RN CAPSTONE HESI EXIT EXAM SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ An adult who is 5 feet 5 inches (165.1 cm) tall and weighs 90 lb.
(40.8 Kg) is admitted with a diagnosis of chronic anorexia. The client
receives a regular diet for 2 days, and the client's medical records
indicates that 100% of the diet provided has been consumed.
However the client's weight on the third day morning after
admission is 89 lb. (40.4 Kg). What action should the nurse
implement?
a. Examine the client's room for hidden food.
b. Assign staff to monitor what the client eats.
c. Ask the client if the food provided is being eaten or discarded.
d. Provide the client with a high calorie diet. Answer: b. Assign staff
to monitor what the client eats.
Rationale: clients with an eating disorder have an unhealthy
obsession with food. The client's continued weight loss, despites
indication that the client has consumed 100% of the diet, should
raise questions about the client's intake of the food provided, so the
client should be observed during meals to prevent hiding or
throwing away food. Other options may be accurate but ineffective
and unnecessary.
,◉ During a routine clinic visit, an older female adult tells the nurse
that she is concerned that the flu season is coming soon, but is
reluctant to obtain the vaccination. What action should the nurse
take first?
a. Determine when the client last had an influenza vaccination.
b. Discuss the concerns expressed by the client about the
vaccination.
c. Ask about any recent exposure to persons with the flu or other
viruses.
d. Review the informed consent form for the vaccination with the
client. Answer: Discuss the concerns expressed by the client about
the vaccination
Rationale: the nurse should first address the concerns identified by
the client, before taking other actions, such as obtaining information
about past vaccinations, exposure to the flu, or reviewing the
informed consent form.
◉ The nurse walks into a client's room and notices bright red blood
on the sheets and on the floor by the IV pole. Which action should
the nurse take first?
a. Clean up the spilled blood to reduce infection transmission.
,b. Notify the healthcare provider that the client appears to be
bleeding.
c. Apply direct pressure to the client's IV site.
d. Identify the source and amount of bleeding. Answer: Identify the
source and amount of bleeding.
◉ A client is admitted with acute pancreatitis. The client admits to
drinking a pint of bourbon daily. The nurse medicates the client for
pain and monitors vital signs q2 hours. Which finding should the
nurse report immediately to the healthcare provider?
a. Confusion and tremors
b. Yellowing and itching of skin.
c. Abdominal pain and vomiting
d. Anorexia and abdominal distention Answer: a. Confusion and
tremors
Rationale: daily alcohol is the likely etiology for the client's
pancreatitis. Abrupt cessation of alcohol can result in delirium
tremens (DT) causing confusion and tremors, which can precipitate
cardiovascular complications and should be reported immediately to
avoid life-threatening complications. The other options are expected
findings in those with liver dysfunction or pancreatitis, but do not
require immediate action.
, ◉ Following and gunshot wound, an adult client a hemoglobin level
of 4 grams/dl (40 mmol/L SI). The nurse prepares to administer a
unit of blood for an emergency transfusion. The client has AB
negative blood type and the blood bank sends a unit of type A Rh
negative, reporting that there is not type AB negative blood
currently available. Which intervention should the nurse
implement?
a. Transfuse Type A negative blood until type AB negative is
available.
b. Recheck the client's hemoglobin, blood type and Rh factor.
c. Administer normal saline solution until type AB negative is
available
d. Obtain additional consent for administration of type A negative
blood Answer: Transfuse Type A negative blood until type AB
negative is available
Rationale: those who have type AB blood are considered universal
recipients using A or B blood types that is the same Rh factor. The
client's hemoglobin is critically low, and the client should receive a
unit of blood that is type A, which must be Rh negative blood. Other
options are not indicated in this situation.
◉ The nurse is teaching a mother of a newborn with a cleft lip how
to bottle feed her baby using medela haberman feeder, which has a
valve to control the release of milk and a slit nipple opening. The
QUESTIONS WITH ANSWERS GRADED A+
◉ An adult who is 5 feet 5 inches (165.1 cm) tall and weighs 90 lb.
