HESI EXIT PRACTICE EXAM
2026/2027 WITH QUESTIONS AND
EXPERT-VERIFIED CORRECT
ANSWERS | ALREADY GRADED
A+ | GUARANTEED PASS
After diagnosis and initial treatment of a 3-year-old child with cystic fibrosis, the
nurse provides home care instructions to the mother. Which statement by the
child's mother indicates that she understands home care treatment to promote
pulmonary function?
"Cough suppressants can be used four times a day."
Within four weeks of childbirth, a client is admitted to the hospital for
disorganized speech bizarre behavior, and strange thoughts about her infant being
possessed by demons. The nurse identifies a nursing diagnosis of "Altered thought
processes, secondary to" what condition?
Postpartum psychosis
,The nurse is caring for a client who was admitted two hours ago with confusion,
Kussmaul respirations, and warm, flushed skin. The healthcare provider
determines the client is in acute renal failure (ARF). Which intervention is most
important for the nurse to include in this clients plan of care?
Hourly neurological assessments.
The nurse observes a 2cm area of non-blanchable erythema on the sacrum of an
immobile client. What documentation of this finding is best for the nurse to enter
into the client's record?
Stage 1 pressure ulcer on sacrum.
A client diagnosed with major depression is being allowed a weekend pass from
the psychiatric unit. Which instruction should the nurse provide to the client's
family?
Involve the client in usual at home activities
A 14-year-old male client arrives at the emergency room in status epilepticus. He
was diagnosed with a seizure disorder in childhood. What is the most likely cause
of his present condition?
Acute withdrawal from anticonvulsant medication.
A client with gestational diabetes at 39-weeks gestation is in the second stage of
labor. After delivery of the fetal head, the nurse recognizes that shoulder dystocia
is occurring. What intervention should the nurse implement first?
,Assist the client to sharply flex her thighs up against the abdomen
The nurse is teaching a childbirth education class t prospective parents and
describing possible signs of labor. Class participants should be taught that which
sign should be reported to the healthcare provider immediately?
Leaking of fluid from the vagina
During the first trimester of pregnancy, a client who was treated for genital herpes
with acyclovir (Zovirax) prior to this pregnancy tells the nurse that she is
experiencing an episode of genital herpes. Which nursing intervention has the
highest priority?
The highest priority in this situation is to determine if the client has taken the drug
Zoviarax, because Acyclovir has been associated with birth defects.
. The nurse is obtaining a medication history for a client with a new prescription
for paroxetine (Paxil). The client reports current use of the MAO inhibitor
isocarboxazid (Marplan). What intervention is most important for the nurse to
implement?
Notify the healthcare provider that the client is currently taking Marplan.
After administering a medication through a nasogastric tube connected to suction,
what action should the nurse take first?
Clamp the tube
, What action should the nurse implement first when delegating nursing activities to
an unlicensed assistive personnel (UAP)?
Evaluate the experience of the UAP.
The nurse is caring for four clients: Client A 94% o2 saturation, Client B,
hemoglobin of 8.;
Client C, potassium level of 3.8 and Client D appendectomy who has a white blood
cell count of 15,000. What
should the nurse implement?
Determine if Client B has two units of packed cells available in the blood bank.
A 40-year-old client with type 1 diabetes developed chronic kidney (CKD) disease
6 months ago. Because of secondary complications often associated with this
illness the nurse plans to carefully assess for signs of what condition?
Anemia
A client diagnosed with acute epididymitis secondary to a sexually transmitted
disease receives a prescription for ceftriaxone (Rocephin). Prior to administering
the prescription, which question should the nurse ask the client?
"Have you ever had an allergic reaction to any other antibiotics?"
