RN EXIT HESI EXAM 2026
ACTUAL EXAM WITH
COMPLETE QUESTIONS
AND CORRECT DETAILED
ANSWERS ALREADY
GRADED A+
While caring for a client post operative dressing, the nurse observes purulent
wound drainage. Previously, the wound was inflamed and tender but without
drainage. Which is the most important action for the nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
C) Monitor the clients white blood cell count.
D) Request a culture and sensitivity of the wound.
D) Request a culture and sensitivity of the wound.
Purulent drainage often indicates an infection. Requesting a culture and sensitivity of
the wound will help identify the specific pathogen causing the infection and determine
the most appropriate antibiotic treatment. This action is crucial in guiding effective
management and preventing the spread of infection or complications related to wound
healing
EXAM 1 Spring 2024
The school nurse is screening students for scoliosis and notes that one student
has lordosis. Which finding should the nurse document in the student screening
record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
C) Excessive concave curvature of the lumbar spine.
D) Rounded spine from head to hips without concave curbs.
C) Excessive concave curvature of the lumbar spine.
The nurse is assigned to care for surgical clients. After receiving report, which
client should the nurse see first?
A) An older client who is receiving packed red blood cells on the third day post
operative for colon resection.
B) An older client with continuous bladder irrigation who is two days post
operative for bladder surgery.
, C) An adult who is in bucks traction, and scheduled for hip arthroplasty within the
just 12 hours.
D) An adult one day post operative laparoscopic cholecystectomy requesting
pain medication.
A) An older client who is receiving packed red blood cells on the third day post operative
for colon resection.
The nurse is providing education to a client who experiences recurrent levels of
moderate anxiety to situation and perceived stress. In addition to information
about prescribe medication and administration, which instruction should the
nurse include in the teaching?
A) Think about reasons the episodes occur.
B) Center attention on positive upbeat music.
C) Practice using muscle relaxation techniques.
D) Find outlets for more social interaction.
C) Practice using muscle relaxation techniques.
Muscle relaxation techniques, such as progressive muscle relaxation or deep breathing
exercises, can be effective in managing anxiety symptoms. Teaching the client these
techniques provides them with a coping strategy they can use in situations of stress or
anxiety to help reduce their overall anxiety levels.
The nurse is preparing a client who had a below the knee amputation for
discharge to home. Which recommendations should the nurse provide this
client? SATA.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
C) Apply alcohol to the residual limb after bathing.
D) Wash the residual limb with soap and water.
E) Avoid range of motion exercises.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
D) Wash the residual limb with soap and water.
The nurse is assessing the feet of a client with type one diabetes mellitis. Which
finding requires immediate intervention by the nurse?
A) Hard, painless nodule over metatarsophalangeal joint of first toe.
B) Painful corns and calluses over hammer toes on both feet.
C) Erythema and edema at the base of the left great toe.
D) Decreased response to pain discrimination on dorsal surface of foot.
C) Erythema and edema at the base of the left great toe.
Erythema (redness) and edema (swelling) at the base of a toe can indicate a possible
infection or inflammation, especially in a diabetic client where foot care is critical to
prevent complications like diabetic foot ulcers. Prompt assessment and intervention are
necessary to prevent further complications and promote optimal foot health
The school nurse is called to the soccer field because a child has epistaxis. In
which position should the nurse place the child?
A) Side-lying with the head slightly elevated.
B) Sitting up and leaning forward.
ACTUAL EXAM WITH
COMPLETE QUESTIONS
AND CORRECT DETAILED
ANSWERS ALREADY
GRADED A+
While caring for a client post operative dressing, the nurse observes purulent
wound drainage. Previously, the wound was inflamed and tender but without
drainage. Which is the most important action for the nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
C) Monitor the clients white blood cell count.
D) Request a culture and sensitivity of the wound.
D) Request a culture and sensitivity of the wound.
Purulent drainage often indicates an infection. Requesting a culture and sensitivity of
the wound will help identify the specific pathogen causing the infection and determine
the most appropriate antibiotic treatment. This action is crucial in guiding effective
management and preventing the spread of infection or complications related to wound
healing
EXAM 1 Spring 2024
The school nurse is screening students for scoliosis and notes that one student
has lordosis. Which finding should the nurse document in the student screening
record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
C) Excessive concave curvature of the lumbar spine.
D) Rounded spine from head to hips without concave curbs.
C) Excessive concave curvature of the lumbar spine.
The nurse is assigned to care for surgical clients. After receiving report, which
client should the nurse see first?
A) An older client who is receiving packed red blood cells on the third day post
operative for colon resection.
B) An older client with continuous bladder irrigation who is two days post
operative for bladder surgery.
, C) An adult who is in bucks traction, and scheduled for hip arthroplasty within the
just 12 hours.
D) An adult one day post operative laparoscopic cholecystectomy requesting
pain medication.
A) An older client who is receiving packed red blood cells on the third day post operative
for colon resection.
The nurse is providing education to a client who experiences recurrent levels of
moderate anxiety to situation and perceived stress. In addition to information
about prescribe medication and administration, which instruction should the
nurse include in the teaching?
A) Think about reasons the episodes occur.
B) Center attention on positive upbeat music.
C) Practice using muscle relaxation techniques.
D) Find outlets for more social interaction.
C) Practice using muscle relaxation techniques.
Muscle relaxation techniques, such as progressive muscle relaxation or deep breathing
exercises, can be effective in managing anxiety symptoms. Teaching the client these
techniques provides them with a coping strategy they can use in situations of stress or
anxiety to help reduce their overall anxiety levels.
The nurse is preparing a client who had a below the knee amputation for
discharge to home. Which recommendations should the nurse provide this
client? SATA.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
C) Apply alcohol to the residual limb after bathing.
D) Wash the residual limb with soap and water.
E) Avoid range of motion exercises.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
D) Wash the residual limb with soap and water.
The nurse is assessing the feet of a client with type one diabetes mellitis. Which
finding requires immediate intervention by the nurse?
A) Hard, painless nodule over metatarsophalangeal joint of first toe.
B) Painful corns and calluses over hammer toes on both feet.
C) Erythema and edema at the base of the left great toe.
D) Decreased response to pain discrimination on dorsal surface of foot.
C) Erythema and edema at the base of the left great toe.
Erythema (redness) and edema (swelling) at the base of a toe can indicate a possible
infection or inflammation, especially in a diabetic client where foot care is critical to
prevent complications like diabetic foot ulcers. Prompt assessment and intervention are
necessary to prevent further complications and promote optimal foot health
The school nurse is called to the soccer field because a child has epistaxis. In
which position should the nurse place the child?
A) Side-lying with the head slightly elevated.
B) Sitting up and leaning forward.
