HESI EXIT EXAM 2025-2026 TEST BANK LATEST UPDADE
HESI EXIT EXAM 2025-2026 TEST
BANK LATEST UPDADE
EXIT EXAM
1. A nurse is caring for a client who has given informed consent for ECT. Just
before the procedure, the client tells the nurse she is considering not going
forward with the treatment. Which of the following statements by the nurse
is appropriate?
a. “You don’t have to go through with the treatment.”
b. “Most people who have this procedure feel better following the
treatment.”
c. “It’s okay to be nervous before this treatment.”
d. “Your doctor wouldn’t have ordered this treatment unless it was
necessary.”
2. While performing a routine assessment, a nurse notices fraying on the
electrical cord of a client’s CPM device. Which of the following actions
should the nurse take first?
a. Report the defect to the equipment maintenance staff.
b. Ensure the device inspection sticker is current
c. Remove the device from the room
d. Initiate a requisition for a replacement CPM device
3. A nurse is caring for a client who is postoperative and has a new
prescription for hydromorphone. Which of the following actions should
the nurse take?
a. Document administration of the medication upon removal from the
medication dispensing system
b. Withhold the medication if the client does not appear to be in pain.
c. Count the current number of unit doses available in the medication
dispensing system
d. Withhold the medication if the client has a fever
4. A nurse performing a change-of-shift assessment. Which of the
following clients has the priority finding?
a. Type 2 DM and a blood glucose of 250 mg/dL
b. Pneumonia with a productive cough and a fever of 38.8° C (101.8° F)
c. 2 hr. post cast placement and has 2+ pitting edema and pallor
d. First-degree heart block and a heart rate of 62/min
5. A nurse in an outpatient mental health facility is providing teaching to a
group of adolescents. Which of the following statements by a client
indicates an understanding of the teaching?
a. “I will limit my alcohol use to one drink daily while taking disulfiram.”
b. “I will avoid foods containing tyramine while taking fluoexetine.”
c. “I will take the sustained-release methylphenidate every morning.”
d. “I will take my lithium on an empty stomach.” (pharm pg. 64:
taking lithium with food will help decrease GI distress)
, HESI EXIT EXAM 2025-2026 TEST BANK LATEST UPDADE
6. A nurse in the emergency department is assessing client who has major
depressive disorder. Which of the following actions should the nurse take
first? [View Exhibit]
a. Administer Zofran to the client for nausea
b. Implement seizure precautions for the client
c. Encourage the client to verbalize feelings
d. Obtain the client’s weight
7. A nurse is completing an admission assessment for a client who ahs
narcissistic personality disorder. Which of the following should the nurse
expect?
a. Suspicious of others
b. Exhibits separation anxiety
c. Ritualistic behavior
d. Preoccupied with aging
8. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day.
How many grams of protein per day should the nurse include in the
client’s dietary plan?
9. A nurse is planning care for a group of clients and is working with one LPN
and one AP. Which of the following actions should the nurse take first to
manage her time effectively?
a. Develop an hourly time frame for tasks
b. Schedule daily activities
c. Determine goals of the day
d. Delegate tasks to the AP
10. A nurse is developing a plan of care for a client who has preeclampsia and
is to receive magnesium sulfate via continuous IV infusion. Which of the
following actions should the nurse include in the plan?
a. Restrict the client’s total fluid intake to 250 mL/hr.
b. Measure the client’s urine output every hour
c. Give the client protamine if signs of magnesium sulfate toxicity
occur (antidote: calcium gluconate)
d. Monitor the FHR via Doppler every 30 min
11. A nurse is caring for a group of clients. Which of the following wounds
should the nurse expect to heal by primary intention?
a. Infected laceration
b. Stage II pressure ulcer
c. Approximated surgical incision
d. Partial-thickness burn
12. A nurse in an acute mental health care facility is prioritizing care for
multiple clients. Which of the following clients should the nurse see first?
a. Client taking clozapine to treat schizophrenia and reports sore
throat (pharm pg. 72: monitor for infection [fever, sore throat,
etc.])
b. Client has OCD and is upset about a change in daily routine
c. Client has narcissistic personality disorder and is mocking others
during group therapy
d. Client who has depressive disorder and requires assistance with ADLs
13. A nurse is caring for a client who has an implanted venous access port.
Which of the following should the nurse use to assess the port?
