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Exam (elaborations)

HESI Exit Exam Review – Nightingale College 2026 Actual Exam with 200 Questions and Verified Rationales

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This document contains a complete HESI Exit Exam review specifically aligned with Nightingale College, based on the latest 2026 actual exam. It includes 200 practice questions with correct, verified answers and detailed rationales to support final exam preparation and NCLEX readiness. The material is already graded and structured to reinforce critical nursing concepts across all major content areas.

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Written in
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HESI EXIT EXAM REVIEW (NIGHTINGALE COLLEGE)
LATEST 2024 ACTUAL EAXM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+

The mother of a 12-month-old with cystic fibrosis reports that her child is
experiencing increasing congestion despite the use of chest physical therapy (CPT)
twice a day, and has also experienced a lost of appetite. Which instruction should
the nurse provide?
A) Perform CPT only in the morning, but increase frequency when appetite
improves
B) Perform CPT after meals to increase appetite and improve food intake
C) CPT should be performed more frequently, but at least an hour before meals
D) Stop using CPT during the daytime until the child has regained an appetite.
C) CPT should be performed more frequently, but at least an hour before meals




The healthcare provider prescribes a low-fiber diet for a client with ulcerative
colitis. Which food selection indicate to the nurse that the client understands the
prescribed diet?
A) Roast pork, fresh strawberries
B) Pancakes, whole-grain cereals
C) Baked potato with skin, raw carrots
D) Roast turkey, canned vegetables
D) Roast turkey, canned vegetables

, HESI EXIT EXAM REVIEW (NIGHTINGALE COLLEGE)
LATEST 2024 ACTUAL EAXM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A client with atrial fibrillation receives a new prescription for dabigatran etexilate.
Which instruction is important for the nurse to emphasize when teaching the
client about this medication?
A) Check your pulse rate every day.
B) Report unusual bruising or bleeding
C) Monitor your blood pressure regularly
D) Elevate your feet if swelling occurs.
B) Report unusual bruising or bleeding




The home care nurse provided self-care instructions for a client with chronic
venous insufficiency caused by deep vein thrombosis. Which instruction should
the nurse include in the client's discharge teaching plan? (SATA)
A) Cross legs at knee but not at ankle
B) Maintain the bed flat while sleeping
C) Continue wearing compression stockings
D) Avoid prolonged standing or sitting
E) Use recliner for long periods of sitting




During discharge teaching, an overweight client with heart failure (HF) is asked to
make a grocery list for the nurse to review. Which food choices included on the
client's list should the nurse encourage? (SATA)

, HESI EXIT EXAM REVIEW (NIGHTINGALE COLLEGE)
LATEST 2024 ACTUAL EAXM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A) Natural whole almonds
B) Cheddar cheese cubes
C) Lightly salted potato chips
D) Plain, air-popped popcorn
E) Canned fruit in heavy syrup
A) Natural whole almonds
D) Plain, air-popped popcorn




The husband of an older woman, diagnosed with pernicious anemia, calls the
clinic to report that his wife still has memory loss and some confusion since she
received the first dose of nasal cyanocobaimain two days ago. He tells the nurse
that he is worried that she may be getting Alzheimer's disease. What action
should the nurse take?
A) Encourage the husband to bring the client to the clinic for a complete blood
count
B) Determine if the client is taking iron and folic acid supplements
C) Explain that memory loss and confusion are common with Vitamin B12
deficiency
D) Ask if the client is experiencing any changes in bowel habits.
C) Explain that memory loss and confusion are common with Vitamin B12
deficiency

, HESI EXIT EXAM REVIEW (NIGHTINGALE COLLEGE)
LATEST 2024 ACTUAL EAXM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
The nurse is teaching a group of women about osteoporosis and exercise. The
nurse should emphasize the need for which type of regular activity?
A) Aerobic exercise
B) Weight-bearing exercise
C) Muscle stretching and toning
D) Core strengthening
B) Weight-bearing exercise




A nurse is working in the emergency department triage area is presented with
four clients at the same time. The client presenting with which symptoms requires
the most immediate intervention by the nurse?
A) Low-grade fever, headache, and malaise for the past 72 hours.
B) One-inch bleeding laceration on the chin of a crying 5-year-old
C) Chest discomfort one hour after consuming a large- spicy meal
D) Unable to bear weight on the left foot, with swelling and bruising
C) Chest discomfort one hour after consuming a large- spicy meal




Which assessment finding is most important when planning to provide a complete
bed bath to a bedfast client?
A) Right-sided paralysis
B) 2+ pitting edema of the feet
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