HESI EXIT NGN, HESI RN Exit Exam 2025/2026 Actual Complete
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When assessing an IV site that is used for fluid replacement
and medication administration, the client complains of
tenderness when the arm is touched above the site. Which
additional assessment finding warrants immediate intervention
by the nurse?
A. Client uses the arm cautiously
B. Red streak tracking the vein
C. A sluggish blood return
D. Spot of dried blood at insertion site - ANSWER-B. Red
streaks tracking the vein
An older adult male reporting abdominal pain is admitted to the
hospital from a long-term care facility. It has been 7 days since
his last bowel movement, his abdomen is distended, and he
just vomited 150mL of dark brown emesis. In what order should
the nurse implement these interventions? (Highest to lowest
priority) - ANSWER-1. Send emesis sample to the lab
2. Elevate the head of the bed
3. Complete focused assessment
4. Offer PRN pain medication
,When taking a health history, which information collected by
the nurse correlates most directly to a diagnosis of chronic
peripheral arterial insufficiency?
A. History of intermittent claudication
B. A positive Brodie-Trendelenburg test
C. Ankle ulceration and edema
D. A serum cholesterol level of 250mg/dl (6.47mmol/L) -
ANSWER-A. History of intermittent claudication
The nurse is providing discharge teaching to the parents of a
13 month old child who underwent repair for an atrial septal
defect. The healthcare provider prescribes aspirin and an
antibiotic for the first 6 months postoperatively to prevent
infective endocarditis (IE). What information is most important
for the nurse discuss with the parents about the child's
recovery and prevention of IE? A. Refer the mother to the
healthcare provider to discuss infective endocarditis B. Brush
the child's teeth every day and ensure the child receives
regular dental followup
C. Give the child acetaminophen for pain or fever and visit
the surgeon for follow-up
D. Monitor the child for regular bowel movements and urine
output that exceeds intake - ANSWER-B. Brush the child's teeth
every day and ensure the child receives regular dental followup
An unlicensed assistive personnel (UAP) is assigned to
ambulate a client with influenza who has droplet precautions
implemented. The UAP requests a change in assignment,
,stating the reason of having not been fitted yet for a N95
respirator mask. Which action should the nurse take?
A. send the UAP to be fitted for a particulate filter mask
immediately so she can provide care to this client.
B. Instruct the UAP that a standard face mask is sufficient
for the provision of care for the assigned client
C. Before changing assignments, determine which staff
members have fitted particulate filter masks
D. Advise the UAP to wear a standard face mask to take vital
signs, and then get fitted for a filter mask before providing
personal care - ANSWER-B. Instruct
the UAP that a standard face mask is sufficient for the
provision of care for the
assigned
client
The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that
the program was effective? A. Only 30% of clients did not
attend self-management education sessions. B. More than
50% of at-risk clients were diagnosed early in their disease
process
C. Clients who developed disease complications promptly
received rehabilitation
D. Average client scores improved on specific risk factor
knowledge tests -
ANSWER-C. Clients who developed disease complications
promptly received rehabilitation
, Then nurse identifies several nursing problems for client who
is immobile and who has been experiencing fecal
incontinence and diarrhea for several days. The client's
spouse is the primary caregiver. In planning care, which
problem has the highest priority? A. Impaired bed mobility
B. Caregiver role strain
C. Fluid volume deficit
D. Bowel incontinence - ANSWER-D. Bowel incontinence
The nurse is feeding an older adult who was admitted with
aspiration pneumonia. The client is weak and begins coughing
while attempting to drink through a straw. Which intervention
should the nurse implement?
A. Teach coughing and deep breathing exercises
B. Assess the client's oral cavity for ulcerations
C. Request thick nectar liquids for the client
D. Monitor the client when using a straw for liquids - ANSWER-
A. Teach coughing and deep breathing exercises
An adult client is admitted to the emergency department after
falling from the ladder. While waiting to have a computed
tomography (CT) scan, the client requests something for a
severe headache. When the nurse offers a prescribed dose of
acetaminophen, the client asks for something stronger. Which
intervention should the nurse implement?
A. Review client's history for use of illicit drugs
B. Explain the reason for using only non-narcotics
C. Assess client's pupils for their reaction to light
Real Exam Questions & Correct Answers | 100% Verified
solutions | Already Graded A+ | Newest Exam | Just
Released!!
