HESI EXIT RN EXAM 756 QA ACTUAL TEST
2026 ANSWERS VERIFIED A+
◉ NGN: Nurses Notes: 0400, the client is awake and alert but
restless. He states I am feeling extremely anxious right now. The
client has decreased breath sounds in the left lower lobe. His mucus
membranes are dry. He has a productive cough with thick, yellow
secretions. His capillary refill is four seconds. Heart rate 101 BPM,
oxygen saturation 90%. Blood pressure 145/89, temperature 100.2
F, respiratory rate 28 BPM.
0500: Placedthe client in semi-Fowlers position. No improvement in
oxygen saturation on 3L nasal cannula...
(Which are the three most important goals?)
A) The client will remain free of skin breakdown.
B) The client will have quit smoking.
C) The client will be afebrile for 24 hours.
D) The client will maintain oxygen saturation of 96% without
supplemental oxygen.
E) The client will report pain less than 3/10. Answer: B) The client
will have quit smoking.
C) The client will be afebrile for 24 hours.
E) The client will report pain less than 3/10.
,◉ The nurse has completed the diet teaching of a client who is being
discharged following treatment of a leg wound. A high-protein diet is
encouraged to promote wound healing. Which lunch toys by the
client indicates that the teaching was effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit. Answer: C) A tuna
fish sandwich with chips and ice cream.
◉ A client with foul-smelling drainage from an incision on the upper
left arm is admitted with a suspected MRSA. Which nursing
intervention should the nurse include in the plan of care? SATA.
A) Institute contact precautions for staff and visitors.
B) Use standard precautions and wear a mask.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
E) Explain the purpose of a low bacteria diet. Answer: A) Institute
contact precautions for staff and visitors.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
,◉ An adult client who is admitted to the mental health unit for
treatment of bipolar disorder has a slightly slurred speech pattern
and an unsteady gait. Which assessment finding is most important
for the nurse to report to the healthcare provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%.
D) Serum lithium level of 1.6. Answer: D) Serum lithium level of 1.6.
◉ When conducting diet teaching for a client who is on a post
operative full liquid diet, which foods should the nurse encouraged
the client to eat? SATA.
A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
D) Creamy peanut butter.
E) Canned fruit cocktail. Answer: A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
, ◉ An infant born with esophageal atresia and tracheoesophageal
fistula receives a prescription for internal feedings after corrective
surgery. To promote normal growth and development of the infant,
which action should the nurse include in the plan of care? Answer:
Offer a pacifier for non-Nutritive sucking
◉ The nurse is preparing a four year-old client with a serum
bilirubin level of 19 for discharge from the hospital. When teaching
the parents about home photo therapy, which instruction should the
nurse include in the discharge teaching plan?
A) Cover with a receiving blanket.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours. Answer: D) Reposition the
infant every two hours.
◉ The nurse initiate the procedure to remove a clients peripherally
inserted central catheter when a code blue is called for another
client in the unit who collapse in the hallway while ambulating with
the unlicensed assistive personnel. Which action should the nurse
take?
A) Close the room door.
B) Finish the procedure.
2026 ANSWERS VERIFIED A+
◉ NGN: Nurses Notes: 0400, the client is awake and alert but
restless. He states I am feeling extremely anxious right now. The
client has decreased breath sounds in the left lower lobe. His mucus
membranes are dry. He has a productive cough with thick, yellow
secretions. His capillary refill is four seconds. Heart rate 101 BPM,
oxygen saturation 90%. Blood pressure 145/89, temperature 100.2
F, respiratory rate 28 BPM.
0500: Placedthe client in semi-Fowlers position. No improvement in
oxygen saturation on 3L nasal cannula...
(Which are the three most important goals?)
A) The client will remain free of skin breakdown.
B) The client will have quit smoking.
C) The client will be afebrile for 24 hours.
D) The client will maintain oxygen saturation of 96% without
supplemental oxygen.
E) The client will report pain less than 3/10. Answer: B) The client
will have quit smoking.
C) The client will be afebrile for 24 hours.
E) The client will report pain less than 3/10.
,◉ The nurse has completed the diet teaching of a client who is being
discharged following treatment of a leg wound. A high-protein diet is
encouraged to promote wound healing. Which lunch toys by the
client indicates that the teaching was effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit. Answer: C) A tuna
fish sandwich with chips and ice cream.
◉ A client with foul-smelling drainage from an incision on the upper
left arm is admitted with a suspected MRSA. Which nursing
intervention should the nurse include in the plan of care? SATA.
A) Institute contact precautions for staff and visitors.
B) Use standard precautions and wear a mask.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
E) Explain the purpose of a low bacteria diet. Answer: A) Institute
contact precautions for staff and visitors.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
,◉ An adult client who is admitted to the mental health unit for
treatment of bipolar disorder has a slightly slurred speech pattern
and an unsteady gait. Which assessment finding is most important
for the nurse to report to the healthcare provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%.
D) Serum lithium level of 1.6. Answer: D) Serum lithium level of 1.6.
◉ When conducting diet teaching for a client who is on a post
operative full liquid diet, which foods should the nurse encouraged
the client to eat? SATA.
A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
D) Creamy peanut butter.
E) Canned fruit cocktail. Answer: A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
, ◉ An infant born with esophageal atresia and tracheoesophageal
fistula receives a prescription for internal feedings after corrective
surgery. To promote normal growth and development of the infant,
which action should the nurse include in the plan of care? Answer:
Offer a pacifier for non-Nutritive sucking
◉ The nurse is preparing a four year-old client with a serum
bilirubin level of 19 for discharge from the hospital. When teaching
the parents about home photo therapy, which instruction should the
nurse include in the discharge teaching plan?
A) Cover with a receiving blanket.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours. Answer: D) Reposition the
infant every two hours.
◉ The nurse initiate the procedure to remove a clients peripherally
inserted central catheter when a code blue is called for another
client in the unit who collapse in the hallway while ambulating with
the unlicensed assistive personnel. Which action should the nurse
take?
A) Close the room door.
B) Finish the procedure.