A client at 38 weeks gestation is in active labor, and a vaginal birth after Cesarean
section (VBAC) is planned. Vaginal exam indicates that the client is 6cm dilated,
90% effaced, and the station 0 with intact membranes. As the client's contraction
2026/2027 WITH QUESTIONS AND
EXPERT-VERIFIED CORRECT
ANSWERS | ALREADY GRADED
A+ | GUARANTEED PASS
After diagnosis and initial treatment of a 3-year-old child with cystic fibrosis, the
nurse provides home care instructions to the mother. Which statement by the
child's mother indicates that she understands home care treatment to promote
pulmonary function?
"Cough suppressants can be used four times a day."
Within four weeks of childbirth, a client is admitted to the hospital for
disorganized speech bizarre behavior, and strange thoughts about her infant being
possessed by demons. The nurse identifies a nursing diagnosis of "Altered thought
processes, secondary to" what condition?
Postpartum psychosis
,The nurse is caring for a client who was admitted two hours ago with confusion,
Kussmaul respirations, and warm, flushed skin. The healthcare provider
determines the client is in acute renal failure (ARF). Which intervention is most
important for the nurse to include in this clients plan of care?
Hourly neurological assessments.
The nurse observes a 2cm area of non-blanchable erythema on the sacrum of an
immobile client. What documentation of this finding is best for the nurse to enter
into the client's record?
Stage 1 pressure ulcer on sacrum.
A client diagnosed with major depression is being allowed a weekend pass from
the psychiatric unit. Which instruction should the nurse provide to the client's
family?
Involve the client in usual at home activities
A 14-year-old male client arrives at the emergency room in status epilepticus. He
was diagnosed with a seizure disorder in childhood. What is the most likely cause
of his present condition?
Acute withdrawal from anticonvulsant medication.
A client with gestational diabetes at 39-weeks gestation is in the second stage of
labor. After delivery of the fetal head, the nurse recognizes that shoulder dystocia
is occurring. What intervention should the nurse implement first?
,Assist the client to sharply flex her thighs up against the abdomen
The nurse is teaching a childbirth education class t prospective parents and
describing possible signs of labor. Class participants should be taught that which
sign should be reported to the healthcare provider immediately?
Leaking of fluid from the vagina
During the first trimester of pregnancy, a client who was treated for genital herpes
with acyclovir (Zovirax) prior to this pregnancy tells the nurse that she is
experiencing an episode of genital herpes. Which nursing intervention has the
highest priority?
The highest priority in this situation is to determine if the client has taken the drug
Zoviarax, because Acyclovir has been associated with birth defects.
. The nurse is obtaining a medication history for a client with a new prescription
for paroxetine (Paxil). The client reports current use of the MAO inhibitor
isocarboxazid (Marplan). What intervention is most important for the nurse to
implement?
Notify the healthcare provider that the client is currently taking Marplan.
After administering a medication through a nasogastric tube connected to suction,
what action should the nurse take first?
Clamp the tube
, What action should the nurse implement first when delegating nursing activities to
an unlicensed assistive personnel (UAP)?
Evaluate the experience of the UAP.
The nurse is caring for four clients: Client A 94% o2 saturation, Client B,
hemoglobin of 8.;
Client C, potassium level of 3.8 and Client D appendectomy who has a white blood
cell count of 15,000. What
should the nurse implement?
Determine if Client B has two units of packed cells available in the blood bank.
A 40-year-old client with type 1 diabetes developed chronic kidney (CKD) disease
6 months ago. Because of secondary complications often associated with this
illness the nurse plans to carefully assess for signs of what condition?
Anemia
A client diagnosed with acute epididymitis secondary to a sexually transmitted
disease receives a prescription for ceftriaxone (Rocephin). Prior to administering
the prescription, which question should the nurse ask the client?
"Have you ever had an allergic reaction to any other antibiotics?"
A client at 38 weeks gestation is in active labor, and a vaginal birth after Cesarean
section (VBAC) is planned. Vaginal exam indicates that the client is 6cm dilated,
90% effaced, and the station 0 with intact membranes. As the client's contraction
