HESI EXAM zm
Exam Solution zm
Hesi Exit Exam 2026 A+ GRADE ASSURED COMPLETE S
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OLUTIONS AND VERIFIED ANSWERS (18D0A) zm zm zm zm
QUESTION 1 zm
1. Which type of management style is a case management model for nursing care deli
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very?
a. Patient focused and primary nursing.
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b. Clinically oriented and business oriented.
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c. Centralized and decentralized systems models.
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d. Clinical pathways and patient classifications
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ANSWER
A
QUESTION 2 zm
2. The nurse is assessing a client with multiple trauma from a motorcycle crash who i
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s being ventilated due to multiple organ dysfunction syndrome (MODS). Which system
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massessment should the nurse monitor as an indicator of MODS progression?
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a. Cardiac function.
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b. Renal function.
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c. Hepatic function.
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d. Coagulation system.
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ANSWER
B
QUESTION 3 zm
5. Which action should the nurse implement when implementing a physical assessmen
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t of an older client?
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a. Avoid unnecessary touching while interacting with the client.
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b. Apply additional pressure to palpate the hepatic edge.
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,c. Arrange the exam sequence to minimizes position changes.
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d. Speak loudly and slowly when telling the client how to assist.
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ANSWER
C
QUESTION 4 zm
6. When culturing a wound, the nurse should obtain the sample from which part of th
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e wound?
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a. The outer edges of the wound.
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b. All necrotic sections of the wound.
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c. Areas containing purulent or pooled exudates.
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d. Any particularly painful area of the wound.
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ANSWER
C
QUESTION 5 zm
8. A client is transferred to the postoperative unit after 2 hours in the postanesthesia
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care unit (PACU). What is the priority nursing action?
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a. Determine the client's pain.
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b. Take the client's vital signs.
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c. Calculate the IV infusion rate.
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d. Check the postop prescriptions.
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ANSWER
B
QUESTION 6 zm
13. Which action should the nurse take first when performing tracheostomy care?
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a. Cleanse around the stoma.
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b. Suction the tracheostomy.
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c. Oxygenate with 100% oxygen.
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d. Secure the new neck strap.
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ANSWER
C
QUESTION 7 zm
,14. Which type of delivery of nursing care is organized around tasks?
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a. Team nursing.
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b. Primary nursing.
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c. Case management.
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d. Functional nursing.
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ANSWER
D
QUESTION 8 zm
15. During an admission assessment interview, a client states, "I do not use many dru
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gs." How should the nurse respond?
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a. "Tell me about the drugs you use now."
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b. "Explain what you mean by many drugs."
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c. "Do you mean legal drugs or illegal ones?"
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d. "What kind of drugs are you talking about?"
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ANSWER
A
QUESTION 9 zm
17. What instrument should the nurse use to determine the presence of deep tendon
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reflexes?
a. Goniometer.
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b. Wood's lamp.
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c. Reflex hammer.
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d. Transilluminator.
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ANSWER
C
QUESTION 10 zm
18. Which client is at highest risk for chronic kidney disease (CKD) secondary to diab
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etes mellitus (DM)?
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a. Type 1 DM and a serum hemoglobin-A1c of 3.5%.
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b. Type 1 DM and retinopathy and mild vision loss.
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c. Type 2 DM and hypertension controlled by metoprolol.
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d. Type 2 DM and a history of morbid obesity for 5 years.
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ANSWER
B
, QUESTION 11 zm
21. An overweight adolescent girl has been to the school nurse three times in the last
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mtwo months complaining of vaginal and urinary tract infections. What action should t
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he nurse take first?
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a. Counsel the girl regarding hygiene.
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b. Ask if she is going to the bathroom frequently.
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c. Teach the girl the importance of practicing safe sex.
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d. Encourage the girl to see the school counselor.
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ANSWER
B
QUESTION 12 zm
24. Which outcome statement or goal should the nurse include in the plan of care of a
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n adolescent diagnosed with anorexia nervosa?
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a. Improve the client's body perception.
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b. Consume at least 50% of all meals.
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c. Exercise no more than one hour daily.
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d. 5% decrease in serum potassium levels.
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ANSWER
B
QUESTION 13 zm
25. Which clinical finding should the nurse identify in a client who is admitted with c
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ardiac cirrhosis? zm
a. Jaundice.
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b. Vomiting.
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c. Peripheral edema.
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d. Left upper quadrant pain.
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ANSWER
C
QUESTION 14 zm
26. While assessing the hair and scalp of an adult client, the nurse notes that the clie
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nt has dry, brittle hair. Which information should the nurse obtain first?
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a. Unexplained weight gain.
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b. Current hair care practices.
