HESI Exit v1 (NGN style Qs & Case studies)
TEST STUDY GUIDE 2025/2026 QUESTIONS BANK
AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. The nurse is preparing a client with an acoustic neuroma for a MRI. Which
client complaint is life treating and should be reported to the dr
immediately? - ANSWER ✓ Intensifying headache
2. Secondary prevention examples - ANSWER ✓ Screenings, redirectional
therapies, medications
3. Screening for existing infection (Ex- when STIs are suspected)
4. respite care - ANSWER ✓ planned short-term care, usually for the purpose
of relieving a full-time informal caregiver
5. When caring for a client with a traumatic brain injury who had a craniotomy
for increased ICP, the nurse assesses the client using the Glasgow Coma
Scale (GCS) every 2 hours. For the past 8 hours, the client's GCS score has
been 14. What does this GCS finding indicate about this client? - ANSWER
✓ Neurologically stable without indications of an ICP
6. The nurse uses the GCS to assess a client who has had a stroke. When the
nurse calls out the client's name, the client does not open eyes, does not
respond to painful stimulus, and does not make any spoken sound during the
assessment. Which statement based on the GCS reflects correct
documentation in the EMR of the client's neurological status? - ANSWER ✓
Score of 3 on the GCS
,7. The nurse is preparing to wean a patient from the ventilator. Which
assessment parameter is most important for the nurse to assess? - ANSWER
✓ Baseline ABG levels
8. The nurse is assessing the patient to. See if he is ready to be weaned from
the ventilator. What are the most important predictors of successful weaning
that the nurse should identify? - ANSWER ✓ Stable vital signs & ABGs
9. What plan should the nurse use when weaning a patient from a ventilator? -
ANSWER ✓ Intermittent trials of spontaneous ventilation followed by
ventilatory support to provide rest
10.The nurse is caring for a client who has been using mechanical ventilation
for several months after an episode of sepsis and ARDS. Which ventilator
setting should the nurse anticipate the healthcare provider ordering for
weaning? - ANSWER ✓ Synchronized intermittent mandatory ventilation
(SIMV)
11.A client with Gout experiences an acute attack. The client reports he has
been trying to loose weight. Which information is the most important for the
nurse to obtain?
A. Serum cholesterol level
B. Capillary glucose level
C. Daily caloric intake
D. Daily calcium intake - ANSWER ✓ C
12.A male client with a c-6 spinal cord injury is in rehabilitation. in the middle
of the night he reports a severe, pounding headache, an observed goose
bumps. The nurse should asses for what trigger?
A. loud hallway noise
B. Fever
C. Full bladder
, D. Frequent cough - ANSWER ✓ C
13.After learning that she has terminal pancreatic cancer, a female client
becomes very angry and says to the nurse. "God has abandoned me. What
did I do to deserve this?" Based on this response, the nurse decides to
include which nursing problem in the client's plan of care?
A. Acute pain
B. spiritual distress
C.ineffective coping
D. Complicated grieving - ANSWER ✓ B
14.A nurse working on an endocrine unit should see which client first?
A. An adolescent male with type 1 diabetes who is arguing about his
insulin dose.
B. A older client with Addison's disease whose current blood sugar level
is 62 mg/dl
C. An adult with a blood sugar of 384 mg/dl and a urine output of 350 ml
in the last hour.
D. A client taking Corticosteroids who has become disoriented in the last
hour. - ANSWER ✓ D
15.The nurse receives a report on an older adult client with middle stage
dementia. What information suggests the nurse should do immediate follow
up rather than delegate care to the nursing assistant? - ANSWER ✓ Was
minimally responsive to voice and touch
16.A client tells the nurse, "I have something very important to tell you if you
promise not to tell." The best response by the nurse is - ANSWER ✓ "I can't
make such a promise."
, 17.Which task could be safely delegated by the nurse to an unlicensed assistive
personnel (UAP)? - ANSWER ✓ Apply and care for a client's rectal pouch
18.A client asks the nurse to call the police and states: "I need to report that I
am being abused by a nurse." The nurse should first - ANSWER ✓ Obtain
more details of the client's claim of abuse
19.A nurse from the maternity unit is floated to the critical care unit because of
staff shortage on the evening shift. Which client would be appropriate to
assign to this nurse? - ANSWER ✓ A myocardial infarction that is free from
pain and dysrhythmias
20.An unlicensed assistive personnel (UAP), who usually works on a surgical
unit is assigned to float to a pediatric unit. Which question by the charge
nurse would be most appropriate when making delegation decisions? -
ANSWER ✓ Have you reviewed the list of expected skills you might need
on this unit?"
