HESI EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ,A
COMPLETE SOLUTION THAT COVERS 2025/2026 BEST EXAM RATED
A+ FOR SUCCESS
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12
days. Which assessment finding requires immediate follow-up
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating. - CORRECT ANSWERS Describes life without purpose
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor that is known to
increase the risk of suicidal thinking in adolescents and young adults with major depressive disorder.
B, C and D are side effects
A 60-year-old female client with a positive family history of ovarian cancer has developed an
abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear
results are negative. What information should the nurse include in the client's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed. - CORRECT ANSWERS Further
evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with a family history for ovarian cancer should be evaluated
carefully
A client who recently underwent a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nurse to include in the discharge plan?
a. Explain how to use communication tools.
,b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site. - CORRECT ANSWERS Teach tracheal suctioning
techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is critical.
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir
bag does not deflate completely during inspiration and the client's respiratory rate is 14 breaths /
minute. What action should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data - CORRECT ANSWERS Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and the client's respiratory
rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client
alarm should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes. - CORRECT ANSWERS Respiratory apnea of 30
seconds
Rationale: The priority is the client whose alarm indicating respiratory apnea that should be assessed
first.
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action
should the nurse take first?
,a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level - CORRECT ANSWERS Check the client for lacerations or fractures
Rationale: dAfter dthe dclient dfalls, dthe dnurse dshould dimmediately dassess dfor dthe dpossibility dof
dinjuries dand dprovide dfirst daid das dneeded
Following ddischarge dteaching, da dmale dclient dwith dduodenal dulcer dtells dthe dnurse dthe dhe dwill
ddrink dplenty dof ddairy dproducts, dsuch das dmilk, dto dhelp dcoat dand dprotect dhis dulcer. dWhat dis
dthe dbest dfollow-up daction dby dthe dnurse?
a. dRemind dthe dclient dthat dit dis dalso dimportant dto dswitch dto ddecaffeinated dcoffee dand dtea.
b. dSuggest dthat dthe dclient dalso dplan dto deat dfrequent dsmall dmeals dto dreduce ddiscomfort
c. dReview dwith dthe dclient dthe dneed dto davoid dfoods dthat dare drich din dmilk dand dcream.
d. dReinforce dthis dteaching dby dasking dthe dclient dto dlist da ddairy dfood dthat dhe dmight dselect. d- d
dCORRECT dANSWERS d dReview dwith dthe dclient dthe dneed dto davoid dfoods dthat dare drich din dmilk
dand dcream
Rationale: dDiets drich din dmilk dand dcream dstimulate dgastric dacid dsecretion dand dshould dbe
davoided.
A dmale dclient dwith dhypertension, dwho dreceived dnew dantihypertensive dprescriptions dat dhis
dlast dvisit dreturns dto dthe dclinic dtwo dweeks dlater dto devaluate dhis dblood dpressure d(BP). dHis dBP
dis d158/106 dand dhe dadmits dthat dhe dhas dnot dbeen dtaking dthe dprescribed dmedication dbecause
dthe ddrugs dmake dhim d"feel dbad". dIn dexplaining dthe dneed dfor dhypertension dcontrol, dthe
dnurse dshould dstress dthat dan delevated dBP dplaces dthe dclient dat drisk dfor dwhich
dpathophysiological dcondition?
a. dBlindness dsecondary dto dcataracts
b. dAcute dkidney dinjury ddue dto dglomerular ddamage
c. dStroke dsecondary dto dhemorrhage
d. dHeart dblock ddue dto dmyocardial ddamage d- d dCORRECT dANSWERS d dStroke dsecondary dto
dhemorrhage
Rationale: dStroke drelated dto dcerebral dhemorrhage dis dmajor drisk dfor duncontrolled
dhypertension.
