responding to verbal stimuli and reports
recently spitting up blood. What assessment finding warrants immediate intervention by
the nurse?
a. Bruises on arms and legs
b. Round and tight abdomen
c. Pitting edema in lower legs
d. Capillary refill of 8 seconds - d. Capillary refill of 8 seconds
Following surgery, a male client with antisocial personality disorder frequently requests
that a specific nurse be assigned to his care and is belligerent when another nurse is
assigned. What action should the charge nurse implement?
a. Ask the client to explain why he constantly request the nurse
, b. Encourage the client to verbalize his feelings about the nurse
c. Reassure the client that his request will be met whenever possible.
d. Advise the client that assignments are not based on client requests - d. Advise the
client that assignments are not based on client requests
A client with cervical cancer is hospitalized for insertion of a sealed internal cervical
radiation implant. While providing care, the nurse finds the radiation implant in the bed.
What action should the nurse take?
a. Call the radiology department
b. Reinsert the implant into the vagina
c. Apply double gloves to retrieve the implant for disposal.
d. Place the implant in a lead container using long-handled forceps - d. Place the
implant in a lead container using long-handled forceps
The client with which type of wound is most likely to need immediate intervention by the
nurse?
a. Laceration
b. Abrasion
c. Contusion
d. Ulceration - a. Laceration
The nurse is planning care for a client admitted with a diagnosis of pheochromocytoma.
Which intervention has the highest priority for inclusion in this client's plan of care?
a. Record urine output every hour
b. Monitor blood pressure frequently
c. Evaluate neurological status
d. Maintain seizure precautions - b. Monitor blood pressure frequently
When caring for a client who has acute respiratory distress syndrome (ARDS), the
nurse elevates the head of the bed 30 degrees. What is the reason for this intervention?
a. To reduce abdominal pressure on the diaphragm
b. to promote retraction of the intercostal accessory muscle of respiration
c. to promote bronchodilation and effective airway clearance
d. to decrease pressure on the medullary center which stimulates breathing - a. To
reduce abdominal pressure on the diaphragm
When assessing a mildly obese 35-year-old female client, the nurse is unable to locate
the gallbladder when palpating below the liver margin at the lateral border of the rectus
abdominal muscle. What is the most likely explanation for failure to locate the
gallbladder by palpation?
a. The client is too obese
b. Palpating in the wrong abdominal quadrant
c. The gallbladder is normal
d. Deeper palpation technique is needed - c. The gallbladder is normal
