HESI Exit RN V3 (160 QUESTIONS AND ANSWERS
2025-2026 VERIFIED UPDATE)
1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of denture
prior to leaving the unit for the operating room. What would be the most appropriate intervention by th
nurse?
A) Explain to the client that the dentures must come out as they may get lost or broken in the operatin
room
B) Ask the client if there are second thoughts about having the procedure
C) Notify the anesthesia department and the surgeon of the client's refusal
D) Ask the client if the preference would be to remove the dentures in the operating room receiving are
- ANS>>D: Ask the client if the preference would be to remove the dentures in the operating room receivin
area
2. The nurse has been teaching adult clients about cardiac risks when they visit the hypertension clinic
Which form of evaluation would best measure learning?
A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
D) Reported behavioral changes - ANS>>D: Reported behavioral changes
3. The nurse is planning care for an 18 month-old child. Which action should be included in the child
care?
A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children - ANS>>B: Encourage the child to feed himself finge
food
,4. A partner is concerned because the client frequently daydreams about moving to Arizona to get awa
from the pollution and crowding in southern California. The nurse explains that
A) Such fantasies can gratify unconscious wishes or prepare for anticipated future events
B) Detaching or dissociating in this way postpones painful feelings
C) This conversion or transferring of a mental conflict to a physical symptom can lead to marital conflic
D) To isolate the feelings in this way reduces conflict within the client and with others - ANS>>A: Suc
fantasies can gratify unconscious wishes or prepare for anticipated future events
5. An appropriate goal for a client with anxiety would be to
A) Ventilate anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma - ANS>>C: Learn self-help techniques
6. While the nurse is administering medications to a client, the client states "I do not want to take tha
medicine today." Which of the following responses by the nurse would be best?
A) "That's OK, its all right to skip your medication now and then."
B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your medicine?"
D) "Do you understand the consequences of refusing your prescribed treatment?" - ANS>>C: "Is there
reason why you don't want to take your medicine?"
7. While caring for a client, the nurse notes a pulsating mass in the client's peri umbilical area. Which o
the following assessments is appropriate for the nurse to perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass - ANS>>B: Auscultate the mass
8. A client is admitted to the hospital with a history of confusion. The client has difficulty rememberin
recent events and becomes disoriented when away from home. Which statement would provide the bes
reality orientation for this client?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for today."
,C) "How are you today? Remember, you're in the hospital."
D) "Good morning. You're in the hospital. I am your nurse Elaine Jones." - ANS>>D: "Good morning
You're in the hospital. I am your nurse Elaine Jones."
9. The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source o
fluids for an infant until about 12 months of age?
A) Formula or breast milk
B) Dilute nonfat dry milk
C) Warmed fruit juice
D) Fluoridated tap water - ANS>>A: Formula or breast milk
10. The family of a 6 year-old with a fractured femur asks the nurse if the child's height will be affected b
the injury. Which statement is true concerning long bone fractures in children?
A) Growth problems will occur if the fracture involves the periosteum
B) Epiphyseal fractures often interrupt a child's normal growth pattern
C) Children usually heal very quickly, so growth problems are rare
D) Adequate blood supply to the bone prevents growth delay after fractures - ANS>>B: Epiphysea
fractures often interrupt a child''s normal growth pattern
11. The nurse is assessing a client who states her last menstrual period was March 16, and she has misse
one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a urine test. Wha
will the nurse calculate as the estimated date of delivery (EDD)?
A) April 8
B) January 15
C) February 11
D) December 23 - ANS>>D: December 23
12. When screening children for scoliosis, at what time of development would the nurse expect early sign
to appear?
A) Prenatally on ultrasound
B) In early infancy
C) When the child begins to bear weight
D) During the preadolescent growth spurt - ANS>>D: During the preadolescent growth spurt
, 13. A client with congestive heart failure is newly admitted to home health care. The nurse discovers tha
the client has not been following the prescribed diet. What would be the most appropriate nursing action
A) Discharge the client from home health care related to noncompliance
B) Notify the health care provider of the client's failure to follow prescribed diet
C) Discuss diet with the client to learn the reasons for not following the diet
D) Make a referral to Meals-on-Wheels - ANS>>C: Discuss diet with client to learn the reasons for no
following the diet
14. A client states, "People think I'm no good, you know what I mean?" Which of these responses woul
be most therapeutic?
A) "Well people often take their own feelings of inadequacy out on others."
B) "I think you're good. So you see, there's one person who likes you."
C) "I'm not sure what you mean. Tell me a bit more about that."
D) "Let's discuss this to see the reasons to create this impression on people?" - ANS>>C: "I'm not sur
what you mean. Tell me a bit more about that."
15. A client being treated for hypertension returns to the community clinic for follow up. The client says
"I know these pills are important, but I just can't take these water pills anymore. I drive a truck for a living
and I can't be stopping every 20 minutes to go to the bathroom." Which of these is the best nursin
diagnosis?
A) Noncompliance related to medication side effects
B) Knowledge deficit related to misunderstanding of disease state
C) Defensive coping related to chronic illness
D) Altered health maintenance related to occupation - ANS>>A: Noncompliance related to medication sid
effects
16. When teaching effective stress management techniques to a client 1 hour before surgery, which of th
following should the nurse recommend?
A) Biofeedback
B) Deep breathing
C) Distraction
D) Imagery - ANS>>B: Deep breathing
17. When observing 4 year-old children playing in the hospital playroom, what activity would the nurs
expect to see the children participating in?
