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HESI Exit Exam Preparation|
Comprehensive Q&A For Certification
Success 2026
A client with intestinal obstructions has a nasogastric tube to low intermittent
suction and is receiving an IV of lactated ringer's at 100 ml/H. which finding is
most important for the nurse to report to the healthcare provider?
a. Gastric output of 900 mL in the last 24 hours
b. Serum potassium level of 3.1 mEq/L or mmol/L (SI)
c. Increased blood urea nitrogen (BUN)
d. 24-hour intake at the current infusion rate. - correct-answer -b. Serum
potassium level of 3.1 mEq/L or mmol/L (SI)
Which type of Leukocyte is involved with allergic responses and the destruction of
parasitic worms?
a. Neutrophils
b. Lymphocytes
c. Eosinophils
d. Monocytes - correct-answer -c. Eosinophils
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The healthcare provider prescribes the antibiotic cephradine 500mg PO every 6
hours for a client with a postoperative wound infection. Which foods should the
nurse encourage this client to eat
a. Vanilla-flavored yogurt
b. Low fat chocolate milk.
c. Calcium fortified juice
d. Cinnamon applesauce - correct-answer -d. Cinnamon applesauce
Several months after a foot injury, and adult woman is diagnosed with
neuropathic pain. The client describes the pain as severe and burning and is
unable to put weight on her foot. She asks the nurse when the pain will "finally go
away." How should the nurse respond?
a. Explain the healing from injury can take many months
b. Assist the client in developing a goal of managing the pain.
c. Encourage the client to verbalize her fears about the pain
d. Complete an assessment of the client's functional ability. - correct-answer -b.
Assist the client in developing a goal of managing the pain.
One day following an open reduction and internal fixation of a compound fracture
of the leg, a male client complains of "a tingly sensation" in his left foot. The nurse
determines the client's left pedal pulses are diminished. Based on these finding,
what is the client's greatest risk?
a. Reduce pulmonary ventilation and oxygenation related to fat embolism.
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b. Neurovascular and circulation compromise related to compartment syndrome.
c. Wound infection and delayed healing to fractured bone protrusion.
d. Venous stasis and thrombophlebitis related to postoperative immobility. -
correct-answer -b. Neurovascular and circulation compromise related to
compartment syndrome.
The nurse is completing a head to be assessment for a client admitted for
observation after falling out of a tree. Which finding warrants immediate
intervention by the nurse?
a. Sluggish pupillary response to light
b. Clear fluid leaking from the nose.
c. Complaint of severe headache
d. Periorbital ecchymosis of right eye. - correct-answer -b. Clear fluid leaking from
the nose.
A client with multiple sclerosis (MS) has decreased motor function after taking a
hot bath (Uhthoff's sign). Which pathophysiological mechanism supports this
response
a. Arterial Constriction
b. Temporary vasodilation
c. Poor temperature control
d. Severe dehydration. - correct-answer -b. Temporary vasodilation
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While assessing a radial artery catheter, the client complains of numbness and
pain distal to the insertion site. What interventions should the nurse implement?
a. Determine of aspirin was given prior to radial artery catheter insertion.
b. Promptly remove the arterial catheter from the radial artery.
c. Irrigate the arterial line using a syringe with sterile saline
d. Administer a PRN analgesic and assess numbness in 30 mints - correct-answer -
b. Promptly remove the arterial catheter from the radial artery.
A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the intracranial
bleeding, which finding should the nurse monitor?
a. Slow increasing intracranial pressure (ICP)
b. Decerebrate posturing
c. Rapid onset of decreased level of consciousness.
d. Coup contrecoup signs - correct-answer -c. Rapid onset of decreased level of
consciousness.
The nurse finds a client at 33 weeks gestation in cardiac arrest. What adaptation
to cardiopulmonary resuscitation (CPR) should the nurse implement?
a. Apply oxygen by mask after opening the airway
b. Position a firm wedge to support pelvis and thorax at 30-degree tilt.
