Hesi exit 5 Exam 2025–2026 Accurate Real Exam
Questions andVerified Correct Answers JUST
RELEASED
A client with diabetic peripheral neuropathy has been taking pregabalin (Lyrica) for 4 days.
Which finding indicates to the nurse that the medication is effective?
A.)Reduced level of pain
B.)Full volume of pedal pulses
C.)Granulating tissue in foot ulcer
D.)Improved visual acuity - answer>>>A
A group of nurse-managers is asked to engage in a needs assessment for a piece of equipment
that will be expensed to the organization's budget. Which question is most important to
consider when analyzing the cost-benefit for this piece of equipment?
A.)How many departments can use this equipment?
B.)Will the equipment require annual repair?
C.)Is the cost of the equipment reasonable?
D.)Can the equipment be updated each year? - answer>>>A
While receiving a male postoperative client's staples de nurse observe that the client's eyes are
closed and his face and hands are clenched. The client states, "I just hate having staples
removed". After acknowledgement the client's anxiety, what action should the nurse
implement?
,A.)Encourage the client to continue verbalize his anxiety
B.)Attempt to distract the client with general conversation
C.)Explain the procedure in detail while removing the staples
D.)Reassure the client that this is a simple nursing procedure. - answer>>>B
A male client is admitted for the removal of an internal fixation that was inserted for the
fracture ankle. During the admission history, he tells the nurse he recently received vancomycin
(vancomycin) for a methicillin-resistant Staphylococcus aureus (MRSA) wound infection. Which
action should the nurse take? (Select all that apply.)
A.)Collect multiple site screening culture for MRSA
B.)Call healthcare provider for a prescription for linezolid (Zyrovix)
C.)Place the client on contact transmission precautions
D.)Obtain sputum specimen for culture and sensitivity
E.)Continue to monitor for client sign of infection. - answer>>>A,C,E
A vacuum-assistive closure (VAC) device is being use to provide wound care for a client who has
stage III pressure ulcer on a below-the- knee (BKA) residual limb. Which intervention should the
nurse implement to ensure maximum effectiveness of the device? - answer>>>Ensure the
transparent dressing has no tears that might create vacuum leaks
The nurse is developing the plan of care for a client with pneumonia and includes the nursing
diagnosis of "Ineffective airway clearance related to thick pulmonary secretions." Which
intervention is most important for the nurse to include in the client's plan of care? -
answer>>>Increase fluid intake to 3,000 ml/daily
,The nurse plans to collect a 24- hour urine specimen for a creatinine clearance test. Which
instruction should the nurse provide to the adult male client?
A.)Clearance around the meatus, discard first portion of voiding, and collect the rest in a sterile
bottle
B.)Urinate at specific time, discard the urine, and collect all subsequent urine during the next 24
hours.
C.)For the next 24 hours, notify the nurse when the bladder is full, and the nurse will collect
catheterized specimens.
D.)Urinate immediately into a urinal, and the lab will collect specimen every 6 hours, for the
next 24 hours. - answer>>>D
The nurse is preparing to administer a histamine 2-receptor antagonist to a client with peptic
ulcer disease. What is the primary purpose of this drug classification? - answer>>>Decreases
the amount of HCL secretion by the parietal cells in the stomach
The healthcare provider prescribes acarbose (Precose), an alpha-glucosidase inhibitor, for a
client with Type 2 diabetes mellitus. Which information provides the best indicator of the drug's
effectiveness? - answer>>>Hemoglobin A1C (HbA1C) reading less than 7%
The nurse assesses a client with new onset diarrhea. It is most important for the nurse to
question the client about recent use of which type of medication?
A.)Antibiotics
B.)Anticoagulants
C.)Antihypertensive
, D)Anticholinergics - answer>>>A
A neonate with a congenital heart defect (CHD) is demonstrating symptoms of heart failure
(HF). Which interventions should the nurse include in the infant's plan of care?
A.)Give O2 at 6 L/nasal cannula for 3 repeated oximetry screens below 90%
B.)Administer diuretics via secondary infusion in the morning only
C.)Evaluate heart rate for effectiveness of cardio tonic medications
D.)Use high energy formula 30 calories/ounce at Q3 hours feeding via softnipples
E.)Ensure Interrupted and frequent rest periods between procedures. - answer>>>A,C,D,E
The nurse is caring for a 4-year-old male child who becomes unresponsive as his heart rate
decreases to 40 beats/minute. His blood pressure is 88/70 mmHg, and his oxygen saturation is
70% while receiving 100% oxygen by non-rebreather face mask. In what sequence, from first to
last, should the nurse implement these actions? (Place the first action on top and last action on
the bottom.)
Administer epinephrine 0.01 mg/kg intraosseous (IO)
Start chest compressions with assisted manual ventilations
Review the possible underlying causes for bradycardia
Apply pads and prepare for transthoracic pacing - answer>>>1. Start chest compressions with
assisted manual ventilations
2. Administer epinephrine 0.01 mg/kg intraosseous (IO)
Questions andVerified Correct Answers JUST
RELEASED
A client with diabetic peripheral neuropathy has been taking pregabalin (Lyrica) for 4 days.
