HESI RN Exit Exam 2025–2026 Accurate
Real Exam 160 Questions and Verified
Correct Answers
The nurse is providing care for a client with severe peripheral arterial disease
(PAD). The client reports a history of rest ischemia, with leg pain that occurs
during the night. Which action should the nurse take in response to this finding?
A. Elevate the legs to assess for color changes
B. Provide a heating pad for PRN use
C. Offer cold packs when the pain occurs
D. Suggest dangling the legs when pain occurs - answer>>>C. Offer cold packs
when the pain occurs
The nurse assess a client being treated for Herpes zoster (shingles). Which
assessments should the nurse include when evaluating the effectiveness of the
the treatment? (Select all that apply)
A. Functional ability
B. Skin integrity
C. Pain scale
D. Bowel sounds
E. heart sounds - answer>>>A. Functional ability
B. Skin integrity
A heparin infusion is prescribed for a client who weighs 220 pounds. After
administering a bolus dose of 80 units/kg, the nurse calculates the infusion rate
for the heparin solution at 18 units/kg/hr. The available solution is Heparin
Sodium 25,000 units in 5% Dextrose injection 250mL. The nurse should program
the infusion pump to deliver how many mL/hour? - answer>>>18
When providing client care the nurse identifies a problem and develops a
related clinical question. Next, the nurse intends to gather evidence so that the
decision-making process in response to the problem and clinical question is
evidence-based. When gathering evidence, which consideration is most
important?
A. Past experience with similar problems
B. Relevance to the situation
C. Related personal values
1|Page
,D. Frequency that the problem occurs - answer>>>B. Relevance to the situation
A client diagnosed with calcium kidney stones has a history of gout. A new
prescription for aluminum hydroxide is scheduled to begin at 0730. Which
client medication should the nurse bring to the healthcare provider's
attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose - answer>>>B. Allopurinol
A client with urge incontinence was treated with onabotuilinumtoxinA injections
and is now experiencing urinary retention. Which action should the nurse include
in the client's plan of care?
A. Provide a bedside commode for immediate use in the client's room
B. Teach the client techniques for performing intermittent catheterization
C. Explain the need to limit intake of oral fluids to reduce client discomfort
D. Remind the client to practice pelvic floor (Kegel) exercises regularly -
answer>>>D. Remind the client to practice pelvic floor (Kegel) exercises
regularly
After a spider bite on the lower extremity, a client is admitted for treatment of
an infection that is spreading up the leg. Which admission assessment findings
should the nurse report to the healthcare provider? (Select all that apply)
A. Location of the initial IV site
B. Red blood cell count (RBC)
C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
E. Core body temperature - answer>>>C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
E. Core body temperature
The home care nurse visits a client who has cancer. The client reports having a
good appetite but experiencing nausea when smelling food cooking. Which
action should the nurse implement?
A. Encourage family members to cook meals outdoors and bring the cooked food
inside
B. Assess the client's mucous membranes and report the findings to the
healthcare provider
C. Advise the client to replace cooked foods with a variety of different
nutritional supplements
2|Page
,D. Instruct the client to take an antiemetic before every meal to prevent
excessive vomiting - answer>>>A. Encourage family members to cook meals
outdoors and bring the cooked food inside
The nurse is wearing personal protective equipment (PPE) while caring for a client.
When exiting the room, which PPE should be removed first?
A. Gloves
B. Mask
C. Eyewear
D. Gown - answer>>>A. Gloves
An older male client, who is a retired chef, is hospitalized with a diabetic ulcer
on his foot. His daughter tells the nurse that her father has become increasingly
obsessed with the way his food is prepared in the hospital. The nurse's response
should be based on what information?
A. The client probably has an organic brain disease and will likely have Alzheimer's
disease within a few years
B. The family needs a social worker to talk to them about how to handle their
father when he becomes annoying
C. The daughter is under stress and should be encouraged to think about happier
times
D. If the client was compulsive about food when he was younger, the aging
process can magnify this - answer>>>D. If the client was compulsive about food
when he was younger, the aging process can magnify this
A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing
for adverse effects of the medication, which serum laboratory value is most
important for the nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - answer>>>C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory sensitivity,
difficulty engaging in social interactions, and has not yet spoken two-word
phrases. Which assessment should the nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
3|Page
, D. The Ages and Stages Questionnaire (ASQ) - answer>>>A. The Modified
Checklist for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the nurse's legal
responsibility with regard to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the consent
form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is included in the
client's record.
D. Validate the client's understanding of the surgical procedure to be conducted
- answer>>>C. Determine that the surgical consent form has been signed and is
included in the client's record
A client with hyperthyroidism is admitted to the postoperative unit after a subtotal
thyroidectomy. Which of the client's serum laboratory values requires intervention
by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - answer>>>C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some "lumpy
places" in her breasts and that her nipples sometimes leak a yellowish fluid.
She has an appointment with her healthcare provider in two weeks. What
action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere -
answer>>>C. Explain that this normal secretion can be assessed at the next visit
While the nurse is assessing an older client's fall risk, the client reports living at
home alone and never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age -
answer>>>C. Continue to obtain client data needed to complete the fall risk
survey
4|Page
Real Exam 160 Questions and Verified
Correct Answers
The nurse is providing care for a client with severe peripheral arterial disease
(PAD). The client reports a history of rest ischemia, with leg pain that occurs
during the night. Which action should the nurse take in response to this finding?