(40.8 Kg) is admitted with a diagnosis of chronic anorexia. The client
receives a regular diet for 2 days, and the client's medical records
indicates that 100% of the diet provided has been consumed.
However the client's weight on the third day morning after
admission is 89 lb. (40.4 Kg). What action should the nurse
implement?
a. Examine the client's room for hidden food.
b. Assign staff to monitor what the client eats.
c. Ask the client if the food provided is being eaten or discarded.
d. Provide the client with a high calorie diet. Answer: b. Assign staff
to monitor what the client eats.
Rationale: clients with an eating disorder have an unhealthy
obsession with food. The client's continued weight loss, despites
indication that the client has consumed 100% of the diet, should
raise questions about the client's intake of the food provided, so the
client should be observed during meals to prevent hiding or
throwing away food. Other options may be accurate but ineffective
and unnecessary.
,◉ During a routine clinic visit, an older female adult tells the nurse
that she is concerned that the flu season is coming soon, but is
reluctant to obtain the vaccination. What action should the nurse
take first?
a. Determine when the client last had an influenza vaccination.
b. Discuss the concerns expressed by the client about the
vaccination.
c. Ask about any recent exposure to persons with the flu or other
viruses.
d. Review the informed consent form for the vaccination with the
client. Answer: Discuss the concerns expressed by the client about
the vaccination
Rationale: the nurse should first address the concerns identified by
the client, before taking other actions, such as obtaining information
about past vaccinations, exposure to the flu, or reviewing the
informed consent form.
◉ The nurse walks into a client's room and notices bright red blood
on the sheets and on the floor by the IV pole. Which action should
the nurse take first?
a. Clean up the spilled blood to reduce infection transmission.
,b. Notify the healthcare provider that the client appears to be
bleeding.
c. Apply direct pressure to the client's IV site.
d. Identify the source and amount of bleeding. Answer: Identify the
source and amount of bleeding.
◉ A client is admitted with acute pancreatitis. The client admits to
drinking a pint of bourbon daily. The nurse medicates the client for
pain and monitors vital signs q2 hours. Which finding should the
nurse report immediately to the healthcare provider?
a. Confusion and tremors
b. Yellowing and itching of skin.
c. Abdominal pain and vomiting
d. Anorexia and abdominal distention Answer: a. Confusion and
tremors
Rationale: daily alcohol is the likely etiology for the client's
pancreatitis. Abrupt cessation of alcohol can result in delirium
tremens (DT) causing confusion and tremors, which can precipitate
cardiovascular complications and should be reported immediately to
avoid life-threatening complications. The other options are expected
findings in those with liver dysfunction or pancreatitis, but do not
require immediate action.
, ◉ Following and gunshot wound, an adult client a hemoglobin level
of 4 grams/dl (40 mmol/L SI). The nurse prepares to administer a
unit of blood for an emergency transfusion. The client has AB
negative blood type and the blood bank sends a unit of type A Rh
negative, reporting that there is not type AB negative blood
currently available. Which intervention should the nurse
implement?
a. Transfuse Type A negative blood until type AB negative is
available.
b. Recheck the client's hemoglobin, blood type and Rh factor.
c. Administer normal saline solution until type AB negative is
available
d. Obtain additional consent for administration of type A negative
blood Answer: Transfuse Type A negative blood until type AB
negative is available
Rationale: those who have type AB blood are considered universal
recipients using A or B blood types that is the same Rh factor. The
client's hemoglobin is critically low, and the client should receive a
unit of blood that is type A, which must be Rh negative blood. Other
options are not indicated in this situation.
◉ The nurse is teaching a mother of a newborn with a cleft lip how
to bottle feed her baby using medela haberman feeder, which has a
valve to control the release of milk and a slit nipple opening. The
