HESI RN EXIT EXAM VERSION 5 WITH REAL QUESTIONS
AND ANSWERS 2025-2026 UPDATE||ALREADY GRADED A+
The nurse is reviewing the laboratory values for a client with acute
pancreatitis who reports that the abdominal pain is not as severe as it
was on admission. Which laboratory test should the nurse review to
evaluate the client's clinical recovery?
a. Lipase
b. Creatinine
c. Bilirubin
d. Glucose - Answer-a. Lipase
While assessing a client who had a laparotomy the previous day, the
nurse notices that 300 mL of dark red fluid has drained from the
nasogastric tube in the last hour. Which action should the nurse take
first?
a. Determine the client's vital signs
b. Monitor urinary output hourly
c. Notify the surgeon immediately
d. Assess the client's level of pain - Answer-b. Monitor urinary output
hourly
The nurse is reviewing the recommended preventative care for clients
with asthma, chronic bronchitis, and emphysema. Which healthcare
measure is most important for the nurse to recommend to these
clients?
a. Ensure supplemental oxygen and respiratory medications are
available at all times
b. Use nasal or cough tissues followed by hand washing at all times
c. Get annual flu and pneumococcal vaccine polyvalent vaccines
pg. 1
,d. Avoid large crowded areas during the colder months of the year -
Answer-d. Avoid large crowded areas during the colder months of the
year
A mother of a one-month-old infant calls the clinic to report that the
back of her infant's head is flat. How should the nurse respond?
a. Position the infant on the stomach occasionally when awake and
active
b. Turn the infant on the left side braced against the crib when
sleeping
c. Prop the infant in a sitting position with a cushion when not
sleeping
d. Place a small pillow under the infants head while lying on the back
- Answer-a. Position the infant on the stomach occasionally when
awake and active
A woman is brought to the labor and delivery unit after delivering a
term infant and the placenta in the hospital parking lot 10 minutes
ago. Which action should the nurse perform first?
a. Inspect the perineum for lacerations
b. Collect specimen for hemoglobin and hematocrit
c. Massage the fundus and give oxytocic agent
d. Place the infant to breast for bonding - Answer-c. Massage the
fundus and give oxytocic agent
A client has a new prescription for the maximum recommended
dosage of piperacillin/tazobactam for nosocomial pneumonia. The
nurse should report which laboratory finding to the health care
provider before administering the prescribed dose?
a. Elevated white blood cell count
b. Presence of gram-positive bacteria in the sputum
c. Decrease creatinine clearance
pg. 2
,d. Elevated cholesterol and lipoproteins - Answer-b. Presence of
gram-positive bacteria in the sputum
A client who is admitted with diabetic ketoacidosis is demonstrating
Kussmaul breathing and has a severe headache along with nausea.
Her arterial blood gases are: ph 7.50; paco2 30 mmhg; HCO3 24
meq/L. Which assessment finding warrants immediate intervention by
the nurse?
a. Muscle stiffness
b. Abdominal pain
c. Mental stupor
d. Fruity breath - Answer-d. Fruity breath
When performing postural drainage on a client with chronic
obstructive pulmonary disease, which approach should the nurse use?
a. Explain that the client may be placed in five positions
b. Instruct the client to breathe shallow and fast
c. Obtain arterial blood gases prior to the procedure
d. Perform the drainage immediately after meals - Answer-a. Explain
that the client may be placed in five positions
A young male client with testicular cancer has a living will that
describes his desire that no extraordinary measures be taken to save
his life. The health care provider knows the client has a good
prognosis and refuses to write a "do not resuscitate" (DNR)
prescription. Which action should the nurse take?
A. Initiate an Ethics Committee review of the case
B. Place a DNR bracelet on the client's arm
C. Ensure resuscitation equipment is available
D. Ask the family to review options with the client - Answer-A.
Initiate an Ethics Committee review of the case
pg. 3
, In observing a client's face, which assessment finding requires the
most immediate intervention by the nurse?
a. Cornea are jaundiced
b. Oral mucosa is cyanotic
c. Face is flushed and diaphoretic
d. Eyelids are matted and crusted - Answer-b. Oral mucosa is cyanotic
The nurse is assessing a client with cirrhosis and notes that the client
has a positive Babinski reflex. Which action should the nurse take in
response to the finding?
a. Ask the client to describe recent alcohol use
b. Keep the clients feet elevated when in bed
c. Assess the clients muscle strength and tone
d. Complete a thorough neurological assessment - Answer-d.
