HESI RN 2025-2026 EXIT EXAM QUESTIONS WITH
ANSWERS
The school nurse is screening students for scoliosis and notes that one student has lordosis. Which
finding should the nurse document in the student screening record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
C) Excessive concave curvature of the lumbar spine.
D) Rounded spine from head to hips without concave curbs.
C) Excessive concave curvature of the lumbar spine.
The nurse is assigned to care for for surgical clients. After receiving report, which client should the nurse
see first?
A) An older client who is receiving packed red blood cells on the third day post operative for colon
resection.
B) An older client with continuous bladder irrigation who is two days post operative for bladder surgery.
C) An adult who is in bucks traction, and scheduled for hip arthroplasty within the just 12 hours.
D) An adult one day post operative laparoscopic cholecystectomy requesting pain medication.
A) An older client who is receiving packed red blood cells on the third day post operative for colon
resection.
The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to
situation and perceived stress. In addition to information about prescribe medication and
administration, which instruction should the nurse include in the teaching?
A) Think about reasons the episodes occur.
,B) Center attention on positive upbeat music.
C) Practice using muscle relaxation techniques.
D) Find outlets for more social interaction.
C) Practice using muscle relaxation techniques.
The nurse is preparing a client who had a below the knee amputation for discharge to home. Which
recommendations should the nurse provide this client? SATA.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
C) Apply alcohol to the residual limb after bathing.
D) Wash the residual limb with soap and water.
E) Avoid range of motion exercises.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
D) Wash the residual limb with soap and water.
The nurse is assessing the feet of a client with type one diabetes mellitis. Which finding requires
immediate intervention by the nurse?
A) Hard, painless nodule over metatarsophalangeal joint of first toe.
B) Painful corns and calluses over hammer toes on both feet.
C) Erythema and edema at the base of the left great toe.
D) Decreased response to pain discrimination on dorsal surface of foot.
D) Decreased response to pain discrimination on dorsal surface of foot.
,The school nurse is called to the soccer field because a child has epistaxis. In which position should the
nurse place the child?
A) Side-lying with the head slightly elevated.
B) Sitting up and leaning forward.
C) Standing with the head leaning backwards.
D) Supine with the legs raised.
B) Sitting up and leaning forward.
The nurse is auscultating a clients lung sounds. Which description should the nurse use to document this
sound? Please listen to the audio file to select the option that applies.
A) High pitch squeeze.
B) Rhonchi.
C) High-pitched or fine crackles.
D) Stridor.
C) High-pitched or fine crackles.
Flow Sheet, vital signs, heart rate 104 bpm, respiratory rate 31 bpm.
The client is experiencing __________________ and ____________________.
Tachypnea , tachycardia
Orders, 1300 admit to the surgical unit, vital signs every four hours, advanced diet as tolerated,
administer lactated ringers IV at 85 mL per hour, ibuprofen 800 mg PO every eight hours PRN for pain.
, (the nurse would anticipate which of the following could be affecting the clients current condition?
SATA.
A) stress.
B) Medication.
C) Anemia.
D) Fever.
E) Hypothermia.
F) Hypertension.
G) Pain.
A) stress.
B) Medication.
G) Pain.
NGN: the client is a 34-year-old female who had a surgical procedure to remove a benign abdominal
tumor.
(Select which is understanding or not understanding)
-The tubing should be tucked under the chin and secured with the sliding adjustment piece.
-Humidification of oxygen is not needed for administration under 4 L per minute.
-The nasal cannula can deliver up to 10 L per minute of oxygen.
-A nasal cannula delivers 100% oxygen to the client.
-The tubing should be tucked under the chin and secured with the sliding adjustment piece.
(UNDERSTANDING)
-Humidification of oxygen is not needed for administration under 4 L per minute. (UNDERSTANDING)
-The nasal cannula can deliver up to 10 L per minute of oxygen. (NOT UNDERSTANDING)
-A nasal cannula delivers 100% oxygen to the client. (NOT UNDERSTANDING)
ANSWERS
The school nurse is screening students for scoliosis and notes that one student has lordosis. Which
finding should the nurse document in the student screening record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
C) Excessive concave curvature of the lumbar spine.
