EXIT HESI V5 2026 COMPREHENSIVE
PRACTICE QUESTIONS AND ANSWERS
COMPLETE RN EXIT EXAM PREPARATION
RESOURCE NGN-STYLE CLINICAL
JUDGMENT, COMPREHENSIVE NURSING
REVIEW, DETAILED RATIONALES,
PRACTICE TESTS AND FINAL EXAM STUDY
GUIDE
You are teaching a client about the patient controlled analgesia (PCA)
planned for post-operative care. Which indicates further teaching may be
needed by the client?
A) "I will be receiving continuous doses of medication."
B) "I should call the nurse before I take additional doses."
C) "I will call for assistance if my pain is not relieved."
D) "The machine will prevent an overdose." - CORRECT ANSWER -B) "I
should call the nurse before I take additional doses."
When caring for a client with advanced cirrhosis of the liver, which nursing
diagnosis should take priority?
A) Risk for injury: hemorrhage
B) Risk for injury related to peripheral neuropathy
C) Altered nutrition: less than body requirements
,D) Fluid volume excess: ascites - CORRECT ANSWER -A) Risk for injury:
hemorrhage
The nurse is caring for a client with left ventricular heart failure. Which one
of the following assessments is an early indication of inadequate oxygen
transport?
A) Crackles in the lungs
B) Confusion and restlessness
C) Distended neck veins
D) Use of accessory muscles - CORRECT ANSWER -B) Confusion and
restlessness
On initial examination of a 15 month-old child with suspected otitis media,
which group of findings would the RN anticipate finding?
A) Periorbital edema, absent light reflex and translucent tympanic
membrane
B) Irritability, rhinorrhea, and bulging tympanic membrane
C) Diarrhea, retracted tympanic membrane and enlarged parotid gland
D) Vomiting, pulling at ears and pearly white tympanic membrane -
CORRECT ANSWER -B) Irritability, rhinorrhea, and bulging tympanic
membrane
A child with Tetralogy of Fallot visits the clinic several weeks before
planned surgery. The nurse should give priority attention to
A) Assessment of oxygenation
B) Observation for developmental delays
C) Prevention of infection
,D) Maintenance of adequate nutrition - CORRECT ANSWER -A) Assessment
of oxygenation
When teaching new parents to prevent Sudden Infant Death Syndrome
(SIDS) what is the most important practice the nurse should instruct them
to do?
A) Place the infant in a supine or side lying position for sleep
B) Do not allow anyone to smoke in the home
C) Follow recommended immunization schedule
D) Be sure to check infant every one hour - CORRECT ANSWER -A) Place the
infant in a supine or side lying position for sleep
A client is admitted with a distended bladder due to the inability to void.
The nurse obtains an order to catheterize the client knowing that gradual
emptying is preferred over complete emptying because it
A) Reduces the potential for renal collapse
B) Reduces the potential for shock
C) Reduces the intensity of bladder spasms
D) Prevents bladder atrophy - CORRECT ANSWER -B) Reduces the potential
for shock
The nurse is assessing a client with a deep vein thrombosis. Which of the
following signs and/or symptoms would the nurse anticipate finding?
A) Rapid respirations
B) Diaphoresis
C) Swelling of lower extremity
, D) Positive Babinski's sign - CORRECT ANSWER -C) Swelling of lower
extremity
A 6 year-old female is diagnosed with recurrent urinary tract infections
(UTI). Which one of the following instructions would be best for the nurse
to tell the caregiver?
A) Increase bladder tone by delaying voiding
B) When laundering clothing, rinse several times
C) Use plain water for the bath, shampooing hair last
D) Have the child use antibacterial soaps while bathing - CORRECT
ANSWER -C) Use plain water for the bath, shampooing hair last
A woman comes to the antepartum clinic for a routine prenatal
examination. She is 12 weeks pregnant with her second child. Which of the
following shows proper documentation of the client's obstetric history by
the nurse?
A) Para 2, Gravida 1
B) Nulligravida 2, Para 1
C) Primagravida 1, Para 1
D) Gravida 2, Para 1 - CORRECT ANSWER -D) Gravida 2, Para 1
On admission to the hospital a client with an acute asthma episode has
intermittent nonproductive coughing and a pulse oximeter reading of 88%.
The client states, "I feel like this is going to be a bad time this admission. I
wish I would not have gone into that bar with all
those people who smoke last night." Which nursing diagnoses would be
most important for this client?
