HESI EXIT EXAM SCRIPT 2026
COMPREHENSIVE QUESTIONS WITH
VERIFIED SOLUTIONS
◉ The nurse is providing care to a client receiving high doses of
chemotherapy. Which situation will cause the nurse to intervene for
this client?
A.
Co-workers walk into the room with a 2′ × 3′ get well card.
B.
A neighbor stops by with a box of chocolate candy.
C.
A clergy member places a book of prayers at the client's bedside.
D.
The florist delivers an arrangement of fresh flowers.
Answer: D
Rationale: A common side effect of chemotherapy is the inability to
fight infection secondary to neutropenia. Fresh fruits and fresh
flowers are sources of infection that must be avoided for these
clients. The remaining options pose a low risk for infection.
,◉ The nurse prepares to insert a nasogastric tube in a client with
hyperemesis who is awake and alert. Which nursing actions are
correct? (Select all that apply.)
A.
Place the client in a high Fowler position.
B.
Explain that placement of the tube is painless.
C.
Measure the tube from the tip of the nose to the umbilicus.
D.
Instruct the client to swallow after the tube has passed the pharynx.
E.
Assist the client in extending the neck back so the tube may enter
the larynx.
Answer: A, D
Rationale: (A and D) are the correct steps to follow during
nasogastric intubation. Placement of an NG tube can be
uncomfortable and can induce gagging. The tube should be
measured from the tip of the nose to behind the ear and then from
behind the ear to the xiphoid process (C). The neck should only be
extended back prior to the tube passing the pharynx and then the
client should be instructed to position the neck forward (E).
,◉ A 20-year-old female client with a noticeable body odor has
refused to shower for the last 3 days. She states, "I have been told
that it is harmful to bathe during my period." Which action should
the nurse take first?
A.
Accept and document the client's wish to refrain from bathing.
B.
Offer to give the client a bed bath, avoiding the perineal area.
C.
Obtain written brochures about menstruation to give to the client.
D.
Teach the importance of personal hygiene during menstruation with
the client.
Answer: D
Rationale: Because a shower is most beneficial for the client in terms
of hygiene, the client should receive teaching first, respecting any
personal beliefs such as cultural or spiritual values. After client
teaching, the client may still choose option A or B. Brochures
reinforce the teaching.
◉ The spouse is at the bedside of the client who just died. The
hospice nurse states to the spouse, "I know your children want to
come over and say goodbye before we call the funeral home. Just let
me know when you are ready for me to prepare the body." What
, steps will the nurse include in the postmortem care? (Select all that
apply.)
A.
Remove the existing Foley catheter.
B.
Wash the genitalia only.
C.
Close the client's eyes.
D.
Remove soiled padding under the client.
E.
Place a dressing over the abdominal scar.
Answer: A, C, D
Rationale: Postmortem care includes making the client ready for the
family to view prior to the client's transfer to the mortuary. The
nurse need to make sure the client's body is completely washed, and
all dressings and all tubes, i.e. Foley, NG, IV, are removed. As the
client may excrete contents from the bowel and the bladder during
the dying process, remove all soiled pads and bedding from under
the client and replace with fresh items. Make sure the client's eyes
are closed.
COMPREHENSIVE QUESTIONS WITH
VERIFIED SOLUTIONS
◉ The nurse is providing care to a client receiving high doses of
chemotherapy. Which situation will cause the nurse to intervene for
this client?
A.
Co-workers walk into the room with a 2′ × 3′ get well card.
B.
A neighbor stops by with a box of chocolate candy.
C.
A clergy member places a book of prayers at the client's bedside.
D.
The florist delivers an arrangement of fresh flowers.
Answer: D
Rationale: A common side effect of chemotherapy is the inability to
fight infection secondary to neutropenia. Fresh fruits and fresh
flowers are sources of infection that must be avoided for these
clients. The remaining options pose a low risk for infection.
,◉ The nurse prepares to insert a nasogastric tube in a client with
hyperemesis who is awake and alert. Which nursing actions are
correct? (Select all that apply.)
A.
Place the client in a high Fowler position.
B.
Explain that placement of the tube is painless.
C.
Measure the tube from the tip of the nose to the umbilicus.
D.
Instruct the client to swallow after the tube has passed the pharynx.
E.
Assist the client in extending the neck back so the tube may enter
the larynx.
Answer: A, D
Rationale: (A and D) are the correct steps to follow during
nasogastric intubation. Placement of an NG tube can be
uncomfortable and can induce gagging. The tube should be
measured from the tip of the nose to behind the ear and then from
behind the ear to the xiphoid process (C). The neck should only be
extended back prior to the tube passing the pharynx and then the
client should be instructed to position the neck forward (E).
,◉ A 20-year-old female client with a noticeable body odor has
refused to shower for the last 3 days. She states, "I have been told
that it is harmful to bathe during my period." Which action should
the nurse take first?
A.
Accept and document the client's wish to refrain from bathing.
B.
Offer to give the client a bed bath, avoiding the perineal area.
C.
Obtain written brochures about menstruation to give to the client.
D.
Teach the importance of personal hygiene during menstruation with
the client.
Answer: D
Rationale: Because a shower is most beneficial for the client in terms
of hygiene, the client should receive teaching first, respecting any
personal beliefs such as cultural or spiritual values. After client
teaching, the client may still choose option A or B. Brochures
reinforce the teaching.
◉ The spouse is at the bedside of the client who just died. The
hospice nurse states to the spouse, "I know your children want to
come over and say goodbye before we call the funeral home. Just let
me know when you are ready for me to prepare the body." What
, steps will the nurse include in the postmortem care? (Select all that
apply.)
A.
Remove the existing Foley catheter.
B.
Wash the genitalia only.
C.
Close the client's eyes.
D.
Remove soiled padding under the client.
E.
Place a dressing over the abdominal scar.
Answer: A, C, D
Rationale: Postmortem care includes making the client ready for the
family to view prior to the client's transfer to the mortuary. The
nurse need to make sure the client's body is completely washed, and
all dressings and all tubes, i.e. Foley, NG, IV, are removed. As the
client may excrete contents from the bowel and the bladder during
the dying process, remove all soiled pads and bedding from under
the client and replace with fresh items. Make sure the client's eyes
are closed.
