HESI EXIT 4 VERSION 4 2026
COMPREHENSIVE PRACTICE QUESTIONS
AND ANSWERS COMPLETE RN EXIT EXAM
PREPARATION RESOURCE NGN-STYLE
CLINICAL JUDGMENT, DETAILED
RATIONALES, COMPREHENSIVE NURSING
REVIEW AND FINAL EXAM STUDY GUIDE
The nurse should explain to a client with lung cancer that pleurodesis is
performed to achieve which expected outcome?
A) Prevent the formation of effusion fluid.
B) Remove fluid from the intrapleural space.
C) Debulk tumor to maintain patency of air passages.
D) Relieve empyema after pneumonectomy. - CORRECT ANSWER -a
A female client with type 2 diabetes mellitus reports dysuria. Which
assessment finding is most important for the nurse to report to the
healthcare provider?
A) Suprapubic pain and distention.
B) Bounding pulse at 100 beats/minute.
C) Fingerstick glucose of 300 mg/dl.
D) Small vesicular perineal lesions. - CORRECT ANSWER -c
,A nurse is preparing a teaching plan for a client who is post-menopausal.
Which measure is most important for the nurse to include to prevent
osteoporosis?
A) Take a multivitamin daily.
B) Use only low fat milk products.
C) Perform weight resistance exercises.
D) Bicycle for at least 3 miles every day. - CORRECT ANSWER -c
A young adult female reports that she is experiencing a lack of appetite,
hypersomnia, stress incontinence, and heart palpitations. Which symptom
is characteristic of premenstrual syndrome?
A) Heart palpitations.
B) Anorexia.
C) Hypersomnia.
D) Stress incontinence. - CORRECT ANSWER -a
A nurse is preparing to insert an IV catheter after applying an eutectic
mixture of lidocaine and prilocaine (EMLA), a topical anesthetic cream.
What action should the nurse take to maximize its therapeutic effect?
A) Rub a liberal amount of cream into the skin thoroughly.
B) Cover the skin with a gauze dressing after applying the cream.
C) Leave the cream on the skin for 1 to 2 hours before the procedure.
D) Use the smallest amount of cream necessary to numb the skin surface. -
CORRECT ANSWER -c
,A 26-year-old male client with Hodgkin's disease is scheduled to undergo
radiation therapy. The client expresses concern about the effect of radiation
on his ability to have children. What information should the nurse provide?
A) The radiation therapy causes the inability to have an erection.
B) Radiation therapy with chemotherapy causes temporary infertility.
C) Permanent sterility occurs in male clients who receive radiation.
D) The client should restrict sexual activity during radiotherapy. - CORRECT
ANSWER -c
The nurse is preparing discharge instructions for a client who is going home
with a surgical wound on the coccyx that is healing by second intention.
What is the priority nursing diagnosis that should guide the discharge
instruction plan?
A) Acute pain.
B) Risk for infection.
C) Disturbed body image.
D) Risk for deficient fluid volume. - CORRECT ANSWER -b
The nurse is preparing an adult client for an upper gastrointestinal (UGI)
series. Which information should the nurse include in the teaching plan?
A) The xray procedure may last for several hours.
B) A nasogastric tube (NGT) is inserted to instill the barium.
C) Enemas are given to empty the bowel after the procedure.
D) Nothing by mouth is allowed for 6 to 8 hours before the study. -
CORRECT ANSWER -d
, A client is admitted to the hospital with a traumatic brain injury after his
head violently struck a brick wall during a gang fight. Which finding is most
important for the nurse to assess further?
A) A scalp laceration oozing blood.
B) Serosanguineous nasal drainage.
C) Headache rated 10 on a 0-10 scale.
D) Dizziness, nausea and transient confusion. - CORRECT ANSWER -b
When planning care for a client with right renal calculi, which nursing
diagnosis has the highest priority?
A) Acute pain related to movement of the stone.
B) Impaired urinary elimination related to obstructed flow of urine.
C) Risk for infection related to urinary stasis.
D) Deficient knowledge related to need for prevention of recurrence of
calculi. - CORRECT ANSWER -a
What instruction should the nurse include in the discharge teaching for a
client who needs to perform self-catheterization technique at home?
A) Catheterize every 3 to 4 hours.
B) Maintain sterile technique.
C) Use the Credé maneuver before catheterization.
