HESI EXIT RN V4 2026 COMPREHENSIVE
PRACTICE QUESTIONS AND ANSWERS
COMPLETE RN EXIT EXAM PREPARATION
RESOURCE NGN STYLE PRACTICE TESTS,
CLINICAL JUDGMENT REVIEW, DETAILED
RATIONALES, COMPREHENSIVE NURSING
STUDY GUIDE AND FINAL EXAM SUCCESS
RESOURCE
86. The nurse is caring for a client who is in the late stage of multiple
myeloma. Which of the following should be included in the plan of care?
A) Monitor for hyperkalemia
B) Place in protective isolation
C) Precautions with position changes
D) Administer diuretics as ordered - CORRECT ANSWER -C: Precautions
with position changes
87. The nurse is making a home visit to a client with chronic obstructive
pulmonary disease (COPD). The client tells the nurse that he used to be
able to walk from the house to the mailbox without difficulty. Now, he has
to pause to catch his breath halfway through the trip. Which diagnosis
would be most appropriate for this client based on this assessment?
,A) Activity intolerance caused by fatigue related to chronic tissue hypoxia
B) Impaired mobility related to chronic obstructive pulmonary disease
C) Self care deficit caused by fatigue related to dyspnea
D) Ineffective airway clearance related to increased bronchial secretions -
CORRECT ANSWER -A: Activity intolerance caused by fatigue related to
chronic tissue hypoxia
88. The nurse admits a client newly diagnosed with hypertension. What is
the best method for assessing the blood pressure?
A) Standing and sitting
B) In both arms
C) After exercising
D) Supine position - CORRECT ANSWER -B: In both arms
89. The nurse is caring for residents in a long term care setting for the
elderly. Which of the following activities will be most effective in meeting
the growth and development needs for persons in this age group?
A) Aerobic exercise classes
B) Transportation for shopping trips
C) Reminiscence groups
D) Regularly scheduled social activities - CORRECT ANSWER -C:
Reminiscence groups
,90. Post-procedure nursing interventions for electroconvulsive therapy
include
A) Applying hard restraints if seizure occurs
B) Expecting client to sleep for 4 to 6 hours
C) Remaining with client until oriented
D) Expecting long-term memory loss - CORRECT ANSWER -C: Remaining
with client until oriented
91. The nurse assesses delayed gross motor development in a 3 year-old
child. The inability of the child to do which action confirms this finding?
A) Stand on 1 foot
B) Catch a ball
C) Skip on alternate feet
D) Ride a bicycle - CORRECT ANSWER -A: Stand on 1 foot
92. The mother of a 15 month-old child asks the nurse to explain her child's
lab results and how they show her child has iron deficiency anemia. The
nurse's best response is
A) "Although the results are here, your doctor will explain them later."
B) "Your child has less red blood cells that carry oxygen."
C) "The blood cells that carry nutrients to the cells are too large."
D) "There are not enough blood cells in your child's circulation." - CORRECT
ANSWER -B: "Your child has less red blood cells that carry oxygen."
, 93. In a child with suspected coarctation of the aorta, the nurse would
expect to find
A) Strong pedal pulses
B) Diminishing carotid pulses
C) Normal femoral pulses
D) Bounding pulses in the arms - CORRECT ANSWER -D: Bounding pulses
in the arms
94. At the day treatment center a client diagnosed with Schizophrenia -
Paranoid Type sits alone alertly watching the activities of clients and staff.
The client is hostile when approached and asserts that the doctor gives her
medication to control her mind. The client's behavior most likely indicates
A) Feelings of increasing anxiety related to paranoia
B) Social isolation related to altered thought processes
C) Sensory perceptual alteration related to withdrawal from environment
D) Impaired verbal communication related to impaired judgment -
CORRECT ANSWER -B: Social isolation related to altered thought processes
95. A 65-year-old Hispanic-Latino client with prostate cancer rates his pain
as a 6 on a 0- to-10 scale. The client refuses all pain medication other than
Motrin, which does not relieve his pain. The next action for the nurse to
take is to
A) Ask the client about the refusal of certain pain medications
PRACTICE QUESTIONS AND ANSWERS
COMPLETE RN EXIT EXAM PREPARATION
RESOURCE NGN STYLE PRACTICE TESTS,
CLINICAL JUDGMENT REVIEW, DETAILED
RATIONALES, COMPREHENSIVE NURSING
STUDY GUIDE AND FINAL EXAM SUCCESS
RESOURCE
86. The nurse is caring for a client who is in the late stage of multiple
myeloma. Which of the following should be included in the plan of care?