, HESI EXIT EXAM 2025-2026 TEST BANK LATEST UPDADE
a. An angiocatheter
b. A butterfly needle
c. A noncoring needle
d. A 25 gauge needle
14. A nurse is caring for a client who has pneumonia and tells the nurse, “I feel
like an elephant is sitting on my chest.” The client is weak and unable to
walk. After the nurse indicates chest pain protocol, which of the following
is the priority diagnostic test?
a. PT and INR
b. 12 lead ECG
c. Chest X-ray
d. Serum potassium
15. A nurse is assessing the growth and development of a 3 y/o child. Which
of the following questions should the nurse ask the parent to determine if
the child is exhibiting typical developmental expectations?
a. “Can your child draw a stick figure?”
b. “Can your child catch and throw a small ball?”
c. “Can your child ride a tricycle?”
d. “Can your child name five colors?”
16. A nurse is preparing to assess fetal heart tones for a client who is at 12
weeks of gestation. Which of the following actions should the nurse take?
a. Measure the fundal height to determine the placement of the ultrasound
stethoscope
b. Perform Leopold maneuvers prior to auscultating the FHR
c. Position the ultrasound stethoscope above the symphysis pubis to
assess the FHR
d. Place the client in a side-lying position prior to assessing the FHR
17. A nurse dis dassessing da dclient dwho dhas da dchest dtube dwith da dwater dseal
ddrainage dsystem. dUpon dassessment, dthe dnurse dnotes dtidaling din dthe
dwater dseal. dWhich dof dthe dfollowing dis dan dexplanation dfor dthe dtidaling?
a. There dis da dloop dof dtubing dbelow dthe ddrainage dsystem
b. The dsystem dis dworking dproperly d(medsurg dpg. d104: dtidaling din
dthe dwater dseal dchamber dand dcontinuous dbubbling donly din dthe
dsuction dchamber)
c. The dlung dhas dre-expanded
d. The dtubing dis dpartially dobstructed dby dclots
18. A dcharge dnurse don da dmedical dsurgical dunit dis dassisting dwith dthe
demergency dresponse dplan dfollowing dan dexternal ddisaster din dthe
dcommunity. dIn danticipation dof dmultiple dclient dadmissions, dwhich dof dthe
dfollowing dcurrent dclients dshould dthe dnurse drecommend dfor dearly
ddischarge?
a. A dclient dwho dis dreceiving dheparin dfor dDVT
b. A dclient dwho dis d1 dday dpostoperative dfollowing da dvertebroplasty
c. A dclient dwho dhas dCOPD dand da drespiratory drate dof d44/min
d. A dclient dwho dhas dcancer dwith da dsealed dimplant dfor dradiation dtherapy
19. A dnurse dis dcaring dfor da dclient dwho dhas dESRD. dThe dclient’s dadult dchild
dasks dthe dnurse dabout dbecoming da dliving dkidney ddonor dfor dher dfather.
dWhich dof dthe dfollowing dconditions din dthe dchild’s dmedical dhistory
dshould dthe dnurse didentify das da dcontraindication dto dthe dprocedure?
a. Osteoarthritis
, HESI EXIT EXAM 2025-2026 TEST BANK LATEST UPDADE
b. HTN
c. Amputation
d. Primary dglaucoma
20. A dnurse dis dcaring dfor da dclient dwho dis d4 ddays dpostpartum. dWhich dof dthe
dfollowing dassessment dfindings dshould dthe dnurse dexpect? d(SATA)
a. Foul dperineal dodor
b. Fundus ddisplaced dto dthe dright
c. Lochia dserosa d
d. Fundus d4 dcm d(1.6 din) dbelow dthe dumbilicus
e. Postpartum dchill
21. A dnurse dis dcaring dfor da dchild dwho dhas dcystic dfibrosis dand drequires
dpostural ddrainage. dWhich dof dthe dfollowing dactions dshould dthe dnurse
dtake?
a. Perform dthe dprocedure dtwice da dday
b. Hold dhand dto dperform dpercussions don dthe dchild
c. Administer da dbronchodilator dafter dthe dprocedure
d. Perform dthe dprocedure dprior dto dmeals
22. A dhome dcare dnurse dis dmaking da dfollow dup dvisit dwith da dclient dwho dhas
dCOPD dand dis dusing da dcompressed doxygen dsystem din dhis dhome. dWhich
dof dthe dfollowing daction dshould dthe dnurse dtake?
