HESI EXIT RN V3: 160 QUESTIONS,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS (LATEST VERSION)
The nurse is reviewing laboratory results on a client with acute renal
failure. Which
one of the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L -
Correct Answer-D) Serum potassium 6 mEq/L
The nurse is caring for a client undergoing the placement of a central
venous catheter
line. Which of the following would require the nurse's immediate
attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms - Correct Answer-C) Dyspnea
The nurse is performing a physical assessment on a client who just had an
endotracheal tube inserted. Which finding would call for immediate action
by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
,C) Pulse oximetry of 88
D) Client is unable to speak -
Correct Answer-C) Pulse oximetry of 88
A nurse checks a client who is on a volume-cycled ventilator. Which
finding indicates
that the client may need suctioning?
A) drowsiness
B) complaint of nausea
C) pulse rate of 92
D) restlessness -
Correct Answer-D) restlessness
The most effective nursing intervention to prevent atelectasis from
developing in a
post operative client is to
A) Maintain adequate hydration
B) Assist client to turn, deep breathe, and cough
C) Ambulate client within 12 hours
D) Splint incision -
Correct Answer-B) Assist client to turn, deep breathe, and cough
When caring for a client with a post right thoracotomy who has undergone
an upper
lobectomy, the nurse focuses on pain management to promote
A) Relaxation and sleep
B) Deep breathing and coughing
C) Incisional healing
D) Range of motion exercises -
Correct Answer-B) Deep breathing and coughing
,A nurse is to collect a sputum specimen for acid-fast bacillus (AFB) from a
client.
Which action should the nurse take first?
A) Ask client to cough sputum into container
B) Have the client take several deep breaths
C) Provide a appropriate specimen container
D) Assist with oral hygiene -
Correct Answer-D) Assist with oral hygiene
The nurse is caring for a child immediately after surgical correction of a
ventricular
septal defect. Which of the following nursing assessments should be a
priority?
A) Blanch nail beds for color and refill
B) Assess for post operative arrhythmias
C) Auscultate for pulmonary congestion
D) Monitor equality of peripheral pulse -
Correct Answer-B) Assess for post operative arrhythmias
A client has a history of chronic obstructive pulmonary disease (COPD). As
the nurse
enters the client's room, his oxygen is running at 6 liters per minute, his
color is flushed
and his respirations are 8 per minute. What should the nurse do first?
A) Obtain a 12-lead EKG
B) Place client in high Fowler's position
C) Lower the oxygen rate
D) Take baseline vital signs -
, Correct Answer-C) Lower the oxygen rate
A 4 year-old has been hospitalized for 24 hours with skeletal traction for
treatment of
a fracture of the right femur. The nurse finds that the child is now crying
and the right
foot is pale with the absence of a pulse. What should the nurse do first?
A) Notify the health care provider
B) Readjust the traction
C) Administer the ordered PRN medication
D) Reassess the foot in fifteen minutes -
Correct Answer-A) Notify the health care provider
The nurse is assessing a client 2 hours postoperatively after a femoral
popliteal bypass. The upper leg dressing becomes saturated with blood.
The nurse's
first action should be to
A) Wrap the leg with elastic bandages
B) Apply pressure at the bleeding site
C) Reinforce the dressing and elevate the leg
D) Remove the dressings and re-dress the incision -
Correct Answer-C) Reinforce the dressing and elevate the leg
A client is receiving external beam radiation to the mediastinum for
treatment of
bronchial cancer. Which of the following should take priority in planning
care?
A) Esophagitis
B) Leukopenia
2025/2026 WITH CORRECT/ACCURATE
ANSWERS (LATEST VERSION)
The nurse is reviewing laboratory results on a client with acute renal
failure. Which
one of the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L -
Correct Answer-D) Serum potassium 6 mEq/L
The nurse is caring for a client undergoing the placement of a central
venous catheter
line. Which of the following would require the nurse's immediate
attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms - Correct Answer-C) Dyspnea
The nurse is performing a physical assessment on a client who just had an
endotracheal tube inserted. Which finding would call for immediate action
by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
,C) Pulse oximetry of 88
D) Client is unable to speak -
Correct Answer-C) Pulse oximetry of 88
A nurse checks a client who is on a volume-cycled ventilator. Which
finding indicates
that the client may need suctioning?
A) drowsiness
B) complaint of nausea
C) pulse rate of 92
D) restlessness -
Correct Answer-D) restlessness
The most effective nursing intervention to prevent atelectasis from
developing in a
post operative client is to
A) Maintain adequate hydration
B) Assist client to turn, deep breathe, and cough
C) Ambulate client within 12 hours
D) Splint incision -
Correct Answer-B) Assist client to turn, deep breathe, and cough
When caring for a client with a post right thoracotomy who has undergone
an upper
lobectomy, the nurse focuses on pain management to promote
A) Relaxation and sleep
B) Deep breathing and coughing
C) Incisional healing
D) Range of motion exercises -
Correct Answer-B) Deep breathing and coughing
,A nurse is to collect a sputum specimen for acid-fast bacillus (AFB) from a
client.
Which action should the nurse take first?
A) Ask client to cough sputum into container
B) Have the client take several deep breaths
C) Provide a appropriate specimen container
D) Assist with oral hygiene -
Correct Answer-D) Assist with oral hygiene
The nurse is caring for a child immediately after surgical correction of a
ventricular
septal defect. Which of the following nursing assessments should be a
priority?
A) Blanch nail beds for color and refill
B) Assess for post operative arrhythmias
C) Auscultate for pulmonary congestion
D) Monitor equality of peripheral pulse -
Correct Answer-B) Assess for post operative arrhythmias
A client has a history of chronic obstructive pulmonary disease (COPD). As
the nurse
enters the client's room, his oxygen is running at 6 liters per minute, his
color is flushed
and his respirations are 8 per minute. What should the nurse do first?
A) Obtain a 12-lead EKG
B) Place client in high Fowler's position
C) Lower the oxygen rate
D) Take baseline vital signs -
, Correct Answer-C) Lower the oxygen rate
A 4 year-old has been hospitalized for 24 hours with skeletal traction for
treatment of
a fracture of the right femur. The nurse finds that the child is now crying
and the right
foot is pale with the absence of a pulse. What should the nurse do first?
A) Notify the health care provider
B) Readjust the traction
C) Administer the ordered PRN medication
D) Reassess the foot in fifteen minutes -
Correct Answer-A) Notify the health care provider
The nurse is assessing a client 2 hours postoperatively after a femoral
popliteal bypass. The upper leg dressing becomes saturated with blood.
The nurse's
first action should be to
A) Wrap the leg with elastic bandages
B) Apply pressure at the bleeding site
C) Reinforce the dressing and elevate the leg
D) Remove the dressings and re-dress the incision -
Correct Answer-C) Reinforce the dressing and elevate the leg
A client is receiving external beam radiation to the mediastinum for
treatment of
bronchial cancer. Which of the following should take priority in planning
care?
A) Esophagitis
B) Leukopenia