Which finding indicates to the nurse that the medication is effective?
A.)Reduced level of pain
B.)Full volume of pedal pulses
C.)Granulating tissue in foot ulcer
D.)Improved visual acuity - answer>>>A
A group of nurse-managers is asked to engage in a needs assessment for a piece of equipment
that will be expensed to the organization's budget. Which question is most important to
consider when analyzing the cost-benefit for this piece of equipment?
A.)How many departments can use this equipment?
B.)Will the equipment require annual repair?
C.)Is the cost of the equipment reasonable?
D.)Can the equipment be updated each year? - answer>>>A
While receiving a male postoperative client's staples de nurse observe that the client's eyes are
closed and his face and hands are clenched. The client states, "I just hate having staples
removed". After acknowledgement the client's anxiety, what action should the nurse
implement?
,A.)Encourage the client to continue verbalize his anxiety
B.)Attempt to distract the client with general conversation
C.)Explain the procedure in detail while removing the staples
D.)Reassure the client that this is a simple nursing procedure. - answer>>>B
A male client is admitted for the removal of an internal fixation that was inserted for the
fracture ankle. During the admission history, he tells the nurse he recently received vancomycin
(vancomycin) for a methicillin-resistant Staphylococcus aureus (MRSA) wound infection. Which
action should the nurse take? (Select all that apply.)
A.)Collect multiple site screening culture for MRSA
B.)Call healthcare provider for a prescription for linezolid (Zyrovix)
C.)Place the client on contact transmission precautions
D.)Obtain sputum specimen for culture and sensitivity
E.)Continue to monitor for client sign of infection. - answer>>>A,C,E
A vacuum-assistive closure (VAC) device is being use to provide wound care for a client who has
stage III pressure ulcer on a below-the- knee (BKA) residual limb. Which intervention should the
nurse implement to ensure maximum effectiveness of the device? - answer>>>Ensure the
transparent dressing has no tears that might create vacuum leaks
The nurse is developing the plan of care for a client with pneumonia and includes the nursing
diagnosis of "Ineffective airway clearance related to thick pulmonary secretions." Which
intervention is most important for the nurse to include in the client's plan of care? -
answer>>>Increase fluid intake to 3,000 ml/daily
,The nurse plans to collect a 24- hour urine specimen for a creatinine clearance test. Which
instruction should the nurse provide to the adult male client?
A.)Clearance around the meatus, discard first portion of voiding, and collect the rest in a sterile
bottle
B.)Urinate at specific time, discard the urine, and collect all subsequent urine during the next 24
hours.
C.)For the next 24 hours, notify the nurse when the bladder is full, and the nurse will collect
catheterized specimens.
D.)Urinate immediately into a urinal, and the lab will collect specimen every 6 hours, for the
next 24 hours. - answer>>>D
The nurse is preparing to administer a histamine 2-receptor antagonist to a client with peptic
ulcer disease. What is the primary purpose of this drug classification? - answer>>>Decreases
the amount of HCL secretion by the parietal cells in the stomach
The healthcare provider prescribes acarbose (Precose), an alpha-glucosidase inhibitor, for a
client with Type 2 diabetes mellitus. Which information provides the best indicator of the drug's
effectiveness? - answer>>>Hemoglobin A1C (HbA1C) reading less than 7%
The nurse assesses a client with new onset diarrhea. It is most important for the nurse to
question the client about recent use of which type of medication?
A.)Antibiotics
B.)Anticoagulants
C.)Antihypertensive
, D)Anticholinergics - answer>>>A
A neonate with a congenital heart defect (CHD) is demonstrating symptoms of heart failure
(HF). Which interventions should the nurse include in the infant's plan of care?
A.)Give O2 at 6 L/nasal cannula for 3 repeated oximetry screens below 90%
B.)Administer diuretics via secondary infusion in the morning only
C.)Evaluate heart rate for effectiveness of cardio tonic medications
D.)Use high energy formula 30 calories/ounce at Q3 hours feeding via softnipples
E.)Ensure Interrupted and frequent rest periods between procedures. - answer>>>A,C,D,E
The nurse is caring for a 4-year-old male child who becomes unresponsive as his heart rate
decreases to 40 beats/minute. His blood pressure is 88/70 mmHg, and his oxygen saturation is
70% while receiving 100% oxygen by non-rebreather face mask. In what sequence, from first to
last, should the nurse implement these actions? (Place the first action on top and last action on
the bottom.)
Administer epinephrine 0.01 mg/kg intraosseous (IO)
Start chest compressions with assisted manual ventilations
Review the possible underlying causes for bradycardia
Apply pads and prepare for transthoracic pacing - answer>>>1. Start chest compressions with
assisted manual ventilations
2. Administer epinephrine 0.01 mg/kg intraosseous (IO)
