Page 1 of 277
“HESI EXIT EXAM MASTERY: 1000 PRACTICE
QUESTIONS 2026 ”LATEST EXAM 2026 – 2027
SOLVED QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION) WELL
REVISED 100% GUARANTEE PASS
HESI exit exam questions
After the risk and benefits of having a cardiac catheterization are reviewed by
the healthcare provider, an older adult with unstable angina is scheduled for
the procedure. When the nurse presents the consent form for signature, the
client asks how the wires will keep a heart heating during the procedure. What
action should the nurse take?
a. Explain the procedure again in detail and clarify any misconceptions.
b. Notify the healthcare provider of the client's lack of understanding.
c. Call the client's next of kin and have them provide verbal consent.
d. Postpone the procedure until the client understands the risk and benefits.
b. Notify the healthcare provider of the client's lack of understanding.
In assessing a client at 34-weeks' gestation, the nurse notes that she has a
slightly elevated total T4 with a slightly enlarged thyroid, a hematocrit of 28%,
a heart rate of 92 beats per minute, and a systolic murmur. Which finding
requires follow-up?
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a. Elevated thyroid hormone level.
b. Hematocrit of 28%.
c. Heart rate of 92 beats per minute.
d. Systolic murmur.
b. Hematocrit of 28%.
A client with osteoporosis related to long-term corticosteroid therapy receives
a prescription for calcium carbonate. Which client's serum laboratory values
requires intervention by the nurse?
a. Total calcium 9 mg/dl (2.25 mmol/L SI)
b. Creatinine 4 mg/dl (354 micromol/L SI)
c. Phosphate 4 mg/dl (1.293 mmol/L SI)
d. Fasting glucose 95 mg/dl (5.3 mmol/L SI)
b. Creatinine 4 mg/dl (354 micromol/L SI)
A clinical trial is recommended for a client with metastatic breast cancer, but
she refuses to participate and tells her family that she does not wish to have
further treatments. The client's son and daughter ask the nurse to try and
convince their mother to reconsider this decision. How should the nurse
respond?
a. Ask the client with her children present if she fully understands the decision
she has made.
b. Discuss success of clinical trials and ask the client to consider participating
for one month.
c. Explain to the family that they must accept their mother's decision.
d. Explore the client's decision to refuse treatment and offer support
d. Explore the client's decision to refuse treatment and offer support
An adult client with severe depression was admitted to the psychiatric unit
yesterday evening. Although the client ran one year ago, his spouse states
that the client no longer runs, bur sits and watches television most of the day.
Which is most important for the nurse to include in this client's plan of care for
today?
a. Assist client in identifying goals for the day.
b. Encourage client to participate for one hour in a team sport.
c. Schedule client for a group that focuses on self-esteem.
d. Help client to develop a list of daily affirmations.
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a. Assist client in identifying goals for the day.
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.
b. Assign staff to monitor what the client eats.
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.
b. Discuss the concerns expressed by the client about the vaccination.
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.
d. 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.
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c. Abdominal pain and vomiting
d. Anorexia and abdominal distention
a. Confusion and tremors
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
a. Transfuse Type A negative blood until type AB negative is available.
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 nurse discusses placing the
nipple's elongated tip in the back of the oral cavity. What instructions should
the nurse provide the mother about feedings?
a. Squeeze the nipple base to introduce milk into the mouth
b. Position the baby in the left lateral position after feeding
c. Alternate milk with water during feeding
d. Hold the newborn in an upright position
d. Hold the newborn in an upright position
A young adult female college student visits the health clinic in early winter to
obtain birth control pills. The clinic nurse asks if the student has received an
influenza vaccination. The student stated she did not receive vaccination
because she has asthma. How should the nurse respond?
a. Offer to provide the influenza vaccination to the student while she is at the
clinic
b. Encourage the student to obtain a vaccination prior to the next influenza
season.
c. Confirm that a history of asthma can increase risks associated with the
vaccine.
