HESI.RN.EXIT.EXAM.V1-V7.(LATEST.2025-
2026)./.RN.EXIT.HESI.EXAM.V1,V2,V3,V4,V5,V6
,V7|A.GRADED
1. Following.discharge.teaching,.a.male.client.with.duodenal.ulcer.tells.the.nurse.the.he.will.dri
nk.plenty.of.dairy.products,.such.as.milk,.to.help.coat.and.protect.his.ulcer..What.is.the.best.f
ollow-up.action.by.the.nurse?
• Review.with.the.client.the.need.to.avoid.foods.that.are.rich.in.milk.and.cream
2. A.male.client.with.hypertension,.who.received.new.antihypertensive.prescriptions.at.his.last.
visit.returns.to.the.clinic.two.weeks.later.to.evaluate.his.blood.pressure.(BP)..His.BP.is.158/
106.and.he.admits.that.he.has.not.been.taking.the.prescribed.medication.because.the.drugs.
make.him.―feel.bad‖..In.explaining.the.need.for.hypertension.control,.the.nurse.should.stres
s.that.an.elevated.BP.places.the.client.at.risk.for.which.pathophysiological.condition?
• Stroke.secondary.to.hemorrhage
3. The.nurse.observes.an.unlicensed.assistive.personnel.(UAP).positioning.a.newly.admitted.cl
ient.who.has.a.seizure.disorder..The.client.is.supine.and.the.UAP.is.placing.soft.pillows.alon
g.the.side.rails..What.action.should.the.nurse.implement?
• Instruct.the.UAP.to.obtain.soft.blankets.to.secure.to.the.side.rails.instead.of.pil
lows.
4. An.adolescent.with.major.depressive.disorder.has.been.taking.duloxetine.(Cymbalta).for.th
e.past.12.days..Which.assessment.finding.requires.immediate.follow-up?
• Describes.life.without.purpose
5. A.60-year-
old.female.client.with.a.positive.family.history.of.ovarian.cancer.has.developed.an.abdomina
l.mass.and.is.being.evaluated.for.possible.ovarian.cancer..Her.Papanicolau.(Pap).smear.resul
ts.are.negative..What.information.should.the.nurse.include.in.the.client’s.teaching.plan?
• Further.evaluation.involving.surgery.may.be.needed
6. A.client.who.recently.underwear.a.tracheostomy.is.being.prepared.for.discharge.to.home..W
hich.instructions.is.most.important.for.the.nurse.to.include.in.the.discharge.plan?
• Teach.tracheal.suctioning.techniques
7. In.assessing.an.adult.client.with.a.partial.rebreather.mask,.the.nurse.notes.that.the.oxygen.res
ervoir.bag.does.not.deflate.completely.during.inspiration.and.the.client’s.respiratory.rate.is
.14.breaths./.minute..What.action.should.the.nurse.implement?
• Document.the.assessment.data
• Rational:.reservoir.bag.should.not.deflate.completely.during.inspiration.and.the.client’s.re
spiratory.rate.is.within.normal.limits.
8. During.shift.report,.the.central.electrocardiogram.(EKG).monitoring.system.alarms..
Which.client.alarm.should.the.nurse.investigate.firs?
, • Respiratory.apnea.of.30.seconds
9. During.a.home.visit,.the.nurse.observed.an.elderly.client.with.diabetes.slip.and.fall..What.act
ion.should.the.nurse.take.first?
• Check.the.client.for.lacerations.or.fractures
10. At.0600.while.admitting.a.woman.for.a.schedule.repeat.cesarean.section.(C-
Section),.the.client.tells.the.nurse.that.she.drank.a.cup.a.coffee.at.0400.because.she.wanted.t
o.avoid.getting.a.headache..Which.action.should.the.nurse.take.first?
• Inform.the.anesthesia.care.provider
11. After.placing.a.stethoscope.as.seen.in.the.picture,.the.nurse.auscultates.S1.and.S2.heart.so
unds..To.determine.if.an.S3.heart.sound.is.present,.what.action.should.the.nurse.take.first?
