HESI EXIT EXAM QUESTIONS COMPLETE
PRACTICE TEST WITH ANSWERS AND
DETAILED RATIONALES
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,A male client with hypertension, who received new c. Stroke secondary to hemorrhage
antihypertensive prescriptions at his last visit returns to
the clinic two weeks later to evaluate his blood pressure
(BP). His BP is 158/106 and he admits that he has not been
taking the prescribed medication because the drugs
make him "feel bad". In explaining the need for
hypertension control, the nurse should stress that an
elevated BP places the client at risk for which
pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
An adolescent with major depressive disorder has been a. Describes life without purpose
taking duloxetine (Cymbalta) for the past 12 days. Which
assessment finding requires immediate follow-up
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
A 60-year-old female client with a positive family history a. Further evaluation involving surgery may be needed
of ovarian cancer has developed an abdominal mass and
is being evaluated for possible ovarian cancer. Her
Papanicolau (Pap) smear results are negative. What
information should the nurse include in the client's
teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled
out
c. Pap smear evaluation should be continued every six
month
d. One additional negative pap smear in six months is
needed.
A client who recently underwent a tracheostomy is being b. Teach tracheal suctioning techniques
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.
,In assessing an adult client with a partial rebreather mask, d. Document the assessment data
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
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
During shift report, the central electrocardiogram (EKG) a. Respiratory apnea of 30 seconds
monitoring system alarms. Which client alarm should the
nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
During a home visit, the nurse observed an elderly client c. Check the client for lacerations or fractures
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
At 0600 while admitting a woman for a schedule repeat c. Inform the anesthesia care provider
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.
After placing a stethoscope as seen in the picture, the c. Listen with the bell at the same location
nurse auscultates S1 and S2 heart sounds. To determine if
an S3 heart sound is present, what action should the
nurse take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
, A 66-year-old woman is retiring and will no longer have a c. Medicare
health insurance through her place of employment.
Which agency should the client be referred to by the
employee health nurse for health insurance needs?
a. Woman, Infant, and Children program
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act
provision.
A client who is taking an oral dose of a tetracycline d. Toasted wheat bread and jelly
complains of gastrointestinal upset. What snack should
the nurse instruct the client to take with the tetracycline?
a. Fruit-flavored yogurt.
b. Cheese and crackers.
c. Cold cereal with skim milk.
d. Toasted wheat bread and jelly
Following a lumbar puncture, a client voices several d. I have a headache that gets worse when I sit up"
complaints. What complaint indicated to the nurse that
the client is experiencing a complication?
a. "I am having pain in my lower back when I move my
legs"
b. "My throat hurts when I swallow"
c. "I feel sick to my stomach and am going to throw up"
d. I have a headache that gets worse when I sit up"
An elderly client seems confused and reports the onset b. Obtain a clean catch mid-stream specimen
of nausea, dysuria, and urgency with incontinence. Which
action should the nurse implement
a. Auscultate for renal bruits
b. Obtain a clean catch mid-stream specimen
c. Use a dipstick to measure for urinary ketone
d. Begin to strain the client's urine.
The nurse is assisting the mother of a child with b. Foods sweetened with aspartame.
phenylketonuria (PKU) to select foods that are in keeping
with the child's dietary restrictions. Which foods are
contraindicated for this child?
a. Wheat products
b. Foods sweetened with aspartame.
c. High fat foods
d. High calories foods.
PRACTICE TEST WITH ANSWERS AND
DETAILED RATIONALES
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,A male client with hypertension, who received new c. Stroke secondary to hemorrhage
antihypertensive prescriptions at his last visit returns to
the clinic two weeks later to evaluate his blood pressure
(BP). His BP is 158/106 and he admits that he has not been
taking the prescribed medication because the drugs
make him "feel bad". In explaining the need for
hypertension control, the nurse should stress that an
elevated BP places the client at risk for which
pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
An adolescent with major depressive disorder has been a. Describes life without purpose
taking duloxetine (Cymbalta) for the past 12 days. Which
assessment finding requires immediate follow-up
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
A 60-year-old female client with a positive family history a. Further evaluation involving surgery may be needed
of ovarian cancer has developed an abdominal mass and
is being evaluated for possible ovarian cancer. Her
Papanicolau (Pap) smear results are negative. What
information should the nurse include in the client's
teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled
out
c. Pap smear evaluation should be continued every six
month
d. One additional negative pap smear in six months is
needed.
A client who recently underwent a tracheostomy is being b. Teach tracheal suctioning techniques
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.
,In assessing an adult client with a partial rebreather mask, d. Document the assessment data
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
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
During shift report, the central electrocardiogram (EKG) a. Respiratory apnea of 30 seconds
monitoring system alarms. Which client alarm should the
nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
During a home visit, the nurse observed an elderly client c. Check the client for lacerations or fractures
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
At 0600 while admitting a woman for a schedule repeat c. Inform the anesthesia care provider
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.
After placing a stethoscope as seen in the picture, the c. Listen with the bell at the same location
nurse auscultates S1 and S2 heart sounds. To determine if
an S3 heart sound is present, what action should the
nurse take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
, A 66-year-old woman is retiring and will no longer have a c. Medicare
health insurance through her place of employment.
Which agency should the client be referred to by the
employee health nurse for health insurance needs?
a. Woman, Infant, and Children program
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act
provision.
A client who is taking an oral dose of a tetracycline d. Toasted wheat bread and jelly
complains of gastrointestinal upset. What snack should
the nurse instruct the client to take with the tetracycline?
a. Fruit-flavored yogurt.
b. Cheese and crackers.
c. Cold cereal with skim milk.
d. Toasted wheat bread and jelly
Following a lumbar puncture, a client voices several d. I have a headache that gets worse when I sit up"
complaints. What complaint indicated to the nurse that
the client is experiencing a complication?
a. "I am having pain in my lower back when I move my
legs"
b. "My throat hurts when I swallow"
c. "I feel sick to my stomach and am going to throw up"
d. I have a headache that gets worse when I sit up"
An elderly client seems confused and reports the onset b. Obtain a clean catch mid-stream specimen
of nausea, dysuria, and urgency with incontinence. Which
action should the nurse implement
a. Auscultate for renal bruits
b. Obtain a clean catch mid-stream specimen
c. Use a dipstick to measure for urinary ketone
d. Begin to strain the client's urine.
The nurse is assisting the mother of a child with b. Foods sweetened with aspartame.
phenylketonuria (PKU) to select foods that are in keeping
with the child's dietary restrictions. Which foods are
contraindicated for this child?
a. Wheat products
b. Foods sweetened with aspartame.
c. High fat foods
d. High calories foods.
