HESI RN EXIT V3 CERTIFICATION SCRIPT
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Older client discharge teaching you tell them what?.
Answer: Don't share meds with family and friends (older people like to
share medicine)
◍ Sensory deficit and at risk for falls.
Answer: Reoriente client to surroundings
◍ When conducting assessment on 6 month old infant.
Answer: Keep child on lap
◍ Hypoglycemia.
Answer: sweating, fatigue, palpitation, blurred vision, headache, confusion,
tachycardia, numbing lips and tongueTX - rapid glucose
◍ Which of these clients who are all in the terminal stage of cancer is least
appropriate to suggest the use of patient controlled analgesia (PCA) with a
pump? A) A young adult with a history of Down's syndrome B) A teenager
who reads at a 4th grade level C) An elderly client with numerous arthritic
nodules on the hands D) A preschooler with intermittent episodes of
alertness.
Answer: D) A preschooler with intermittent episodes of alertness
◍ Pt. with syncope as history of aspiration - drinking from a straw.
Answer: Thicken liquids
◍ Lactulose.
Answer: Treats constipation and encephalopathy in CIRRHOSIS OF LIVER
- produces diarrhea
,◍ A client has a chest tube in place following a left lower lobectomy inserted
after a stab wound to the chest. When repositioning the client, the nurse
notices 200 cc of dark, red fluid flows into the collection chamber of the
chest drain. What is the most appropriate nursing action? A) Clamp the
chest tube B) Call the surgeon immediately C) Prepare for blood transfusion
D) Continue to monitor the rate of drainage.
Answer: D) Continue to monitor the rate of drainage
◍ The nurse is reviewing laboratory results on a client with acute renal failure.
Which one of the following should be reported immediately? A) Blood urea
nitrogen 50 mg/dl B) Hemoglobin of 10.3 mg/dl C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L.
Answer: D) Serum potassium 6 mEq/L
◍ Question about pneumothorax -.
Answer: remove air
◍ Croup.
Answer: Barking, seal like cough, Inspiratory StridorMaintain patent airway
- provide adequate gas exchangePop on pillows, fowlers position.
◍ A client with heart failure has Lanoxin (digoxin) ordered. What would the
nurse expect to find when evaluating for the therapeutic effectiveness of this
drug? A) diaphoresis with decreased urinary output B) increased heart rate
with increase respirations C) improved respiratory status and increased
urinary output D) decreased chest pain and decreased blood pressure.
Answer: C) improved respiratory status and increased urinary output
◍ A client who received hemodialysis yesterday is experiencing a blood
pressure of 200/100mmHg, heart rate 110 beats/minute, and respiratory rate
36 breaths/minute. The client ismanifesting shortness of breath, bilateral 2+
pedal edema, and an oxygen saturation on room airof 89%. Which action
should the nurse take first?a. Elevate the foot of the bed. b. Restrict the
client's fluid. c. Begin supplemental oxygen. d. Prepare the client for
hemodialysis..
, Answer: c. Begin supplemental oxygen
◍ Cirrhosis client becomes confused - ammonia levels are up.
Answer: Lactulose
◍ Pt that is weak and refuses help.
Answer: 4 point crutch
◍ Pneumothorax.
Answer: Monitor for presence of breath sounds Chest X- RayO2 stats
improved remove air to fix collapsed lungpriority is ABC/s check insertion
site for redness, swelling, warmth, drainagesemi-fowlerschange position Q 2
hours
◍ nures manager observes staff nurse persuading a student nurse to do her job.
Answer: Written contract
◍ After an inservice about electronic health record (EHR) security and
safeguarding clientinformation, the nurse observes a colleague going home
with printed copies of clientinformation in a uniform pocket. Which action
should the nurse take?a. File a detailed incident report with the specific
hiring facility. b. Warn the colleague that their actions are unprofessional. c.
Comment anonymously about the action of a staff discussion board. d.
Communicate the colleague's actions to the unit charge nurse..