HESI Exit Exam Preparation|
Comprehensive Q&A For Certification
Success 2026
A client with intestinal obstructions has a nasogastric tube to low intermittent
suction and is receiving an IV of lactated ringer's at 100 ml/H. which finding is
most important for the nurse to report to the healthcare provider?
a. Gastric output of 900 mL in the last 24 hours
b. Serum potassium level of 3.1 mEq/L or mmol/L (SI)
c. Increased blood urea nitrogen (BUN)
d. 24-hour intake at the current infusion rate. - correct-answer -b. Serum
potassium level of 3.1 mEq/L or mmol/L (SI)
Which type of Leukocyte is involved with allergic responses and the destruction of
parasitic worms?
a. Neutrophils
b. Lymphocytes
c. Eosinophils
d. Monocytes - correct-answer -c. Eosinophils
,2|Page
The healthcare provider prescribes the antibiotic cephradine 500mg PO every 6
hours for a client with a postoperative wound infection. Which foods should the
nurse encourage this client to eat
a. Vanilla-flavored yogurt
b. Low fat chocolate milk.
c. Calcium fortified juice
d. Cinnamon applesauce - correct-answer -d. Cinnamon applesauce
Several months after a foot injury, and adult woman is diagnosed with
neuropathic pain. The client describes the pain as severe and burning and is
unable to put weight on her foot. She asks the nurse when the pain will "finally go
away." How should the nurse respond?
a. Explain the healing from injury can take many months
b. Assist the client in developing a goal of managing the pain.
c. Encourage the client to verbalize her fears about the pain
d. Complete an assessment of the client's functional ability. - correct-answer -b.
Assist the client in developing a goal of managing the pain.
One day following an open reduction and internal fixation of a compound fracture
of the leg, a male client complains of "a tingly sensation" in his left foot. The nurse
determines the client's left pedal pulses are diminished. Based on these finding,
what is the client's greatest risk?
a. Reduce pulmonary ventilation and oxygenation related to fat embolism.
,3|Page
b. Neurovascular and circulation compromise related to compartment syndrome.
c. Wound infection and delayed healing to fractured bone protrusion.
d. Venous stasis and thrombophlebitis related to postoperative immobility. -
correct-answer -b. Neurovascular and circulation compromise related to
compartment syndrome.
The nurse is completing a head to be assessment for a client admitted for
observation after falling out of a tree. Which finding warrants immediate
intervention by the nurse?
a. Sluggish pupillary response to light
b. Clear fluid leaking from the nose.
c. Complaint of severe headache
d. Periorbital ecchymosis of right eye. - correct-answer -b. Clear fluid leaking from
the nose.
A client with multiple sclerosis (MS) has decreased motor function after taking a
hot bath (Uhthoff's sign). Which pathophysiological mechanism supports this
response
a. Arterial Constriction
b. Temporary vasodilation
c. Poor temperature control
d. Severe dehydration. - correct-answer -b. Temporary vasodilation
, 4|Page
While assessing a radial artery catheter, the client complains of numbness and
pain distal to the insertion site. What interventions should the nurse implement?
a. Determine of aspirin was given prior to radial artery catheter insertion.
b. Promptly remove the arterial catheter from the radial artery.
c. Irrigate the arterial line using a syringe with sterile saline
d. Administer a PRN analgesic and assess numbness in 30 mints - correct-answer -
b. Promptly remove the arterial catheter from the radial artery.
A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the intracranial
bleeding, which finding should the nurse monitor?
a. Slow increasing intracranial pressure (ICP)
b. Decerebrate posturing
c. Rapid onset of decreased level of consciousness.
d. Coup contrecoup signs - correct-answer -c. Rapid onset of decreased level of
consciousness.
The nurse finds a client at 33 weeks gestation in cardiac arrest. What adaptation
to cardiopulmonary resuscitation (CPR) should the nurse implement?
a. Apply oxygen by mask after opening the airway
b. Position a firm wedge to support pelvis and thorax at 30-degree tilt.
