RN HESI EXIT Exam Version 1 (V1): 100% Expert
Verified Study Guide (2026|2027) Questions
Detailed Answers and Instructor Note For A+
Guaranteed Pass
Prolonged exposure to high concentrations of supplemental oxygen over several days can cause
which pathophysiological effect?
A. Disrupted surfactant production
B. Metabolic acidosis
C. Aphasia and memory loss
D. Deep sleep or coma - Answers -A. Disrupted surfactant production
A client who recently received a prescription for ramelteon to treat sleep deprivation reports
experiencing several side effects since taking the drug. Which side effect should the nurse
report to the healthcare provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism - Answers -D. Somnambulism
The nurse instructs a client in use of a incentive spirometer. The client performs a return
demonstration as seen in the video. Which action should the nurse take in response to the
return demonstration?
A. Auscultate the client's lungs for adventitious sounds
1|Page
,B. Encourage the client to practice until successful
C. Emphasize the need to inhale slowly into the spirometer
D. Remind the client to cough after using the spirometer - Answers -D. Remind the client to
cough after using the spirometer
A client tells the nurse about working out with a personal trainer and swimming three times a
week in an effort to lose weight and sleep better. The client states that it still is taking hours to
fall asleep at night. Which action should the nurse implement?
A. Advise the client that lifestyle changes often take several weeks to be effective
B. Encourage the client to exercise everyday to eliminate bedtime wakefulness
C. Ask the client for a description of the exercise schedule that is being followed
D. Determine the amount of weight the client has lost since increasing activity - Answers -C. Ask
the client for a description of the exercise schedule that is being followed
The nurse is developing an educational program for older clients who are being discharged with
new antihypertensive medications. The nurse should ensure that the education materials
include which characteristics? (Select all that apply)
A. Uses common words with few syllables
B. Printed using a 12-point type font
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
E. Written at a twelfth-grade reading level - Answers -A. Uses common words with few syllables
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
2|Page
,The nurse is providing care for a client with severe peripheral arterial disease (PAD). The client
reports a history of rest ischemia, with leg pain that occurs during the night. Which action
should the nurse take in response to this finding?
A. Elevate the legs to assess for color changes
B. Provide a heating pad for PRN use
C. Offer cold packs when the pain occurs
D. Suggest dangling the legs when pain occurs - Answers -C. Offer cold packs when the pain
occurs
The nurse assess a client being treated for Herpes zoster (shingles). Which assessments should
the nurse include when evaluating the effectiveness of the the treatment? (Select all that apply)
A. Functional ability
B. Skin integrity
C. Pain scale
D. Bowel sounds
E. heart sounds - Answers -A. Functional ability
B. Skin integrity
A heparin infusion is prescribed for a client who weighs 220 pounds. After administering a bolus
dose of 80 units/kg, the nurse calculates the infusion rate for the heparin solution at 18
units/kg/hr. The available solution is Heparin Sodium 25,000 units in 5% Dextrose injection
250mL. The nurse should program the infusion pump to deliver how many mL/hour? - Answers -
18
When providing client care the nurse identifies a problem and develops a related clinical
question. Next, the nurse intends to gather evidence so that the decision-making process in
3|Page
, response to the problem and clinical question is evidence-based. When gathering evidence,
which consideration is most important?
A. Past experience with similar problems
B. Relevance to the situation
C. Related personal values
D. Frequency that the problem occurs - Answers -B. Relevance to the situation
A client diagnosed with calcium kidney stones has a history of gout. A new prescription for
aluminum hydroxide is scheduled to begin at 0730. Which client medication should the nurse
bring to the healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose - Answers -B. Allopurinol
A client with urge incontinence was treated with onabotuilinumtoxinA injections and is now
experiencing urinary retention. Which action should the nurse include in the client's plan of
care?
A. Provide a bedside commode for immediate use in the client's room
B. Teach the client techniques for performing intermittent catheterization
C. Explain the need to limit intake of oral fluids to reduce client discomfort
D. Remind the client to practice pelvic floor (Kegel) exercises regularly - Answers -D. Remind the
client to practice pelvic floor (Kegel) exercises regularly
4|Page
Verified Study Guide (2026|2027) Questions
Detailed Answers and Instructor Note For A+
Guaranteed Pass
Prolonged exposure to high concentrations of supplemental oxygen over several days can cause
which pathophysiological effect?