a. Ensure dthat dthe dclient dchecks dthe dgauge dweekly
b. Store dthe doxygen dtank dwrench din da dlocked dcabinet
c. Have dthe dclient dstore dsmaller dtanks dunder dhis dbed
d. Place dthe doxygen dtank daway dfrom dcurtains dor ddrapes
23. Location dof dcrackles d[IMAGE]
24. A dnurse dis dcaring dfor da dnewly dclient dwho dhas dbacterial dmeningitis.
dWhich dof dthe dfollowing dactions dshould dthe dnurse dtake? d(medsurg
dpg. d31)
a. Implement dseizure dprecautions
b. Place dthe dclient din dhigh-Fowler’s dposition
c. Perform dROM dexercises donce dper dshift
d. Monitor dthe dclient dfor dhypoglycemia
25. A dnurse dis dreviewing dthe dpreadmission dlab dtests dresults dof da dclient dwho
dis dto dundergo dhip darthroplasty din d2 ddays. dWhich dof dthe dfollowing
dresults dshould dthe dnurse dreport dto dthe dprovider?
a. Na d142 dmEq/L
b. Blood dglucose d80 dmg/dL
c. K d3.3 dmEq/L
d. PT d11.5 dseconds
26. A dnurse dis dcaring dfor da dclient dwho dhas dundergone da dmodified dradical
dmastectomy. dThe dclient dhas da dclosed-suction ddrain. dWhich dof dthe
dfollowing dactions dshould dthe dnurse dtake?
a. Reset dthe dvacuum dby dcompressing dthe dcontainer
b. Secure dthe ddrain dto dthe dbedding
c. Position dthe daffected dextremity dbelow dthe dlevel dof dthe dclient’s dheart
d. Maintain dthe dclient din da dsupine dposition dfor dthe dfirst d24 dhr.
27. A dnurse dis dreceiving dchange dof dshift dreport dfor dfour dclients. dWhich dof
dthe dfollowing dclients dshould dthe dnurse dassess dfirst?
a. DM dand dHbA1c dof d5.2%
HESI EXIT EXAM 2025-2026 TEST
BANK LATEST UPDADE
EXIT EXAM
1. A nurse is caring for a client who has given informed consent for ECT. Just
before the procedure, the client tells the nurse she is considering not going
forward with the treatment. Which of the following statements by the nurse
is appropriate?
a. “You don’t have to go through with the treatment.”
b. “Most people who have this procedure feel better following the
treatment.”
c. “It’s okay to be nervous before this treatment.”
d. “Your doctor wouldn’t have ordered this treatment unless it was
necessary.”
2. While performing a routine assessment, a nurse notices fraying on the
electrical cord of a client’s CPM device. Which of the following actions
should the nurse take first?
a. Report the defect to the equipment maintenance staff.
b. Ensure the device inspection sticker is current
c. Remove the device from the room
d. Initiate a requisition for a replacement CPM device
3. A nurse is caring for a client who is postoperative and has a new
prescription for hydromorphone. Which of the following actions should
the nurse take?
a. Document administration of the medication upon removal from the
medication dispensing system
b. Withhold the medication if the client does not appear to be in pain.
c. Count the current number of unit doses available in the medication
dispensing system
d. Withhold the medication if the client has a fever
4. A nurse performing a change-of-shift assessment. Which of the
following clients has the priority finding?
a. Type 2 DM and a blood glucose of 250 mg/dL
b. Pneumonia with a productive cough and a fever of 38.8° C (101.8° F)
c. 2 hr. post cast placement and has 2+ pitting edema and pallor
d. First-degree heart block and a heart rate of 62/min
5. A nurse in an outpatient mental health facility is providing teaching to a
group of adolescents. Which of the following statements by a client
indicates an understanding of the teaching?
a. “I will limit my alcohol use to one drink daily while taking disulfiram.”
b. “I will avoid foods containing tyramine while taking fluoexetine.”
c. “I will take the sustained-release methylphenidate every morning.”
d. “I will take my lithium on an empty stomach.” (pharm pg. 64:
taking lithium with food will help decrease GI distress)
, HESI EXIT EXAM 2025-2026 TEST BANK LATEST UPDADE
6. A nurse in the emergency department is assessing client who has major
depressive disorder. Which of the following actions should the nurse take
first? [View Exhibit]
a. Administer Zofran to the client for nausea
b. Implement seizure precautions for the client
c. Encourage the client to verbalize feelings
d. Obtain the client’s weight
7. A nurse is completing an admission assessment for a client who ahs
narcissistic personality disorder. Which of the following should the nurse
expect?
a. Suspicious of others
b. Exhibits separation anxiety
c. Ritualistic behavior
d. Preoccupied with aging
8. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day.