• Listen.with.the.bell.at.the.same.location
12. A.66-year-
old.woman.is.retiring.and.will.no.longer.have.a.health.insurance.through.her.place.of.empl
oyment..Which.agency.should.the.client.be.referred.to.by.the.employee.health.nurse.for.h
ealth.insurance.needs?
• Medicare
13. A.client.who.is.taking.an.oral.dose.of.a.tetracycline.complains.of.gastrointestinal.upset..W
hat.snack.should.the.nurse.instruct.the.client.to.take.with.the.tetracycline?
• Toasted.wheat.bread.and.jelly
14. Following.a.lumbar.puncture,.a.client.voices.several.complaints..What.complaint.in
dicated.to.the.nurse.that.the.client.is.experiencing.a.complication?
• “I.have.a.headache.that.gets.worse.when.I.sit.up”
• ―I.am.having.pain.in.my.lower.back.when. I.move.my.legs‖
• ―My.throat.hurts.when.I.swallow‖
• “I.feel.sick.to.my.stomach.and.am.going.to.throw.up”
15. An.elderly.client.seems.confused.and.reports.the.onset.of.nausea,.dysuria,.and.urgency.wi
th.incontinence..Which.action.should.the.nurse.implement?.•. Obtain.a.clean.catch.mid-
stream.specimen
16. The.nurse.is.assisting.the.mother.of.a.child.with.phenylketonuria.(PKU).to.select.foods.th
at.are.in.keeping.with.the.child’s.dietary.restrictions..Which.foods.are.contraindicated.for.
this.child?
• Foods.sweetened.with.aspartame
17. Before.preparing.a.client.for.the.first.surgical.case.of.the.day,.a.part-
time.scrub.nurse.asks.the.circulating.nurse.if.a.3.minute.surgical.hand.scrub.is.adequate.p
reparation.for.this.client..Which.response.should.the.circulating.nurse.provide?
• Direct.the.nurse.to.continue.the.surgical.hand.scrub.for.a.5.minute.duration
18. Which.breakfast.selection.indicates.that.the.client.understands.the.nurse’s.instructions.a
bout.the.dietary.management.of.osteoporosis?
, Stuvia.com.-.The.Marketplace.to.Buy.and.Sell.your.Study.Material
• Bagel.with.jelly.and.skim.milk
19. The.charge.nurse.of.a.critical.care.unit.is.informed.at.the.beginning.of.the.shift.that.less.than.the.optimal.
number.of.registered.nurses.will.be.working.that.shift..In.planning.assignments,.which.client.should.rec
eive.the.most.care.hours.by.a.registered.nurse.(RN)?
• An.82-year-old.client.with.Alzheimer’s.disease.newly-
fractures.femur.who.has.a.Foley.catheter.and.soft.wrist.restrains.applied
, 20. A.mother.brings.her.6-year-
old.child,.who.has.just.stepped.on.a.rusty.nail,.to.the.pediatrician’s.office..Upon.inspection,.
the.nurse.notes.that.the.nail.went.through.the.shoe.and.pierced.the.bottom.of.the.child’s.foot.
.Which.action.should.the.nurse.implement.first?
• Cleanse.the.foot.with.soap.and.water.and.apply.an.antibiotic.ointment. •
Provide.teaching.about.the.need.for.a.tetanus.booster.within.the.next.72.hours.
• have.the.mother.check.the.child's.temperature.q4h.for.the.next.24.hours
• transfer.the.child.to.the.emergency.department.to.receive.a.gamma.globulin.in
jection
21. The.mother.of.an.adolescent.tells.the.clinic.nurse,.―My.son.has.athlete’s.foot,.I.have.been.ap
plying.triple.antibiotic.ointment.for.two.days,.but.there.has.been.no.improvement.‖.What.in
struction.should.the.nurse.provide?
• Stop.using.the.ointment.and.encourage.complete.drying.of.the.feet.and.wearing.cl
ean.socks.
