HESI exit exam 800 questions and answers all
verified 2025-2026 update
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty o
dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by th
nurse?
a. Remind the client that it is also important to switch to decaffeinated coffee and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might select. - ANS>>c. Revie
with the client the need to avoid foods that are rich in milk and cream.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who ha
a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. Wha
action should the nurse implement?
a. Ensure that the UAP has placed the pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
c. Assume responsibility for placing the pillows while the UAP completes another task.
d. Ask the UAP to use some of the pillows to prop the client in a side lying position. - ANS>>b. Instruc
the UAP to obtain soft blankets to secure to the side rails instead of pillows.
A male client with hypertension, who received new antihypertensive prescriptions at his last visit return
to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that h
has not been taking the prescribed medication because the drugs make him "feel bad". In explaining th
need for hypertension control, the nurse should stress that an elevated BP places the client at risk fo
which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage - ANS>>c. Stroke secondary to hemorrhage
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days
Which assessment finding requires immediate follow-up
,a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating. - ANS>>a. Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer has developed an abdomina
mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results ar
negative. What information should the nurse include in the client's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed. - ANS>>a. Further evaluation involvin
surgery may be needed
A client who recently underwent a tracheostomy is being prepared for discharge to home. Whic
instructions is most important for the nurse to include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site. - ANS>>b. Teach tracheal suctioning techniques
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir ba
does not deflate completely during inspiration and the client's respiratory rate is 14 breaths / minute. Wha
action should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data - ANS>>d. Document the assessment data
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm
should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes. - ANS>>a. Respiratory apnea of 30 seconds
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action shoul
the nurse take first?
,a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level - ANS>>c. Check the client for lacerations or fractures
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client tells th
nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which actio
should the nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician. - ANS>>c. Inform the anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds. T
determine if an S3 heart sound is present, what action should the nurse take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor - ANS>>c. Listen with the bell at the same location
A 66-year-old woman is retiring and will no longer have a health insurance through her place o
employment. Which agency should the client be referred to by the employee health nurse for healt
insurance needs?
a. Woman, Infant, and Children program
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision. - ANS>>c. Medicare
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What snac
should the nurse instruct the client to take with the tetracycline?
a. Fruit-flavored yogurt.
b. Cheese and crackers.
c. Cold cereal with skim milk.
d. Toasted wheat bread and jelly - ANS>>d. Toasted wheat bread and jelly
Following a lumbar puncture, a client voices several complaints. What complaint indicated to the nurs
that the client is experiencing a complication?
a. "I am having pain in my lower back when I move my legs"
, b. "My throat hurts when I swallow"
c. "I feel sick to my stomach and am going to throw up"
d. I have a headache that gets worse when I sit up" - ANS>>d. I have a headache that gets worse when
sit up"
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency wit
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. - ANS>>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 keepin
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. - ANS>>b. Foods sweetened with aspartame.
Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulatin
nurse if a 3 minute surgical hand scrub is adequate preparation for this client. Which response shoul
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. - ANS>>d. Direct the nurs
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 dietar
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. - ANS>>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 optima
number of registered nurses will be working that shift. In planning assignments, which client shoul
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 intravenou
catheter and a Foley catheter.
verified 2025-2026 update
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty o
dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by th
nurse?
a. Remind the client that it is also important to switch to decaffeinated coffee and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might select. - ANS>>c. Revie
with the client the need to avoid foods that are rich in milk and cream.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who ha
a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. Wha
action should the nurse implement?
a. Ensure that the UAP has placed the pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
c. Assume responsibility for placing the pillows while the UAP completes another task.
d. Ask the UAP to use some of the pillows to prop the client in a side lying position. - ANS>>b. Instruc
the UAP to obtain soft blankets to secure to the side rails instead of pillows.
A male client with hypertension, who received new antihypertensive prescriptions at his last visit return
to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that h
has not been taking the prescribed medication because the drugs make him "feel bad". In explaining th
need for hypertension control, the nurse should stress that an elevated BP places the client at risk fo
which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage - ANS>>c. Stroke secondary to hemorrhage
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days
Which assessment finding requires immediate follow-up
,a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating. - ANS>>a. Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer has developed an abdomina
mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results ar
negative. What information should the nurse include in the client's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed. - ANS>>a. Further evaluation involvin
surgery may be needed
A client who recently underwent a tracheostomy is being prepared for discharge to home. Whic
instructions is most important for the nurse to include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site. - ANS>>b. Teach tracheal suctioning techniques
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir ba
does not deflate completely during inspiration and the client's respiratory rate is 14 breaths / minute. Wha
action should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data - ANS>>d. Document the assessment data
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm
should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes. - ANS>>a. Respiratory apnea of 30 seconds
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action shoul
the nurse take first?
,a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level - ANS>>c. Check the client for lacerations or fractures
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client tells th
nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which actio
should the nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician. - ANS>>c. Inform the anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds. T
determine if an S3 heart sound is present, what action should the nurse take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor - ANS>>c. Listen with the bell at the same location
A 66-year-old woman is retiring and will no longer have a health insurance through her place o
employment. Which agency should the client be referred to by the employee health nurse for healt
insurance needs?
a. Woman, Infant, and Children program
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision. - ANS>>c. Medicare
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What snac
should the nurse instruct the client to take with the tetracycline?
a. Fruit-flavored yogurt.
b. Cheese and crackers.
c. Cold cereal with skim milk.
d. Toasted wheat bread and jelly - ANS>>d. Toasted wheat bread and jelly
Following a lumbar puncture, a client voices several complaints. What complaint indicated to the nurs
that the client is experiencing a complication?
a. "I am having pain in my lower back when I move my legs"
, b. "My throat hurts when I swallow"
c. "I feel sick to my stomach and am going to throw up"
d. I have a headache that gets worse when I sit up" - ANS>>d. I have a headache that gets worse when
sit up"
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency wit
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. - ANS>>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 keepin
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. - ANS>>b. Foods sweetened with aspartame.
Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulatin
nurse if a 3 minute surgical hand scrub is adequate preparation for this client. Which response shoul
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. - ANS>>d. Direct the nurs
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 dietar
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. - ANS>>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 optima
number of registered nurses will be working that shift. In planning assignments, which client shoul
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 intravenou
catheter and a Foley catheter.