Answer: a. File a detailed incident report with the specific hiring facility.
◍ Pernicious Anemia (Addisons Anemia).
Answer: Can't store B-12Confusion and delirium and disorientation are
normal especially in elderly
◍ Mesalamine.
Answer: GI Ant-inflammatoryulcerative colitis*MONITOR BOWELS
PATTERN *Should decrease diarrhea and lessen abd. pain abdominal pain
and frequencequality and consistency of stools look for bloody diarrhea,
fever, headache, cramping, rash
◍ Older male client comes in with confusion - what lab do you perform?.
, Answer: Urine culture
◍ End Stage Liver Disease.
Answer: SELECT ALLMeasure abdominal GirthSerum Albumin and
GlobulinNote Swelling and Edema
◍ Prevention of osteoperosos - client who is post menopausal -.
Answer: increase calcium - NOT QUIT SMOKING! - not the right answer
◍ Bucks Traction.
Answer: Adhesive tape to skin - perform lots of skin care and monitor
closelyCircular bandagingAlign long axis of gone arm or legweights applied
by rope for free motion ** Fractured Hip**
◍ Which information is a priority for the RN to reinforce to an older client
after intravenous pyelogram? a. Eat a light diet for the rest of the day b. Rest
for the next 24 hours since the preparation and the test is tiring. c. During
waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2
days d. Measure the urine output for the next day and immediately notify the
health care provider if itshould decrease..
Answer: d. Measure the urine output for the next day and immediately notify
the health care provider if itshould decrease.
◍ Alcoholism.
Answer: Hypo magnesiumDetox
◍ Total laryngectomy 2 days ago being transferred from ICU to unit, client is
anxious, what intervention is most important?.
Answer: respond to call light immediately
◍ Burns - don't want them to become contracted.
Answer: turn head side to side 90 degrees
◍ Spinal cord injury (SCI).
Answer: Airway then immobilization
◍ Child with juvenile arthritis develops low grade fever and is already taking
aspirin - what does the nurse tell the mom to give the child?.
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Older client discharge teaching you tell them what?.
Answer: Don't share meds with family and friends (older people like to
share medicine)
◍ Sensory deficit and at risk for falls.
Answer: Reoriente client to surroundings
◍ When conducting assessment on 6 month old infant.
Answer: Keep child on lap
◍ Hypoglycemia.
Answer: sweating, fatigue, palpitation, blurred vision, headache, confusion,
tachycardia, numbing lips and tongueTX - rapid glucose
◍ Which of these clients who are all in the terminal stage of cancer is least
appropriate to suggest the use of patient controlled analgesia (PCA) with a
pump? A) A young adult with a history of Down's syndrome B) A teenager
who reads at a 4th grade level C) An elderly client with numerous arthritic
nodules on the hands D) A preschooler with intermittent episodes of
alertness.
Answer: D) A preschooler with intermittent episodes of alertness
◍ Pt. with syncope as history of aspiration - drinking from a straw.
Answer: Thicken liquids
◍ Lactulose.
Answer: Treats constipation and encephalopathy in CIRRHOSIS OF LIVER
- produces diarrhea
,◍ A client has a chest tube in place following a left lower lobectomy inserted
after a stab wound to the chest. When repositioning the client, the nurse
notices 200 cc of dark, red fluid flows into the collection chamber of the
chest drain. What is the most appropriate nursing action? A) Clamp the
chest tube B) Call the surgeon immediately C) Prepare for blood transfusion
D) Continue to monitor the rate of drainage.
Answer: D) Continue to monitor the rate of drainage
◍ The nurse is reviewing laboratory results on a client with acute renal failure.
Which one of the following should be reported immediately? A) Blood urea
nitrogen 50 mg/dl B) Hemoglobin of 10.3 mg/dl C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L.
Answer: D) Serum potassium 6 mEq/L
◍ Question about pneumothorax -.
Answer: remove air
◍ Croup.