How many grams of protein per day should the nurse include in the
client’s dietary plan?
9. A nurse is planning care for a group of clients and is working with one LPN
and one AP. Which of the following actions should the nurse take first to
manage her time effectively?
a. Develop an hourly time frame for tasks
b. Schedule daily activities
c. Determine goals of the day
d. Delegate tasks to the AP
10. A nurse is developing a plan of care for a client who has preeclampsia and
is to receive magnesium sulfate via continuous IV infusion. Which of the
following actions should the nurse include in the plan?
a. Restrict the client’s total fluid intake to 250 mL/hr.
b. Measure the client’s urine output every hour
c. Give the client protamine if signs of magnesium sulfate toxicity
occur (antidote: calcium gluconate)
d. Monitor the FHR via Doppler every 30 min
11. A nurse is caring for a group of clients. Which of the following wounds
should the nurse expect to heal by primary intention?
a. Infected laceration
b. Stage II pressure ulcer
c. Approximated surgical incision
d. Partial-thickness burn
12. A nurse in an acute mental health care facility is prioritizing care for
multiple clients. Which of the following clients should the nurse see first?
a. Client taking clozapine to treat schizophrenia and reports sore
throat (pharm pg. 72: monitor for infection [fever, sore throat,
etc.])
b. Client has OCD and is upset about a change in daily routine
c. Client has narcissistic personality disorder and is mocking others
during group therapy
d. Client who has depressive disorder and requires assistance with ADLs
13. A nurse is caring for a client who has an implanted venous access port.
Which of the following should the nurse use to assess the port?
, HESI EXIT EXAM 2025-2026 TEST BANK LATEST UPDADE
a. An angiocatheter
b. A butterfly needle
c. A noncoring needle
d. A 25 gauge needle
14. A nurse is caring for a client who has pneumonia and tells the nurse, “I feel
like an elephant is sitting on my chest.” The client is weak and unable to
walk. After the nurse indicates chest pain protocol, which of the following
is the priority diagnostic test?
a. PT and INR
b. 12 lead ECG
c. Chest X-ray
d. Serum potassium
15. A nurse is assessing the growth and development of a 3 y/o child. Which
of the following questions should the nurse ask the parent to determine if
the child is exhibiting typical developmental expectations?
a. “Can your child draw a stick figure?”
b. “Can your child catch and throw a small ball?”
c. “Can your child ride a tricycle?”
d. “Can your child name five colors?”
16. A nurse is preparing to assess fetal heart tones for a client who is at 12
weeks of gestation. Which of the following actions should the nurse take?
a. Measure the fundal height to determine the placement of the ultrasound
stethoscope
b. Perform Leopold maneuvers prior to auscultating the FHR
c. Position the ultrasound stethoscope above the symphysis pubis to
assess the FHR
d. Place the client in a side-lying position prior to assessing the FHR
17. A nurse dis dassessing da dclient dwho dhas da dchest dtube dwith da dwater dseal
ddrainage dsystem. dUpon dassessment, dthe dnurse dnotes dtidaling din dthe
dwater dseal. dWhich dof dthe dfollowing dis dan dexplanation dfor dthe dtidaling?
a. There dis da dloop dof dtubing dbelow dthe ddrainage dsystem
b. The dsystem dis dworking dproperly d(medsurg dpg. d104: dtidaling din
dthe dwater dseal dchamber dand dcontinuous dbubbling donly din dthe
dsuction dchamber)
c. The dlung dhas dre-expanded
d. The dtubing dis dpartially dobstructed dby dclots
18. A dcharge dnurse don da dmedical dsurgical dunit dis dassisting dwith dthe
demergency dresponse dplan dfollowing dan dexternal ddisaster din dthe
dcommunity. dIn danticipation dof dmultiple dclient dadmissions, dwhich dof dthe
dfollowing dcurrent dclients dshould dthe dnurse drecommend dfor dearly
ddischarge?
