HESI RN EXIT FINAL EXAM QUESTIONS WITH
VERIFIED ANSWERS GRADED A+ 2025-2026
When assessing a recently delivered, multigravida client, the nurse finds that her vaginal bleeding is
more than expected. Which factor in this client's history is related to this finding?
A. The second stage of labor lasted 10 minutes
B. She received butorphanol 2mg IVP during labor
C. She is over 35 years of age
D. She is a gravida 6, para 5
D. She is a gravida 6, para 5
When assessing an IV site that is used for fluid replacement and medication administration, the client
complains of tenderness when the arm is touched above the site. Which additional assessment finding
warrants immediate intervention by the nurse?
A. Client uses the arm cautiously
B. Red streak tracking the vein
C. A sluggish blood return
D. Spot of dried blood at insertion site
B. Red streaks tracking the vein
An older adult male reporting abdominal pain is admitted to the hospital from a long-term care facility.
It has been 7 days since his last bowel movement, his abdomen is distended, and he just vomited 150mL
of dark brown emesis. In what order should the nurse implement these interventions? (Highest to
lowest priority)
1. Send emesis sample to the lab
2. Elevate the head of the bed
,3. Complete focused assessment
4. Offer PRN pain medication
When taking a health history, which information collected by the nurse correlates most directly to a
diagnosis of chronic peripheral arterial insufficiency?
A. History of intermittent claudication
B. A positive Brodie-Trendelenburg test
C. Ankle ulceration and edema
D. A serum cholesterol level of 250mg/dl (6.47mmol/L)
A. History of intermittent claudication
The nurse is providing discharge teaching to the parents of a 13 month old child who underwent repair
for an atrial septal defect. The healthcare provider prescribes aspirin and an antibiotic for the first 6
months postoperatively to prevent infective endocarditis (IE). What information is most important for
the nurse discuss with the parents about the child's recovery and prevention of IE?
A. Refer the mother to the healthcare provider to discuss infective endocarditis
B. Brush the child's teeth every day and ensure the child receives regular dental follow-up
C. Give the child acetaminophen for pain or fever and visit the surgeon for follow-up
D. Monitor the child for regular bowel movements and urine output that exceeds intake
B. Brush the child's teeth every day and ensure the child receives regular dental follow-up
An unlicensed assistive personnel (UAP) is assigned to ambulate a client with influenza who has droplet
precautions implemented. The UAP requests a change in assignment, stating the reason of having not
been fitted yet for a N95 respirator mask. Which action should the nurse take?
A. send the UAP to be fitted for a particulate filter mask immediately so she can provide care to this
client.
B. Instruct the UAP that a standard face mask is sufficient for the provision of care for the assigned client
C. Before changing assignments, determine which staff members have fitted particulate filter masks
,D. Advise the UAP to wear a standard face mask to take vital signs, and then get fitted for a filter mask
before providing personal care
B. Instruct the UAP that a standard face mask is sufficient for the provision of care for the assigned
client
The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic. Which
outcome indicates that the program was effective?
A. Only 30% of clients did not attend self-management education sessions.
B. More than 50% of at-risk clients were diagnosed early in their disease process
C. Clients who developed disease complications promptly received rehabilitation
D. Average client scores improved on specific risk factor knowledge tests
C. Clients who developed disease complications promptly received rehabilitation
Then nurse identifies several nursing problems for client who is immobile and who has been
experiencing fecal incontinence and diarrhea for several days. The client's spouse is the primary
caregiver. In planning care, which problem has the highest priority?
A. Impaired bed mobility
B. Caregiver role strain
C. Fluid volume deficit
D. Bowel incontinence
D. Bowel incontinence
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The client is weak and
begins coughing while attempting to drink through a straw. Which intervention should the nurse
implement?
A. Teach coughing and deep breathing exercises
B. Assess the client's oral cavity for ulcerations
C. Request thick nectar liquids for the client
, D. Monitor the client when using a straw for liquids
A. Teach coughing and deep breathing exercises
An adult client is admitted to the emergency department after falling from the ladder. While waiting to
have a computed tomography (CT) scan, the client requests something for a severe headache. When the
nurse offers a prescribed dose of acetaminophen, the client asks for something stronger. Which
intervention should the nurse implement?
A. Review client's history for use of illicit drugs
B. Explain the reason for using only non-narcotics
C. Assess client's pupils for their reaction to light
D. Request that the CT scan be done immediately
B. Explain the reason for using only non-narcotics
The nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and chest pain
related to a recent fall. What nursing intervention requires the greatest caution when caring for a client
with COPD?
A. Monitoring telemetry and cardiac rhythm
B. Assisting client to cough and deep breath
C. Administering narcotics for pain relief
D. Increasing the client's fluid intake
C. Administering narcotics for pain relief
The nurse is providing care for a client with schizophrenia who receives haloperidol decanoate 75mg IM
every 4 weeks. The client begins developing a puckering and smacking of the lips and facial grimacing.
Which intervention should the nurse implement?
