2025/2026 HESI EXIT V6 EXAM QUESTIONS
AND ANSWERS
1. A parent tells the nurse that their 6 year-old child who
or devil
2. A 67 year-old client with non-insulin dependent diabetes
should be instructed to contact the out-patient clinic
immediately if the following findings are present
A) Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The correct answer is B: An open wound on their heel
3. The nurse admits an elderly Mexican-American migrant
worker after an accident that
,occurred during work. To facilitate communication the nurse
should initially
A) Request a Spanish interpreter
B) Speak through the family or co-workers
C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English
The correct answer is D: Assess the client''s ability to speak
English
4. In assessing a post partum client, the nurse palpates a firm
fundus and observes a constant trickle of bright red blood
from the vagina. What is the most likely cause of these
findings?
A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The correct answer is B: Genital lacerations
5. The nurse notes an abrupt onset of confusion in an elderly
patient. Which of the following recently-ordered medications
would most likely contribute to this change?
A) Anticoagulant
B) Liquid antacid
C) Antihistamine
D) Cardiac glycoside
,The correct answer is C: Antihistamine
6. 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
The correct answer is B: Ask a family member to supervise
daily compliance
7. 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
The correct answer is C: Participative
, 8. 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
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
The correct answer is A: The escalation of fees with a
decreased reimbursement percentage
9. 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
The correct answer is C: Wear gown and gloves during client
contact
AND ANSWERS
1. A parent tells the nurse that their 6 year-old child who
or devil
2. A 67 year-old client with non-insulin dependent diabetes
should be instructed to contact the out-patient clinic
immediately if the following findings are present
A) Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The correct answer is B: An open wound on their heel
3. The nurse admits an elderly Mexican-American migrant
worker after an accident that
,occurred during work. To facilitate communication the nurse
should initially
A) Request a Spanish interpreter
B) Speak through the family or co-workers
C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English
The correct answer is D: Assess the client''s ability to speak
English
4. In assessing a post partum client, the nurse palpates a firm
fundus and observes a constant trickle of bright red blood
from the vagina. What is the most likely cause of these
findings?
A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The correct answer is B: Genital lacerations
5. The nurse notes an abrupt onset of confusion in an elderly
patient. Which of the following recently-ordered medications
would most likely contribute to this change?
A) Anticoagulant
B) Liquid antacid
C) Antihistamine
D) Cardiac glycoside
,The correct answer is C: Antihistamine
6. 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
The correct answer is B: Ask a family member to supervise
daily compliance
7. 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
The correct answer is C: Participative
, 8. 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
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
The correct answer is A: The escalation of fees with a
decreased reimbursement percentage
9. 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
The correct answer is C: Wear gown and gloves during client
contact