a. A dclient dwho dis dreceiving dheparin dfor dDVT
b. A dclient dwho dis d1 dday dpostoperative dfollowing da dvertebroplasty
c. A dclient dwho dhas dCOPD dand da drespiratory drate dof d44/min
d. A dclient dwho dhas dcancer dwith da dsealed dimplant dfor dradiation dtherapy
19. A dnurse dis dcaring dfor da dclient dwho dhas dESRD. dThe dclient’s dadult dchild
dasks dthe dnurse dabout dbecoming da dliving dkidney ddonor dfor dher dfather.
dWhich dof dthe dfollowing dconditions din dthe dchild’s dmedical dhistory
dshould dthe dnurse didentify das da dcontraindication dto dthe dprocedure?
a. Osteoarthritis
, HESI EXIT EXAM 2025-2026 TEST BANK LATEST UPDADE
b. HTN
c. Amputation
d. Primary dglaucoma
20. A dnurse dis dcaring dfor da dclient dwho dis d4 ddays dpostpartum. dWhich dof dthe
dfollowing dassessment dfindings dshould dthe dnurse dexpect? d(SATA)
a. Foul dperineal dodor
b. Fundus ddisplaced dto dthe dright
c. Lochia dserosa d
d. Fundus d4 dcm d(1.6 din) dbelow dthe dumbilicus
e. Postpartum dchill
21. A dnurse dis dcaring dfor da dchild dwho dhas dcystic dfibrosis dand drequires
dpostural ddrainage. dWhich dof dthe dfollowing dactions dshould dthe dnurse
dtake?
a. Perform dthe dprocedure dtwice da dday
b. Hold dhand dto dperform dpercussions don dthe dchild
c. Administer da dbronchodilator dafter dthe dprocedure
d. Perform dthe dprocedure dprior dto dmeals
22. A dhome dcare dnurse dis dmaking da dfollow dup dvisit dwith da dclient dwho dhas
dCOPD dand dis dusing da dcompressed doxygen dsystem din dhis dhome. dWhich
dof dthe dfollowing daction dshould dthe dnurse dtake?
a. Ensure dthat dthe dclient dchecks dthe dgauge dweekly
b. Store dthe doxygen dtank dwrench din da dlocked dcabinet
c. Have dthe dclient dstore dsmaller dtanks dunder dhis dbed
d. Place dthe doxygen dtank daway dfrom dcurtains dor ddrapes
23. Location dof dcrackles d[IMAGE]
24. A dnurse dis dcaring dfor da dnewly dclient dwho dhas dbacterial dmeningitis.
dWhich dof dthe dfollowing dactions dshould dthe dnurse dtake? d(medsurg
dpg. d31)
a. Implement dseizure dprecautions
b. Place dthe dclient din dhigh-Fowler’s dposition
c. Perform dROM dexercises donce dper dshift
d. Monitor dthe dclient dfor dhypoglycemia
25. A dnurse dis dreviewing dthe dpreadmission dlab dtests dresults dof da dclient dwho
dis dto dundergo dhip darthroplasty din d2 ddays. dWhich dof dthe dfollowing
dresults dshould dthe dnurse dreport dto dthe dprovider?
a. Na d142 dmEq/L
b. Blood dglucose d80 dmg/dL
c. K d3.3 dmEq/L
d. PT d11.5 dseconds
26. A dnurse dis dcaring dfor da dclient dwho dhas dundergone da dmodified dradical
dmastectomy. dThe dclient dhas da dclosed-suction ddrain. dWhich dof dthe
dfollowing dactions dshould dthe dnurse dtake?
a. Reset dthe dvacuum dby dcompressing dthe dcontainer
b. Secure dthe ddrain dto dthe dbedding
c. Position dthe daffected dextremity dbelow dthe dlevel dof dthe dclient’s dheart
d. Maintain dthe dclient din da dsupine dposition dfor dthe dfirst d24 dhr.
27. A dnurse dis dreceiving dchange dof dshift dreport dfor dfour dclients. dWhich dof
dthe dfollowing dclients dshould dthe dnurse dassess dfirst?
a. DM dand dHbA1c dof d5.2%