“HESI EXIT EXAM MASTERY: 1000 PRACTICE
QUESTIONS 2026 ”LATEST EXAM 2026 – 2027
SOLVED QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION) WELL
REVISED 100% GUARANTEE PASS
HESI exit exam questions
After the risk and benefits of having a cardiac catheterization are reviewed by
the healthcare provider, an older adult with unstable angina is scheduled for
the procedure. When the nurse presents the consent form for signature, the
client asks how the wires will keep a heart heating during the procedure. What
action should the nurse take?
a. Explain the procedure again in detail and clarify any misconceptions.
b. Notify the healthcare provider of the client's lack of understanding.
c. Call the client's next of kin and have them provide verbal consent.
d. Postpone the procedure until the client understands the risk and benefits.
b. Notify the healthcare provider of the client's lack of understanding.
In assessing a client at 34-weeks' gestation, the nurse notes that she has a
slightly elevated total T4 with a slightly enlarged thyroid, a hematocrit of 28%,
a heart rate of 92 beats per minute, and a systolic murmur. Which finding
requires follow-up?
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a. Elevated thyroid hormone level.
b. Hematocrit of 28%.
c. Heart rate of 92 beats per minute.
d. Systolic murmur.
b. Hematocrit of 28%.
A client with osteoporosis related to long-term corticosteroid therapy receives
a prescription for calcium carbonate. Which client's serum laboratory values
requires intervention by the nurse?
a. Total calcium 9 mg/dl (2.25 mmol/L SI)
b. Creatinine 4 mg/dl (354 micromol/L SI)
c. Phosphate 4 mg/dl (1.293 mmol/L SI)
d. Fasting glucose 95 mg/dl (5.3 mmol/L SI)
b. Creatinine 4 mg/dl (354 micromol/L SI)
A clinical trial is recommended for a client with metastatic breast cancer, but
she refuses to participate and tells her family that she does not wish to have
further treatments. The client's son and daughter ask the nurse to try and
convince their mother to reconsider this decision. How should the nurse
respond?
a. Ask the client with her children present if she fully understands the decision
she has made.
b. Discuss success of clinical trials and ask the client to consider participating
for one month.
c. Explain to the family that they must accept their mother's decision.
d. Explore the client's decision to refuse treatment and offer support
d. Explore the client's decision to refuse treatment and offer support
An adult client with severe depression was admitted to the psychiatric unit
yesterday evening. Although the client ran one year ago, his spouse states
that the client no longer runs, bur sits and watches television most of the day.
Which is most important for the nurse to include in this client's plan of care for
today?
a. Assist client in identifying goals for the day.
b. Encourage client to participate for one hour in a team sport.
c. Schedule client for a group that focuses on self-esteem.
d. Help client to develop a list of daily affirmations.
, Page 3 of 277
a. Assist client in identifying goals for the day.
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.
b. Assign staff to monitor what the client eats.
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.
b. Discuss the concerns expressed by the client about the vaccination.
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.
d. 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.
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c. Abdominal pain and vomiting
d. Anorexia and abdominal distention
a. Confusion and tremors
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
a. Transfuse Type A negative blood until type AB negative is available.
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 nurse discusses placing the
nipple's elongated tip in the back of the oral cavity. What instructions should
the nurse provide the mother about feedings?
a. Squeeze the nipple base to introduce milk into the mouth
b. Position the baby in the left lateral position after feeding
c. Alternate milk with water during feeding
d. Hold the newborn in an upright position
d. Hold the newborn in an upright position
A young adult female college student visits the health clinic in early winter to
obtain birth control pills. The clinic nurse asks if the student has received an
influenza vaccination. The student stated she did not receive vaccination
because she has asthma. How should the nurse respond?
a. Offer to provide the influenza vaccination to the student while she is at the
clinic
b. Encourage the student to obtain a vaccination prior to the next influenza
season.
c. Confirm that a history of asthma can increase risks associated with the
vaccine.