, The dnurse dobserves dan dunlicensed dassistive dpersonnel d(UAP) dpositioning da dnewly dadmitted
dclient dwho dhas da dseizure ddisorder. dThe dclient dis dsupine dand dthe dUAP dis dplacing dsoft dpillows
dalong dthe dside drails. dWhat daction dshould dthe dnurse dimplement?
a. dEnsure dthat dthe dUAP dhas dplaced dthe dpillows deffectively dto dprotect dthe dclient.
b. dInstruct dthe dUAP dto dobtain dsoft dblankets dto dsecure dto dthe dside drails dinstead dof dpillows.
c. dAssume dresponsibility dfor dplacing dthe dpillows dwhile dthe dUAP dcompletes danother dtask.
d. dAsk dthe dUAP dto duse dsome dof dthe dpillows dto dprop dthe dclient din da dside dlying dposition. d- d
dCORRECT dANSWERS d dInstruct dthe dUAP dto dobtain dsoft dblankets dto dsecure dto dthe dside drails
dinstead dof dpillows
Rationale: dThe dnurse dshould dinstruct dthe dUAP dto dpad dthe dside drails dwith dsoft dblankest
dbecause dthe duse dof dpillows dcould dresult din dsuffocation dand dwould dneed dto dbe dremoved dat
dthe donset dof dthe dseizure. dThe dnurse dcan ddelegate dpaddling dthe dside drails dto dthe dUAP
At d0600 dwhile dadmitting da dwoman dfor da dschedule drepeat dcesarean dsection d(C-Section), dthe
dclient dtells dthe dnurse dthat dshe ddrank da dcup da dcoffee dat d0400 dbecause dshe dwanted dto
davoid dgetting da dheadache. dWhich daction dshould dthe dnurse dtake dfirst?
a. dEnsure dpreoperative dlab dresults dare davailable
b. dStart dprescribed dIV dwith dlactated dRinger's
c. dInform dthe danesthesia dcare dprovider
d. dContact dthe dclient's dobstetrician. d- d dCORRECT dANSWERS d dInform dthe danesthesia dcare
dprovider
Rationale: dSurgical dpreoperative dinstruction dincludes dNPO dafter dmidnight dthe dday dof dsurgery
dto ddecrease dthe drisk dof daspiration dshould dvomiting doccur dduring danesthesia. dWhile dit dis
dpossible dthe dC-section dwill dbe ddone don dschedule dor drescheduled dfor dlater din dthe dday, dthe
danesthesia dprovider dshould dbe dnotified dfirst.
After dplacing da dstethoscope das dseen din dthe dpicture, dthe dnurse dauscultates dS1 dand dS2 dheart
dsounds. dTo ddetermine dif dan dS3 dheart dsound dis dpresent, dwhat daction dshould dthe dnurse dtake
dfirst
COMPLETE SOLUTION THAT COVERS 2025/2026 BEST EXAM RATED
A+ FOR SUCCESS
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12
days. Which assessment finding requires immediate follow-up
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating. - CORRECT ANSWERS Describes life without purpose
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor that is known to
increase the risk of suicidal thinking in adolescents and young adults with major depressive disorder.
B, C and D are side effects
A 60-year-old female client with a positive family history of ovarian cancer has developed an
abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear
results are negative. What information should the nurse include in the client's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed. - CORRECT ANSWERS Further
evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with a family history for ovarian cancer should be evaluated
carefully
A client who recently underwent a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nurse to include in the discharge plan?
a. Explain how to use communication tools.
,b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site. - CORRECT ANSWERS Teach tracheal suctioning
techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is critical.
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir
bag does not deflate completely during inspiration and the client's respiratory rate is 14 breaths /
minute. What action should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data - CORRECT ANSWERS Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and the client's respiratory
rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client
alarm should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes. - CORRECT ANSWERS Respiratory apnea of 30
seconds
Rationale: The priority is the client whose alarm indicating respiratory apnea that should be assessed
first.
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action
should the nurse take first?
,a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level - CORRECT ANSWERS Check the client for lacerations or fractures
Rationale: dAfter dthe dclient dfalls, dthe dnurse dshould dimmediately dassess dfor dthe dpossibility dof
dinjuries dand dprovide dfirst daid das dneeded
Following ddischarge dteaching, da dmale dclient dwith dduodenal dulcer dtells dthe dnurse dthe dhe dwill
ddrink dplenty dof ddairy dproducts, dsuch das dmilk, dto dhelp dcoat dand dprotect dhis dulcer. dWhat dis
dthe dbest dfollow-up daction dby dthe dnurse?
a. dRemind dthe dclient dthat dit dis dalso dimportant dto dswitch dto ddecaffeinated dcoffee dand dtea.
b. dSuggest dthat dthe dclient dalso dplan dto deat dfrequent dsmall dmeals dto dreduce ddiscomfort
c. dReview dwith dthe dclient dthe dneed dto davoid dfoods dthat dare drich din dmilk dand dcream.
d. dReinforce dthis dteaching dby dasking dthe dclient dto dlist da ddairy dfood dthat dhe dmight dselect. d- d
dCORRECT dANSWERS d dReview dwith dthe dclient dthe dneed dto davoid dfoods dthat dare drich din dmilk
dand dcream
Rationale: dDiets drich din dmilk dand dcream dstimulate dgastric dacid dsecretion dand dshould dbe
davoided.