Answer: Barking, seal like cough, Inspiratory StridorMaintain patent airway
- provide adequate gas exchangePop on pillows, fowlers position.
◍ A client with heart failure has Lanoxin (digoxin) ordered. What would the
nurse expect to find when evaluating for the therapeutic effectiveness of this
drug? A) diaphoresis with decreased urinary output B) increased heart rate
with increase respirations C) improved respiratory status and increased
urinary output D) decreased chest pain and decreased blood pressure.
Answer: C) improved respiratory status and increased urinary output
◍ A client who received hemodialysis yesterday is experiencing a blood
pressure of 200/100mmHg, heart rate 110 beats/minute, and respiratory rate
36 breaths/minute. The client ismanifesting shortness of breath, bilateral 2+
pedal edema, and an oxygen saturation on room airof 89%. Which action
should the nurse take first?a. Elevate the foot of the bed. b. Restrict the
client's fluid. c. Begin supplemental oxygen. d. Prepare the client for
hemodialysis..
, Answer: c. Begin supplemental oxygen
◍ Cirrhosis client becomes confused - ammonia levels are up.
Answer: Lactulose
◍ Pt that is weak and refuses help.
Answer: 4 point crutch
◍ Pneumothorax.
Answer: Monitor for presence of breath sounds Chest X- RayO2 stats
improved remove air to fix collapsed lungpriority is ABC/s check insertion
site for redness, swelling, warmth, drainagesemi-fowlerschange position Q 2
hours
◍ nures manager observes staff nurse persuading a student nurse to do her job.
Answer: Written contract
◍ After an inservice about electronic health record (EHR) security and
safeguarding clientinformation, the nurse observes a colleague going home
with printed copies of clientinformation in a uniform pocket. Which action
should the nurse take?a. File a detailed incident report with the specific
hiring facility. b. Warn the colleague that their actions are unprofessional. c.
Comment anonymously about the action of a staff discussion board. d.
Communicate the colleague's actions to the unit charge nurse..
Answer: a. File a detailed incident report with the specific hiring facility.
◍ Pernicious Anemia (Addisons Anemia).
Answer: Can't store B-12Confusion and delirium and disorientation are
normal especially in elderly
◍ Mesalamine.
Answer: GI Ant-inflammatoryulcerative colitis*MONITOR BOWELS
PATTERN *Should decrease diarrhea and lessen abd. pain abdominal pain
and frequencequality and consistency of stools look for bloody diarrhea,
fever, headache, cramping, rash
◍ Older male client comes in with confusion - what lab do you perform?.
, Answer: Urine culture
◍ End Stage Liver Disease.
Answer: SELECT ALLMeasure abdominal GirthSerum Albumin and
GlobulinNote Swelling and Edema
◍ Prevention of osteoperosos - client who is post menopausal -.
Answer: increase calcium - NOT QUIT SMOKING! - not the right answer
◍ Bucks Traction.
Answer: Adhesive tape to skin - perform lots of skin care and monitor
closelyCircular bandagingAlign long axis of gone arm or legweights applied
by rope for free motion ** Fractured Hip**
◍ Which information is a priority for the RN to reinforce to an older client
after intravenous pyelogram? a. Eat a light diet for the rest of the day b. Rest
for the next 24 hours since the preparation and the test is tiring. c. During
waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2
days d. Measure the urine output for the next day and immediately notify the
health care provider if itshould decrease..
Answer: d. Measure the urine output for the next day and immediately notify
the health care provider if itshould decrease.
◍ Alcoholism.
Answer: Hypo magnesiumDetox
◍ Total laryngectomy 2 days ago being transferred from ICU to unit, client is
anxious, what intervention is most important?.
Answer: respond to call light immediately
◍ Burns - don't want them to become contracted.
Answer: turn head side to side 90 degrees
◍ Spinal cord injury (SCI).
Answer: Airway then immobilization
◍ Child with juvenile arthritis develops low grade fever and is already taking
aspirin - what does the nurse tell the mom to give the child?.
