RN HESI Exit 2026 Success Pack | Latest Update | Exam
Prep
1. What is the first action the nurse should take when caring for two clients in a
critical care unit?
Complete a head-to-toe assessment of the client with pneumonia.
Change the surgical dressing to observe the appearance of the
incision.
Review the plan of care and the medications that are due for both
clients.
Assess the level of consciousness and vital signs for both clients.
2. If a patient taking carbidopa-levodopa reports dark red urine, what should
the nurse's response be?
Inform the patient that a change in urine color is a common
occurrence with this medication.
Refer the patient to a specialist for further evaluation.
Suggest the patient drink more fluids to dilute the urine.
Advise the patient to stop taking the medication immediately.
3. Why is it important for a patient with gout to limit red meat and seafood in
their diet?
They provide necessary vitamins that help reduce inflammation.
These foods are low in calories and help with weight management.
Red meat and seafood can increase uric acid levels, exacerbating
gout symptoms.
These foods are high in protein, which is essential for recovery.
,4. A patient with an acute asthma exacerbation has both inspiratory and
expiratory wheezes and decrease expiratory volume. Which medication
should be given right away?
Bronchodilator
Oral steroids
Beta blockers
Inhaled steroids
5. Why is it important for the nurse to report the complete blood count for a
client receiving zidovudine with skin manifestations?
The complete blood count can indicate potential blood dyscrasias
associated with zidovudine.
The complete blood count helps determine the need for an allergy
test.
The complete blood count is used to diagnose skin infections.
The complete blood count assesses muscle function.
6. The nurse is talking with a client during a home health visit. The client states,
"my right arm and right leg are beginning to feel heavy." The nurse notices
the client is having trouble speaking and has stopped moving the right side
of their face. What action the nurse should take first?
Take the client's vital signs.
Document the onset of symptoms in the medical record.
Call 911.
Ask the client if they have a headache.
,7. If the prescribed dosage of amoxicillin is increased to 30 mg/kg/day, how
many mL should the nurse administer with each dose for the same infant?
4.0 mL
2.5 mL
5.0 mL
3.0 mL
8. If a nurse observes liquid brown drainage from a patient's stoma after a
ureteroileostomy, what should be the nurse's immediate action?
Notify the healthcare provider for further evaluation.
Document the finding and monitor the patient.
Increase the patient's fluid intake.
Change the stoma appliance immediately.
9. An adult male is brought to the emergency department by ambulance
following a motorcycle accident. He was not wearing a helmet and presents
with periorbital bruising and bloody drainage from both ears. Which
assessment finding warrants immediate intervention by the nurse?
Rebound abdominal tenderness
rib pain with deep inspiration
diminished bilateral breath sounds
nausea and projectile vomit
, 10. A patient with a history of asthma presents to the emergency department
with severe wheezing and difficulty breathing. After administering the first-
line medication, what should the nurse monitor for to assess the
effectiveness of the treatment?
Improvement in breath sounds and decreased wheezing.
Increased anxiety and restlessness.
Increased heart rate and blood pressure.
Decreased respiratory rate and oxygen saturation.
11. What is the recommended coping strategy for a client with generalized
anxiety disorder who avoids communication and smokes heavily?
Concentrate on and ventilate emotions when distressed.
Relax and reduce the amount of effort to solve the problem.
Analyze past hurts and resentments to identify the source.
Focus on small achievable tasks, not taxing problems.
12. What is the primary intervention the nurse should implement for a middle-
aged adult client in stable condition after a life-threatening crisis?
Allow long periods of uninterrupted rest in order to reduce fatigue.
Encourage the client to reflect on personal goals and priorities.
Discuss the cause of the accident with the client and the client's
family.
Provide a routine schedule of activities to facilitate trust.
13. In a scenario where a client develops pulmonary edema after a blood
transfusion, what would be the most appropriate initial nursing action?
Prep
1. What is the first action the nurse should take when caring for two clients in a
critical care unit?
Complete a head-to-toe assessment of the client with pneumonia.
Change the surgical dressing to observe the appearance of the
incision.
Review the plan of care and the medications that are due for both
clients.
Assess the level of consciousness and vital signs for both clients.
2. If a patient taking carbidopa-levodopa reports dark red urine, what should
the nurse's response be?
Inform the patient that a change in urine color is a common
occurrence with this medication.
Refer the patient to a specialist for further evaluation.
Suggest the patient drink more fluids to dilute the urine.
Advise the patient to stop taking the medication immediately.
3. Why is it important for a patient with gout to limit red meat and seafood in
their diet?
They provide necessary vitamins that help reduce inflammation.
These foods are low in calories and help with weight management.
Red meat and seafood can increase uric acid levels, exacerbating
gout symptoms.
These foods are high in protein, which is essential for recovery.
,4. A patient with an acute asthma exacerbation has both inspiratory and
expiratory wheezes and decrease expiratory volume. Which medication
should be given right away?
Bronchodilator
Oral steroids
Beta blockers
Inhaled steroids
5. Why is it important for the nurse to report the complete blood count for a
client receiving zidovudine with skin manifestations?
The complete blood count can indicate potential blood dyscrasias
associated with zidovudine.
The complete blood count helps determine the need for an allergy
test.
The complete blood count is used to diagnose skin infections.
The complete blood count assesses muscle function.
6. The nurse is talking with a client during a home health visit. The client states,
"my right arm and right leg are beginning to feel heavy." The nurse notices
the client is having trouble speaking and has stopped moving the right side
of their face. What action the nurse should take first?
Take the client's vital signs.
Document the onset of symptoms in the medical record.
Call 911.
Ask the client if they have a headache.
,7. If the prescribed dosage of amoxicillin is increased to 30 mg/kg/day, how
many mL should the nurse administer with each dose for the same infant?
4.0 mL
2.5 mL
5.0 mL
3.0 mL
8. If a nurse observes liquid brown drainage from a patient's stoma after a
ureteroileostomy, what should be the nurse's immediate action?
Notify the healthcare provider for further evaluation.
Document the finding and monitor the patient.
Increase the patient's fluid intake.
Change the stoma appliance immediately.
9. An adult male is brought to the emergency department by ambulance
following a motorcycle accident. He was not wearing a helmet and presents
with periorbital bruising and bloody drainage from both ears. Which
assessment finding warrants immediate intervention by the nurse?
Rebound abdominal tenderness
rib pain with deep inspiration
diminished bilateral breath sounds
nausea and projectile vomit
, 10. A patient with a history of asthma presents to the emergency department
with severe wheezing and difficulty breathing. After administering the first-
line medication, what should the nurse monitor for to assess the
effectiveness of the treatment?
Improvement in breath sounds and decreased wheezing.
Increased anxiety and restlessness.
Increased heart rate and blood pressure.
Decreased respiratory rate and oxygen saturation.
11. What is the recommended coping strategy for a client with generalized
anxiety disorder who avoids communication and smokes heavily?
Concentrate on and ventilate emotions when distressed.
Relax and reduce the amount of effort to solve the problem.
Analyze past hurts and resentments to identify the source.
Focus on small achievable tasks, not taxing problems.
12. What is the primary intervention the nurse should implement for a middle-
aged adult client in stable condition after a life-threatening crisis?
Allow long periods of uninterrupted rest in order to reduce fatigue.
Encourage the client to reflect on personal goals and priorities.
Discuss the cause of the accident with the client and the client's
family.
Provide a routine schedule of activities to facilitate trust.
13. In a scenario where a client develops pulmonary edema after a blood
transfusion, what would be the most appropriate initial nursing action?