D) Rounded spine from head to hips without concave curbs.
C) Excessive concave curvature of the lumbar spine.
The nurse is assigned to care for for surgical clients. After receiving report, which client should the nurse
see first?
A) An older client who is receiving packed red blood cells on the third day post operative for colon
resection.
B) An older client with continuous bladder irrigation who is two days post operative for bladder surgery.
C) An adult who is in bucks traction, and scheduled for hip arthroplasty within the just 12 hours.
D) An adult one day post operative laparoscopic cholecystectomy requesting pain medication.
A) An older client who is receiving packed red blood cells on the third day post operative for colon
resection.
The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to
situation and perceived stress. In addition to information about prescribe medication and
administration, which instruction should the nurse include in the teaching?
A) Think about reasons the episodes occur.
,B) Center attention on positive upbeat music.
C) Practice using muscle relaxation techniques.
D) Find outlets for more social interaction.
C) Practice using muscle relaxation techniques.
The nurse is preparing a client who had a below the knee amputation for discharge to home. Which
recommendations should the nurse provide this client? SATA.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
C) Apply alcohol to the residual limb after bathing.
D) Wash the residual limb with soap and water.
E) Avoid range of motion exercises.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
D) Wash the residual limb with soap and water.
The nurse is assessing the feet of a client with type one diabetes mellitis. Which finding requires
immediate intervention by the nurse?
A) Hard, painless nodule over metatarsophalangeal joint of first toe.
B) Painful corns and calluses over hammer toes on both feet.
C) Erythema and edema at the base of the left great toe.
D) Decreased response to pain discrimination on dorsal surface of foot.
D) Decreased response to pain discrimination on dorsal surface of foot.
,The school nurse is called to the soccer field because a child has epistaxis. In which position should the
nurse place the child?
A) Side-lying with the head slightly elevated.
B) Sitting up and leaning forward.
C) Standing with the head leaning backwards.
D) Supine with the legs raised.
B) Sitting up and leaning forward.
The nurse is auscultating a clients lung sounds. Which description should the nurse use to document this
sound? Please listen to the audio file to select the option that applies.
A) High pitch squeeze.
B) Rhonchi.
C) High-pitched or fine crackles.
D) Stridor.
C) High-pitched or fine crackles.
Flow Sheet, vital signs, heart rate 104 bpm, respiratory rate 31 bpm.
The client is experiencing __________________ and ____________________.
Tachypnea , tachycardia
Orders, 1300 admit to the surgical unit, vital signs every four hours, advanced diet as tolerated,
administer lactated ringers IV at 85 mL per hour, ibuprofen 800 mg PO every eight hours PRN for pain.
, (the nurse would anticipate which of the following could be affecting the clients current condition?
SATA.
A) stress.
B) Medication.
C) Anemia.
D) Fever.
E) Hypothermia.
F) Hypertension.
G) Pain.
A) stress.
B) Medication.
G) Pain.
NGN: the client is a 34-year-old female who had a surgical procedure to remove a benign abdominal
tumor.
(Select which is understanding or not understanding)
-The tubing should be tucked under the chin and secured with the sliding adjustment piece.
-Humidification of oxygen is not needed for administration under 4 L per minute.
-The nasal cannula can deliver up to 10 L per minute of oxygen.
-A nasal cannula delivers 100% oxygen to the client.
-The tubing should be tucked under the chin and secured with the sliding adjustment piece.
(UNDERSTANDING)
-Humidification of oxygen is not needed for administration under 4 L per minute. (UNDERSTANDING)
-The nasal cannula can deliver up to 10 L per minute of oxygen. (NOT UNDERSTANDING)
-A nasal cannula delivers 100% oxygen to the client. (NOT UNDERSTANDING)
