HESI RN EXIT EXAM VERSION 6 &7 WITH REAL
QUESTIONS AND ANSWERS 2025-2026 UPDATE||ALREADY
GRADED A+
The nurse is caring for a client with active tuberculosis who has a
history of noncompliance. Which of the following actions by the
nurse would represent appropriate care for this client?
A) Instruct the client to wear a high efficiency particulate air mask in
public places.
B) Ask a family member to supervise daily compliance
C) Schedule weekly clinic visits for the client
D) Ask the health care provider to change the regimen to fewer
medications
B
The nurse manager identifies that time spent by staff in charting is
excessive, requiring overtime for completion. The nurse manager
states that "staff will form a task force to investigate and develop
potential solutions to the problem, and report on this at the next staff
meeting." The nurse manager's leadership style is best described as
A) Laissez-faire
B) Autocratic
C) Participative
D) Group
C
A nursing student asks the nurse manager to explain the forces that
drive health care reform. The appropriate response by the nurse
manager should include
A) The escalation of fees with a decreased reimbursement percentage
B) High costs of diagnostic and end-of-life treatment procedures
pg. 1
,C) Increased numbers of elderly and of the chronically ill of all ages
D) A steep rise in health care provider fees and in insurance premiums
A
A client with hepatitis A (HAV) is newly admitted to the unit. Which
action would be the priority to include in the plan of care within the
initial 24 hours for this client?
A) Wear masks with shields if potential splash
B) Use disposable utensils and plates for meals
C) Wear gown and gloves during client contact
D) Provide soft easily digested food with frequent snacks
C
A client has been taking alprazolam (Xanax) for 3 days. Nursing
assessment should reveal which expected effect of the drug?
A) Tranquilization, numbing of emotions
B) Sedation, analgesia
C) Relief of insomnia and phobias
D) Diminished tachycardia and tremors associated with anxiety
A
The nurse observes a staff member caring for a client with a left
unilateral mastectomy. The nurse would intervene if she notices the
staff member is
A) Advising client to restrict sodium intake
B) Taking the blood pressure in the left arm
C) Elevating her left arm above heart level
D) Compressing the drainage device
pg. 2
,B
A 70 year-old post-operative client has elevated serum BUN, Hct, Cl,
and Na+. Creatinine and K+ are within normal limits. The nurse
should perform additional assessments to confirm that an actual
problem is:
A) Impaired gas exchange
B) Metabolic acidosis
C) Renal insufficiency
D) Fluid volume deficit
D
The nurse is providing foot care instructions to a client with arterial
insufficiency. The nurse would identify the need for additional
teaching if the client stated
A) "I can only wear cotton socks."
B) "I cannot go barefoot around my house."
C) "I will trim corns and calluses regularly."
D) "I should ask a family member to inspect my feet daily."
C
A woman who delivered 5 days ago and had been diagnosed with
preeclampsia calls the hospital triage nurse hotline to ask for advice.
She states " I have had the worst headache for the past 2 days. It
pounds and by the middle of the afternoon everything I look at looks
wavy. Nothing I have taken helps." What should the nurse do next?
A) Advise the client that the swings in her hormones may have that
effect. However, suggest for her to call her health care provider within
the next day.
B) Advise the client to have someone bring her to the emergency
room as soon as possible
pg. 3
, C) Ask the client to stay on the line, get the address and send an
ambulance to the home
D) Ask what the client has taken? How often? Ask about other
specific complaints.
C
The primary teaching for a client following an extracorporeal shock-
wave lithotripsy (ESWL) procedure is
A) Drink 3000 to 4000 cc of fluid each day for one month
B) Limit fluid intake to 1000 cc each day for one month
C) Increase intake of citrus fruits to three servings per day
D) Restrict milk and dairy products for one month
A
A client on warfarin therapy following coronary artery stent
placement calls the clinic to ask if he can take Alka-Seltzer for an
upset stomach. What is the best response by the nurse?
A) Avoid Alka-Seltzer because it contains aspirin
B) Take Alka-Seltzer at a different time of day than the warfarin
C) Select another antacid that does not inactivate warfarin
D) Use on-half the recommended dose of Alka-Seltzer
A
The nurse is working with parents to plan home care for a 2 year-old
with a heart problem. A priority nursing intervention would be to
A) Encourage the parents to enroll in cardiopulmonary resuscitation
class
B) Assist the parents to plan quiet play activities at home
C) Stress to the parents that they will need relief care givers
D) Instruct the parents to avoid contact with persons with infection
pg. 4
QUESTIONS AND ANSWERS 2025-2026 UPDATE||ALREADY
GRADED A+
The nurse is caring for a client with active tuberculosis who has a
history of noncompliance. Which of the following actions by the
nurse would represent appropriate care for this client?