22. A.26-year-
old.female.client.is.admitted.to.the.hospital.for.treatment.of.a.simple.goiter,.and.levothyro
xine.sodium.(Synthroid).is.prescribed..Which.symptoms.indicate.to.the.nurse.that.the.pre
scribed.dosage.is.too.high.for.this.client?.The.client.experiences
• Bradycardia.and.constipation
• Lethargy.and.lack.of.appetite
• Muscle.cramping.and.dry,.flushed.skin
• Palpitations.and.shortness.of.breath
23. A.client.with.a.history.of.heart.failure.presents.to.the.clinic.with.a.nausea,.vomiting,.yellow.
vision.and.palpitations..Which.finding.is.most.important.for.the.nurse.to.assess.to.the.client?
• Obtain.a.list.of.medications.taken.for.cardiac.history
24. The.healthcare.provider.prescribes.an.IV.solution.of.isoproterenol.(Isuprel).1.mg.in.250.ml.
of.D5W.at.300.mcg/hour..The.nurse.should.program.the.infusion.pump.to.deliver.how.many.
ml/hour?.(Enter.numeric.value.only.)
• 75
• Rationale:.Convert.mg.to.mcg.and.use.the.formula.D/H.x.Q..300.mcg/hour./.1,
000.mcg.x.250.ml.=.3/1.x.25.=.75.ml/hour
25. The.pathophysiological.mechanism.are.responsible.for.ascites.related.to.liver.failure?.(
Select.all.that.apply)
• Fluid.shifts.from.intravascular.to.interstitial.area.due.to.decreased.serum.protein
• Increased.hydrostatic.pressure.in.portal.circulation.increases.fluid.shifts.into.a
bdomen
• Increased.circulating.aldosterone.levels.that.increase.sodium.and.water.retention
26. The.nurse.is.auscultating.a.client’s.heart.sounds..Which.description.should.the.nurse.use.to.
document.this.sound?.(Please.listen.to.the.audio.first.to.select.the.option.that.applies)
2026)./.RN.EXIT.HESI.EXAM.V1,V2,V3,V4,V5,V6
,V7|A.GRADED
1. Following.discharge.teaching,.a.male.client.with.duodenal.ulcer.tells.the.nurse.the.he.will.dri
nk.plenty.of.dairy.products,.such.as.milk,.to.help.coat.and.protect.his.ulcer..What.is.the.best.f
ollow-up.action.by.the.nurse?
• Review.with.the.client.the.need.to.avoid.foods.that.are.rich.in.milk.and.cream
2. A.male.client.with.hypertension,.who.received.new.antihypertensive.prescriptions.at.his.last.
visit.returns.to.the.clinic.two.weeks.later.to.evaluate.his.blood.pressure.(BP)..His.BP.is.158/
106.and.he.admits.that.he.has.not.been.taking.the.prescribed.medication.because.the.drugs.
make.him.―feel.bad‖..In.explaining.the.need.for.hypertension.control,.the.nurse.should.stres
s.that.an.elevated.BP.places.the.client.at.risk.for.which.pathophysiological.condition?
• Stroke.secondary.to.hemorrhage
3. The.nurse.observes.an.unlicensed.assistive.personnel.(UAP).positioning.a.newly.admitted.cl
ient.who.has.a.seizure.disorder..The.client.is.supine.and.the.UAP.is.placing.soft.pillows.alon
g.the.side.rails..What.action.should.the.nurse.implement?
• Instruct.the.UAP.to.obtain.soft.blankets.to.secure.to.the.side.rails.instead.of.pil
lows.
4. An.adolescent.with.major.depressive.disorder.has.been.taking.duloxetine.(Cymbalta).for.th
e.past.12.days..Which.assessment.finding.requires.immediate.follow-up?
