HESI EXIT V1 questions and answer
2025\2026 update
1. Which information is a priority for the RN to reinforce to an older client
after intravenous pylegraphy?: Measure the urine output for the next day and
immediately notify the health care provider if it should decrease.
2. A client has altered renal function and is being treated at home. The
nurse recognizes that the most accurate indicator of fluid balance during
the weekly visits is: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome.Which
information is most important for the nurse to reinforce with the client?: It
is critical to report promptly to your health care provider any findings of peptic
ulcers
4. A primigravida in the third trimester is hospitalized for preeclampsia.
The nurse determines that the client's blood pressure is increasing. Which
action should the nurse take first?: Have the client turn to the left side
5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate
is 250 and the ventricular rate is controlled at 75. Which of the following
findings is cause for the most concern?: A cold, pale lower leg
6. The client with infective endocarditis must be assessed frequently by
the home health nurse. Which finding suggests that antibiotic therapy is
not effective, and must be reported by the nurse immediately to the
healthcare provider?: Fever of 103 degrees Fahrenheit (39.5 degrees
Celsius)
7. A client who had a vasectomy is in the post recovery unit at an
outpatient clinic. Which of these points is most important to be reinforced
by the nurse?: Until the health care provider has determined that your ejaculate
doesn't contain
8. A client who is to have antineoplastic chemotherapy tells the nurses of
a fear of being sick all the time and wishes to try acupuncture. Which of
these beliefs stated by the client would be incorrect about acupuncture?:
The flow of life is believed to flow through major pathways or nerve clusters in
your body.
9. The nurse is discussing with a group of students the disease Kawasaki.
, .
What statement made by a student about Kawasaki disease is incorrect?:
Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent
10. A client has viral pneumonia affecting 2/3 of the right lung. What
would be the best position to teach the client to lie in every other hour
during first 12 hours after admission?: Side-lying on the left with the head
elevated 10 degrees
11. A client has an indwelling catheter with continuous bladder
irrigation after undergoing a transurethral resection of the prostate
(TURP) 12 hours ago.
Which finding at this time should be reported to the health care provider?:
minimal drainage into the urinary collection bag
12. A nurse is performing CPR on an adult who went into
cardiopulmonary arrest. Another nurse enters the room in response to the
call. After checking the client's pulse and respirations, what should be the
function of the second nurse?: Participate with the compressions or breathing
13. . The nurse assesses a 72 year-old client who was admitted for
right sided congestive heart failure. Which of the following would the
nurse anticipate finding?: Jugular vein distention
14. A client with heart failure has a prescription for digoxin. The nurse
is aware that sufficient potassium should be included in the diet because
hypokalemia in combination with this medication?: Can predispose to
dysrhythmias
15. A nurse assesses a young adult in the emergency room following
a motor vehicle accident. Which of the following neurological signs is of
most concern?: Pupils fixed and dilated
16. A 14 year-old with a history of sickle cell disease is admitted to the
hospital with a diagnosis of vaso-occlusive crisis. Which statements by
the client would be most indicative of the etiology of this crisis: "I went to
the health care provider last week for a cold and I have gotten worse."
17. Which these findings would the nurse more closely associate with
anemia in a 10
month-old infant?: Pale mucosa of the eyelids and lips
, .
18. The nurse is caring for a client in hypertensive crisis in an
intensive care unit. The priority assessment in the first hour of care is:
Pupil responses
19. Which of these clients who are all in the terminal stage of cancer
is least appropriate to suggest the use of patient controlled analgesia
(PCA) with a pump?: A preschooler with intermittent episodes of alertness
20. The nurse is about to assess a 6 month-old child with nonorganic
failure-to thrive (NOFTT). Upon entering the room, the nurse would expect
the baby to be: Pale, thin arms and legs, uninterested in surroundings
21. As the nurse is speaking with a group of teens which of these side
effects of chemotherapy for cancer would the nurse expect this group to
be more interested in during the discussion?: Hair loss
22 While caring for a client who was admitted with myocardial infarction (MI)
2 days ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit
(38.5 degrees Celsius). The appropriate nursing intervention is to: Administer
acetaminophen as ordered as this is normal at this time
23. . A client is admitted for first and second degree burns on the face,
neck, anterior chest and hands. The nurse's priority should be: Assess for
dyspnea or stridor
24. Which of these clients who call the community health clinic would the
nurse ask to come in that day to be seen by the health care provider?: I went
to the bathroom and my urine looked very red and it didn't hurt when I went.
25. A middle aged woman talks to the nurse in the health care provider's
office about uterine fibroids also called leiomyomas or myomas. What
statement by the woman indicates more education is needed?: Fibroids that
cause no problems still need to be taken out.
26. An elderly client admitted after a fall begins to seize and loses
consciousness. What action by the nurse is appropriate to do next?: Stay
with client and observe for airway obstruction
27. A nurse is providing care to a primigravida whose membranes
spontaneously ruptured (ROM) 4 hours ago. Labor is to be induced. At the
time of the ROM the vital signs were T-99.8 degrees F, P-84, R-20, BP-130/78,
and fetal heart tones (FHT) 148 beats/min. Which assessment findings taken
now may be an early indication that the client is developing a complication
of labor?: FHT 168 beats/min
2025\2026 update
1. Which information is a priority for the RN to reinforce to an older client
after intravenous pylegraphy?: Measure the urine output for the next day and
immediately notify the health care provider if it should decrease.
