ACTUAL HESI RN EXIT COMPREHENSIVE TEST
PAPER 2026 TESTED QUESTIONS AND
SOLUTIONS GUARANTEED TO PASS
◉ After administering a proton pump inhibitor, which action should
the nurse take to evaluate the effectiveness of the medication?
Answer: Ask the pt about gastrointestinal pain
◉ A pt is receiving enoxaparin 30 mg subcutaneously twice a day. In
assessing for adverse effects of the medication, which serum
laboratory value most important for the nurse to monitor Answer:
platelet count
◉ A pediatric client is taking the beta-adrenergic blocking agent
propranolol. In developing a teaching plan, the nurse should teach
the parents to report which sign of overdose? Answer: Bradycardia
◉ The nurse is demonstrating correct transfer procedures to the
unlicensed assistive personnel working on a rehab unit. The UAP
asks the nurse how to safely move a physically disabled pt from the...
wheelchair to the bed. Which action should the nurse recommend?
Answer: Place the pt locked wheelchair on the pt strong side next to
the bed
,◉ The nurse has completed the diet teaching of a client who is being
discharged following tx of a leg wound. A high protein diet is
encouraged to promote wound healing. Which lunch choice by the pt
indicates that the teaching was effective? Answer: A tuna fish
sandwich with chips and ice cream
◉ When conducting diet teaching for a pt who was dx with a
myocardial infarction, which snack foods should the nurse
encourage the pt to eat? SATA Answer: Fresh Turkey slices and
berries
chick bouillon soup and toast
raw unsalted almonds and apples
◉ A pt taking clopidogrel reports the onset of diarrhea. Which
nursing action should the nurse implement first? Answer: Observe
the appearance of the stool
◉ A pt is dx with Meniere's disease. Which problem should the
nurse identify as most important in the plan of care? Answer: Risk
for injury related to vertigo
◉ A new nurse preparing to irrigate an IV catheter is attaching a 24
gauge needle. Which action should the charge nurse implement?
Answer: Suggest the nurse use 20g needle
,◉ A nurse working on an Endocrine Unit should see which client
first? Answer: A pt taking corticosteroids who has become
disoriented in the last two hours.
◉ After an older pt receives tx for drug toxicity the healthcare
provider prescribes a 24 hr creatinine clearance, the nurse notes
that the pt serum creatinine is 0.3mg. Which action should the nurse
implement? Answer: Notify the healthcare provider of the results
◉ An older adult pt with Systemic inflammatory syndrome (SIRS)
has a temp of 101.8, HR of 110, and RR of 24 breaths/min. Which
additional finding is most important to report to the healthcare
provider? Answer: Serum Creatinine of 2mg/dl
◉ A pt in the third trimester of pregnancy reports that she feels
some lumpy places in her breasts and that her nipples sometimes
leak a yellowish fluid. She has an appointment with her healthcare
provider in two weeks. What actions should the nurse take? Answer:
Explain that this is normal recreation and can be assessed at the
next visit.
◉ A pt presents to the labor and delivery unit with a report of
leaking fluid that is greenish-brown vaginal discharge. Which action
should the nurse take first? Answer: begin continuous fetal
monitoring
, ◉ The mother of a 2 day old infant girl expresses concern about a
flea bite type rash on her daughter's body. The nurse identifies a
pink papular rash with vesicles superimposed over the thorax, back,
buttocks, and abdomen. Which explanation should the nurse offer?
Answer: This is a common newborn rash that will resolve after
several days.
◉ When assessing a recently delivered mom that her vaginal
bleeding is more than expected. Which factor in this history is
related to this finding? Answer: She is a gravid 6 para 5.
◉ The nurse is caring for a preterm newborn with nasal flaring,
grunting, and sternal retractions. After administering surfactant,
which assessment is most important for the nurse to monitor?
Answer: Arterial blood gas
◉ A pt who gave birth 48 hours ago has decided to bottle feed teh
infant. During the assessment, the nurse observes that both breasts
are swollen, warm and tender on palpation. Which instruction
should the nurse provide? Answer: Apply ice to the breast for
comfort.
◉ The nurse is providing discharge teaching to the parents of a 13
month old child who underwent repair for an atrial septal defect.
The healthcare provider prescribes aspirin and an antibiotic for the
first 6 months postoperatively to prevent infective endocarditis.
