HESI Exit v5 (NGN style Qs & Case studies)
TEST STUDY GUIDE 2025/2026 QUESTIONS BANK
AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. In assessing a client twelve hours following transurethral resection of the
prostate (TURP), the nurse observes that the urinary drainage tubing
contains a large amount of clear pale pink urine and the continuous bladder
irrigation is infusing slowly. What action should the nurse implement? -
ANSWER ✓ Ensure that no dependent loops are present in the tubing.
2. The healthcare provider prescribes the antibiotic Cefdinir (cephalosporin)
300mg PO every 12 h for a client with postoperative wound infections.
Which feeds should the nurse encourage this client to eat? - ANSWER ✓
Yogurt and/or buttermilk.
3. The charge nurse is making assignment on a psychiatric unit for a practical
nurse (PN) and newly license register nurse (RN). Which client should be
assigned to the RN? - ANSWER ✓ A young male with schizophrenia who
said voices is telling him to kill his psychiatric.
4. A client at 30 week gestation is admitted due to preterm labor. A
prescription of terbutaline sulfate 8.35 mg is gives subcutaneously. Based on
which finding should the nurse withhold the next dose of this drug? -
ANSWER ✓ Maternal pulse rate of 162 beats per min
5. In assessing an older female client with complication associated with
chronic obstructive pulmonary disease (COPD), the nurse notices a change
in the client's appearance. Her face appears tense and she begs the nurse not
to leave her alone. Her pulse rate is 100, and respirations are 26 per min.
What is the primary nursing diagnosis? - ANSWER ✓ Anxiety related to
fear of suffocation.
,6. A client with a cervical spinal cord injury (SCI) has Crutchfield tongs and
skeletal traction applied as a method of closed reduction. Which intervention
is most important for the nurse to include in the client's a plan of care? -
ANSWER ✓ Provide daily care of tong insertion sites using saline and
antibiotic ointment
7. After receiving chemotherapy, a client who weighs 154 pound develops
febrile neutropenia. The healthcare provider prescribes filgrastim 5 mcg/kg
SUBQ every 12 hours. The available vial labeled, filgrastim 300 mcg/ml.
Based on the client's weigh, how many milliliters should the nurse
administer? - ANSWER ✓ 1.2
8. The nurse has agreed to serve as a clients advocate at the meeting of the
hospital ethics committee, which was called to address an ethical dilemma
involving the client. To successfully represent the client, what action is
essential for the nurse to take?
a. Listen to the ethics committee discussions and the inform the client
what actions should be taken
b. Develop self-awareness of the nurse's personal values to avoid
imposing these values on the client
c. Educate the client about current nursing literature findings related to
the client's ethical dilemma
d. Challenge members of the healthcare team whose opinions differ from
the wishes of the client - ANSWER ✓
9. A client with a history of heart failure and type one diabetes mellitus is
admitted with unstable angina. Which problem requires the most immediate
intervention by the nurse?
a. Fluid volume excess
b. Acute anginal pain
c. Activity intolerance
d. Fatigue - ANSWER ✓ b. Acute anginal pain
10.While teaching a client how to perform a skill, the nurse determines that the
client is experiencing sensory overload and is unable to learn effectively.
What action should the nurse implement?
a. Reduce the stimuli in the area before continuing the teaching
b. Provide the client with step-by-step written instructions
c. Reassure the client that the skill is not difficult to learn
, d. Demonstrate the skill, speaking slowly and using simple terms -
ANSWER ✓ a. Reduce the stimuli in the area before continuing the
teaching
11.In assessing a 70-year-old client with Alzheimer's disease, the nurse notes
that the client has deep inflamed cracks at the corners of the mouth. Which
intervention should the nurse include in the client's plan of care?
a. Scrub the lesions with warm soapy water
b. Notify the health care provider of the need for oral antibiotics
c. Ensure that the client gets adequate B vitamins in foods or
supplements
d. Encourage the client to drink orange juice for added vitamin C -
ANSWER ✓ c. Ensure that the client gets adequate B vitamins in
foods or supplements
12.A client recently diagnosed with hodgkin's disease undergoes biopsy of
cervical lymph nodes under local anesthesia. Which intervention is most
important to include in this clients plan of care?
a. Monitor for tracheal deviation and swelling at the biopsy site
b. Assess for drainage on dressing covering cervical incision
c. Auscultate blood pressure every 15 minutes for one hour
d. Perform neurological assessment prior to discharge - ANSWER ✓ a.
Monitor for tracheal deviation and swelling at the biopsy site
13.A female client presents in the emergency department and tells the nurse that
she was raped last night. Which question is most important for the nurse to
ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department? - ANSWER
✓ A. Has she taken a bath since the rape occurred?
14.The nurse is completing the admission assessment of a 3-year old who is
admitted with bacterial meningitis and hydrocephalus. Which assessment
finding is evidence that the child is experiencing increased intracranial
pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
, C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - ANSWER ✓ B.
Sluggish and unequal pupillary responses
15.A client with acute pancreatitis is admitted with severe, piercing abdominal
pain and an elevated serum amylase. Which additional information is the
client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. -
ANSWER ✓ A. Abdominal pain decreases when lying supine
16.A child newly diagnosed with sickle cell anemia (SCA) is being discharged
from the hospital. Which information is most important for the nurse to
provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink
daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family -
ANSWER ✓ A. Instructions about how much fluid the child
should drink daily
17.To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot). - ANSWER ✓ I
placed the red dot on the base of the neck on the right side
18.After receiving report on an inpatient acute care unit, which client should the
nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a
nasogastric tube that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity - ANSWER ✓ D. The client
TEST STUDY GUIDE 2025/2026 QUESTIONS BANK
AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. In assessing a client twelve hours following transurethral resection of the
prostate (TURP), the nurse observes that the urinary drainage tubing
contains a large amount of clear pale pink urine and the continuous bladder
irrigation is infusing slowly. What action should the nurse implement? -
ANSWER ✓ Ensure that no dependent loops are present in the tubing.
