HESI Exit Exam Version 1 | Comprehensive
Exam Review Questions with Verified
Correct Answers and Rationales | Latest
Update 2026/2027 | Already Graded A+
Question 1
Which information is a priority for the RN to reinforce to an older client after
intravenous pylegraphy?
Answer: Measure the urine output for the next day and immediately notify the health
care provider if it should decrease. ✔✔
Rationale: Intravenous pylegraphy uses contrast dye that can be nephrotoxic,
especially in older clients with decreased renal function. Monitoring urine output helps
detect acute kidney injury early, and a decrease should be reported immediately.
Question 2
A client has altered renal function and is being treated at home. The nurse recognizes
that the most accurate indicator of fluid balance during the weekly visits is:
Answer: weekly weight ✔✔
Rationale: Daily weight is the most reliable and sensitive indicator of fluid balance
because 1 kg (2.2 lbs) of weight change equals approximately 1 liter of fluid retention or
loss.
Question 3
A client has been diagnosed with Zollinger-Ellison syndrome. Which information is
most important for the nurse to reinforce with the client?
Answer: It is critical to report promptly to your health care provider any findings of
peptic ulcers ✔✔
Rationale: Zollinger-Ellison syndrome causes gastrin-secreting tumors that lead to
severe, recurrent peptic ulcers. Prompt reporting of ulcer symptoms is essential to
prevent complications such as perforation or hemorrhage.
pg. 1
,Question 4
A primigravida in the third trimester is hospitalized for pre-eclampsia. The nurse
determines that the client's blood pressure is increasing. Which action should the nurse
take first?
Answer: Have the client turn to the left side ✔✔
Rationale: Turning the client to the left lateral position relieves pressure on the vena
cava, improves venous return and cardiac output, and can help lower blood pressure in
pre-eclamptic clients.
Question 5
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause for the most
concern?
Answer: A cold, pale lower leg ✔✔
Rationale: A cold, pale lower leg suggests acute arterial occlusion, possibly from an
embolus dislodged from the atria due to atrial fibrillation. This is a medical emergency
that can lead to limb loss if not treated promptly.
Question 6
The client with infective endocarditis must be assessed frequently by the home health
nurse. Which finding suggests that antibiotic therapy is not effective, and must be
reported by the nurse immediately to the healthcare provider?
Answer: Fever of 103 degrees Fahrenheit (39.5 degrees Celsius) ✔✔
Rationale: Persistent or increasing fever despite antibiotic therapy indicates that the
infection is not responding to treatment, which may require a change in antibiotics or
further evaluation for complications.
Question 7
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
Answer: Until the health care provider has determined that your ejaculate doesn't
contain sperm ✔✔
Rationale: Vasectomy does not provide immediate sterility; it takes several
ejaculations and about 3 months to clear sperm from the seminal vesicles. Clients must
use alternative contraception until a semen analysis confirms the absence of sperm.
pg. 2
, Question 8
A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being
sick all the time and wishes to try acupuncture. Which of these beliefs stated by the
client would be incorrect about acupuncture?
Answer: The flow of life is believed to flow through major pathways or nerve clusters in
your body. ✔✔
Rationale: In traditional Chinese medicine, the flow of life (qi) flows through
meridians, not nerve clusters. The statement incorrectly equates meridians with nerve
clusters.
Question 9
The nurse is discussing with a group of students the disease Kawasaki. What statement
made by a student about Kawasaki disease is incorrect?
Answer: Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent ✔✔
Rationale: Kawasaki disease occurs most often in children of Asian descent, not
Hispanic descent. It does occur more frequently in boys and children under age 5.
Question 10
A client has viral pneumonia affecting 2/3 of the right lung. What would be the best
position to teach the client to lie in every other hour during first 12 hours after
admission?
Answer: Side-lying on the left with the head elevated 10 degrees ✔✔
Rationale: Positioning the client with the healthy (left) lung down and the head
elevated promotes better oxygenation and ventilation-perfusion matching, and allows
for postural drainage of the affected right lung.
Question 11
A client has an indwelling catheter with continuous bladder irrigation after undergoing a
transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time
should be reported to the health care provider?