A dmale dclient dwith dhypertension, dwho dreceived dnew dantihypertensive dprescriptions dat dhis
dlast dvisit dreturns dto dthe dclinic dtwo dweeks dlater dto devaluate dhis dblood dpressure d(BP). dHis dBP
dis d158/106 dand dhe dadmits dthat dhe dhas dnot dbeen dtaking dthe dprescribed dmedication dbecause
dthe ddrugs dmake dhim d"feel dbad". dIn dexplaining dthe dneed dfor dhypertension dcontrol, dthe
dnurse dshould dstress dthat dan delevated dBP dplaces dthe dclient dat drisk dfor dwhich
dpathophysiological dcondition?
a. dBlindness dsecondary dto dcataracts
b. dAcute dkidney dinjury ddue dto dglomerular ddamage
c. dStroke dsecondary dto dhemorrhage
d. dHeart dblock ddue dto dmyocardial ddamage d- d dCORRECT dANSWERS d dStroke dsecondary dto
dhemorrhage
Rationale: dStroke drelated dto dcerebral dhemorrhage dis dmajor drisk dfor duncontrolled
dhypertension.
, The dnurse dobserves dan dunlicensed dassistive dpersonnel d(UAP) dpositioning da dnewly dadmitted
dclient dwho dhas da dseizure ddisorder. dThe dclient dis dsupine dand dthe dUAP dis dplacing dsoft dpillows
dalong dthe dside drails. dWhat daction dshould dthe dnurse dimplement?
a. dEnsure dthat dthe dUAP dhas dplaced dthe dpillows deffectively dto dprotect dthe dclient.
b. dInstruct dthe dUAP dto dobtain dsoft dblankets dto dsecure dto dthe dside drails dinstead dof dpillows.
c. dAssume dresponsibility dfor dplacing dthe dpillows dwhile dthe dUAP dcompletes danother dtask.
d. dAsk dthe dUAP dto duse dsome dof dthe dpillows dto dprop dthe dclient din da dside dlying dposition. d- d
dCORRECT dANSWERS d dInstruct dthe dUAP dto dobtain dsoft dblankets dto dsecure dto dthe dside drails
dinstead dof dpillows
Rationale: dThe dnurse dshould dinstruct dthe dUAP dto dpad dthe dside drails dwith dsoft dblankest
dbecause dthe duse dof dpillows dcould dresult din dsuffocation dand dwould dneed dto dbe dremoved dat
dthe donset dof dthe dseizure. dThe dnurse dcan ddelegate dpaddling dthe dside drails dto dthe dUAP
At d0600 dwhile dadmitting da dwoman dfor da dschedule drepeat dcesarean dsection d(C-Section), dthe
dclient dtells dthe dnurse dthat dshe ddrank da dcup da dcoffee dat d0400 dbecause dshe dwanted dto
davoid dgetting da dheadache. dWhich daction dshould dthe dnurse dtake dfirst?
a. dEnsure dpreoperative dlab dresults dare davailable
b. dStart dprescribed dIV dwith dlactated dRinger's
c. dInform dthe danesthesia dcare dprovider
d. dContact dthe dclient's dobstetrician. d- d dCORRECT dANSWERS d dInform dthe danesthesia dcare
dprovider
Rationale: dSurgical dpreoperative dinstruction dincludes dNPO dafter dmidnight dthe dday dof dsurgery
dto ddecrease dthe drisk dof daspiration dshould dvomiting doccur dduring danesthesia. dWhile dit dis
dpossible dthe dC-section dwill dbe ddone don dschedule dor drescheduled dfor dlater din dthe dday, dthe
danesthesia dprovider dshould dbe dnotified dfirst.
After dplacing da dstethoscope das dseen din dthe dpicture, dthe dnurse dauscultates dS1 dand dS2 dheart
dsounds. dTo ddetermine dif dan dS3 dheart dsound dis dpresent, dwhat daction dshould dthe dnurse dtake
dfirst