2025-2026 VERIFIED UPDATE)
1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of denture
prior to leaving the unit for the operating room. What would be the most appropriate intervention by th
nurse?
A) Explain to the client that the dentures must come out as they may get lost or broken in the operatin
room
B) Ask the client if there are second thoughts about having the procedure
C) Notify the anesthesia department and the surgeon of the client's refusal
D) Ask the client if the preference would be to remove the dentures in the operating room receiving are
- ANS>>D: Ask the client if the preference would be to remove the dentures in the operating room receivin
area
2. The nurse has been teaching adult clients about cardiac risks when they visit the hypertension clinic
Which form of evaluation would best measure learning?
A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
D) Reported behavioral changes - ANS>>D: Reported behavioral changes
3. The nurse is planning care for an 18 month-old child. Which action should be included in the child
care?
A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children - ANS>>B: Encourage the child to feed himself finge
food
,4. A partner is concerned because the client frequently daydreams about moving to Arizona to get awa
from the pollution and crowding in southern California. The nurse explains that
A) Such fantasies can gratify unconscious wishes or prepare for anticipated future events
B) Detaching or dissociating in this way postpones painful feelings
C) This conversion or transferring of a mental conflict to a physical symptom can lead to marital conflic
D) To isolate the feelings in this way reduces conflict within the client and with others - ANS>>A: Suc
fantasies can gratify unconscious wishes or prepare for anticipated future events
5. An appropriate goal for a client with anxiety would be to
A) Ventilate anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma - ANS>>C: Learn self-help techniques
6. While the nurse is administering medications to a client, the client states "I do not want to take tha
medicine today." Which of the following responses by the nurse would be best?
A) "That's OK, its all right to skip your medication now and then."
B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your medicine?"
D) "Do you understand the consequences of refusing your prescribed treatment?" - ANS>>C: "Is there
reason why you don't want to take your medicine?"
7. While caring for a client, the nurse notes a pulsating mass in the client's peri umbilical area. Which o
the following assessments is appropriate for the nurse to perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass - ANS>>B: Auscultate the mass
8. A client is admitted to the hospital with a history of confusion. The client has difficulty rememberin
recent events and becomes disoriented when away from home. Which statement would provide the bes
reality orientation for this client?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for today."
,C) "How are you today? Remember, you're in the hospital."
D) "Good morning. You're in the hospital. I am your nurse Elaine Jones." - ANS>>D: "Good morning
You're in the hospital. I am your nurse Elaine Jones."
9. The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source o
fluids for an infant until about 12 months of age?
A) Formula or breast milk
B) Dilute nonfat dry milk
C) Warmed fruit juice
D) Fluoridated tap water - ANS>>A: Formula or breast milk
10. The family of a 6 year-old with a fractured femur asks the nurse if the child's height will be affected b
the injury. Which statement is true concerning long bone fractures in children?
A) Growth problems will occur if the fracture involves the periosteum
B) Epiphyseal fractures often interrupt a child's normal growth pattern
C) Children usually heal very quickly, so growth problems are rare
D) Adequate blood supply to the bone prevents growth delay after fractures - ANS>>B: Epiphysea
fractures often interrupt a child''s normal growth pattern
11. The nurse is assessing a client who states her last menstrual period was March 16, and she has misse
one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a urine test. Wha
will the nurse calculate as the estimated date of delivery (EDD)?
A) April 8
B) January 15
C) February 11
D) December 23 - ANS>>D: December 23
12. When screening children for scoliosis, at what time of development would the nurse expect early sign
to appear?
A) Prenatally on ultrasound
B) In early infancy
C) When the child begins to bear weight
D) During the preadolescent growth spurt - ANS>>D: During the preadolescent growth spurt
, 13. A client with congestive heart failure is newly admitted to home health care. The nurse discovers tha
the client has not been following the prescribed diet. What would be the most appropriate nursing action
A) Discharge the client from home health care related to noncompliance
B) Notify the health care provider of the client's failure to follow prescribed diet
C) Discuss diet with the client to learn the reasons for not following the diet
D) Make a referral to Meals-on-Wheels - ANS>>C: Discuss diet with client to learn the reasons for no
following the diet
14. A client states, "People think I'm no good, you know what I mean?" Which of these responses woul
be most therapeutic?
A) "Well people often take their own feelings of inadequacy out on others."
B) "I think you're good. So you see, there's one person who likes you."
C) "I'm not sure what you mean. Tell me a bit more about that."
D) "Let's discuss this to see the reasons to create this impression on people?" - ANS>>C: "I'm not sur
what you mean. Tell me a bit more about that."
15. A client being treated for hypertension returns to the community clinic for follow up. The client says
"I know these pills are important, but I just can't take these water pills anymore. I drive a truck for a living
and I can't be stopping every 20 minutes to go to the bathroom." Which of these is the best nursin
diagnosis?
A) Noncompliance related to medication side effects
B) Knowledge deficit related to misunderstanding of disease state
C) Defensive coping related to chronic illness
D) Altered health maintenance related to occupation - ANS>>A: Noncompliance related to medication sid
effects
16. When teaching effective stress management techniques to a client 1 hour before surgery, which of th
following should the nurse recommend?
A) Biofeedback
B) Deep breathing
C) Distraction
D) Imagery - ANS>>B: Deep breathing
17. When observing 4 year-old children playing in the hospital playroom, what activity would the nurs
expect to see the children participating in?