What information is most important for the nurse discuss with the
PAPER 2026 TESTED QUESTIONS AND
SOLUTIONS GUARANTEED TO PASS
◉ After administering a proton pump inhibitor, which action should
the nurse take to evaluate the effectiveness of the medication?
Answer: Ask the pt about gastrointestinal pain
◉ A pt is receiving enoxaparin 30 mg subcutaneously twice a day. In
assessing for adverse effects of the medication, which serum
laboratory value most important for the nurse to monitor Answer:
platelet count
◉ A pediatric client is taking the beta-adrenergic blocking agent
propranolol. In developing a teaching plan, the nurse should teach
the parents to report which sign of overdose? Answer: Bradycardia
◉ The nurse is demonstrating correct transfer procedures to the
unlicensed assistive personnel working on a rehab unit. The UAP
asks the nurse how to safely move a physically disabled pt from the...
wheelchair to the bed. Which action should the nurse recommend?
Answer: Place the pt locked wheelchair on the pt strong side next to
the bed
,◉ The nurse has completed the diet teaching of a client who is being
discharged following tx of a leg wound. A high protein diet is
encouraged to promote wound healing. Which lunch choice by the pt
indicates that the teaching was effective? Answer: A tuna fish
sandwich with chips and ice cream
◉ When conducting diet teaching for a pt who was dx with a
myocardial infarction, which snack foods should the nurse
encourage the pt to eat? SATA Answer: Fresh Turkey slices and
berries
chick bouillon soup and toast
raw unsalted almonds and apples
◉ A pt taking clopidogrel reports the onset of diarrhea. Which
nursing action should the nurse implement first? Answer: Observe
the appearance of the stool
◉ A pt is dx with Meniere's disease. Which problem should the
nurse identify as most important in the plan of care? Answer: Risk
for injury related to vertigo
◉ A new nurse preparing to irrigate an IV catheter is attaching a 24
gauge needle. Which action should the charge nurse implement?
Answer: Suggest the nurse use 20g needle
,◉ A nurse working on an Endocrine Unit should see which client
first? Answer: A pt taking corticosteroids who has become
disoriented in the last two hours.
◉ After an older pt receives tx for drug toxicity the healthcare
provider prescribes a 24 hr creatinine clearance, the nurse notes
that the pt serum creatinine is 0.3mg. Which action should the nurse
implement? Answer: Notify the healthcare provider of the results
◉ An older adult pt with Systemic inflammatory syndrome (SIRS)
has a temp of 101.8, HR of 110, and RR of 24 breaths/min. Which
additional finding is most important to report to the healthcare
provider? Answer: Serum Creatinine of 2mg/dl
◉ A pt in the third trimester of pregnancy reports that she feels
some lumpy places in her breasts and that her nipples sometimes
leak a yellowish fluid. She has an appointment with her healthcare
provider in two weeks. What actions should the nurse take? Answer:
Explain that this is normal recreation and can be assessed at the
next visit.
◉ A pt presents to the labor and delivery unit with a report of
leaking fluid that is greenish-brown vaginal discharge. Which action
should the nurse take first? Answer: begin continuous fetal
monitoring
, ◉ The mother of a 2 day old infant girl expresses concern about a
flea bite type rash on her daughter's body. The nurse identifies a
pink papular rash with vesicles superimposed over the thorax, back,
buttocks, and abdomen. Which explanation should the nurse offer?
Answer: This is a common newborn rash that will resolve after
several days.
◉ When assessing a recently delivered mom that her vaginal
bleeding is more than expected. Which factor in this history is
related to this finding? Answer: She is a gravid 6 para 5.
◉ The nurse is caring for a preterm newborn with nasal flaring,
grunting, and sternal retractions. After administering surfactant,
which assessment is most important for the nurse to monitor?
Answer: Arterial blood gas
◉ A pt who gave birth 48 hours ago has decided to bottle feed teh
infant. During the assessment, the nurse observes that both breasts
are swollen, warm and tender on palpation. Which instruction
should the nurse provide? Answer: Apply ice to the breast for
comfort.
◉ The nurse is providing discharge teaching to the parents of a 13
month old child who underwent repair for an atrial septal defect.
The healthcare provider prescribes aspirin and an antibiotic for the
first 6 months postoperatively to prevent infective endocarditis.
What information is most important for the nurse discuss with the
