HESI RN EXIT EXAM VERSION 3 WITH REAL QUESTIONS
AND ANSWERS 2025-2026 UPDATE|ALREADY GRADED A+
1. While the nurse is administering medications to a client, the client
states "I do not want to take that 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?" - Answer-C: "Is there a reason why you don't want to take
your medicine?"
2. While caring for a client, the nurse notes a pulsating mass in the
client's peri umbilical area. Which of 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 - Answer-B: Auscultate the mass
3. A client is admitted to the hospital with a history of confusion. The
client has difficulty remembering recent events and becomes
disoriented when away from home. Which statement would provide
the best 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." - Answer-D: "Good morning. You're in the hospital. I am your
nurse Elaine Jones."
pg. 1
,4. A partner is concerned because the client frequently daydreams
about moving to Arizona to get away 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 conflict
D) To isolate the feelings in this way reduces conflict within the client
and with others - Answer-A: Such 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 - Answer-C: Learn self-help
techniques
6. The nurse is teaching the parents of a 3 month-old infant about
nutrition. What is the main source of 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 - Answer-A: Formula or breast milk
7. A 64 year-old client scheduled for surgery with a general anesthetic
refuses to remove a set of dentures prior to leaving the unit for the
operating room. What would be the most appropriate intervention by
the nurse?
pg. 2
,A) Explain to the client that the dentures must come out as they may
get lost or broken in the operating 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 area - Answer-D: Ask the client if the
preference would be to remove the dentures in the operating room
receiving area
8. 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 - Answer-D: Reported behavioral
changes
9. The nurse is planning care for an 18 month-old child. Which action
should be included in the child's 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 - Answer-B:
Encourage the child to feed himself finger food
10. The family of a 6 year-old with a fractured femur asks the nurse if
the child's height will be affected by the injury. Which statement is
true concerning long bone fractures in children?
A) Growth problems will occur if the fracture involves the periosteum
pg. 3
, 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 - Answer-B: Epiphyseal 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 missed one period. She reports episodes of
nausea and vomiting. Pregnancy is confirmed by a urine test. What
will the nurse calculate as the estimated date of delivery (EDD)?
A) April 8
B) January 15
C) February 11
D) December 23 - Answer-D: December 23
12. When screening children for scoliosis, at what time of
development would the nurse expect early signs to appear?
A) Prenatally on ultrasound
B) In early infancy
C) When the child begins to bear weight
D) During the preadolescent growth spurt - Answer-D: During the
preadolescent growth spurt
13. A client with congestive heart failure is newly admitted to home
health care. The nurse discovers that 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
pg. 4
AND ANSWERS 2025-2026 UPDATE|ALREADY GRADED A+
1. While the nurse is administering medications to a client, the client
states "I do not want to take that 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?" - Answer-C: "Is there a reason why you don't want to take
your medicine?"
2. While caring for a client, the nurse notes a pulsating mass in the
client's peri umbilical area. Which of 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 - Answer-B: Auscultate the mass
3. A client is admitted to the hospital with a history of confusion. The
client has difficulty remembering recent events and becomes
disoriented when away from home. Which statement would provide
the best 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." - Answer-D: "Good morning. You're in the hospital. I am your
nurse Elaine Jones."
pg. 1
,4. A partner is concerned because the client frequently daydreams
about moving to Arizona to get away 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 conflict
D) To isolate the feelings in this way reduces conflict within the client
and with others - Answer-A: Such 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 - Answer-C: Learn self-help
techniques
6. The nurse is teaching the parents of a 3 month-old infant about
nutrition. What is the main source of 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 - Answer-A: Formula or breast milk
7. A 64 year-old client scheduled for surgery with a general anesthetic
refuses to remove a set of dentures prior to leaving the unit for the
operating room. What would be the most appropriate intervention by
the nurse?
pg. 2
,A) Explain to the client that the dentures must come out as they may
get lost or broken in the operating 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 area - Answer-D: Ask the client if the
preference would be to remove the dentures in the operating room
receiving area
8. 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 - Answer-D: Reported behavioral
changes
9. The nurse is planning care for an 18 month-old child. Which action
should be included in the child's 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 - Answer-B:
Encourage the child to feed himself finger food
10. The family of a 6 year-old with a fractured femur asks the nurse if
the child's height will be affected by the injury. Which statement is
true concerning long bone fractures in children?
A) Growth problems will occur if the fracture involves the periosteum
pg. 3
, 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 - Answer-B: Epiphyseal 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 missed one period. She reports episodes of
nausea and vomiting. Pregnancy is confirmed by a urine test. What
will the nurse calculate as the estimated date of delivery (EDD)?
A) April 8
B) January 15
C) February 11
D) December 23 - Answer-D: December 23
12. When screening children for scoliosis, at what time of
development would the nurse expect early signs to appear?
A) Prenatally on ultrasound
B) In early infancy
C) When the child begins to bear weight
D) During the preadolescent growth spurt - Answer-D: During the
preadolescent growth spurt
13. A client with congestive heart failure is newly admitted to home
health care. The nurse discovers that 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
pg. 4
