HESI Exit Exam Latest 2026/2027 with
Questions And Answers +Rationales Already
Graded A+
Question 1
**A nurse has just received a medication order which is not legible. Which
statement best reflects assertive communication?**
A) "I cannot give this medication as it is written. I have no idea of what you
mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to
read your writing."
**Correct Answer: B**
**Rationale:** Assertive communication is direct, respectful, and focuses on the
issue rather than blaming. Option B politely requests clarification while
maintaining professionalism and patient safety as the priority. Options A, C, and D
contain accusatory or aggressive language that can damage professional
relationships.
---
,### Question 2
**What is the most important consideration when teaching parents how to
reduce risks in the home?**
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
**Correct Answer: D**
**Rationale:** The age of children in the home is the most important
consideration because different age groups face different developmental risks.
For example, toddlers are at risk for falls and poisoning, while older children may
face risks related to sports, bicycles, and fire safety. Teaching must be
developmentally appropriate to be effective.
---
### Question 3
**A 35-year-old client with sickle cell crisis is talking on the telephone but stops
as the nurse enters the room to request something for pain. The nurse should:**
A) Administer a placebo
B) Encourage increased fluid intake
,C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
**Correct Answer: C**
**Rationale:** Clients in sickle cell crisis experience severe pain that requires
prompt analgesic administration. Placebos are unethical, and non-pharmacologic
measures alone are insufficient for acute pain management. Administering
prescribed analgesia is the appropriate action. The client's ability to talk does not
indicate pain is absent.
---
### Question 4
**Which of these findings would the nurse more closely associate with anemia in
a 10-month-old infant?**
A) Hemoglobin level of 12 g/dL
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
**Correct Answer: B**
**Rationale:** Pale mucosa of the eyelids and lips is a classic sign of anemia in
infants due to reduced hemoglobin and decreased tissue perfusion. A hemoglobin
, of 12 g/dL is within normal range for this age. While hypoactivity and tachycardia
can occur, pallor is a more specific early finding.
---
### Question 5
**The nurse is caring for a client in hypertensive crisis in an intensive care unit.
The priority assessment in the first hour of care is:**
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses
**Correct Answer: D**
**Rationale:** Hypertensive crisis can lead to neurologic complications including
increased intracranial pressure and stroke. Pupil response assessment is critical
for early detection of neurologic changes. While heart rate, pedal pulses, and lung
sounds are important, neurologic assessment is the priority due to the risk of life-
threatening cerebral events.
---
### Question 6
Questions And Answers +Rationales Already
Graded A+
Question 1
**A nurse has just received a medication order which is not legible. Which
statement best reflects assertive communication?**
A) "I cannot give this medication as it is written. I have no idea of what you
mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to
read your writing."
**Correct Answer: B**
**Rationale:** Assertive communication is direct, respectful, and focuses on the
issue rather than blaming. Option B politely requests clarification while
maintaining professionalism and patient safety as the priority. Options A, C, and D
contain accusatory or aggressive language that can damage professional
relationships.
---
,### Question 2
**What is the most important consideration when teaching parents how to
reduce risks in the home?**
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
**Correct Answer: D**
**Rationale:** The age of children in the home is the most important
consideration because different age groups face different developmental risks.
For example, toddlers are at risk for falls and poisoning, while older children may
face risks related to sports, bicycles, and fire safety. Teaching must be
developmentally appropriate to be effective.
---
### Question 3
**A 35-year-old client with sickle cell crisis is talking on the telephone but stops
as the nurse enters the room to request something for pain. The nurse should:**
A) Administer a placebo
B) Encourage increased fluid intake
,C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
**Correct Answer: C**
**Rationale:** Clients in sickle cell crisis experience severe pain that requires
prompt analgesic administration. Placebos are unethical, and non-pharmacologic
measures alone are insufficient for acute pain management. Administering
prescribed analgesia is the appropriate action. The client's ability to talk does not
indicate pain is absent.
---
### Question 4
**Which of these findings would the nurse more closely associate with anemia in
a 10-month-old infant?**
A) Hemoglobin level of 12 g/dL
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
**Correct Answer: B**
**Rationale:** Pale mucosa of the eyelids and lips is a classic sign of anemia in
infants due to reduced hemoglobin and decreased tissue perfusion. A hemoglobin
, of 12 g/dL is within normal range for this age. While hypoactivity and tachycardia
can occur, pallor is a more specific early finding.
---
### Question 5
**The nurse is caring for a client in hypertensive crisis in an intensive care unit.
The priority assessment in the first hour of care is:**
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses
**Correct Answer: D**
**Rationale:** Hypertensive crisis can lead to neurologic complications including
increased intracranial pressure and stroke. Pupil response assessment is critical
for early detection of neurologic changes. While heart rate, pedal pulses, and lung
sounds are important, neurologic assessment is the priority due to the risk of life-
threatening cerebral events.
---
### Question 6