PRACTICE QUESTIONS AND ANSWERS
COMPLETE RN EXIT EXAM PREPARATION
RESOURCE NGN-STYLE CLINICAL
JUDGMENT, COMPREHENSIVE NURSING
REVIEW, DETAILED RATIONALES,
PRACTICE TESTS AND FINAL EXAM STUDY
GUIDE
You are teaching a client about the patient controlled analgesia (PCA)
planned for post-operative care. Which indicates further teaching may be
needed by the client?
A) "I will be receiving continuous doses of medication."
B) "I should call the nurse before I take additional doses."
C) "I will call for assistance if my pain is not relieved."
D) "The machine will prevent an overdose." - CORRECT ANSWER -B) "I
should call the nurse before I take additional doses."
When caring for a client with advanced cirrhosis of the liver, which nursing
diagnosis should take priority?
A) Risk for injury: hemorrhage
B) Risk for injury related to peripheral neuropathy
C) Altered nutrition: less than body requirements
,D) Fluid volume excess: ascites - CORRECT ANSWER -A) Risk for injury:
hemorrhage
The nurse is caring for a client with left ventricular heart failure. Which one
of the following assessments is an early indication of inadequate oxygen
transport?
A) Crackles in the lungs
B) Confusion and restlessness
C) Distended neck veins
D) Use of accessory muscles - CORRECT ANSWER -B) Confusion and
restlessness
On initial examination of a 15 month-old child with suspected otitis media,
which group of findings would the RN anticipate finding?
A) Periorbital edema, absent light reflex and translucent tympanic
membrane
B) Irritability, rhinorrhea, and bulging tympanic membrane
C) Diarrhea, retracted tympanic membrane and enlarged parotid gland
D) Vomiting, pulling at ears and pearly white tympanic membrane -
CORRECT ANSWER -B) Irritability, rhinorrhea, and bulging tympanic
membrane
A child with Tetralogy of Fallot visits the clinic several weeks before
planned surgery. The nurse should give priority attention to
A) Assessment of oxygenation
B) Observation for developmental delays
C) Prevention of infection
,D) Maintenance of adequate nutrition - CORRECT ANSWER -A) Assessment
of oxygenation
When teaching new parents to prevent Sudden Infant Death Syndrome
(SIDS) what is the most important practice the nurse should instruct them
to do?
A) Place the infant in a supine or side lying position for sleep
B) Do not allow anyone to smoke in the home
C) Follow recommended immunization schedule
D) Be sure to check infant every one hour - CORRECT ANSWER -A) Place the
infant in a supine or side lying position for sleep
A client is admitted with a distended bladder due to the inability to void.
The nurse obtains an order to catheterize the client knowing that gradual
emptying is preferred over complete emptying because it
A) Reduces the potential for renal collapse
B) Reduces the potential for shock
C) Reduces the intensity of bladder spasms
D) Prevents bladder atrophy - CORRECT ANSWER -B) Reduces the potential
for shock
The nurse is assessing a client with a deep vein thrombosis. Which of the
following signs and/or symptoms would the nurse anticipate finding?
A) Rapid respirations
B) Diaphoresis
C) Swelling of lower extremity
, D) Positive Babinski's sign - CORRECT ANSWER -C) Swelling of lower
extremity
A 6 year-old female is diagnosed with recurrent urinary tract infections
(UTI). Which one of the following instructions would be best for the nurse
to tell the caregiver?
A) Increase bladder tone by delaying voiding
B) When laundering clothing, rinse several times
C) Use plain water for the bath, shampooing hair last
D) Have the child use antibacterial soaps while bathing - CORRECT
ANSWER -C) Use plain water for the bath, shampooing hair last
A woman comes to the antepartum clinic for a routine prenatal
examination. She is 12 weeks pregnant with her second child. Which of the
following shows proper documentation of the client's obstetric history by
the nurse?
A) Para 2, Gravida 1
B) Nulligravida 2, Para 1
C) Primagravida 1, Para 1
D) Gravida 2, Para 1 - CORRECT ANSWER -D) Gravida 2, Para 1
On admission to the hospital a client with an acute asthma episode has
intermittent nonproductive coughing and a pulse oximeter reading of 88%.
The client states, "I feel like this is going to be a bad time this admission. I
wish I would not have gone into that bar with all
those people who smoke last night." Which nursing diagnoses would be
most important for this client?
