HESI RN EXIT EXAM LEGACY V2 QUESTIONS &CORRECT
ANSWERS 2023(100% COMPLETE): LATEST 2025/ 2026
ANSWER KEY | MARK SCHEME (100% VERIFIED) GRADE A+!!!
18. The nurse is assessing a 4-year-old child with eczema. The child's skin is dry and scaly, and the
mother reports that the child frequently scratches the lesions on the skin to the point of causing
bleeding. Which guideline is indicated for care of this child? answerb. Apply baby lotion to the skin twice
daily.
19. A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib
is empty and the baby is missing. What action should the nurse take first? answerd. Match ID bands of
all infants and mothers on the unit.
20. While providing a health history, a female client tells the clinic nurse that she frequently thinks about
hurting herself. Which question is most important for the nurse to ask? answerc. "Have you thought
about taking your life?"
31. A male client with right-sided weakness calls for assistance with ambulating to the bathroom. What
action should the nurse implement? answerb. Stand on the client's right side as he walks.
32. An older client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The
nurse notes that in the evening this client often becomes restless, confused, and agitated. Which
intervention is most important for the nurse to implement? answerb. Ensure that the client is assigned
to a room close to the nurses' station.
33. The nurse is caring for a client who is having a sickle cell crisis. What intervention should the nurse
include in this client's plan of care? answerEnsure adequate IV and oral fluid intake.
34. The nurse is teaching a primigravida about preeclampsia. Which finding are indicators of
preeclampsia and should be reported to the healthcare provider? (select all that apply.) answerBlurred
vision Headache.
swollen hands
,35. A new nurse preparing to irrigate an intravenous catheter is attaching a 24-gauge needle. Which
action should the charge nurse implement? answerb. Direct the nurse to change the IV tubing.
36. A client with syndrome of inappropriate antidiuretic hormone secretion (SIDH) is admitted with
hyponatremia. Which intervention is most important for the nurse to include in the plan of care to
protect the client from injury? answerInitiate seizure precautions.
37. The nurse is assigned to provide care for a client who is scheduled for a laparoscopic
cholecystectomy in two hours, at 0900, what nursing action is most important? answerConfirm that the
client has been NPO since midnight.
38. The nurse is conducing a visual screening of a group of older adults. Which finding should the nurse
report to the healthcare provider immediately? answerd. Cloudy opacity of the crystalline lens.
39. A 15-year-old male client was recently diagnosed with type 1 diabetes mellitus. He tells the nurse
that he is having difficulty adhering to his meal plan when he is with his friends. What nursing
21. A college student brings a dorm roommate to the campus clinic because the roommate has been
talking to someone who is not present. The client tells the nurse that the voices are saying, "kill, kill."
What question should the nurse ask the client next? answerc. "Are you planning to obey the voices?"
47. Which information is a priority for the RN to reinforce to an older client after intravenous
pyelogram? answerMeasure the urine output for the next day and immediately notify the health care
provider if it should decrease.
48. A client has altered renal function and is being treated at home. The nurse recognizes that the most
accurate indicator of fluid balance during the weekly visits is answerd. Weekly weight
49. A client has been diagnosed with Zollinger-Ellison syndrome.Which information is most important
for the nurse to reinforce with the client? answerb. It is critical to report promptly to your health care
provider any findings of peptic ulcers
50. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines that the
client's blood pressure is increasing. Which action should the nurse take first? answerb. Have the client
turn to the left side
, 51. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricular rate
is controlled at 75. Which of the following findings is cause for the most concern? answerA cold, pale
lower leg
52. The client with infective endocarditis must be assessed frequently by the home health nurse. Which
finding suggests that antibiotic therapy is not effective, and must be
reported by the nurse immediately to the healthcare provider? answerB) Fever of 103 degrees Fa15. The
nurse caring for a child with mononucleosis can expect the child to exhibit which symptoms? answerb.
Ear pain and fever.
5. An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the
best indicator of hydration that the nurse should report to the healthcare provider? answerd. Skin
tenting occurs when the client's forearm is pinched.
6. After an inservice about electronic health record (EHR) security and safeguarding client information,
the nurse observes a colleague going home with printed copies of client information in a uniform
pocket. Which action should the nurse take? answera. File a detailed incident report with the specific
hiring facility.
22. The nurse is developing a plan of care for a client who reports tingling of the feet and who is newly
diagnosed with peripheral vascular disease. Which outcome should the nurse include in the plan of care
for this client? answerd. The client's skin on the lower legs will be intact at the next clinical visit.
23. When conducting diet teaching for a client who was diagnosed with hypertension, which food
should the nurse encourage the client to eat? (select all that apply.) answera. . Fruits without sauce
c. Fresh or frozen vegetables without sauce.
intervention is best for the nurse to implement? answerd. Assist him in identifying popular fast foods
that are within his meal plan for diabetes.
40. A male client in the final stages of terminal cancer tells his nurse that he wishes he could just be
allowed to die. The client states that he is tired of fighting his illness and is only continuing treatments
because his family wants him to live. Which action should the nurse take? answerc. Ask the chaplain to
discuss death issues with the client.