A. Elevate the legs to assess for color changes
B. Provide a heating pad for PRN use
C. Offer cold packs when the pain occurs
D. Suggest dangling the legs when pain occurs - answer>>>C. Offer cold packs
when the pain occurs
The nurse assess a client being treated for Herpes zoster (shingles). Which
assessments should the nurse include when evaluating the effectiveness of the
the treatment? (Select all that apply)
A. Functional ability
B. Skin integrity
C. Pain scale
D. Bowel sounds
E. heart sounds - answer>>>A. Functional ability
B. Skin integrity
A heparin infusion is prescribed for a client who weighs 220 pounds. After
administering a bolus dose of 80 units/kg, the nurse calculates the infusion rate
for the heparin solution at 18 units/kg/hr. The available solution is Heparin
Sodium 25,000 units in 5% Dextrose injection 250mL. The nurse should program
the infusion pump to deliver how many mL/hour? - answer>>>18
When providing client care the nurse identifies a problem and develops a
related clinical question. Next, the nurse intends to gather evidence so that the
decision-making process in response to the problem and clinical question is
evidence-based. When gathering evidence, which consideration is most
important?
A. Past experience with similar problems
B. Relevance to the situation
C. Related personal values
1|Page
,D. Frequency that the problem occurs - answer>>>B. Relevance to the situation
A client diagnosed with calcium kidney stones has a history of gout. A new
prescription for aluminum hydroxide is scheduled to begin at 0730. Which
client medication should the nurse bring to the healthcare provider's
attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose - answer>>>B. Allopurinol
A client with urge incontinence was treated with onabotuilinumtoxinA injections
and is now experiencing urinary retention. Which action should the nurse include
in the client's plan of care?
A. Provide a bedside commode for immediate use in the client's room
B. Teach the client techniques for performing intermittent catheterization
C. Explain the need to limit intake of oral fluids to reduce client discomfort
D. Remind the client to practice pelvic floor (Kegel) exercises regularly -
answer>>>D. Remind the client to practice pelvic floor (Kegel) exercises
regularly
After a spider bite on the lower extremity, a client is admitted for treatment of
an infection that is spreading up the leg. Which admission assessment findings
should the nurse report to the healthcare provider? (Select all that apply)
A. Location of the initial IV site
B. Red blood cell count (RBC)
C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
E. Core body temperature - answer>>>C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
E. Core body temperature
The home care nurse visits a client who has cancer. The client reports having a
good appetite but experiencing nausea when smelling food cooking. Which
action should the nurse implement?
A. Encourage family members to cook meals outdoors and bring the cooked food
inside
B. Assess the client's mucous membranes and report the findings to the
healthcare provider
C. Advise the client to replace cooked foods with a variety of different
nutritional supplements
2|Page
,D. Instruct the client to take an antiemetic before every meal to prevent
excessive vomiting - answer>>>A. Encourage family members to cook meals
outdoors and bring the cooked food inside
The nurse is wearing personal protective equipment (PPE) while caring for a client.
When exiting the room, which PPE should be removed first?
A. Gloves
B. Mask
C. Eyewear
D. Gown - answer>>>A. Gloves
An older male client, who is a retired chef, is hospitalized with a diabetic ulcer
on his foot. His daughter tells the nurse that her father has become increasingly
obsessed with the way his food is prepared in the hospital. The nurse's response
should be based on what information?
A. The client probably has an organic brain disease and will likely have Alzheimer's
disease within a few years
B. The family needs a social worker to talk to them about how to handle their
father when he becomes annoying
C. The daughter is under stress and should be encouraged to think about happier
times
D. If the client was compulsive about food when he was younger, the aging
process can magnify this - answer>>>D. If the client was compulsive about food
when he was younger, the aging process can magnify this
A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing
for adverse effects of the medication, which serum laboratory value is most
important for the nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - answer>>>C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory sensitivity,
difficulty engaging in social interactions, and has not yet spoken two-word
phrases. Which assessment should the nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
3|Page
, D. The Ages and Stages Questionnaire (ASQ) - answer>>>A. The Modified
Checklist for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the nurse's legal
responsibility with regard to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the consent
form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is included in the
client's record.
D. Validate the client's understanding of the surgical procedure to be conducted
- answer>>>C. Determine that the surgical consent form has been signed and is
included in the client's record
A client with hyperthyroidism is admitted to the postoperative unit after a subtotal
thyroidectomy. Which of the client's serum laboratory values requires intervention
by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - answer>>>C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some "lumpy
places" in her breasts and that her nipples sometimes leak a yellowish fluid.
She has an appointment with her healthcare provider in two weeks. What
action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere -
answer>>>C. Explain that this normal secretion can be assessed at the next visit
While the nurse is assessing an older client's fall risk, the client reports living at
home alone and never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age -
answer>>>C. Continue to obtain client data needed to complete the fall risk
survey
4|Page