2. The healthcare provider prescribes the antibiotic Cefdinir (cephalosporin)
300mg PO every 12 h for a client with postoperative wound infections.
Which feeds should the nurse encourage this client to eat? - ANSWER ✓
Yogurt and/or buttermilk.
3. The charge nurse is making assignment on a psychiatric unit for a practical
nurse (PN) and newly license register nurse (RN). Which client should be
assigned to the RN? - ANSWER ✓ A young male with schizophrenia who
said voices is telling him to kill his psychiatric.
4. A client at 30 week gestation is admitted due to preterm labor. A
prescription of terbutaline sulfate 8.35 mg is gives subcutaneously. Based on
which finding should the nurse withhold the next dose of this drug? -
ANSWER ✓ Maternal pulse rate of 162 beats per min
5. In assessing an older female client with complication associated with
chronic obstructive pulmonary disease (COPD), the nurse notices a change
in the client's appearance. Her face appears tense and she begs the nurse not
to leave her alone. Her pulse rate is 100, and respirations are 26 per min.
What is the primary nursing diagnosis? - ANSWER ✓ Anxiety related to
fear of suffocation.
,6. A client with a cervical spinal cord injury (SCI) has Crutchfield tongs and
skeletal traction applied as a method of closed reduction. Which intervention
is most important for the nurse to include in the client's a plan of care? -
ANSWER ✓ Provide daily care of tong insertion sites using saline and
antibiotic ointment
7. After receiving chemotherapy, a client who weighs 154 pound develops
febrile neutropenia. The healthcare provider prescribes filgrastim 5 mcg/kg
SUBQ every 12 hours. The available vial labeled, filgrastim 300 mcg/ml.
Based on the client's weigh, how many milliliters should the nurse
administer? - ANSWER ✓ 1.2
8. The nurse has agreed to serve as a clients advocate at the meeting of the
hospital ethics committee, which was called to address an ethical dilemma
involving the client. To successfully represent the client, what action is
essential for the nurse to take?
a. Listen to the ethics committee discussions and the inform the client
what actions should be taken
b. Develop self-awareness of the nurse's personal values to avoid
imposing these values on the client
c. Educate the client about current nursing literature findings related to
the client's ethical dilemma
d. Challenge members of the healthcare team whose opinions differ from
the wishes of the client - ANSWER ✓
9. A client with a history of heart failure and type one diabetes mellitus is
admitted with unstable angina. Which problem requires the most immediate
intervention by the nurse?
a. Fluid volume excess
b. Acute anginal pain
c. Activity intolerance
d. Fatigue - ANSWER ✓ b. Acute anginal pain
10.While teaching a client how to perform a skill, the nurse determines that the
client is experiencing sensory overload and is unable to learn effectively.
What action should the nurse implement?
a. Reduce the stimuli in the area before continuing the teaching
b. Provide the client with step-by-step written instructions
c. Reassure the client that the skill is not difficult to learn
, d. Demonstrate the skill, speaking slowly and using simple terms -
ANSWER ✓ a. Reduce the stimuli in the area before continuing the
teaching
11.In assessing a 70-year-old client with Alzheimer's disease, the nurse notes
that the client has deep inflamed cracks at the corners of the mouth. Which
intervention should the nurse include in the client's plan of care?
a. Scrub the lesions with warm soapy water
b. Notify the health care provider of the need for oral antibiotics
c. Ensure that the client gets adequate B vitamins in foods or
supplements
d. Encourage the client to drink orange juice for added vitamin C -
ANSWER ✓ c. Ensure that the client gets adequate B vitamins in
foods or supplements
12.A client recently diagnosed with hodgkin's disease undergoes biopsy of
cervical lymph nodes under local anesthesia. Which intervention is most
important to include in this clients plan of care?
a. Monitor for tracheal deviation and swelling at the biopsy site
b. Assess for drainage on dressing covering cervical incision
c. Auscultate blood pressure every 15 minutes for one hour
d. Perform neurological assessment prior to discharge - ANSWER ✓ a.
Monitor for tracheal deviation and swelling at the biopsy site
13.A female client presents in the emergency department and tells the nurse that
she was raped last night. Which question is most important for the nurse to
ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department? - ANSWER
✓ A. Has she taken a bath since the rape occurred?
14.The nurse is completing the admission assessment of a 3-year old who is
admitted with bacterial meningitis and hydrocephalus. Which assessment
finding is evidence that the child is experiencing increased intracranial
pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
, C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - ANSWER ✓ B.
Sluggish and unequal pupillary responses
15.A client with acute pancreatitis is admitted with severe, piercing abdominal
pain and an elevated serum amylase. Which additional information is the
client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. -
ANSWER ✓ A. Abdominal pain decreases when lying supine
16.A child newly diagnosed with sickle cell anemia (SCA) is being discharged
from the hospital. Which information is most important for the nurse to
provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink
daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family -
ANSWER ✓ A. Instructions about how much fluid the child
should drink daily
17.To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot). - ANSWER ✓ I
placed the red dot on the base of the neck on the right side
18.After receiving report on an inpatient acute care unit, which client should the
nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a
nasogastric tube that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity - ANSWER ✓ D. The client