21.A client frequently admitted to the locked psychiatric unit repeatedly
compliments and invites one of the nurses to go out on a date. The nurse's
response should be to - ANSWER ✓ Discuss the boundaries of the
therapeutic relationship with the client
22.A client has a nasogastric tube after colon surgery. Which one of these tasks
can be safely delegated to an unlicensed assistive personnel (UAP)? -
ANSWER ✓ Perform nostril and mouth care
23.The nurse is caring for a 69 year-old client with a diagnosis of
hyperglycemia. Which tasks could the nurse delegate to the unlicensed
assistive personnel (UAP)? - ANSWER ✓ Test blood sugar every 2 hours by
accu check
24.A nurse is working with one licensed practical nurse (PN), a student nurse
and an unlicensed assistive personnel (UAP). Which newly admitted clients
would be most appropriate to assign to the UAP? - ANSWER ✓ A middle-
aged client with an obsessive compulsive disorder
TEST STUDY GUIDE 2025/2026 QUESTIONS BANK
AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. The nurse is preparing a client with an acoustic neuroma for a MRI. Which
client complaint is life treating and should be reported to the dr
immediately? - ANSWER ✓ Intensifying headache
2. Secondary prevention examples - ANSWER ✓ Screenings, redirectional
therapies, medications
3. Screening for existing infection (Ex- when STIs are suspected)
4. respite care - ANSWER ✓ planned short-term care, usually for the purpose
of relieving a full-time informal caregiver
5. When caring for a client with a traumatic brain injury who had a craniotomy
for increased ICP, the nurse assesses the client using the Glasgow Coma
Scale (GCS) every 2 hours. For the past 8 hours, the client's GCS score has
been 14. What does this GCS finding indicate about this client? - ANSWER
✓ Neurologically stable without indications of an ICP
6. The nurse uses the GCS to assess a client who has had a stroke. When the
nurse calls out the client's name, the client does not open eyes, does not
respond to painful stimulus, and does not make any spoken sound during the
assessment. Which statement based on the GCS reflects correct
documentation in the EMR of the client's neurological status? - ANSWER ✓
Score of 3 on the GCS
,7. The nurse is preparing to wean a patient from the ventilator. Which
assessment parameter is most important for the nurse to assess? - ANSWER
✓ Baseline ABG levels
8. The nurse is assessing the patient to. See if he is ready to be weaned from
the ventilator. What are the most important predictors of successful weaning
that the nurse should identify? - ANSWER ✓ Stable vital signs & ABGs
9. What plan should the nurse use when weaning a patient from a ventilator? -
ANSWER ✓ Intermittent trials of spontaneous ventilation followed by
ventilatory support to provide rest
10.The nurse is caring for a client who has been using mechanical ventilation
for several months after an episode of sepsis and ARDS. Which ventilator
setting should the nurse anticipate the healthcare provider ordering for
weaning? - ANSWER ✓ Synchronized intermittent mandatory ventilation
(SIMV)
11.A client with Gout experiences an acute attack. The client reports he has
been trying to loose weight. Which information is the most important for the
nurse to obtain?
A. Serum cholesterol level
B. Capillary glucose level
C. Daily caloric intake
D. Daily calcium intake - ANSWER ✓ C
12.A male client with a c-6 spinal cord injury is in rehabilitation. in the middle
of the night he reports a severe, pounding headache, an observed goose
bumps. The nurse should asses for what trigger?
A. loud hallway noise
B. Fever
C. Full bladder
, D. Frequent cough - ANSWER ✓ C
13.After learning that she has terminal pancreatic cancer, a female client
becomes very angry and says to the nurse. "God has abandoned me. What
did I do to deserve this?" Based on this response, the nurse decides to
include which nursing problem in the client's plan of care?
A. Acute pain
B. spiritual distress
C.ineffective coping
D. Complicated grieving - ANSWER ✓ B
14.A nurse working on an endocrine unit should see which client first?
A. An adolescent male with type 1 diabetes who is arguing about his
insulin dose.
B. A older client with Addison's disease whose current blood sugar level
is 62 mg/dl
C. An adult with a blood sugar of 384 mg/dl and a urine output of 350 ml
in the last hour.
D. A client taking Corticosteroids who has become disoriented in the last
hour. - ANSWER ✓ D
15.The nurse receives a report on an older adult client with middle stage
dementia. What information suggests the nurse should do immediate follow
up rather than delegate care to the nursing assistant? - ANSWER ✓ Was
minimally responsive to voice and touch
16.A client tells the nurse, "I have something very important to tell you if you
promise not to tell." The best response by the nurse is - ANSWER ✓ "I can't
make such a promise."
, 17.Which task could be safely delegated by the nurse to an unlicensed assistive
personnel (UAP)? - ANSWER ✓ Apply and care for a client's rectal pouch
18.A client asks the nurse to call the police and states: "I need to report that I
am being abused by a nurse." The nurse should first - ANSWER ✓ Obtain
more details of the client's claim of abuse
19.A nurse from the maternity unit is floated to the critical care unit because of
staff shortage on the evening shift. Which client would be appropriate to
assign to this nurse? - ANSWER ✓ A myocardial infarction that is free from
pain and dysrhythmias
20.An unlicensed assistive personnel (UAP), who usually works on a surgical
unit is assigned to float to a pediatric unit. Which question by the charge
nurse would be most appropriate when making delegation decisions? -
ANSWER ✓ Have you reviewed the list of expected skills you might need
on this unit?"
21.A client frequently admitted to the locked psychiatric unit repeatedly
compliments and invites one of the nurses to go out on a date. The nurse's
response should be to - ANSWER ✓ Discuss the boundaries of the
therapeutic relationship with the client
22.A client has a nasogastric tube after colon surgery. Which one of these tasks
can be safely delegated to an unlicensed assistive personnel (UAP)? -
ANSWER ✓ Perform nostril and mouth care
23.The nurse is caring for a 69 year-old client with a diagnosis of
hyperglycemia. Which tasks could the nurse delegate to the unlicensed
assistive personnel (UAP)? - ANSWER ✓ Test blood sugar every 2 hours by
accu check
24.A nurse is working with one licensed practical nurse (PN), a student nurse
and an unlicensed assistive personnel (UAP). Which newly admitted clients
would be most appropriate to assign to the UAP? - ANSWER ✓ A middle-
aged client with an obsessive compulsive disorder
