Hesi Fundamentals
HESI RN EXIT EXAM QUIZZES AND
SOLUTIONS 2025/2026
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?
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?
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?
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?
elbow
What preoperative nursing intervention should be included in the plan of care for an
infant with pyloric stenosis?
Observe for projectile vomiting
We have an expert-written solution to this problem!
A six month old returns from surgery with elbow restraints in place. What nursing
intervention should be included when caring for any restrained child?
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?
Congenital Heart Disease
Hesi Fundamentals
,Hesi Fundamentals
We have an expert-written solution to this problem!
When assessing a child with asthma the nurse should expect intercostal retractions during
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
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?
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?
deep tendon reflexes
We have an expert-written solution to this problem!
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a
client develops pontine myselinolysis. Which intervention should the nurse implement
first?
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?
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?
Apply a high flow venturi mask
Hesi Fundamentals
,Hesi Fundamentals
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?
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"
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
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
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?
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?
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?
prepare the client to return to the operating room
Hesi Fundamentals
, Hesi Fundamentals
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?
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?
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?
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 feeling very weak and
jittery. Which actions should the nurse implement?
- assess his skin temp and moisture
- document anxiety on the surgical checklist
-administer a PRN dose of regular insulin
A client with Cushings Syndrome is recovering from an elective laparoscopic procedure.
Which assessment finding warrants immediate intervention by the nurse?
irregular apical pulse
An adult client with primary Raynauds phenomenon develops pallor and then cyanosis of
her finger. After warming her hands the fingers turn red and the client reports a burning
sensation. What action should the nurse take?
secure a pulse oximeter to monitor the clients oxygen saturation
A male client with muscular dystrophy fell in his home and is admitted with a right hip
fracture. His right foot is cool with palpable pedal pulses. Lungs are coarse with
diminished breath sounds. Vital signs are temp 101, heart rate 128 bpm, respirations 28
bpm and BP 122/82 . Which intervention is most important for the nurse to implement
first?
Assess lower extremity circulation
Hesi Fundamentals
HESI RN EXIT EXAM QUIZZES AND
SOLUTIONS 2025/2026
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?
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?
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?
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?
elbow
What preoperative nursing intervention should be included in the plan of care for an
infant with pyloric stenosis?
Observe for projectile vomiting
We have an expert-written solution to this problem!
A six month old returns from surgery with elbow restraints in place. What nursing
intervention should be included when caring for any restrained child?
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?
Congenital Heart Disease
Hesi Fundamentals
,Hesi Fundamentals
We have an expert-written solution to this problem!
When assessing a child with asthma the nurse should expect intercostal retractions during
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
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?
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?
deep tendon reflexes
We have an expert-written solution to this problem!
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a
client develops pontine myselinolysis. Which intervention should the nurse implement
first?
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?
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?
Apply a high flow venturi mask
Hesi Fundamentals
,Hesi Fundamentals
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?
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"
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
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
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?
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?
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?
prepare the client to return to the operating room
Hesi Fundamentals
, Hesi Fundamentals
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?
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?
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?
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 feeling very weak and
jittery. Which actions should the nurse implement?
- assess his skin temp and moisture
- document anxiety on the surgical checklist
-administer a PRN dose of regular insulin
A client with Cushings Syndrome is recovering from an elective laparoscopic procedure.
Which assessment finding warrants immediate intervention by the nurse?
irregular apical pulse
An adult client with primary Raynauds phenomenon develops pallor and then cyanosis of
her finger. After warming her hands the fingers turn red and the client reports a burning
sensation. What action should the nurse take?
secure a pulse oximeter to monitor the clients oxygen saturation
A male client with muscular dystrophy fell in his home and is admitted with a right hip
fracture. His right foot is cool with palpable pedal pulses. Lungs are coarse with
diminished breath sounds. Vital signs are temp 101, heart rate 128 bpm, respirations 28
bpm and BP 122/82 . Which intervention is most important for the nurse to implement
first?
Assess lower extremity circulation
Hesi Fundamentals
