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HESI RN Exit Practice ACTUAL EXAM 2026/2027 |
Comprehensive Integrated Exam with Verified
Questions and Answers | Predicts NCLEX-RN
Readiness | Pass Guaranteed - A+ Graded
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is
experiencing acute exacerbation. The client reports shortness of breath and has an oxygen
saturation of 88% on room air. Which action should the nurse take first?
A. Administer a bronchodilator as prescribed.
B. Elevate the head of the bed to 45 degrees.
C. Apply oxygen at 2 L/min via nasal cannula.
D. Notify the healthcare provider immediately.
Correct Answer: C
A postpartum client who delivered vaginally 24 hours ago reports severe perineal pain and
swelling. The nurse notes a large hematoma. What is the priority nursing intervention?
A. Apply an ice pack to the perineum.
B. Administer oral analgesics as prescribed.
C. Prepare the client for surgical evacuation.
D. Encourage ambulation to promote circulation.
Correct Answer: A
The nurse is delegating tasks to an unlicensed assistive personnel (UAP) on a medical-surgical
unit. Which task is appropriate to delegate?
A. Assessing a client's pain level after medication administration.
B. Teaching a client about dietary restrictions for diabetes.
C. Assisting a stable client with ambulation using a walker.
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D. Evaluating the effectiveness of a PRN antiemetic.
Correct Answer: C
A 6-year-old child with asthma is admitted with wheezing and respiratory distress. The parents
ask about preventing future exacerbations. What should the nurse include in the teaching? (Select
all that apply.)
A. Avoid exposure to secondhand smoke.
B. Use a peak flow meter daily.
C. Administer antibiotics prophylactically.
D. Identify and avoid triggers like allergens.
E. Ensure annual influenza vaccination.
Correct Answer: A, B, D, E
The nurse is caring for a client with schizophrenia who states, "The voices are telling me to hurt
myself." What is the best therapeutic response?
A. "Tell me more about the voices."
B. "You know those voices aren't real."
C. "I don't hear any voices right now."
D. "Let's focus on something else."
Correct Answer: A
A client with type 2 diabetes mellitus is prescribed metformin. The nurse should instruct the
client to report which adverse effect?
A. Weight gain.
B. Metallic taste.
C. Hypoglycemia.
D. Lactic acidosis symptoms like muscle pain.
Correct Answer: D
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The nurse in the emergency department triages four clients. Which client should the nurse assess
first?
A. A 50-year-old with chest pain and diaphoresis.
B. A 30-year-old with a migraine headache.
C. A 70-year-old with urinary frequency.
D. A 20-year-old with a sprained ankle.
Correct Answer: A
A newborn is jaundiced on day 2 of life. The nurse explains to the parents that this is likely due
to:
A. Pathologic jaundice requiring immediate treatment.
B. Physiologic jaundice from immature liver function.
C. Breast milk jaundice from feeding issues.
D. ABO incompatibility from blood type mismatch.
Correct Answer: B
The nurse is preparing to administer digoxin to a client with heart failure. The apical pulse is 58
bpm. What action should the nurse take?
A. Administer the medication as prescribed.
B. Withhold the medication and notify the provider.
C. Administer half the dose and reassess.
D. Document the finding and continue monitoring.
Correct Answer: B
A client with bipolar disorder is experiencing mania and refuses to eat. The nurse should:
A. Force the client to eat for nutritional needs.
B. Offer finger foods in a calm environment.
HESI RN Exit Practice ACTUAL EXAM 2026/2027 |
Comprehensive Integrated Exam with Verified
Questions and Answers | Predicts NCLEX-RN
Readiness | Pass Guaranteed - A+ Graded
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is
experiencing acute exacerbation. The client reports shortness of breath and has an oxygen
saturation of 88% on room air. Which action should the nurse take first?
A. Administer a bronchodilator as prescribed.
B. Elevate the head of the bed to 45 degrees.
C. Apply oxygen at 2 L/min via nasal cannula.
D. Notify the healthcare provider immediately.
Correct Answer: C
A postpartum client who delivered vaginally 24 hours ago reports severe perineal pain and
swelling. The nurse notes a large hematoma. What is the priority nursing intervention?
A. Apply an ice pack to the perineum.
B. Administer oral analgesics as prescribed.
C. Prepare the client for surgical evacuation.
D. Encourage ambulation to promote circulation.
Correct Answer: A
The nurse is delegating tasks to an unlicensed assistive personnel (UAP) on a medical-surgical
unit. Which task is appropriate to delegate?
A. Assessing a client's pain level after medication administration.
B. Teaching a client about dietary restrictions for diabetes.
C. Assisting a stable client with ambulation using a walker.
,2
D. Evaluating the effectiveness of a PRN antiemetic.
Correct Answer: C
A 6-year-old child with asthma is admitted with wheezing and respiratory distress. The parents
ask about preventing future exacerbations. What should the nurse include in the teaching? (Select
all that apply.)
A. Avoid exposure to secondhand smoke.
B. Use a peak flow meter daily.
C. Administer antibiotics prophylactically.
D. Identify and avoid triggers like allergens.
E. Ensure annual influenza vaccination.
Correct Answer: A, B, D, E
The nurse is caring for a client with schizophrenia who states, "The voices are telling me to hurt
myself." What is the best therapeutic response?
A. "Tell me more about the voices."
B. "You know those voices aren't real."
C. "I don't hear any voices right now."
D. "Let's focus on something else."
Correct Answer: A
A client with type 2 diabetes mellitus is prescribed metformin. The nurse should instruct the
client to report which adverse effect?
A. Weight gain.
B. Metallic taste.
C. Hypoglycemia.
D. Lactic acidosis symptoms like muscle pain.
Correct Answer: D
, 3
The nurse in the emergency department triages four clients. Which client should the nurse assess
first?
A. A 50-year-old with chest pain and diaphoresis.
B. A 30-year-old with a migraine headache.
C. A 70-year-old with urinary frequency.
D. A 20-year-old with a sprained ankle.
Correct Answer: A
A newborn is jaundiced on day 2 of life. The nurse explains to the parents that this is likely due
to:
A. Pathologic jaundice requiring immediate treatment.
B. Physiologic jaundice from immature liver function.
C. Breast milk jaundice from feeding issues.
D. ABO incompatibility from blood type mismatch.
Correct Answer: B
The nurse is preparing to administer digoxin to a client with heart failure. The apical pulse is 58
bpm. What action should the nurse take?
A. Administer the medication as prescribed.
B. Withhold the medication and notify the provider.
C. Administer half the dose and reassess.
D. Document the finding and continue monitoring.
Correct Answer: B
A client with bipolar disorder is experiencing mania and refuses to eat. The nurse should:
A. Force the client to eat for nutritional needs.
B. Offer finger foods in a calm environment.