• Describes.life.without.purpose
5. A.60-year-
old.female.client.with.a.positive.family.history.of.ovarian.cancer.has.developed.an.abdomina
l.mass.and.is.being.evaluated.for.possible.ovarian.cancer..Her.Papanicolau.(Pap).smear.resul
ts.are.negative..What.information.should.the.nurse.include.in.the.client’s.teaching.plan?
• Further.evaluation.involving.surgery.may.be.needed
6. A.client.who.recently.underwear.a.tracheostomy.is.being.prepared.for.discharge.to.home..W
hich.instructions.is.most.important.for.the.nurse.to.include.in.the.discharge.plan?
• Teach.tracheal.suctioning.techniques
7. In.assessing.an.adult.client.with.a.partial.rebreather.mask,.the.nurse.notes.that.the.oxygen.res
ervoir.bag.does.not.deflate.completely.during.inspiration.and.the.client’s.respiratory.rate.is
.14.breaths./.minute..What.action.should.the.nurse.implement?
• Document.the.assessment.data
• Rational:.reservoir.bag.should.not.deflate.completely.during.inspiration.and.the.client’s.re
spiratory.rate.is.within.normal.limits.
8. During.shift.report,.the.central.electrocardiogram.(EKG).monitoring.system.alarms..
Which.client.alarm.should.the.nurse.investigate.firs?
, • Respiratory.apnea.of.30.seconds
9. During.a.home.visit,.the.nurse.observed.an.elderly.client.with.diabetes.slip.and.fall..What.act
ion.should.the.nurse.take.first?
• Check.the.client.for.lacerations.or.fractures
10. At.0600.while.admitting.a.woman.for.a.schedule.repeat.cesarean.section.(C-
Section),.the.client.tells.the.nurse.that.she.drank.a.cup.a.coffee.at.0400.because.she.wanted.t
o.avoid.getting.a.headache..Which.action.should.the.nurse.take.first?
• Inform.the.anesthesia.care.provider
11. After.placing.a.stethoscope.as.seen.in.the.picture,.the.nurse.auscultates.S1.and.S2.heart.so
unds..To.determine.if.an.S3.heart.sound.is.present,.what.action.should.the.nurse.take.first?
• Listen.with.the.bell.at.the.same.location
12. A.66-year-
old.woman.is.retiring.and.will.no.longer.have.a.health.insurance.through.her.place.of.empl
oyment..Which.agency.should.the.client.be.referred.to.by.the.employee.health.nurse.for.h
ealth.insurance.needs?
• Medicare
13. A.client.who.is.taking.an.oral.dose.of.a.tetracycline.complains.of.gastrointestinal.upset..W
hat.snack.should.the.nurse.instruct.the.client.to.take.with.the.tetracycline?
• Toasted.wheat.bread.and.jelly
14. Following.a.lumbar.puncture,.a.client.voices.several.complaints..What.complaint.in
dicated.to.the.nurse.that.the.client.is.experiencing.a.complication?
• “I.have.a.headache.that.gets.worse.when.I.sit.up”
• ―I.am.having.pain.in.my.lower.back.when. I.move.my.legs‖
• ―My.throat.hurts.when.I.swallow‖
• “I.feel.sick.to.my.stomach.and.am.going.to.throw.up”
15. An.elderly.client.seems.confused.and.reports.the.onset.of.nausea,.dysuria,.and.urgency.wi
th.incontinence..Which.action.should.the.nurse.implement?.•. Obtain.a.clean.catch.mid-
stream.specimen
16. The.nurse.is.assisting.the.mother.of.a.child.with.phenylketonuria.(PKU).to.select.foods.th
at.are.in.keeping.with.the.child’s.dietary.restrictions..Which.foods.are.contraindicated.for.
this.child?
• Foods.sweetened.with.aspartame
17. Before.preparing.a.client.for.the.first.surgical.case.of.the.day,.a.part-
time.scrub.nurse.asks.the.circulating.nurse.if.a.3.minute.surgical.hand.scrub.is.adequate.p
reparation.for.this.client..Which.response.should.the.circulating.nurse.provide?