When assessing an IV site that is used for fluid replacement
and medication administration, the client complains of
tenderness when the arm is touched above the site. Which
additional assessment finding warrants immediate intervention
by the nurse?
A. Client uses the arm cautiously
B. Red streak tracking the vein
C. A sluggish blood return
D. Spot of dried blood at insertion site - ANSWER-B. Red
streaks tracking the vein
An older adult male reporting abdominal pain is admitted to the
hospital from a long-term care facility. It has been 7 days since
his last bowel movement, his abdomen is distended, and he
just vomited 150mL of dark brown emesis. In what order should
the nurse implement these interventions? (Highest to lowest
priority) - ANSWER-1. Send emesis sample to the lab
2. Elevate the head of the bed
3. Complete focused assessment
4. Offer PRN pain medication
,When taking a health history, which information collected by
the nurse correlates most directly to a diagnosis of chronic
peripheral arterial insufficiency?
A. History of intermittent claudication
B. A positive Brodie-Trendelenburg test
C. Ankle ulceration and edema
D. A serum cholesterol level of 250mg/dl (6.47mmol/L) -
ANSWER-A. History of intermittent claudication
The nurse is providing discharge teaching to the parents of a
13 month old child who underwent repair for an atrial septal
defect. The healthcare provider prescribes aspirin and an
antibiotic for the first 6 months postoperatively to prevent
infective endocarditis (IE). What information is most important
for the nurse discuss with the parents about the child's
recovery and prevention of IE? A. Refer the mother to the
healthcare provider to discuss infective endocarditis B. Brush
the child's teeth every day and ensure the child receives
regular dental followup
C. Give the child acetaminophen for pain or fever and visit
the surgeon for follow-up
D. Monitor the child for regular bowel movements and urine
output that exceeds intake - ANSWER-B. Brush the child's teeth
every day and ensure the child receives regular dental followup
An unlicensed assistive personnel (UAP) is assigned to
ambulate a client with influenza who has droplet precautions
implemented. The UAP requests a change in assignment,
,stating the reason of having not been fitted yet for a N95
respirator mask. Which action should the nurse take?
A. send the UAP to be fitted for a particulate filter mask
immediately so she can provide care to this client.
B. Instruct the UAP that a standard face mask is sufficient
for the provision of care for the assigned client
C. Before changing assignments, determine which staff
members have fitted particulate filter masks
D. Advise the UAP to wear a standard face mask to take vital
signs, and then get fitted for a filter mask before providing
personal care - ANSWER-B. Instruct
the UAP that a standard face mask is sufficient for the
provision of care for the
assigned
client
The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that
the program was effective? A. Only 30% of clients did not
attend self-management education sessions. B. More than
50% of at-risk clients were diagnosed early in their disease
process
C. Clients who developed disease complications promptly
received rehabilitation
D. Average client scores improved on specific risk factor
knowledge tests -
ANSWER-C. Clients who developed disease complications
promptly received rehabilitation
, Then nurse identifies several nursing problems for client who
is immobile and who has been experiencing fecal
incontinence and diarrhea for several days. The client's
spouse is the primary caregiver. In planning care, which
problem has the highest priority? A. Impaired bed mobility
B. Caregiver role strain
C. Fluid volume deficit
D. Bowel incontinence - ANSWER-D. Bowel incontinence
The nurse is feeding an older adult who was admitted with
aspiration pneumonia. The client is weak and begins coughing
while attempting to drink through a straw. Which intervention
should the nurse implement?
A. Teach coughing and deep breathing exercises
B. Assess the client's oral cavity for ulcerations
C. Request thick nectar liquids for the client
D. Monitor the client when using a straw for liquids - ANSWER-
A. Teach coughing and deep breathing exercises
An adult client is admitted to the emergency department after
falling from the ladder. While waiting to have a computed
tomography (CT) scan, the client requests something for a
severe headache. When the nurse offers a prescribed dose of
acetaminophen, the client asks for something stronger. Which
intervention should the nurse implement?
A. Review client's history for use of illicit drugs
B. Explain the reason for using only non-narcotics
C. Assess client's pupils for their reaction to light
