HESI RN Exit ACTUAL EXAM 2025/2026 EXPERT
VERIFIED QUESTIONS WITH DETAILED ANSWERS|
GUARANTEED PASS
The nurse is giving preop instructions to a 14 yr old scheduled to correct a
spinal curvature. Which statement best demonstrates that learning has taken
place? - ANSWER✔✔-I understand I will be in a body cast and I will show you
hoy you taught me to turn
To take the vital signs of a 4 month old child which order will give the most
accurate results? - ANSWER✔✔-Respiratory rate, heart rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is pearly
gray, slightly bulging and not movable. What action should the nurse take next?
- ANSWER✔✔-Ask the child if he has has a cold, runny nose or any ear pain
lately
Which restraint should be used for a toddler after a cleft palate repair? -
ANSWER✔✔-elbow
What preoperative nursing intervention should be included in the plan of care
for an infant with pyloric stenosis? - ANSWER✔✔-Observe for projectile
vomiting
,A six month old returns from surgery with elbow restraints in place. What
nursing intervention should be included when caring for any restrained child? -
ANSWER✔✔-remove restraints one at a time and provide range of motion
exercise
A two year old with Down Syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is frequently associated with
Down Syndrome? - ANSWER✔✔-Congenital Heart Disease
When assessing a child with asthma the nurse should expect intercostal
retractions during - ANSWER✔✔-inspiration
When planning the care for a child who has had a cleft lip repair, the nurse
knows that crying should be minimized because it - ANSWER✔✔-stresses the
suture line
A client with a productive cough has obtained a sputum specimen for culture
as instructed. What action is the best initial nursing action? - ANSWER✔✔-
Administer the first dose of prescribed antibiotic therapy
A client is brought to the Emergency Department by ambulance in cardiac
arrest with CPR in progress. The client is intubated and receiving 100% O2 per
ambu bag. The nurse determines the client is cyanotic, cold, and diaphoretic.
Which assessment is most important to obtain? - ANSWER✔✔-deep tendon
reflexes
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone
(SIADH), a client develops pontine myselinolysis. Which intervention should the
nurse implement first? - ANSWER✔✔-Reorientate client to his room
,A male client with heart failure (HF) calls the clinic and reports he cannot put
his shoes on because they are too tight. Which additional information should
the nurse obtain? - ANSWER✔✔-Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with progressive shortness of
breath and a persistent cough. She is anxious and is complaining of a dry
mouth. Which intervention should the nurse implement? - ANSWER✔✔-Apply a
high flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with SOB,
productive cough with thickened tenacious mucous and the inability to walk up
a flight of stairs without experiencing breathlessness. Which action is important
for the nurse to instruct the client about self care? - ANSWER✔✔-Increase the
daily intake of oral fluids to to liquefy secretions
A cardiac catherization of a client with heart disease indicates the following
blockages 95% LAD 99% proximal circumflex and 95% proximal RCA. The client
later asks the nurse "what does all that mean for me" - ANSWER✔✔-3 main
arteries have major blockages with only 1 to 5% of blood flow getting through
to the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess which
position should the nurse instruct the client to maintain - ANSWER✔✔-left
lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and
is unable to eat or drink without nausea and vomiting. Which finding should
the nurse report to the healthcare provider - ANSWER✔✔-yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neuro assessment every 4 hours. which assessment finding
, warrants immediate intervention by the nurse? - ANSWER✔✔-Increasing
Anxiety
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft to promote burn healing. Which info should the nurse
provide this client? - ANSWER✔✔-The xenograft is taken from nonhuman
sources
A male client who had colon surgery 3 days ago is anxious and requests
assistance to reposition. The wound dehiscences and eviscerates. The nurse
moistens an available sterile dressing and places it over the wound which
intervention should the nurse implement next? - ANSWER✔✔-prepare the client
to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has a
serum sodium level of 117 mEq/L. Which nursing problem should the nurse
include in this client's plan of care? - ANSWER✔✔-Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous,
and reports a racing heart beat and recent weight loss of 15 pounds. After
ruling out substance withdrawal, the healthcare provider suspects
hyperthyroidism and admits her for further testing. Which action should the
nurse implement? - ANSWER✔✔-space the clients care to provide periods of
rest
The nurse is teaching the client with glomerulonephritis about self care which
dietary recommendations should the nurse encourage the client to follow? -
ANSWER✔✔-restrict intake by limiting meats and other high protein foods
An overweight, young adult male who was recently diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is
VERIFIED QUESTIONS WITH DETAILED ANSWERS|
GUARANTEED PASS
The nurse is giving preop instructions to a 14 yr old scheduled to correct a
spinal curvature. Which statement best demonstrates that learning has taken
place? - ANSWER✔✔-I understand I will be in a body cast and I will show you
hoy you taught me to turn
To take the vital signs of a 4 month old child which order will give the most
accurate results? - ANSWER✔✔-Respiratory rate, heart rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is pearly
gray, slightly bulging and not movable. What action should the nurse take next?
