HESI Exit EXAM 2026-2027 LATEST UPDATED
VERSION QUESTIONS AND ANSWERS
The nurse is assessing an older adult with type 2 diabetes mellitus. Which assessment finding indicates
that the client understands long- term control of diabetes? - answer>>The fating blood sugar was 120
mg/dl this morning.
Urine ketones have been negative for the past 6 months
The hemoglobin A1C was 6.5g/100 ml last week
No diabetic ketoacidosis has occurred in 6 months.
Rationale: A hemoglobin A1C level reflects he average blood sugar the client had over the previous 2 to
3 month, and level of 6.5 g/100 ml suggest that the client understand long-term diabetes control.
Normal
value in a diabetic patient is up to 6.5 g/100 ml.
An older male client is admitted with the medical diagnosis of possible cerebral vascular accident (CVA).
He has facial paralysis and cannot move his left side. When entering the room, the nurse finds the
client's wife tearful and trying unsuccessfully to give him a drink of water. What action should the nurse
take? - answer>>Ask the wife to stop and assess the client's swallowing reflex
A 13 years-old client with non-union of a comminuted fracture of the tibia is admitted with
osteomyelitis. The healthcare provider collects home aspirate specimens for culture and sensitivity and
applies a cast
to the adolescent's lower leg. What action should the nurse implement next? - answer>>Administer
antiemetic agents
Bivalve the cast for distal compromise
Provide high- calorie, high-protein diet
Begin parenteral antibiotic therapy
,Rationale: The standard of treatment for osteomyelitis is antibiotic therapy and immobilization. After
bond
and blood aspirate specimens are obtained for culture and sensitivity, the nurse should initiate
parenteral
antibiotics as prescribed.
The nurse is preparing a community education program on osteoporosis. Which instruction is helpful in
preventing bone loss and promoting bone formation? - answer>>Recommend weigh bearing physical
activity
A client with a history of chronic pain requests a nonopioid analgesic. The client is alert but has difficulty
describing the exact nature and location of the pain to the nurse. What action should the nurse
implement next? - answer>>Administer the analgesic as requested
A male client receives a thrombolytic medication following a myocardial infarction. When the client has
a bowel movement, what action should the nurse implement? - answer>>Send stool sample to the lab
for a guaiac test
Observe stool for a day-colored appearance.
Obtain specimen for culture and sensitivity analysis
Asses for fatty yellow streaks in the client's stool.
Rationale: Thrombolytic drugs increase the tendency for bleeding. So guaiac (occult blood test) test of
the stool should be evaluated to detect bleeding in the intestinal tract.
The mother of a child with cerebral palsy (CP) ask the nurse if her child's impaired movements will
worsen as the child grows. Which response provides the best explanation? - answer>>Brain damage
with CP is not progressive but does have a variable course
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm
should the nurse investigate first? - answer>>Respiratory apnea of 30 seconds
In early septic shock states, what is the primary cause of hypotension?
,Peripheral vasoconstriction
Peripheral vasodilation
Cardiac failure
A vagal response
Rationale: Toxins released by bacteria in septic shock create massive peripheral vasodilation and
increase microvascular permeability at the site of the bacterial invasion.
A client diagnosed with calcium kidney stones has a history of gout. A new prescription for aluminum
hydroxide (Amphogel) is scheduled to begin at 0730. Which client medication should the nurse bring to
the healthcare provider's attention? - answer>>Allopurinol (Zyloprim)
Aspirin, low dose
Furosemide (lasix)
Enalapril (vasote)
A male client's laboratory results include a platelet count of 105,000/ mm3 Based on this finding the
nurse should include which action in the client's plan of care? - answer>>Cluster care to conserve
energy
Initiate contact isolation
Encourage him to use an electric razor
Asses him for adventitious lung sounds
Rationale: This client is at risk for bleeding based on his platelet count (normal 150,000 to 400,000/
mm3). Safe practices, such as using an electric razor for shaving, should be encouraged to reduce the
risk of bleeding.
A client is admitted to the hospital after experiencing a brain attack, commonly referred to as a stroke
or cerebral vascular accident (CVA). The nurse should request a referral for speech therapy if the client
exhibits which finding? - answer>>Abnormal responses for cranial nerves I and II
Persistent coughing while drinking
, Unilateral facial drooping
Inappropriate or exaggerated mood swings
At 1615, prior to ambulating a postoperative client for the first time, the nurse reviews the client's
medical record. Based on date contained in the record, what action should the nurse take before
assisting the client with ambulation: - answer>>Remove sequential compression devices.
Apply PRN oxygen per nasal cannula.
Administer a PRN dose of an antipyretic.
Reinforce the surgical wound dressing.
Rationale: Sequential compression devices should be removed prior to ambulation and there is no
indication that this action is contraindicated. The client's oxygen saturation levels have been within
normal limits for the previous four hours, so supplemental oxygen is not warranted.
Which assessment finding for a client who is experiencing pontine myelinolysis should the nurse report
to the healthcare provider? - answer>>Sudden dysphagia
Blurred visual field
Gradual weakness
Profuse diarrhea
A client is scheduled to receive an IW dose of ondansetron (Zofran) eight hours after receiving
chemotherapy. The client has saline lock and is sleeping quietly without any restlessness. The nurse
caring for the client is not certified in chemotherapy administration. What action should the nurse take?
- answer>>Ask a chemotherapy-certified nurse to administer the Zofran
Administer the Zofran after flushing the saline lock with saline
Hold the scheduled dose of Zofran until the client awakens
Awaken the client to assess the need for administration of the Zofran.
Rationale: Zofran is an antiemetic administered before and after chemotherapy to prevent vomiting.
