HESI EXIT EXAM QUESTIONS WITH
DETAILED ACCURATE ACTUAL
ANSWERS |LATEST VERSION 2025\26 |
COMPLETE
A female client presents in the emergency department and tells the nurse
that she was raped last night. Which question is most important for the
nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department? - ACCURATE
ANSWERS✔✔ A. Has she taken a bath since the rape occurred?
The nurse is completing the admission assessment of a 3-year old who is
admitted with bacterial meningitis and hydrocephalus. Which
assessment finding is evidence that the child is experiencing increased
intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - ACCURATE
ANSWERS✔✔ B. Sluggish and unequal pupillary responses
,A client with acute pancreatitis is admitted with severe, piercing
abdominal pain and an elevated serum amylase. Which additional
information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - ACCURATE
ANSWERS✔✔ A. Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being
discharged from the hospital. Which information is most important for
the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - ACCURATE
ANSWERS✔✔ A. Instructions about how much fluid the child should
drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot). -
ACCURATE ANSWERS✔✔ I placed the red dot on the base of the
neck on the right side
,After receiving report on an inpatient acute care unit, which client
should the nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic
ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube
that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity - ACCURATE ANSWERS✔✔ D. The
client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
A teenager presents to the emergency department with palpitations after
vaping at a party. The client is anxious, fearful, and hyperventilating.
The nurse anticipates the client developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - ACCURATE ANSWERS✔✔ D. Respiratory
alkalosis
A client with dyspnea is being admitted to the medical unit. To best
prepare for the client's arrival, the nurse should ensure that the client's
bed is in which position?
, A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers - ACCURATE ANSWERS✔✔ Fowlers
The nurse is taking the blood pressure measurement of a client with
Parkinson's disease. Which information in the client's admission
assessment is relevant to the nurse's plan for taking the blood pressure
reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling - ACCURATE ANSWERS✔✔ A. Frequent
syncope
C. Flat affect
D. Blurred vision
While caring for a client's postoperative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to the
healthcare provider, the nurse should review which of the client's
laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
DETAILED ACCURATE ACTUAL
ANSWERS |LATEST VERSION 2025\26 |
COMPLETE
A female client presents in the emergency department and tells the nurse
that she was raped last night. Which question is most important for the
nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department? - ACCURATE
ANSWERS✔✔ A. Has she taken a bath since the rape occurred?
The nurse is completing the admission assessment of a 3-year old who is
admitted with bacterial meningitis and hydrocephalus. Which
assessment finding is evidence that the child is experiencing increased
intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - ACCURATE
ANSWERS✔✔ B. Sluggish and unequal pupillary responses
,A client with acute pancreatitis is admitted with severe, piercing
abdominal pain and an elevated serum amylase. Which additional
information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - ACCURATE
ANSWERS✔✔ A. Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being
discharged from the hospital. Which information is most important for
the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - ACCURATE
ANSWERS✔✔ A. Instructions about how much fluid the child should
drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot). -
ACCURATE ANSWERS✔✔ I placed the red dot on the base of the
neck on the right side
,After receiving report on an inpatient acute care unit, which client
should the nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic
ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube
that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity - ACCURATE ANSWERS✔✔ D. The
client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
A teenager presents to the emergency department with palpitations after
vaping at a party. The client is anxious, fearful, and hyperventilating.
The nurse anticipates the client developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - ACCURATE ANSWERS✔✔ D. Respiratory
alkalosis
A client with dyspnea is being admitted to the medical unit. To best
prepare for the client's arrival, the nurse should ensure that the client's
bed is in which position?
, A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers - ACCURATE ANSWERS✔✔ Fowlers
The nurse is taking the blood pressure measurement of a client with
Parkinson's disease. Which information in the client's admission
assessment is relevant to the nurse's plan for taking the blood pressure
reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling - ACCURATE ANSWERS✔✔ A. Frequent
syncope
C. Flat affect
D. Blurred vision
While caring for a client's postoperative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to the
healthcare provider, the nurse should review which of the client's
laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
