lOMoAR cPSD| 11450120
HESI EXIT RNEXAM V1 - V7
QUESTIONS & ANSWERS WITH
RATIONALE COMPLETE SOLUTION
(LATEST AND UPDATED) 2026
ALREADY VERIFIED BY EXPERTS
1
,lOMoAR cPSD| 11450120
, lOMoAR cPSD| 11450120
1. A client who recently underwear a tracheostomy is being
prepared for discharge to home. Which instructions is most
important for the nurse to include in the discharge plan?
a- Explain how to use communication tools.
b- Teach tracheal suctioning techniques
c- Encourage self-care and independence.
d- Demonstrate how to clean tracheostomy site.
Rationale: Suctioning helps to clear secretions and maintain an open
airway, which is critical.
2. In assessing an adult client with a partial rebreather mask, the
nurse notes that the oxygen reservoir bag does not deflate
completely during inspiration and the client’s respiratory rate is
14 breaths / minute. What action should the nurse implement?
, lOMoAR cPSD| 11450120
a- Encourage the client to take deep breaths
b- Remove the mask to deflate the bag
c- Increase the liter flow of oxygen
d- Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration
and the client’s respiratory rate is within normal limits.
3. During a home visit, the nurse observed an elderly client with
diabetes slip and fall. What action should the nurse take first?
a- Give the client 4 ounces of orange juice
b- Call 911 to summon emergency assistance
c- Check the client for lacerations or fractures
d- Asses clients blood sugar level
Rationale: After the client falls, the nurse should immediately assess for
the possibility of injuries and provide first aid as needed
4. At 0600 while admitting a woman for a schedule repeat cesarean
section (C-Section), the client tells the nurse that she drank a cup
a coffee at 0400 because she wanted to avoid getting a headache.
Which action should the nurse take first?
a- Ensure preoperative lab results are available
b- Start prescribed IV with lactated Ringer’s
c- Inform the anesthesia care provider
d- Contact the client’s obstetrician.
Rationale: Surgical preoperative instruction includes NPO after midnight
the day of surgery to decrease the risk of aspiration should vomiting
occur during anesthesia. While it is possible the C-section will be done
on schedule or rescheduled for later in the day, the anesthesia provider
HESI EXIT RNEXAM V1 - V7
QUESTIONS & ANSWERS WITH
RATIONALE COMPLETE SOLUTION
(LATEST AND UPDATED) 2026
ALREADY VERIFIED BY EXPERTS
1
,lOMoAR cPSD| 11450120
, lOMoAR cPSD| 11450120
1. A client who recently underwear a tracheostomy is being
prepared for discharge to home. Which instructions is most
important for the nurse to include in the discharge plan?
a- Explain how to use communication tools.
b- Teach tracheal suctioning techniques
c- Encourage self-care and independence.
d- Demonstrate how to clean tracheostomy site.
Rationale: Suctioning helps to clear secretions and maintain an open
airway, which is critical.
2. In assessing an adult client with a partial rebreather mask, the
nurse notes that the oxygen reservoir bag does not deflate
completely during inspiration and the client’s respiratory rate is
14 breaths / minute. What action should the nurse implement?
, lOMoAR cPSD| 11450120
a- Encourage the client to take deep breaths
b- Remove the mask to deflate the bag
c- Increase the liter flow of oxygen
d- Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration
and the client’s respiratory rate is within normal limits.
3. During a home visit, the nurse observed an elderly client with
diabetes slip and fall. What action should the nurse take first?
a- Give the client 4 ounces of orange juice
b- Call 911 to summon emergency assistance
c- Check the client for lacerations or fractures
d- Asses clients blood sugar level
Rationale: After the client falls, the nurse should immediately assess for
the possibility of injuries and provide first aid as needed
4. At 0600 while admitting a woman for a schedule repeat cesarean
section (C-Section), the client tells the nurse that she drank a cup
a coffee at 0400 because she wanted to avoid getting a headache.
Which action should the nurse take first?
a- Ensure preoperative lab results are available
b- Start prescribed IV with lactated Ringer’s
c- Inform the anesthesia care provider
d- Contact the client’s obstetrician.
Rationale: Surgical preoperative instruction includes NPO after midnight
the day of surgery to decrease the risk of aspiration should vomiting
occur during anesthesia. While it is possible the C-section will be done
on schedule or rescheduled for later in the day, the anesthesia provider