A. Disrupted surfactant production
B. Metabolic acidosis
C. Aphasia and memory loss
D. Deep sleep or coma - Answers -A. Disrupted surfactant production
A client who recently received a prescription for ramelteon to treat sleep deprivation reports
experiencing several side effects since taking the drug. Which side effect should the nurse
report to the healthcare provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism - Answers -D. Somnambulism
The nurse instructs a client in use of a incentive spirometer. The client performs a return
demonstration as seen in the video. Which action should the nurse take in response to the
return demonstration?
A. Auscultate the client's lungs for adventitious sounds
1|Page
,B. Encourage the client to practice until successful
C. Emphasize the need to inhale slowly into the spirometer
D. Remind the client to cough after using the spirometer - Answers -D. Remind the client to
cough after using the spirometer
A client tells the nurse about working out with a personal trainer and swimming three times a
week in an effort to lose weight and sleep better. The client states that it still is taking hours to
fall asleep at night. Which action should the nurse implement?
A. Advise the client that lifestyle changes often take several weeks to be effective
B. Encourage the client to exercise everyday to eliminate bedtime wakefulness
C. Ask the client for a description of the exercise schedule that is being followed
D. Determine the amount of weight the client has lost since increasing activity - Answers -C. Ask
the client for a description of the exercise schedule that is being followed
The nurse is developing an educational program for older clients who are being discharged with
new antihypertensive medications. The nurse should ensure that the education materials
include which characteristics? (Select all that apply)
A. Uses common words with few syllables
B. Printed using a 12-point type font
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
E. Written at a twelfth-grade reading level - Answers -A. Uses common words with few syllables
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
2|Page
,The nurse is providing care for a client with severe peripheral arterial disease (PAD). The client
reports a history of rest ischemia, with leg pain that occurs during the night. Which action
should the nurse take in response to this finding?
A. Elevate the legs to assess for color changes
B. Provide a heating pad for PRN use
C. Offer cold packs when the pain occurs
D. Suggest dangling the legs when pain occurs - Answers -C. Offer cold packs when the pain
occurs
The nurse assess a client being treated for Herpes zoster (shingles). Which assessments should
the nurse include when evaluating the effectiveness of the the treatment? (Select all that apply)
A. Functional ability
B. Skin integrity
C. Pain scale
D. Bowel sounds
E. heart sounds - Answers -A. Functional ability
B. Skin integrity
A heparin infusion is prescribed for a client who weighs 220 pounds. After administering a bolus
dose of 80 units/kg, the nurse calculates the infusion rate for the heparin solution at 18
units/kg/hr. The available solution is Heparin Sodium 25,000 units in 5% Dextrose injection
250mL. The nurse should program the infusion pump to deliver how many mL/hour? - Answers -
18
When providing client care the nurse identifies a problem and develops a related clinical
question. Next, the nurse intends to gather evidence so that the decision-making process in
3|Page
, response to the problem and clinical question is evidence-based. When gathering evidence,
which consideration is most important?
A. Past experience with similar problems
B. Relevance to the situation
C. Related personal values
D. Frequency that the problem occurs - Answers -B. Relevance to the situation
A client diagnosed with calcium kidney stones has a history of gout. A new prescription for
aluminum hydroxide is scheduled to begin at 0730. Which client medication should the nurse
bring to the healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose - Answers -B. Allopurinol
A client with urge incontinence was treated with onabotuilinumtoxinA injections and is now
experiencing urinary retention. Which action should the nurse include in the client's plan of
care?
A. Provide a bedside commode for immediate use in the client's room
B. Teach the client techniques for performing intermittent catheterization
C. Explain the need to limit intake of oral fluids to reduce client discomfort
D. Remind the client to practice pelvic floor (Kegel) exercises regularly - Answers -D. Remind the
client to practice pelvic floor (Kegel) exercises regularly
4|Page