Answer: minimal drainage into the urinary collection bag ✔✔
pg. 3
Exam Review Questions with Verified
Correct Answers and Rationales | Latest
Update 2026/2027 | Already Graded A+
Question 1
Which information is a priority for the RN to reinforce to an older client after
intravenous pylegraphy?
Answer: Measure the urine output for the next day and immediately notify the health
care provider if it should decrease. ✔✔
Rationale: Intravenous pylegraphy uses contrast dye that can be nephrotoxic,
especially in older clients with decreased renal function. Monitoring urine output helps
detect acute kidney injury early, and a decrease should be reported immediately.
Question 2
A client has altered renal function and is being treated at home. The nurse recognizes
that the most accurate indicator of fluid balance during the weekly visits is:
Answer: weekly weight ✔✔
Rationale: Daily weight is the most reliable and sensitive indicator of fluid balance
because 1 kg (2.2 lbs) of weight change equals approximately 1 liter of fluid retention or
loss.
Question 3
A client has been diagnosed with Zollinger-Ellison syndrome. Which information is
most important for the nurse to reinforce with the client?
Answer: It is critical to report promptly to your health care provider any findings of
peptic ulcers ✔✔
Rationale: Zollinger-Ellison syndrome causes gastrin-secreting tumors that lead to
severe, recurrent peptic ulcers. Prompt reporting of ulcer symptoms is essential to
prevent complications such as perforation or hemorrhage.
pg. 1
,Question 4
A primigravida in the third trimester is hospitalized for pre-eclampsia. The nurse
determines that the client's blood pressure is increasing. Which action should the nurse
take first?
Answer: Have the client turn to the left side ✔✔
Rationale: Turning the client to the left lateral position relieves pressure on the vena
cava, improves venous return and cardiac output, and can help lower blood pressure in
pre-eclamptic clients.
Question 5
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause for the most
concern?
Answer: A cold, pale lower leg ✔✔
Rationale: A cold, pale lower leg suggests acute arterial occlusion, possibly from an
embolus dislodged from the atria due to atrial fibrillation. This is a medical emergency
that can lead to limb loss if not treated promptly.
Question 6
The client with infective endocarditis must be assessed frequently by the home health
nurse. Which finding suggests that antibiotic therapy is not effective, and must be
reported by the nurse immediately to the healthcare provider?
Answer: Fever of 103 degrees Fahrenheit (39.5 degrees Celsius) ✔✔
Rationale: Persistent or increasing fever despite antibiotic therapy indicates that the
infection is not responding to treatment, which may require a change in antibiotics or
further evaluation for complications.
Question 7
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
Answer: Until the health care provider has determined that your ejaculate doesn't
contain sperm ✔✔
Rationale: Vasectomy does not provide immediate sterility; it takes several
ejaculations and about 3 months to clear sperm from the seminal vesicles. Clients must
use alternative contraception until a semen analysis confirms the absence of sperm.
pg. 2
, Question 8
A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being
sick all the time and wishes to try acupuncture. Which of these beliefs stated by the
client would be incorrect about acupuncture?
Answer: The flow of life is believed to flow through major pathways or nerve clusters in
your body. ✔✔
Rationale: In traditional Chinese medicine, the flow of life (qi) flows through
meridians, not nerve clusters. The statement incorrectly equates meridians with nerve
clusters.
Question 9
The nurse is discussing with a group of students the disease Kawasaki. What statement
made by a student about Kawasaki disease is incorrect?
Answer: Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent ✔✔
Rationale: Kawasaki disease occurs most often in children of Asian descent, not
Hispanic descent. It does occur more frequently in boys and children under age 5.
Question 10
A client has viral pneumonia affecting 2/3 of the right lung. What would be the best
position to teach the client to lie in every other hour during first 12 hours after
admission?
Answer: Side-lying on the left with the head elevated 10 degrees ✔✔
Rationale: Positioning the client with the healthy (left) lung down and the head
elevated promotes better oxygenation and ventilation-perfusion matching, and allows
for postural drainage of the affected right lung.
Question 11
A client has an indwelling catheter with continuous bladder irrigation after undergoing a
transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time
should be reported to the health care provider?
Answer: minimal drainage into the urinary collection bag ✔✔
pg. 3