ANSWERS 2023(100% COMPLETE): LATEST 2025/ 2026
ANSWER KEY | MARK SCHEME (100% VERIFIED) GRADE A+!!!
18. The nurse is assessing a 4-year-old child with eczema. The child's skin is dry and scaly, and the
mother reports that the child frequently scratches the lesions on the skin to the point of causing
bleeding. Which guideline is indicated for care of this child? answerb. Apply baby lotion to the skin twice
daily.
19. A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib
is empty and the baby is missing. What action should the nurse take first? answerd. Match ID bands of
all infants and mothers on the unit.
20. While providing a health history, a female client tells the clinic nurse that she frequently thinks about
hurting herself. Which question is most important for the nurse to ask? answerc. "Have you thought
about taking your life?"
31. A male client with right-sided weakness calls for assistance with ambulating to the bathroom. What
action should the nurse implement? answerb. Stand on the client's right side as he walks.
32. An older client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The
nurse notes that in the evening this client often becomes restless, confused, and agitated. Which
intervention is most important for the nurse to implement? answerb. Ensure that the client is assigned
to a room close to the nurses' station.
33. The nurse is caring for a client who is having a sickle cell crisis. What intervention should the nurse
include in this client's plan of care? answerEnsure adequate IV and oral fluid intake.
34. The nurse is teaching a primigravida about preeclampsia. Which finding are indicators of
preeclampsia and should be reported to the healthcare provider? (select all that apply.) answerBlurred
vision Headache.
swollen hands
,35. A new nurse preparing to irrigate an intravenous catheter is attaching a 24-gauge needle. Which
action should the charge nurse implement? answerb. Direct the nurse to change the IV tubing.
36. A client with syndrome of inappropriate antidiuretic hormone secretion (SIDH) is admitted with
hyponatremia. Which intervention is most important for the nurse to include in the plan of care to
protect the client from injury? answerInitiate seizure precautions.
37. The nurse is assigned to provide care for a client who is scheduled for a laparoscopic
cholecystectomy in two hours, at 0900, what nursing action is most important? answerConfirm that the
client has been NPO since midnight.
38. The nurse is conducing a visual screening of a group of older adults. Which finding should the nurse
report to the healthcare provider immediately? answerd. Cloudy opacity of the crystalline lens.
39. A 15-year-old male client was recently diagnosed with type 1 diabetes mellitus. He tells the nurse
that he is having difficulty adhering to his meal plan when he is with his friends. What nursing
21. A college student brings a dorm roommate to the campus clinic because the roommate has been
talking to someone who is not present. The client tells the nurse that the voices are saying, "kill, kill."
What question should the nurse ask the client next? answerc. "Are you planning to obey the voices?"
47. Which information is a priority for the RN to reinforce to an older client after intravenous
pyelogram? answerMeasure the urine output for the next day and immediately notify the health care
provider if it should decrease.
48. A client has altered renal function and is being treated at home. The nurse recognizes that the most
accurate indicator of fluid balance during the weekly visits is answerd. Weekly weight
49. A client has been diagnosed with Zollinger-Ellison syndrome.Which information is most important
for the nurse to reinforce with the client? answerb. It is critical to report promptly to your health care
provider any findings of peptic ulcers
50. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines that the
client's blood pressure is increasing. Which action should the nurse take first? answerb. Have the client
turn to the left side
, 51. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricular rate
is controlled at 75. Which of the following findings is cause for the most concern? answerA cold, pale
lower leg
52. The client with infective endocarditis must be assessed frequently by the home health nurse. Which
finding suggests that antibiotic therapy is not effective, and must be
reported by the nurse immediately to the healthcare provider? answerB) Fever of 103 degrees Fa15. The
nurse caring for a child with mononucleosis can expect the child to exhibit which symptoms? answerb.
Ear pain and fever.
5. An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the
best indicator of hydration that the nurse should report to the healthcare provider? answerd. Skin
tenting occurs when the client's forearm is pinched.
6. After an inservice about electronic health record (EHR) security and safeguarding client information,
the nurse observes a colleague going home with printed copies of client information in a uniform
pocket. Which action should the nurse take? answera. File a detailed incident report with the specific
hiring facility.
22. The nurse is developing a plan of care for a client who reports tingling of the feet and who is newly
diagnosed with peripheral vascular disease. Which outcome should the nurse include in the plan of care
for this client? answerd. The client's skin on the lower legs will be intact at the next clinical visit.
23. When conducting diet teaching for a client who was diagnosed with hypertension, which food
should the nurse encourage the client to eat? (select all that apply.) answera. . Fruits without sauce
c. Fresh or frozen vegetables without sauce.
intervention is best for the nurse to implement? answerd. Assist him in identifying popular fast foods
that are within his meal plan for diabetes.
40. A male client in the final stages of terminal cancer tells his nurse that he wishes he could just be
allowed to die. The client states that he is tired of fighting his illness and is only continuing treatments
because his family wants him to live. Which action should the nurse take? answerc. Ask the chaplain to
discuss death issues with the client.