• Direct.the.nurse.to.continue.the.surgical.hand.scrub.for.a.5.minute.duration
18. Which.breakfast.selection.indicates.that.the.client.understands.the.nurse’s.instructions.a
bout.the.dietary.management.of.osteoporosis?
, Stuvia.com.-.The.Marketplace.to.Buy.and.Sell.your.Study.Material
• Bagel.with.jelly.and.skim.milk
19. The.charge.nurse.of.a.critical.care.unit.is.informed.at.the.beginning.of.the.shift.that.less.than.the.optimal.
number.of.registered.nurses.will.be.working.that.shift..In.planning.assignments,.which.client.should.rec
eive.the.most.care.hours.by.a.registered.nurse.(RN)?
• An.82-year-old.client.with.Alzheimer’s.disease.newly-
fractures.femur.who.has.a.Foley.catheter.and.soft.wrist.restrains.applied
, 20. A.mother.brings.her.6-year-
old.child,.who.has.just.stepped.on.a.rusty.nail,.to.the.pediatrician’s.office..Upon.inspection,.
the.nurse.notes.that.the.nail.went.through.the.shoe.and.pierced.the.bottom.of.the.child’s.foot.
.Which.action.should.the.nurse.implement.first?
• Cleanse.the.foot.with.soap.and.water.and.apply.an.antibiotic.ointment. •
Provide.teaching.about.the.need.for.a.tetanus.booster.within.the.next.72.hours.
• have.the.mother.check.the.child's.temperature.q4h.for.the.next.24.hours
• transfer.the.child.to.the.emergency.department.to.receive.a.gamma.globulin.in
jection
21. The.mother.of.an.adolescent.tells.the.clinic.nurse,.―My.son.has.athlete’s.foot,.I.have.been.ap
plying.triple.antibiotic.ointment.for.two.days,.but.there.has.been.no.improvement.‖.What.in
struction.should.the.nurse.provide?
• Stop.using.the.ointment.and.encourage.complete.drying.of.the.feet.and.wearing.cl
ean.socks.
22. A.26-year-
old.female.client.is.admitted.to.the.hospital.for.treatment.of.a.simple.goiter,.and.levothyro
xine.sodium.(Synthroid).is.prescribed..Which.symptoms.indicate.to.the.nurse.that.the.pre
scribed.dosage.is.too.high.for.this.client?.The.client.experiences
• Bradycardia.and.constipation
• Lethargy.and.lack.of.appetite
• Muscle.cramping.and.dry,.flushed.skin
• Palpitations.and.shortness.of.breath
23. A.client.with.a.history.of.heart.failure.presents.to.the.clinic.with.a.nausea,.vomiting,.yellow.
vision.and.palpitations..Which.finding.is.most.important.for.the.nurse.to.assess.to.the.client?
• Obtain.a.list.of.medications.taken.for.cardiac.history
24. The.healthcare.provider.prescribes.an.IV.solution.of.isoproterenol.(Isuprel).1.mg.in.250.ml.
of.D5W.at.300.mcg/hour..The.nurse.should.program.the.infusion.pump.to.deliver.how.many.
ml/hour?.(Enter.numeric.value.only.)
• 75
• Rationale:.Convert.mg.to.mcg.and.use.the.formula.D/H.x.Q..300.mcg/hour./.1,
000.mcg.x.250.ml.=.3/1.x.25.=.75.ml/hour
25. The.pathophysiological.mechanism.are.responsible.for.ascites.related.to.liver.failure?.(
Select.all.that.apply)
• Fluid.shifts.from.intravascular.to.interstitial.area.due.to.decreased.serum.protein
• Increased.hydrostatic.pressure.in.portal.circulation.increases.fluid.shifts.into.a
bdomen
• Increased.circulating.aldosterone.levels.that.increase.sodium.and.water.retention
26. The.nurse.is.auscultating.a.client’s.heart.sounds..Which.description.should.the.nurse.use.to.
document.this.sound?.(Please.listen.to.the.audio.first.to.select.the.option.that.applies)