The
VERSION QUESTIONS AND ANSWERS
The nurse is assessing an older adult with type 2 diabetes mellitus. Which assessment finding indicates
that the client understands long- term control of diabetes? - answer>>The fating blood sugar was 120
mg/dl this morning.
Urine ketones have been negative for the past 6 months
The hemoglobin A1C was 6.5g/100 ml last week
No diabetic ketoacidosis has occurred in 6 months.
Rationale: A hemoglobin A1C level reflects he average blood sugar the client had over the previous 2 to
3 month, and level of 6.5 g/100 ml suggest that the client understand long-term diabetes control.
Normal
value in a diabetic patient is up to 6.5 g/100 ml.
An older male client is admitted with the medical diagnosis of possible cerebral vascular accident (CVA).
He has facial paralysis and cannot move his left side. When entering the room, the nurse finds the
client's wife tearful and trying unsuccessfully to give him a drink of water. What action should the nurse
take? - answer>>Ask the wife to stop and assess the client's swallowing reflex
A 13 years-old client with non-union of a comminuted fracture of the tibia is admitted with
osteomyelitis. The healthcare provider collects home aspirate specimens for culture and sensitivity and
applies a cast
to the adolescent's lower leg. What action should the nurse implement next? - answer>>Administer
antiemetic agents
Bivalve the cast for distal compromise
Provide high- calorie, high-protein diet
Begin parenteral antibiotic therapy
,Rationale: The standard of treatment for osteomyelitis is antibiotic therapy and immobilization. After
bond
and blood aspirate specimens are obtained for culture and sensitivity, the nurse should initiate
parenteral
antibiotics as prescribed.
The nurse is preparing a community education program on osteoporosis. Which instruction is helpful in
preventing bone loss and promoting bone formation? - answer>>Recommend weigh bearing physical
activity
A client with a history of chronic pain requests a nonopioid analgesic. The client is alert but has difficulty
describing the exact nature and location of the pain to the nurse. What action should the nurse
implement next? - answer>>Administer the analgesic as requested
A male client receives a thrombolytic medication following a myocardial infarction. When the client has
a bowel movement, what action should the nurse implement? - answer>>Send stool sample to the lab
for a guaiac test
Observe stool for a day-colored appearance.
Obtain specimen for culture and sensitivity analysis
Asses for fatty yellow streaks in the client's stool.
Rationale: Thrombolytic drugs increase the tendency for bleeding. So guaiac (occult blood test) test of
the stool should be evaluated to detect bleeding in the intestinal tract.
The mother of a child with cerebral palsy (CP) ask the nurse if her child's impaired movements will
worsen as the child grows. Which response provides the best explanation? - answer>>Brain damage
with CP is not progressive but does have a variable course
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm
should the nurse investigate first? - answer>>Respiratory apnea of 30 seconds
In early septic shock states, what is the primary cause of hypotension?
,Peripheral vasoconstriction
Peripheral vasodilation
Cardiac failure
A vagal response
Rationale: Toxins released by bacteria in septic shock create massive peripheral vasodilation and
increase microvascular permeability at the site of the bacterial invasion.
A client diagnosed with calcium kidney stones has a history of gout. A new prescription for aluminum
hydroxide (Amphogel) is scheduled to begin at 0730. Which client medication should the nurse bring to
the healthcare provider's attention? - answer>>Allopurinol (Zyloprim)
Aspirin, low dose
Furosemide (lasix)
Enalapril (vasote)
A male client's laboratory results include a platelet count of 105,000/ mm3 Based on this finding the
nurse should include which action in the client's plan of care? - answer>>Cluster care to conserve
energy
Initiate contact isolation
Encourage him to use an electric razor
Asses him for adventitious lung sounds
Rationale: This client is at risk for bleeding based on his platelet count (normal 150,000 to 400,000/
mm3). Safe practices, such as using an electric razor for shaving, should be encouraged to reduce the
risk of bleeding.
A client is admitted to the hospital after experiencing a brain attack, commonly referred to as a stroke
or cerebral vascular accident (CVA). The nurse should request a referral for speech therapy if the client
exhibits which finding? - answer>>Abnormal responses for cranial nerves I and II
Persistent coughing while drinking
, Unilateral facial drooping
Inappropriate or exaggerated mood swings
At 1615, prior to ambulating a postoperative client for the first time, the nurse reviews the client's
medical record. Based on date contained in the record, what action should the nurse take before
assisting the client with ambulation: - answer>>Remove sequential compression devices.
Apply PRN oxygen per nasal cannula.
Administer a PRN dose of an antipyretic.
Reinforce the surgical wound dressing.
Rationale: Sequential compression devices should be removed prior to ambulation and there is no
indication that this action is contraindicated. The client's oxygen saturation levels have been within
normal limits for the previous four hours, so supplemental oxygen is not warranted.
Which assessment finding for a client who is experiencing pontine myelinolysis should the nurse report
to the healthcare provider? - answer>>Sudden dysphagia
Blurred visual field
Gradual weakness
Profuse diarrhea
A client is scheduled to receive an IW dose of ondansetron (Zofran) eight hours after receiving
chemotherapy. The client has saline lock and is sleeping quietly without any restlessness. The nurse
caring for the client is not certified in chemotherapy administration. What action should the nurse take?
- answer>>Ask a chemotherapy-certified nurse to administer the Zofran
Administer the Zofran after flushing the saline lock with saline
Hold the scheduled dose of Zofran until the client awakens
Awaken the client to assess the need for administration of the Zofran.
Rationale: Zofran is an antiemetic administered before and after chemotherapy to prevent vomiting.
The