2. A client has altered renal function and is being treated at home. The
nurse recognizes that the most accurate indicator of fluid balance during
the weekly visits is: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome.Which
information is most important for the nurse to reinforce with the client?: It
is critical to report promptly to your health care provider any findings of peptic
ulcers
4. A primigravida in the third trimester is hospitalized for preeclampsia.
The nurse determines that the client's blood pressure is increasing. Which
action should the nurse take first?: Have the client turn to the left side
5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate
is 250 and the ventricular rate is controlled at 75. Which of the following
findings is cause for the most concern?: A cold, pale lower leg
6. The client with infective endocarditis must be assessed frequently by
the home health nurse. Which finding suggests that antibiotic therapy is
not effective, and must be reported by the nurse immediately to the
healthcare provider?: Fever of 103 degrees Fahrenheit (39.5 degrees
Celsius)
7. A client who had a vasectomy is in the post recovery unit at an
outpatient clinic. Which of these points is most important to be reinforced
by the nurse?: Until the health care provider has determined that your ejaculate
doesn't contain
8. A client who is to have antineoplastic chemotherapy tells the nurses of
a fear of being sick all the time and wishes to try acupuncture. Which of
these beliefs stated by the client would be incorrect about acupuncture?:
The flow of life is believed to flow through major pathways or nerve clusters in
your body.
9. The nurse is discussing with a group of students the disease Kawasaki.
, .
What statement made by a student about Kawasaki disease is incorrect?:
Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent
10. A client has viral pneumonia affecting 2/3 of the right lung. What
would be the best position to teach the client to lie in every other hour
during first 12 hours after admission?: Side-lying on the left with the head
elevated 10 degrees
11. A client has an indwelling catheter with continuous bladder
irrigation after undergoing a transurethral resection of the prostate
(TURP) 12 hours ago.
Which finding at this time should be reported to the health care provider?:
minimal drainage into the urinary collection bag
12. A nurse is performing CPR on an adult who went into
cardiopulmonary arrest. Another nurse enters the room in response to the
call. After checking the client's pulse and respirations, what should be the
function of the second nurse?: Participate with the compressions or breathing
13. . The nurse assesses a 72 year-old client who was admitted for
right sided congestive heart failure. Which of the following would the
nurse anticipate finding?: Jugular vein distention
14. A client with heart failure has a prescription for digoxin. The nurse
is aware that sufficient potassium should be included in the diet because
hypokalemia in combination with this medication?: Can predispose to
dysrhythmias
15. A nurse assesses a young adult in the emergency room following
a motor vehicle accident. Which of the following neurological signs is of
most concern?: Pupils fixed and dilated
16. A 14 year-old with a history of sickle cell disease is admitted to the
hospital with a diagnosis of vaso-occlusive crisis. Which statements by
the client would be most indicative of the etiology of this crisis: "I went to
the health care provider last week for a cold and I have gotten worse."
17. Which these findings would the nurse more closely associate with
anemia in a 10
month-old infant?: Pale mucosa of the eyelids and lips
, .
18. The nurse is caring for a client in hypertensive crisis in an
intensive care unit. The priority assessment in the first hour of care is:
Pupil responses
19. Which of these clients who are all in the terminal stage of cancer
is least appropriate to suggest the use of patient controlled analgesia
(PCA) with a pump?: A preschooler with intermittent episodes of alertness
20. The nurse is about to assess a 6 month-old child with nonorganic
failure-to thrive (NOFTT). Upon entering the room, the nurse would expect
the baby to be: Pale, thin arms and legs, uninterested in surroundings
21. As the nurse is speaking with a group of teens which of these side
effects of chemotherapy for cancer would the nurse expect this group to
be more interested in during the discussion?: Hair loss
22 While caring for a client who was admitted with myocardial infarction (MI)
2 days ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit
(38.5 degrees Celsius). The appropriate nursing intervention is to: Administer
acetaminophen as ordered as this is normal at this time
23. . A client is admitted for first and second degree burns on the face,
neck, anterior chest and hands. The nurse's priority should be: Assess for
dyspnea or stridor
24. Which of these clients who call the community health clinic would the
nurse ask to come in that day to be seen by the health care provider?: I went
to the bathroom and my urine looked very red and it didn't hurt when I went.
25. A middle aged woman talks to the nurse in the health care provider's
office about uterine fibroids also called leiomyomas or myomas. What
statement by the woman indicates more education is needed?: Fibroids that
cause no problems still need to be taken out.
26. An elderly client admitted after a fall begins to seize and loses
consciousness. What action by the nurse is appropriate to do next?: Stay
with client and observe for airway obstruction
27. A nurse is providing care to a primigravida whose membranes
spontaneously ruptured (ROM) 4 hours ago. Labor is to be induced. At the
time of the ROM the vital signs were T-99.8 degrees F, P-84, R-20, BP-130/78,
and fetal heart tones (FHT) 148 beats/min. Which assessment findings taken
now may be an early indication that the client is developing a complication
of labor?: FHT 168 beats/min
