HESI RN 2026 EXIT EXAM MOST TESTED EXAM
QUESTIONS AND ANSWERS GRADED A+ ASSURED
SUCCESS
1. If a patient is experiencing difficulty maintaining an oxygen saturation level
above 94%, what action should the nurse take regarding the facemask?
Change the type of facemask being used.
Remove the facemask entirely.
Instruct the patient to take breaks from the facemask.
Adjust the oxygen level on the flow meter.
2. If the client’s weight changes to 170 pounds, how would you recalculate the
dosage of dalteparin to be administered?
Increase the dosage by 50 units.
Calculate the new dosage based on 170 pounds and convert to
milliliters.
Use the original weight for dosage calculation.
Administer the same dosage as before.
3. What is the recommended position for a client to enhance lung expansion?
Lateral position
Supine position
Fowler's position
Prone position
,4. If a patient with bipolar disorder presents with a serum lithium level of 1.6 and
exhibits confusion and tremors, what should the nurse prioritize in their care
plan?
Adjustment of the patient's medication regimen.
Increased monitoring of the patient's sleep patterns.
Referral to a psychiatrist for further evaluation.
Immediate assessment and potential intervention for lithium toxicity.
5. In a scenario where a patient presents with decreased breath sounds,
productive cough, and cyanosis, what immediate nursing intervention should
be prioritized?
Encourage deep breathing exercises
Perform a chest X-ray
Increase fluid intake
Administer supplemental oxygen
6. If a patient with hypothyroidism does not respond to the initial dose of
levothyroxine, what should the nurse consider next?
Continue administering the same dose without changes.
Reassess the patient's thyroid hormone levels and consult the
healthcare provider for possible dosage adjustment.
Switch the patient to a different medication immediately.
Increase the dose of levothyroxine without consulting the provider.
7. If a nurse assesses that a client is at high risk for suicide after their statement,
what is the most appropriate action to take next?
, Dismiss the statement as a cry for attention.
Encourage the client to engage in group therapy.
Schedule a follow-up appointment in a week.
Implement a safety plan and involve mental health services.
8. Which two items are essential for administering oxygen to a client?
Humidifier bottle, Sterile water
Nasal cannula, Flow meter
Lambs wool, Humidifier bottle
Suction canister, Tape
9. You are the nurse caring for a patient with preeclampsia. When checking her
deep tendon reflexes, what are you expecting to see?
absent reflexes
normal reflexes
increased reflexes
diminished reflexes
10. What is one key instruction a nurse should give to parents regarding home
phototherapy for a child with elevated bilirubin levels?
Feed the infant every four hours.
Reposition the infant every two hours.
Perform diaper changes under the light.
Cover with a receiving blanket.
, 11. What type of precautions should be instituted for a client suspected to have
MRSA?
Contact precautions
Standard precautions
Airborne precautions
Droplet precautions
12. Why is it important to reposition an infant undergoing home phototherapy
every two hours?
Repositioning is necessary to facilitate feeding.
Repositioning helps ensure even exposure to the light, which is
crucial for effective treatment.
Repositioning prevents the infant from becoming too comfortable.
Repositioning is only required if the infant shows signs of discomfort.
13. Why is it crucial for the nurse to assess the client with a bowel obstruction
due to a volvulus first?
The client with a nasogastric tube needs to be assessed for fluid
balance.
This condition can lead to perforation and is life-threatening,
requiring immediate assessment.
The client is experiencing pain, which is always a priority.
The client had surgery yesterday, so they need to be monitored
closely.
14. A client is on a full liquid diet following gastric surgery. Which food brought
to the client by a family member indicates to the nurse that dietary teaching
QUESTIONS AND ANSWERS GRADED A+ ASSURED
SUCCESS
1. If a patient is experiencing difficulty maintaining an oxygen saturation level
above 94%, what action should the nurse take regarding the facemask?
Change the type of facemask being used.
Remove the facemask entirely.
Instruct the patient to take breaks from the facemask.
Adjust the oxygen level on the flow meter.
2. If the client’s weight changes to 170 pounds, how would you recalculate the
dosage of dalteparin to be administered?
Increase the dosage by 50 units.
Calculate the new dosage based on 170 pounds and convert to
milliliters.
Use the original weight for dosage calculation.
Administer the same dosage as before.
3. What is the recommended position for a client to enhance lung expansion?
Lateral position
Supine position
Fowler's position
Prone position
,4. If a patient with bipolar disorder presents with a serum lithium level of 1.6 and
exhibits confusion and tremors, what should the nurse prioritize in their care
plan?
Adjustment of the patient's medication regimen.
Increased monitoring of the patient's sleep patterns.
Referral to a psychiatrist for further evaluation.
Immediate assessment and potential intervention for lithium toxicity.
5. In a scenario where a patient presents with decreased breath sounds,
productive cough, and cyanosis, what immediate nursing intervention should
be prioritized?
Encourage deep breathing exercises
Perform a chest X-ray
Increase fluid intake
Administer supplemental oxygen
6. If a patient with hypothyroidism does not respond to the initial dose of
levothyroxine, what should the nurse consider next?
Continue administering the same dose without changes.
Reassess the patient's thyroid hormone levels and consult the
healthcare provider for possible dosage adjustment.
Switch the patient to a different medication immediately.
Increase the dose of levothyroxine without consulting the provider.
7. If a nurse assesses that a client is at high risk for suicide after their statement,
what is the most appropriate action to take next?
, Dismiss the statement as a cry for attention.
Encourage the client to engage in group therapy.
Schedule a follow-up appointment in a week.
Implement a safety plan and involve mental health services.
8. Which two items are essential for administering oxygen to a client?
Humidifier bottle, Sterile water
Nasal cannula, Flow meter
Lambs wool, Humidifier bottle
Suction canister, Tape
9. You are the nurse caring for a patient with preeclampsia. When checking her
deep tendon reflexes, what are you expecting to see?
absent reflexes
normal reflexes
increased reflexes
diminished reflexes
10. What is one key instruction a nurse should give to parents regarding home
phototherapy for a child with elevated bilirubin levels?
Feed the infant every four hours.
Reposition the infant every two hours.
Perform diaper changes under the light.
Cover with a receiving blanket.
, 11. What type of precautions should be instituted for a client suspected to have
MRSA?
Contact precautions
Standard precautions
Airborne precautions
Droplet precautions
12. Why is it important to reposition an infant undergoing home phototherapy
every two hours?
Repositioning is necessary to facilitate feeding.
Repositioning helps ensure even exposure to the light, which is
crucial for effective treatment.
Repositioning prevents the infant from becoming too comfortable.
Repositioning is only required if the infant shows signs of discomfort.
13. Why is it crucial for the nurse to assess the client with a bowel obstruction
due to a volvulus first?
The client with a nasogastric tube needs to be assessed for fluid
balance.
This condition can lead to perforation and is life-threatening,
requiring immediate assessment.
The client is experiencing pain, which is always a priority.
The client had surgery yesterday, so they need to be monitored
closely.
14. A client is on a full liquid diet following gastric surgery. Which food brought
to the client by a family member indicates to the nurse that dietary teaching
