HESI RN EXIT EXAM QUESTIONS WITH WELL
RESEARCHED ANSWERS GRADED A + 2025-2026
1. A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that the client
may need suctioning?
restlessness
2. The most effective nursing intervention to prevent atelectasis from developing in a post operative
client is to
Assist client to turn, deep breathe, and cough
3. When caring for a client with a post right thoracotomy who has undergone an upper lobectomy, the
nurse focuses on pain management to promote
Deep breathing and coughing
4. A nurse is to collect a sputum specimen for acid-fast bacillus (AFB) from a client. Which action
should the nurse take first?
Assist with oral hygiene
5. The nurse is caring for a child immediately after surgical correction of a ventricular septal defect.
Which of the following nursing assessments should be a priority?
Assess for post operative arrhythmias
,6. A client has a history of chronic obstructive pulmonary disease (COPD). As the nurse enters the
client's room, his oxygen is running at 6 liters per minute, his color is flushed
and his respirations are 8 per minute. What should the nurse do first?
Lower the oxygen rate
7. A 4 year-old has been hospitalized for 24 hours with skeletal traction for treatment of a fracture of
the right femur. The nurse finds that the child is now crying and the right
foot is pale with the absence of a pulse. What should the nurse do first?
Notify the health care provider
8. The nurse is assessing a client 2 hours postoperatively after a femoral popliteal bypass. The upper leg
dressing becomes saturated with blood. The nurse's first action should be to
Reinforce the dressing and elevate the leg
9. A client is receiving external beam radiation to the mediastinum for treatment of bronchial cancer.
Which of the following should take priority in planning care?
Leukopenia
10. A client has a chest tube in place following a left lower lobectomy inserted after a stab wound to the
chest. When repositioning the client, the nurse notices 200 cc of dark, red fluid flows into the collection
chamber of the chest drain. What is the most appropriate nursing action?
Continue to monitor the rate of drainage
11. A client has returned from a cardiac catheterization. Which one of the following assessments would
indicate the client is experiencing a complication from the procedure?
, Loss of pulse in the extremity
12. A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert,
but has not been able to void since he returned from surgery 6 hours ago. He received 1000 mL of IV
fluid. Which action would be most likely to help him void?
Assist him to stand by the side of the bed to void
13. The nurse is caring for a client who requires a mechanical ventilator for breathing. The high pressure
alarm goes off on the ventilator. What is the first action the nurse should perform?
Perform a quick assessment of the client's condition
14. The health care provider order reads "aspirate nasogastric feeding (NG) tuber every 4 hours and
check pH of aspirate." The pH of the aspirate is 10. Which action should the nurse take?
Hold the tube feeding and notify the provider
15. To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must
Apply suction for no more than 10 seconds
16. An antibiotic IM injection for a 2 year-old child is ordered. The total volume of the injection equals
2.0 ml The correct action is to
administer the medication in 2 separate injections
17. The nurse receives an order to give a client iron by deep injection. The nurse know that the reason
for this route is to
RESEARCHED ANSWERS GRADED A + 2025-2026
1. A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that the client
may need suctioning?
restlessness
2. The most effective nursing intervention to prevent atelectasis from developing in a post operative
client is to
Assist client to turn, deep breathe, and cough
3. When caring for a client with a post right thoracotomy who has undergone an upper lobectomy, the
nurse focuses on pain management to promote
Deep breathing and coughing
4. A nurse is to collect a sputum specimen for acid-fast bacillus (AFB) from a client. Which action
should the nurse take first?
Assist with oral hygiene
5. The nurse is caring for a child immediately after surgical correction of a ventricular septal defect.
Which of the following nursing assessments should be a priority?
Assess for post operative arrhythmias
,6. A client has a history of chronic obstructive pulmonary disease (COPD). As the nurse enters the
client's room, his oxygen is running at 6 liters per minute, his color is flushed
and his respirations are 8 per minute. What should the nurse do first?
Lower the oxygen rate
7. A 4 year-old has been hospitalized for 24 hours with skeletal traction for treatment of a fracture of
the right femur. The nurse finds that the child is now crying and the right
foot is pale with the absence of a pulse. What should the nurse do first?
Notify the health care provider
8. The nurse is assessing a client 2 hours postoperatively after a femoral popliteal bypass. The upper leg
dressing becomes saturated with blood. The nurse's first action should be to
Reinforce the dressing and elevate the leg
9. A client is receiving external beam radiation to the mediastinum for treatment of bronchial cancer.
Which of the following should take priority in planning care?
Leukopenia
10. A client has a chest tube in place following a left lower lobectomy inserted after a stab wound to the
chest. When repositioning the client, the nurse notices 200 cc of dark, red fluid flows into the collection
chamber of the chest drain. What is the most appropriate nursing action?
Continue to monitor the rate of drainage
11. A client has returned from a cardiac catheterization. Which one of the following assessments would
indicate the client is experiencing a complication from the procedure?
, Loss of pulse in the extremity
12. A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert,
but has not been able to void since he returned from surgery 6 hours ago. He received 1000 mL of IV
fluid. Which action would be most likely to help him void?
Assist him to stand by the side of the bed to void
13. The nurse is caring for a client who requires a mechanical ventilator for breathing. The high pressure
alarm goes off on the ventilator. What is the first action the nurse should perform?
Perform a quick assessment of the client's condition
14. The health care provider order reads "aspirate nasogastric feeding (NG) tuber every 4 hours and
check pH of aspirate." The pH of the aspirate is 10. Which action should the nurse take?
Hold the tube feeding and notify the provider
15. To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must
Apply suction for no more than 10 seconds
16. An antibiotic IM injection for a 2 year-old child is ordered. The total volume of the injection equals
2.0 ml The correct action is to
administer the medication in 2 separate injections
17. The nurse receives an order to give a client iron by deep injection. The nurse know that the reason
for this route is to