Complete a thorough neurological assessment
Which action should the nurse take first after obtaining a urine
specimen for culture and sensitivity from an indwelling urinary
catheter?
a. Ensure that the drainage bag is attached to the bed frame
b. Ensure continued sterility of the specimen container
c. Securely fasten the clamp on the drainage bag
d. Label the container with the clients identifiers - Answer-c. Securely
fasten the clamp on the drainage bag
The home health nurse observes an older client with unilateral
weakness place the walker in front of the chair for support while
rising to a standing position. Which action should the nurse take?
a. Hold the Walker securely to prevent slipping when the client rises
b. Applied gait belt to assist the client to rise out of the chair
pg. 4
AND ANSWERS 2025-2026 UPDATE||ALREADY GRADED A+
The nurse is reviewing the laboratory values for a client with acute
pancreatitis who reports that the abdominal pain is not as severe as it
was on admission. Which laboratory test should the nurse review to
evaluate the client's clinical recovery?
a. Lipase
b. Creatinine
c. Bilirubin
d. Glucose - Answer-a. Lipase
While assessing a client who had a laparotomy the previous day, the
nurse notices that 300 mL of dark red fluid has drained from the
nasogastric tube in the last hour. Which action should the nurse take
first?
a. Determine the client's vital signs
b. Monitor urinary output hourly
c. Notify the surgeon immediately
d. Assess the client's level of pain - Answer-b. Monitor urinary output
hourly
The nurse is reviewing the recommended preventative care for clients
with asthma, chronic bronchitis, and emphysema. Which healthcare
measure is most important for the nurse to recommend to these
clients?
a. Ensure supplemental oxygen and respiratory medications are
available at all times
b. Use nasal or cough tissues followed by hand washing at all times
c. Get annual flu and pneumococcal vaccine polyvalent vaccines
pg. 1
,d. Avoid large crowded areas during the colder months of the year -
Answer-d. Avoid large crowded areas during the colder months of the
year
A mother of a one-month-old infant calls the clinic to report that the
back of her infant's head is flat. How should the nurse respond?
a. Position the infant on the stomach occasionally when awake and
active
b. Turn the infant on the left side braced against the crib when
sleeping
c. Prop the infant in a sitting position with a cushion when not
sleeping
d. Place a small pillow under the infants head while lying on the back
- Answer-a. Position the infant on the stomach occasionally when
awake and active
A woman is brought to the labor and delivery unit after delivering a
term infant and the placenta in the hospital parking lot 10 minutes
ago. Which action should the nurse perform first?
a. Inspect the perineum for lacerations
b. Collect specimen for hemoglobin and hematocrit
c. Massage the fundus and give oxytocic agent
d. Place the infant to breast for bonding - Answer-c. Massage the
fundus and give oxytocic agent
A client has a new prescription for the maximum recommended
dosage of piperacillin/tazobactam for nosocomial pneumonia. The
nurse should report which laboratory finding to the health care
provider before administering the prescribed dose?
a. Elevated white blood cell count
b. Presence of gram-positive bacteria in the sputum
c. Decrease creatinine clearance
pg. 2
,d. Elevated cholesterol and lipoproteins - Answer-b. Presence of
gram-positive bacteria in the sputum
A client who is admitted with diabetic ketoacidosis is demonstrating
Kussmaul breathing and has a severe headache along with nausea.
Her arterial blood gases are: ph 7.50; paco2 30 mmhg; HCO3 24
meq/L. Which assessment finding warrants immediate intervention by
the nurse?
a. Muscle stiffness
b. Abdominal pain
c. Mental stupor
d. Fruity breath - Answer-d. Fruity breath
When performing postural drainage on a client with chronic
obstructive pulmonary disease, which approach should the nurse use?
a. Explain that the client may be placed in five positions
b. Instruct the client to breathe shallow and fast
c. Obtain arterial blood gases prior to the procedure
d. Perform the drainage immediately after meals - Answer-a. Explain
that the client may be placed in five positions
A young male client with testicular cancer has a living will that
describes his desire that no extraordinary measures be taken to save
his life. The health care provider knows the client has a good
prognosis and refuses to write a "do not resuscitate" (DNR)
prescription. Which action should the nurse take?
A. Initiate an Ethics Committee review of the case
B. Place a DNR bracelet on the client's arm
C. Ensure resuscitation equipment is available
D. Ask the family to review options with the client - Answer-A.
Initiate an Ethics Committee review of the case
pg. 3
, In observing a client's face, which assessment finding requires the
most immediate intervention by the nurse?
a. Cornea are jaundiced
b. Oral mucosa is cyanotic
c. Face is flushed and diaphoretic
d. Eyelids are matted and crusted - Answer-b. Oral mucosa is cyanotic
The nurse is assessing a client with cirrhosis and notes that the client
has a positive Babinski reflex. Which action should the nurse take in
response to the finding?
a. Ask the client to describe recent alcohol use
b. Keep the clients feet elevated when in bed
c. Assess the clients muscle strength and tone
d. Complete a thorough neurological assessment - Answer-d.
Complete a thorough neurological assessment
Which action should the nurse take first after obtaining a urine
specimen for culture and sensitivity from an indwelling urinary
catheter?
a. Ensure that the drainage bag is attached to the bed frame
b. Ensure continued sterility of the specimen container
c. Securely fasten the clamp on the drainage bag
d. Label the container with the clients identifiers - Answer-c. Securely
fasten the clamp on the drainage bag
The home health nurse observes an older client with unilateral
weakness place the walker in front of the chair for support while
rising to a standing position. Which action should the nurse take?
a. Hold the Walker securely to prevent slipping when the client rises
b. Applied gait belt to assist the client to rise out of the chair
pg. 4
