HESI RN EXIT 2025/2026 EXAM V5/ACTUAL COMPLETE ALL
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS ) ALREADY GRADED
A+ ASSURED/NEWEST !!!
When performing postural drainage on a client with
chronic obstructive pulmonary disease, which
approach should the nurse use? a. Explain that the
client may be placed in five positions
b. Instruct the client to breathe shallow and fast
c. Obtain arterial blood gases prior to the procedure
d. Perform the drainage immediately after meals - ANSWER-a.
Explain that the client may be placed in five positions
A young male client with testicular cancer has a living will that
describes his desire that no extraordinary measures be taken
to save his life. The health care provider knows the client has a
good prognosis and refuses to write a "do not resuscitate"
(DNR) prescription. Which action should the nurse take?
A. Initiate an Ethics Committee review of the case
B. Place a DNR bracelet on the client's arm
C. Ensure resuscitation equipment is available
D. Ask the family to review options with the client - ANSWER-A.
Initiate an
,Ethics Committee review of the case
In observing a client's face, which assessment finding
requires the most immediate intervention by the nurse?
a. Cornea are jaundiced
b. Oral mucosa is cyanotic
c. Face is flushed and diaphoretic
d. Eyelids are matted and crusted - ANSWER-b. Oral mucosa is
cyanotic
The nurse is assessing a client with cirrhosis and notes that the
client has a positive Babinski reflex. Which action should the
nurse take in response to the finding?
a. Ask the client to describe recent alcohol use
b. Keep the clients feet elevated when in bed
c. Assess the clients muscle strength and tone
d. Complete a thorough neurological assessment - ANSWER-d.
Complete a thorough neurological assessment
Which action should the nurse take first after obtaining a urine
specimen for culture and sensitivity from an indwelling urinary
catheter?
a. Ensure that the drainage bag is attached to the bed frame
b. Ensure continued sterility of the specimen container
c. Securely fasten the clamp on the drainage bag
,d. Label the container with the clients identifiers - ANSWER-c.
Securely fasten the clamp on the drainage bag
?
The home health nurse observes an older client with unilateral
weakness place the walker in front of the chair for support
while rising to a standing position.
Which action should the nurse take?
a. Hold the Walker securely to prevent slipping when the client
rises
b. Applied gait belt to assist the client to rise out of the chair
c. Instruct the client to use the arms of the chair for support
d. Encourage the client to use the weaker leg with the walker
when rising - ANSWER-a. Hold the walker securely to prevent
slipping when the client rises
A client with cancer complains of fever, chills, malaise, and
headache following administration of a colony stimulating
factor. Which nursing intervention is most beneficial in helping
to reduce the flu like symptoms? a. Monitor lab values for an
increase in WBCs
b. Administer anti emetics before, during, and after therapy
c. Administer acetaminophen Q4H
, d. Monitor vital signs Q4H for 24 hours - ANSWER-a. Monitor lab
values for an increase in wbcs
?
Which laboratory value should the nurse review prior to
administering the initial dose of a statin medication? a. Serum
electrolytes
b. Serum liver enzymes
c. Capillary blood glucose
d. Complete blood count - ANSWER-b. Serum liver enzymes
Following a lumbar puncture, the client voices several
concerns. Which concern indicates that the nurse that the
client is experiencing a complication of the procedure?
a. "I Feel sick to my stomach and I'm going to throw up"
b. "I'm having pain in my lower back when I move my legs"
c. "My throat hurts badly when I swallow and when I talk"
d. "I have a headache that gets worse when I sit up" - ANSWER-
d. "I have a headache that gets worse when I sit up"
The nurse is caring for a client withdrawing from a fentanyl
citrate addiction. The client receives a prescription for
Clonidine 0.2 milligrams PO taken twice daily.
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS ) ALREADY GRADED
A+ ASSURED/NEWEST !!!
When performing postural drainage on a client with
chronic obstructive pulmonary disease, which
approach should the nurse use? a. Explain that the
client may be placed in five positions
b. Instruct the client to breathe shallow and fast
c. Obtain arterial blood gases prior to the procedure
d. Perform the drainage immediately after meals - ANSWER-a.
Explain that the client may be placed in five positions
A young male client with testicular cancer has a living will that
describes his desire that no extraordinary measures be taken
to save his life. The health care provider knows the client has a
good prognosis and refuses to write a "do not resuscitate"
(DNR) prescription. Which action should the nurse take?
A. Initiate an Ethics Committee review of the case
B. Place a DNR bracelet on the client's arm
C. Ensure resuscitation equipment is available
D. Ask the family to review options with the client - ANSWER-A.
Initiate an
,Ethics Committee review of the case
In observing a client's face, which assessment finding
requires the most immediate intervention by the nurse?
a. Cornea are jaundiced
b. Oral mucosa is cyanotic
c. Face is flushed and diaphoretic
d. Eyelids are matted and crusted - ANSWER-b. Oral mucosa is
cyanotic
The nurse is assessing a client with cirrhosis and notes that the
client has a positive Babinski reflex. Which action should the
nurse take in response to the finding?
a. Ask the client to describe recent alcohol use
b. Keep the clients feet elevated when in bed
c. Assess the clients muscle strength and tone
d. Complete a thorough neurological assessment - ANSWER-d.
Complete a thorough neurological assessment
Which action should the nurse take first after obtaining a urine
specimen for culture and sensitivity from an indwelling urinary
catheter?
a. Ensure that the drainage bag is attached to the bed frame
b. Ensure continued sterility of the specimen container
c. Securely fasten the clamp on the drainage bag
,d. Label the container with the clients identifiers - ANSWER-c.
Securely fasten the clamp on the drainage bag
?
The home health nurse observes an older client with unilateral
weakness place the walker in front of the chair for support
while rising to a standing position.
Which action should the nurse take?
a. Hold the Walker securely to prevent slipping when the client
rises
b. Applied gait belt to assist the client to rise out of the chair
c. Instruct the client to use the arms of the chair for support
d. Encourage the client to use the weaker leg with the walker
when rising - ANSWER-a. Hold the walker securely to prevent
slipping when the client rises
A client with cancer complains of fever, chills, malaise, and
headache following administration of a colony stimulating
factor. Which nursing intervention is most beneficial in helping
to reduce the flu like symptoms? a. Monitor lab values for an
increase in WBCs
b. Administer anti emetics before, during, and after therapy
c. Administer acetaminophen Q4H
, d. Monitor vital signs Q4H for 24 hours - ANSWER-a. Monitor lab
values for an increase in wbcs
?
Which laboratory value should the nurse review prior to
administering the initial dose of a statin medication? a. Serum
electrolytes
b. Serum liver enzymes
c. Capillary blood glucose
d. Complete blood count - ANSWER-b. Serum liver enzymes
Following a lumbar puncture, the client voices several
concerns. Which concern indicates that the nurse that the
client is experiencing a complication of the procedure?
a. "I Feel sick to my stomach and I'm going to throw up"
b. "I'm having pain in my lower back when I move my legs"
c. "My throat hurts badly when I swallow and when I talk"
d. "I have a headache that gets worse when I sit up" - ANSWER-
d. "I have a headache that gets worse when I sit up"
The nurse is caring for a client withdrawing from a fentanyl
citrate addiction. The client receives a prescription for
Clonidine 0.2 milligrams PO taken twice daily.
