HESI EXIT EXAM VERSION 2 – PRACTICE
QUESTIONS & VERIFIED ANSWERS (2025 A+
GUIDE)
A school-age client with diabetes is placed on an intermediate- acting insulin and regular
insulin before breakfast and before dinner. She will receive a snack of milk and cereal at
bedtime. What does the nurse tell the client the snack is intended to do?
Prevent late night hypoglycemia.
A well-known public official of a small community is admitted to the emergency
department following an episode of chest pain. Several nurses from the medical unit are
aware of the admission and access the official's electronic medical record to obtain a
status update. What is the best response for the nurse manager to make to the nurses
regarding this situation?
"Assessing the official's medical record is a breach of confidentiality."
Protect your child from infections because his resistance toinfection is decreased
A 44-year-old client has been experiencing spotting, nausea, vomiting, and fatigue. A
positive pregnancy test and an ultrasound confirm a 13 week gestation. The client had
three prior miscarriages with no term births. What does the nurse recognize as the greatest
risk factor for the client at this time?
• pregnancy loss
,The nurse is conducting a routine risk assessment at a prenatal visit. Which quiz would be
the best to screen for intimate partner violence?
• "How safe do you feel in your home?"
A child being treated for conduct disorder is the last person on the unit selected for an
activity. The nurse should expect the client to demonstrate:
aggression
A client who is paralyzed after a spinal cord injury needs to be transferred to a stretcher.
Which assistive device should the nurse use to facilitate this transfer?
• transfer board
A client with diabetes is taking insulin lispro injections. At What time should the nurse
advise the client to eat?
• within 10 to 15 minutes after the injection.
Which medication can the nurse administer through a nasogastric (NG) tube?
acetaminophen
Which of the following clients should the nurse assess first?
• the client who is a child with stridor and nasal flaring
,A client has been prescribed corticosteroids. The nurse would also anticipate an order for
• blood glucose checks every 6 hours.
When preparing for a spiritual counselor to visit a hospitalized client, the nurse should
• take measures to ensure privacy during the counselor's visit.
A client with pernicious anemia asks why she must take vitamin B12 injections forever.
Which is the nurse's best response?
• "The reason for your vitamin deficiency is an inability to absorb the vitamin because the
stomach is not producing sufficient amounts of a factor that allows the vitamin to be
absorbed."
A client is admitted to the emergency department with a ruptured abdominal aortic
aneurysm. No family members are present, and the surgeon instructs the nurse to take the
client to the operating room immediately. Which action should the nurse take regarding
informed consent?
• Take the client to the operating room for surgery without informed consent.
A nurse coming onto the night shift assesses a client who gave birth vaginally that morning.
The nurse finds that theclient's vaginal bleeding has saturated two perineal pads within 30
minutes. What is the first action the nurse should take?
• Assess the fundus and massage it if it's boggy.
, The nurse is caring for a client recently diagnosed with hepatitis C. In reviewing the client's
history, what information will be most helpful as the nurse develops a teaching plan? The
client:
• has a known history of sexually transmitted disease.
A child with meningococcal meningitis is being admitted tothe pediatric unit. In preparation
for the child's arrival, what should the nurse do first?
• Institute droplet precautions.
The selection of a nursing care delivery system (NCDS) is critical to the success of client
care in a nursing area. Which Factor is essential to the evaluation of an NCDS?
• identifying who will be responsible for making client care decisions
Which of the following observations by the nurse would indicate that a client is unable to
tolerate a continuation of a tube feeding?
• formula in the client's mouth during the feeding, and increased cough
A client undergoes a biopsy of a suspicious lesion. The biopsy report classifies the lesion
according to the TNMstaging system as follows: TIS, N0, M0. What does this classification
mean?
• carcinoma in situ, no abnormal regional lymph nodes, and no evidence of distant
metastasis
QUESTIONS & VERIFIED ANSWERS (2025 A+
GUIDE)
A school-age client with diabetes is placed on an intermediate- acting insulin and regular
insulin before breakfast and before dinner. She will receive a snack of milk and cereal at
bedtime. What does the nurse tell the client the snack is intended to do?
Prevent late night hypoglycemia.
A well-known public official of a small community is admitted to the emergency
department following an episode of chest pain. Several nurses from the medical unit are
aware of the admission and access the official's electronic medical record to obtain a
status update. What is the best response for the nurse manager to make to the nurses
regarding this situation?
"Assessing the official's medical record is a breach of confidentiality."
Protect your child from infections because his resistance toinfection is decreased
A 44-year-old client has been experiencing spotting, nausea, vomiting, and fatigue. A
positive pregnancy test and an ultrasound confirm a 13 week gestation. The client had
three prior miscarriages with no term births. What does the nurse recognize as the greatest
risk factor for the client at this time?
• pregnancy loss
,The nurse is conducting a routine risk assessment at a prenatal visit. Which quiz would be
the best to screen for intimate partner violence?
• "How safe do you feel in your home?"
A child being treated for conduct disorder is the last person on the unit selected for an
activity. The nurse should expect the client to demonstrate:
aggression
A client who is paralyzed after a spinal cord injury needs to be transferred to a stretcher.
Which assistive device should the nurse use to facilitate this transfer?
• transfer board
A client with diabetes is taking insulin lispro injections. At What time should the nurse
advise the client to eat?
• within 10 to 15 minutes after the injection.
Which medication can the nurse administer through a nasogastric (NG) tube?
acetaminophen
Which of the following clients should the nurse assess first?
• the client who is a child with stridor and nasal flaring
,A client has been prescribed corticosteroids. The nurse would also anticipate an order for
• blood glucose checks every 6 hours.
When preparing for a spiritual counselor to visit a hospitalized client, the nurse should
• take measures to ensure privacy during the counselor's visit.
A client with pernicious anemia asks why she must take vitamin B12 injections forever.
Which is the nurse's best response?
• "The reason for your vitamin deficiency is an inability to absorb the vitamin because the
stomach is not producing sufficient amounts of a factor that allows the vitamin to be
absorbed."
A client is admitted to the emergency department with a ruptured abdominal aortic
aneurysm. No family members are present, and the surgeon instructs the nurse to take the
client to the operating room immediately. Which action should the nurse take regarding
informed consent?
• Take the client to the operating room for surgery without informed consent.
A nurse coming onto the night shift assesses a client who gave birth vaginally that morning.
The nurse finds that theclient's vaginal bleeding has saturated two perineal pads within 30
minutes. What is the first action the nurse should take?
• Assess the fundus and massage it if it's boggy.
, The nurse is caring for a client recently diagnosed with hepatitis C. In reviewing the client's
history, what information will be most helpful as the nurse develops a teaching plan? The
client:
• has a known history of sexually transmitted disease.
A child with meningococcal meningitis is being admitted tothe pediatric unit. In preparation
for the child's arrival, what should the nurse do first?
• Institute droplet precautions.
The selection of a nursing care delivery system (NCDS) is critical to the success of client
care in a nursing area. Which Factor is essential to the evaluation of an NCDS?
• identifying who will be responsible for making client care decisions
Which of the following observations by the nurse would indicate that a client is unable to
tolerate a continuation of a tube feeding?
• formula in the client's mouth during the feeding, and increased cough
A client undergoes a biopsy of a suspicious lesion. The biopsy report classifies the lesion
according to the TNMstaging system as follows: TIS, N0, M0. What does this classification
mean?
• carcinoma in situ, no abnormal regional lymph nodes, and no evidence of distant
metastasis