A) Instruct the client to wear a high efficiency particulate air mask in
public places.
B) Ask a family member to supervise daily compliance
C) Schedule weekly clinic visits for the client
D) Ask the health care provider to change the regimen to fewer
medications
B
The nurse manager identifies that time spent by staff in charting is
excessive, requiring overtime for completion. The nurse manager
states that "staff will form a task force to investigate and develop
potential solutions to the problem, and report on this at the next staff
meeting." The nurse manager's leadership style is best described as
A) Laissez-faire
B) Autocratic
C) Participative
D) Group
C
A nursing student asks the nurse manager to explain the forces that
drive health care reform. The appropriate response by the nurse
manager should include
A) The escalation of fees with a decreased reimbursement percentage
B) High costs of diagnostic and end-of-life treatment procedures
pg. 1
,C) Increased numbers of elderly and of the chronically ill of all ages
D) A steep rise in health care provider fees and in insurance premiums
A
A client with hepatitis A (HAV) is newly admitted to the unit. Which
action would be the priority to include in the plan of care within the
initial 24 hours for this client?
A) Wear masks with shields if potential splash
B) Use disposable utensils and plates for meals
C) Wear gown and gloves during client contact
D) Provide soft easily digested food with frequent snacks
C
A client has been taking alprazolam (Xanax) for 3 days. Nursing
assessment should reveal which expected effect of the drug?
A) Tranquilization, numbing of emotions
B) Sedation, analgesia
C) Relief of insomnia and phobias
D) Diminished tachycardia and tremors associated with anxiety
A
The nurse observes a staff member caring for a client with a left
unilateral mastectomy. The nurse would intervene if she notices the
staff member is
A) Advising client to restrict sodium intake
B) Taking the blood pressure in the left arm
C) Elevating her left arm above heart level
D) Compressing the drainage device
pg. 2
,B
A 70 year-old post-operative client has elevated serum BUN, Hct, Cl,
and Na+. Creatinine and K+ are within normal limits. The nurse
should perform additional assessments to confirm that an actual
problem is:
A) Impaired gas exchange
B) Metabolic acidosis
C) Renal insufficiency
D) Fluid volume deficit
D
The nurse is providing foot care instructions to a client with arterial
insufficiency. The nurse would identify the need for additional
teaching if the client stated
A) "I can only wear cotton socks."
B) "I cannot go barefoot around my house."
C) "I will trim corns and calluses regularly."
D) "I should ask a family member to inspect my feet daily."
C
A woman who delivered 5 days ago and had been diagnosed with
preeclampsia calls the hospital triage nurse hotline to ask for advice.
She states " I have had the worst headache for the past 2 days. It
pounds and by the middle of the afternoon everything I look at looks
wavy. Nothing I have taken helps." What should the nurse do next?
A) Advise the client that the swings in her hormones may have that
effect. However, suggest for her to call her health care provider within
the next day.
B) Advise the client to have someone bring her to the emergency
room as soon as possible
pg. 3
, C) Ask the client to stay on the line, get the address and send an
ambulance to the home
D) Ask what the client has taken? How often? Ask about other
specific complaints.
C
The primary teaching for a client following an extracorporeal shock-
wave lithotripsy (ESWL) procedure is
A) Drink 3000 to 4000 cc of fluid each day for one month
B) Limit fluid intake to 1000 cc each day for one month
C) Increase intake of citrus fruits to three servings per day
D) Restrict milk and dairy products for one month
A
A client on warfarin therapy following coronary artery stent
placement calls the clinic to ask if he can take Alka-Seltzer for an
upset stomach. What is the best response by the nurse?
A) Avoid Alka-Seltzer because it contains aspirin
B) Take Alka-Seltzer at a different time of day than the warfarin
C) Select another antacid that does not inactivate warfarin
D) Use on-half the recommended dose of Alka-Seltzer
A
The nurse is working with parents to plan home care for a 2 year-old
with a heart problem. A priority nursing intervention would be to
A) Encourage the parents to enroll in cardiopulmonary resuscitation
class
B) Assist the parents to plan quiet play activities at home
C) Stress to the parents that they will need relief care givers
D) Instruct the parents to avoid contact with persons with infection
pg. 4