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Exam Solution zm
Hesi Exit Exam 2026 A+ GRADE ASSURED COMPLETE S
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OLUTIONS AND VERIFIED ANSWERS (18D0A) zm zm zm zm
QUESTION 1 zm
1. Which type of management style is a case management model for nursing care deli
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very?
a. Patient focused and primary nursing.
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b. Clinically oriented and business oriented.
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c. Centralized and decentralized systems models.
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d. Clinical pathways and patient classifications
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ANSWER
A
QUESTION 2 zm
2. The nurse is assessing a client with multiple trauma from a motorcycle crash who i
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s being ventilated due to multiple organ dysfunction syndrome (MODS). Which system
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massessment should the nurse monitor as an indicator of MODS progression?
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a. Cardiac function.
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b. Renal function.
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c. Hepatic function.
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d. Coagulation system.
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ANSWER
B
QUESTION 3 zm
5. Which action should the nurse implement when implementing a physical assessmen
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t of an older client?
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a. Avoid unnecessary touching while interacting with the client.
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b. Apply additional pressure to palpate the hepatic edge.
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,c. Arrange the exam sequence to minimizes position changes.
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d. Speak loudly and slowly when telling the client how to assist.
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ANSWER
C
QUESTION 4 zm
6. When culturing a wound, the nurse should obtain the sample from which part of th
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e wound?
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a. The outer edges of the wound.
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b. All necrotic sections of the wound.
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c. Areas containing purulent or pooled exudates.
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d. Any particularly painful area of the wound.
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ANSWER
C
QUESTION 5 zm
8. A client is transferred to the postoperative unit after 2 hours in the postanesthesia
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care unit (PACU). What is the priority nursing action?
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a. Determine the client's pain.
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b. Take the client's vital signs.
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c. Calculate the IV infusion rate.
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d. Check the postop prescriptions.
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ANSWER
B
QUESTION 6 zm
13. Which action should the nurse take first when performing tracheostomy care?
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a. Cleanse around the stoma.
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b. Suction the tracheostomy.
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c. Oxygenate with 100% oxygen.
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d. Secure the new neck strap.
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ANSWER
C
QUESTION 7 zm
,14. Which type of delivery of nursing care is organized around tasks?
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a. Team nursing.
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b. Primary nursing.
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c. Case management.
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d. Functional nursing.
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ANSWER
D
QUESTION 8 zm
15. During an admission assessment interview, a client states, "I do not use many dru
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gs." How should the nurse respond?
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a. "Tell me about the drugs you use now."
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b. "Explain what you mean by many drugs."
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c. "Do you mean legal drugs or illegal ones?"
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d. "What kind of drugs are you talking about?"
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ANSWER
A
QUESTION 9 zm
17. What instrument should the nurse use to determine the presence of deep tendon
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reflexes?
a. Goniometer.
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b. Wood's lamp.
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c. Reflex hammer.
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d. Transilluminator.
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ANSWER
C
QUESTION 10 zm
18. Which client is at highest risk for chronic kidney disease (CKD) secondary to diab
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etes mellitus (DM)?
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a. Type 1 DM and a serum hemoglobin-A1c of 3.5%.
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b. Type 1 DM and retinopathy and mild vision loss.
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c. Type 2 DM and hypertension controlled by metoprolol.
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d. Type 2 DM and a history of morbid obesity for 5 years.
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ANSWER
B
, QUESTION 11 zm
21. An overweight adolescent girl has been to the school nurse three times in the last
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mtwo months complaining of vaginal and urinary tract infections. What action should t
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he nurse take first?
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a. Counsel the girl regarding hygiene.
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b. Ask if she is going to the bathroom frequently.
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c. Teach the girl the importance of practicing safe sex.
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d. Encourage the girl to see the school counselor.
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ANSWER
B
QUESTION 12 zm
24. Which outcome statement or goal should the nurse include in the plan of care of a
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n adolescent diagnosed with anorexia nervosa?
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a. Improve the client's body perception.
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b. Consume at least 50% of all meals.
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c. Exercise no more than one hour daily.
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d. 5% decrease in serum potassium levels.
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ANSWER
B
QUESTION 13 zm
25. Which clinical finding should the nurse identify in a client who is admitted with c
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ardiac cirrhosis? zm
a. Jaundice.
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b. Vomiting.
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c. Peripheral edema.
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d. Left upper quadrant pain.
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ANSWER
C
QUESTION 14 zm
26. While assessing the hair and scalp of an adult client, the nurse notes that the clie
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nt has dry, brittle hair. Which information should the nurse obtain first?
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a. Unexplained weight gain.
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b. Current hair care practices.
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