- ANSWER✔✔-Ask the child if he has has a cold, runny nose or any ear pain
lately
Which restraint should be used for a toddler after a cleft palate repair? -
ANSWER✔✔-elbow
What preoperative nursing intervention should be included in the plan of care
for an infant with pyloric stenosis? - ANSWER✔✔-Observe for projectile
vomiting
,A six month old returns from surgery with elbow restraints in place. What
nursing intervention should be included when caring for any restrained child? -
ANSWER✔✔-remove restraints one at a time and provide range of motion
exercise
A two year old with Down Syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is frequently associated with
Down Syndrome? - ANSWER✔✔-Congenital Heart Disease
When assessing a child with asthma the nurse should expect intercostal
retractions during - ANSWER✔✔-inspiration
When planning the care for a child who has had a cleft lip repair, the nurse
knows that crying should be minimized because it - ANSWER✔✔-stresses the
suture line
A client with a productive cough has obtained a sputum specimen for culture
as instructed. What action is the best initial nursing action? - ANSWER✔✔-
Administer the first dose of prescribed antibiotic therapy
A client is brought to the Emergency Department by ambulance in cardiac
arrest with CPR in progress. The client is intubated and receiving 100% O2 per
ambu bag. The nurse determines the client is cyanotic, cold, and diaphoretic.
Which assessment is most important to obtain? - ANSWER✔✔-deep tendon
reflexes
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone
(SIADH), a client develops pontine myselinolysis. Which intervention should the
nurse implement first? - ANSWER✔✔-Reorientate client to his room
,A male client with heart failure (HF) calls the clinic and reports he cannot put
his shoes on because they are too tight. Which additional information should
the nurse obtain? - ANSWER✔✔-Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with progressive shortness of
breath and a persistent cough. She is anxious and is complaining of a dry
mouth. Which intervention should the nurse implement? - ANSWER✔✔-Apply a
high flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with SOB,
productive cough with thickened tenacious mucous and the inability to walk up
a flight of stairs without experiencing breathlessness. Which action is important
for the nurse to instruct the client about self care? - ANSWER✔✔-Increase the
daily intake of oral fluids to to liquefy secretions
A cardiac catherization of a client with heart disease indicates the following
blockages 95% LAD 99% proximal circumflex and 95% proximal RCA. The client
later asks the nurse "what does all that mean for me" - ANSWER✔✔-3 main
arteries have major blockages with only 1 to 5% of blood flow getting through
to the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess which
position should the nurse instruct the client to maintain - ANSWER✔✔-left
lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and
is unable to eat or drink without nausea and vomiting. Which finding should
the nurse report to the healthcare provider - ANSWER✔✔-yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neuro assessment every 4 hours. which assessment finding
, warrants immediate intervention by the nurse? - ANSWER✔✔-Increasing
Anxiety
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft to promote burn healing. Which info should the nurse
provide this client? - ANSWER✔✔-The xenograft is taken from nonhuman
sources
A male client who had colon surgery 3 days ago is anxious and requests
assistance to reposition. The wound dehiscences and eviscerates. The nurse
moistens an available sterile dressing and places it over the wound which
intervention should the nurse implement next? - ANSWER✔✔-prepare the client
to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has a
serum sodium level of 117 mEq/L. Which nursing problem should the nurse
include in this client's plan of care? - ANSWER✔✔-Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous,
and reports a racing heart beat and recent weight loss of 15 pounds. After
ruling out substance withdrawal, the healthcare provider suspects
hyperthyroidism and admits her for further testing. Which action should the
nurse implement? - ANSWER✔✔-space the clients care to provide periods of
rest
The nurse is teaching the client with glomerulonephritis about self care which
dietary recommendations should the nurse encourage the client to follow? -
ANSWER✔✔-restrict intake by limiting meats and other high protein foods
An overweight, young adult male who was recently diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is