A) Monitor for hyperkalemia
B) Place in protective isolation
C) Precautions with position changes
D) Administer diuretics as ordered - CORRECT ANSWER -C: Precautions
with position changes
87. The nurse is making a home visit to a client with chronic obstructive
pulmonary disease (COPD). The client tells the nurse that he used to be
able to walk from the house to the mailbox without difficulty. Now, he has
to pause to catch his breath halfway through the trip. Which diagnosis
would be most appropriate for this client based on this assessment?
,A) Activity intolerance caused by fatigue related to chronic tissue hypoxia
B) Impaired mobility related to chronic obstructive pulmonary disease
C) Self care deficit caused by fatigue related to dyspnea
D) Ineffective airway clearance related to increased bronchial secretions -
CORRECT ANSWER -A: Activity intolerance caused by fatigue related to
chronic tissue hypoxia
88. The nurse admits a client newly diagnosed with hypertension. What is
the best method for assessing the blood pressure?
A) Standing and sitting
B) In both arms
C) After exercising
D) Supine position - CORRECT ANSWER -B: In both arms
89. The nurse is caring for residents in a long term care setting for the
elderly. Which of the following activities will be most effective in meeting
the growth and development needs for persons in this age group?
A) Aerobic exercise classes
B) Transportation for shopping trips
C) Reminiscence groups
D) Regularly scheduled social activities - CORRECT ANSWER -C:
Reminiscence groups
,90. Post-procedure nursing interventions for electroconvulsive therapy
include
A) Applying hard restraints if seizure occurs
B) Expecting client to sleep for 4 to 6 hours
C) Remaining with client until oriented
D) Expecting long-term memory loss - CORRECT ANSWER -C: Remaining
with client until oriented
91. The nurse assesses delayed gross motor development in a 3 year-old
child. The inability of the child to do which action confirms this finding?
A) Stand on 1 foot
B) Catch a ball
C) Skip on alternate feet
D) Ride a bicycle - CORRECT ANSWER -A: Stand on 1 foot
92. The mother of a 15 month-old child asks the nurse to explain her child's
lab results and how they show her child has iron deficiency anemia. The
nurse's best response is
A) "Although the results are here, your doctor will explain them later."
B) "Your child has less red blood cells that carry oxygen."
C) "The blood cells that carry nutrients to the cells are too large."
D) "There are not enough blood cells in your child's circulation." - CORRECT
ANSWER -B: "Your child has less red blood cells that carry oxygen."
, 93. In a child with suspected coarctation of the aorta, the nurse would
expect to find
A) Strong pedal pulses
B) Diminishing carotid pulses
C) Normal femoral pulses
D) Bounding pulses in the arms - CORRECT ANSWER -D: Bounding pulses
in the arms
94. At the day treatment center a client diagnosed with Schizophrenia -
Paranoid Type sits alone alertly watching the activities of clients and staff.
The client is hostile when approached and asserts that the doctor gives her
medication to control her mind. The client's behavior most likely indicates
A) Feelings of increasing anxiety related to paranoia
B) Social isolation related to altered thought processes
C) Sensory perceptual alteration related to withdrawal from environment
D) Impaired verbal communication related to impaired judgment -
CORRECT ANSWER -B: Social isolation related to altered thought processes
95. A 65-year-old Hispanic-Latino client with prostate cancer rates his pain
as a 6 on a 0- to-10 scale. The client refuses all pain medication other than
Motrin, which does not relieve his pain. The next action for the nurse to
take is to
A) Ask the client about the refusal of certain pain medications