D) Drink 500 ml of fluid within 2 hours of catheterization. - CORRECT
ANSWER -a
COMPREHENSIVE PRACTICE QUESTIONS
AND ANSWERS COMPLETE RN EXIT EXAM
PREPARATION RESOURCE NGN-STYLE
CLINICAL JUDGMENT, DETAILED
RATIONALES, COMPREHENSIVE NURSING
REVIEW AND FINAL EXAM STUDY GUIDE
The nurse should explain to a client with lung cancer that pleurodesis is
performed to achieve which expected outcome?
A) Prevent the formation of effusion fluid.
B) Remove fluid from the intrapleural space.
C) Debulk tumor to maintain patency of air passages.
D) Relieve empyema after pneumonectomy. - CORRECT ANSWER -a
A female client with type 2 diabetes mellitus reports dysuria. Which
assessment finding is most important for the nurse to report to the
healthcare provider?
A) Suprapubic pain and distention.
B) Bounding pulse at 100 beats/minute.
C) Fingerstick glucose of 300 mg/dl.
D) Small vesicular perineal lesions. - CORRECT ANSWER -c
,A nurse is preparing a teaching plan for a client who is post-menopausal.
Which measure is most important for the nurse to include to prevent
osteoporosis?
A) Take a multivitamin daily.
B) Use only low fat milk products.
C) Perform weight resistance exercises.
D) Bicycle for at least 3 miles every day. - CORRECT ANSWER -c
A young adult female reports that she is experiencing a lack of appetite,
hypersomnia, stress incontinence, and heart palpitations. Which symptom
is characteristic of premenstrual syndrome?
A) Heart palpitations.
B) Anorexia.
C) Hypersomnia.
D) Stress incontinence. - CORRECT ANSWER -a
A nurse is preparing to insert an IV catheter after applying an eutectic
mixture of lidocaine and prilocaine (EMLA), a topical anesthetic cream.
What action should the nurse take to maximize its therapeutic effect?
A) Rub a liberal amount of cream into the skin thoroughly.
B) Cover the skin with a gauze dressing after applying the cream.
C) Leave the cream on the skin for 1 to 2 hours before the procedure.
D) Use the smallest amount of cream necessary to numb the skin surface. -
CORRECT ANSWER -c
,A 26-year-old male client with Hodgkin's disease is scheduled to undergo
radiation therapy. The client expresses concern about the effect of radiation
on his ability to have children. What information should the nurse provide?
A) The radiation therapy causes the inability to have an erection.
B) Radiation therapy with chemotherapy causes temporary infertility.
C) Permanent sterility occurs in male clients who receive radiation.
D) The client should restrict sexual activity during radiotherapy. - CORRECT
ANSWER -c
The nurse is preparing discharge instructions for a client who is going home
with a surgical wound on the coccyx that is healing by second intention.
What is the priority nursing diagnosis that should guide the discharge
instruction plan?
A) Acute pain.
B) Risk for infection.
C) Disturbed body image.
D) Risk for deficient fluid volume. - CORRECT ANSWER -b
The nurse is preparing an adult client for an upper gastrointestinal (UGI)
series. Which information should the nurse include in the teaching plan?
A) The xray procedure may last for several hours.
B) A nasogastric tube (NGT) is inserted to instill the barium.
C) Enemas are given to empty the bowel after the procedure.
D) Nothing by mouth is allowed for 6 to 8 hours before the study. -
CORRECT ANSWER -d
, A client is admitted to the hospital with a traumatic brain injury after his
head violently struck a brick wall during a gang fight. Which finding is most
important for the nurse to assess further?
A) A scalp laceration oozing blood.
B) Serosanguineous nasal drainage.
C) Headache rated 10 on a 0-10 scale.
D) Dizziness, nausea and transient confusion. - CORRECT ANSWER -b
When planning care for a client with right renal calculi, which nursing
diagnosis has the highest priority?
A) Acute pain related to movement of the stone.
B) Impaired urinary elimination related to obstructed flow of urine.
C) Risk for infection related to urinary stasis.
D) Deficient knowledge related to need for prevention of recurrence of
calculi. - CORRECT ANSWER -a
What instruction should the nurse include in the discharge teaching for a
client who needs to perform self-catheterization technique at home?
A) Catheterize every 3 to 4 hours.
B) Maintain sterile technique.
C) Use the Credé maneuver before catheterization.
D) Drink 500 ml of fluid within 2 hours of catheterization. - CORRECT
ANSWER -a