A. Monitor lying, sitting, and standing blood pressures
B. Provide coaching in relaxation techniques
C. Complete abnormal involuntary movement scale (AIMS)
VERIFIED ANSWERS GRADED A+ 2025-2026
When assessing a recently delivered, multigravida client, the nurse finds that her vaginal bleeding is
more than expected. Which factor in this client's history is related to this finding?
A. The second stage of labor lasted 10 minutes
B. She received butorphanol 2mg IVP during labor
C. She is over 35 years of age
D. She is a gravida 6, para 5
D. She is a gravida 6, para 5
When assessing an IV site that is used for fluid replacement and medication administration, the client
complains of tenderness when the arm is touched above the site. Which additional assessment finding
warrants immediate intervention by the nurse?
A. Client uses the arm cautiously
B. Red streak tracking the vein
C. A sluggish blood return
D. Spot of dried blood at insertion site
B. Red streaks tracking the vein
An older adult male reporting abdominal pain is admitted to the hospital from a long-term care facility.
It has been 7 days since his last bowel movement, his abdomen is distended, and he just vomited 150mL
of dark brown emesis. In what order should the nurse implement these interventions? (Highest to
lowest priority)
1. Send emesis sample to the lab
2. Elevate the head of the bed
,3. Complete focused assessment
4. Offer PRN pain medication
When taking a health history, which information collected by the nurse correlates most directly to a
diagnosis of chronic peripheral arterial insufficiency?
A. History of intermittent claudication
B. A positive Brodie-Trendelenburg test
C. Ankle ulceration and edema
D. A serum cholesterol level of 250mg/dl (6.47mmol/L)
A. History of intermittent claudication
The nurse is providing discharge teaching to the parents of a 13 month old child who underwent repair
for an atrial septal defect. The healthcare provider prescribes aspirin and an antibiotic for the first 6
months postoperatively to prevent infective endocarditis (IE). What information is most important for
the nurse discuss with the parents about the child's recovery and prevention of IE?
A. Refer the mother to the healthcare provider to discuss infective endocarditis
B. Brush the child's teeth every day and ensure the child receives regular dental follow-up
C. Give the child acetaminophen for pain or fever and visit the surgeon for follow-up
D. Monitor the child for regular bowel movements and urine output that exceeds intake
B. Brush the child's teeth every day and ensure the child receives regular dental follow-up
An unlicensed assistive personnel (UAP) is assigned to ambulate a client with influenza who has droplet
precautions implemented. The UAP requests a change in assignment, stating the reason of having not
been fitted yet for a N95 respirator mask. Which action should the nurse take?
A. send the UAP to be fitted for a particulate filter mask immediately so she can provide care to this
client.
B. Instruct the UAP that a standard face mask is sufficient for the provision of care for the assigned client
C. Before changing assignments, determine which staff members have fitted particulate filter masks
,D. Advise the UAP to wear a standard face mask to take vital signs, and then get fitted for a filter mask
before providing personal care
B. Instruct the UAP that a standard face mask is sufficient for the provision of care for the assigned
client
The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic. Which
outcome indicates that the program was effective?
A. Only 30% of clients did not attend self-management education sessions.
B. More than 50% of at-risk clients were diagnosed early in their disease process
C. Clients who developed disease complications promptly received rehabilitation
D. Average client scores improved on specific risk factor knowledge tests
C. Clients who developed disease complications promptly received rehabilitation
Then nurse identifies several nursing problems for client who is immobile and who has been
experiencing fecal incontinence and diarrhea for several days. The client's spouse is the primary
caregiver. In planning care, which problem has the highest priority?
A. Impaired bed mobility
B. Caregiver role strain
C. Fluid volume deficit
D. Bowel incontinence
D. Bowel incontinence
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The client is weak and
begins coughing while attempting to drink through a straw. Which intervention should the nurse
implement?
A. Teach coughing and deep breathing exercises
B. Assess the client's oral cavity for ulcerations
C. Request thick nectar liquids for the client
, D. Monitor the client when using a straw for liquids
A. Teach coughing and deep breathing exercises
An adult client is admitted to the emergency department after falling from the ladder. While waiting to
have a computed tomography (CT) scan, the client requests something for a severe headache. When the
nurse offers a prescribed dose of acetaminophen, the client asks for something stronger. Which
intervention should the nurse implement?
A. Review client's history for use of illicit drugs
B. Explain the reason for using only non-narcotics
C. Assess client's pupils for their reaction to light
D. Request that the CT scan be done immediately
B. Explain the reason for using only non-narcotics
The nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and chest pain
related to a recent fall. What nursing intervention requires the greatest caution when caring for a client
with COPD?
A. Monitoring telemetry and cardiac rhythm
B. Assisting client to cough and deep breath
C. Administering narcotics for pain relief
D. Increasing the client's fluid intake
C. Administering narcotics for pain relief
The nurse is providing care for a client with schizophrenia who receives haloperidol decanoate 75mg IM
every 4 weeks. The client begins developing a puckering and smacking of the lips and facial grimacing.
Which intervention should the nurse implement?
A. Monitor lying, sitting, and standing blood pressures
B. Provide coaching in relaxation techniques
C. Complete abnormal involuntary movement scale (AIMS)
