HESI Exit Exam Newest 2026/2027 Questions
and Correct Detailed Answers Already Graded
A+
A client who was admitted yesterday with severe dehydration is complaining of
pain a 24 gauge IV with normal saline is infusing at a rate of 150 ml/hour. Which
intervention should the nurse implement first? - CORRECT ANSWER-Stop the
normal saline infusion.
An elderly female is admitted because of a change in her level of sensorium.
During the evening shift, the client attempts to get out bed and falls, breaking her
left hip. Buck's skin traction is applied to the left leg while waiting for surgery.
Which intervention is most important for the nurse to include in this client's plan
care? - CORRECT ANSWER-Ensure proper alignment of the leg in traction.
A client who had a right hip replacement 3 day ago is pale has diminished breath
sound over the left lower lung fields, a temperature of 100.2 F, and an oxygen
saturation rate of 90%. The client is scheduled to be transferred to a skilled
nursing facility (SNF) tomorrow for rehabilitative critical pathway. Based on the
client's symptoms, what recommendation should the nurse give the healthcare
provider? - CORRECT ANSWER-Reassess readiness for SNF transfer.
,A client who is newly diagnosed with type 2 diabetes mellitus (DM) receives a
prescription for metformin (Glucophage) 500 mg PO twice daily. What
information should the nurse include in this client's teaching plan? (Select all that
apply.) - CORRECT ANSWER-Recognize signs and symptoms of hypoglycemia.
Report persist polyuria to the healthcare provider.
Take Glucophage with the morning and evening meal.
The nurse is developing an educational program for older clients who are being
discharged with new antihypertensive medications. The nurse should ensure that
the educational materials include which
characteristics? Select all that apply - CORRECT ANSWER-Written at a twelfth
grade reading level
Contains a list with definitions of unfamiliar terms
Uses common words with few Syllables
Printed using a 12 point type font
Uses pictures to help illustrate complex ideas
Rationale: During the aging process older clients often experience sensory or
cognitive changes, such as
decreased visual or hearing acuity, slower thought or reasoning processes, and
shorter attention span.
,Materials for this age group should include at least of terms, such as a medical
terminology that incline
may not know and use common words that expresses information clearly and
simply. Simple, attractive
pictures help hold the learner's attention. The reading level of material should be
at the 4th to 5th grade
level. Materials should be printed using large font (18-point or higher), not the
standard 12-point font.
During the admission assessment, the nurse auscultates heart sounds for a client
with no history of cardiovascular disease. Where should the nurse listen when
assessing the client's point of maximal
impulse (PMI) (Click the chosen location. To change, click on a new location) -
CORRECT ANSWER-Left Fourth Intercostal Space
An older male adult resident of long-term care facility is hospitalized for a cardiac
catheterization that occurred yesterday. Since the procedure was conducted, the
client has become increasingly disoriented. The night shift nurse reports that he
attempted to remove the sandbag from his femoral artery multiple times during
the night. What actions should the nurse take? (Select all that apply.) -
CORRECT ANSWER-Notify the healthcare provider of the client's change in
mental status.
, Include q2 hour's reorientation in the client's plan of care.
While assessing a radial artery catheter, the client complains of numbness and
pain distal to the insertion site. What interventions should the nurse implement? -
CORRECT ANSWER-Promptly remove the arterial catheter from the radial
artery.
A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the intracranial
bleeding, which finding should the nurse monitor? - CORRECT ANSWER-Rapid
onset of decreased level of consciousness.
When preparing a client for discharge from the hospital following a cystectomy
and a urinary diversion to treat bladder cancer, which instruction is most
important for the nurse to include in the client's discharge teaching plan? -
CORRECT ANSWER-Report any signs of cloudy urine output.
After repositioning an immobile client, the nurse observes an area of hyperemia.
To assess for blanching, what action should the nurse take? - CORRECT
ANSWER-Apply light pressure over the area.
and Correct Detailed Answers Already Graded
A+
A client who was admitted yesterday with severe dehydration is complaining of
pain a 24 gauge IV with normal saline is infusing at a rate of 150 ml/hour. Which
intervention should the nurse implement first? - CORRECT ANSWER-Stop the
normal saline infusion.
An elderly female is admitted because of a change in her level of sensorium.
During the evening shift, the client attempts to get out bed and falls, breaking her
left hip. Buck's skin traction is applied to the left leg while waiting for surgery.
Which intervention is most important for the nurse to include in this client's plan
care? - CORRECT ANSWER-Ensure proper alignment of the leg in traction.
A client who had a right hip replacement 3 day ago is pale has diminished breath
sound over the left lower lung fields, a temperature of 100.2 F, and an oxygen
saturation rate of 90%. The client is scheduled to be transferred to a skilled
nursing facility (SNF) tomorrow for rehabilitative critical pathway. Based on the
client's symptoms, what recommendation should the nurse give the healthcare
provider? - CORRECT ANSWER-Reassess readiness for SNF transfer.
,A client who is newly diagnosed with type 2 diabetes mellitus (DM) receives a
prescription for metformin (Glucophage) 500 mg PO twice daily. What
information should the nurse include in this client's teaching plan? (Select all that
apply.) - CORRECT ANSWER-Recognize signs and symptoms of hypoglycemia.
Report persist polyuria to the healthcare provider.
Take Glucophage with the morning and evening meal.
The nurse is developing an educational program for older clients who are being
discharged with new antihypertensive medications. The nurse should ensure that
the educational materials include which
characteristics? Select all that apply - CORRECT ANSWER-Written at a twelfth
grade reading level
Contains a list with definitions of unfamiliar terms
Uses common words with few Syllables
Printed using a 12 point type font
Uses pictures to help illustrate complex ideas
Rationale: During the aging process older clients often experience sensory or
cognitive changes, such as
decreased visual or hearing acuity, slower thought or reasoning processes, and
shorter attention span.
,Materials for this age group should include at least of terms, such as a medical
terminology that incline
may not know and use common words that expresses information clearly and
simply. Simple, attractive
pictures help hold the learner's attention. The reading level of material should be
at the 4th to 5th grade
level. Materials should be printed using large font (18-point or higher), not the
standard 12-point font.
During the admission assessment, the nurse auscultates heart sounds for a client
with no history of cardiovascular disease. Where should the nurse listen when
assessing the client's point of maximal
impulse (PMI) (Click the chosen location. To change, click on a new location) -
CORRECT ANSWER-Left Fourth Intercostal Space
An older male adult resident of long-term care facility is hospitalized for a cardiac
catheterization that occurred yesterday. Since the procedure was conducted, the
client has become increasingly disoriented. The night shift nurse reports that he
attempted to remove the sandbag from his femoral artery multiple times during
the night. What actions should the nurse take? (Select all that apply.) -
CORRECT ANSWER-Notify the healthcare provider of the client's change in
mental status.
, Include q2 hour's reorientation in the client's plan of care.
While assessing a radial artery catheter, the client complains of numbness and
pain distal to the insertion site. What interventions should the nurse implement? -
CORRECT ANSWER-Promptly remove the arterial catheter from the radial
artery.
A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the intracranial
bleeding, which finding should the nurse monitor? - CORRECT ANSWER-Rapid
onset of decreased level of consciousness.
When preparing a client for discharge from the hospital following a cystectomy
and a urinary diversion to treat bladder cancer, which instruction is most
important for the nurse to include in the client's discharge teaching plan? -
CORRECT ANSWER-Report any signs of cloudy urine output.
After repositioning an immobile client, the nurse observes an area of hyperemia.
To assess for blanching, what action should the nurse take? - CORRECT
ANSWER-Apply light pressure over the area.
