HESI COMPREHENSIVE EXIT EXAMINATION
TEST 2026 ACTUAL EXAM SOLVED
QUESTIONS GRADED A+
◉ 21 The mother of an adolescent with type 1 diabetes mellitus tells
the nurse that her child is a member of the school soccer team and
expresses concern about her child's participation in sports. The
nurse, after providing information to the mother about diet,
exercise, insulin, and blood glucose control, tells the mother:
A. To always administer less insulin on the days of soccer games
B. That it is best not to encourage the child to participate in sports
activities
C. That the child should eat a carbohydrate snack about a half-hour
before each soccer game
D. To administer additional insulin before a soccer game if the blood
glucose level is 240 mg/dL or higher and ketones are present
Answer: C. That the child should eat a carbohydrate snack about a
half-hour before each soccer game
◉ 22 A client with chronic renal failure who will require dialysis
three times a week for the rest of his life says to the nurse, "Why
should I even bother to watch what I eat and drink? It doesn't really
matter what I do if I'm never going to get better!" On the basis of the
,client's statement, the nurse determines that the client is
experiencing which problem?
A. Anxiety
B. Powerlessness
C. Ineffective coping
D. Disturbed body image
Answer: B. Powerlessness
◉ 23 A nurse is providing morning care to a client in end-stage renal
failure. The client is reluctant to talk and shows little interest in
participating in hygiene care. Which statement by the nurse would
be therapeutic?
A. "What are your feelings right now?"
B. "Why don't you feel like washing up?"
C. "You aren't talking today. Cat got your tongue?"
D. "You need to get yourself cleaned up. You have company coming
today."
Answer: A. "What are your feelings right now?"
◉ 24 Empyema develops in a client with an infected pleural effusion,
and the nurse prepares the client for thoracentesis. What
characteristics of the fluid removed during thoracentesis should the
nurse, assisting the physician with the procedure, expect to note?
,A. Clear and yellow
B. Thick and opaque
C. White and odorless
D. Clear, with a foul odor
Answer: B. Thick and opaque
◉ 25 An emergency department nurse is told that a client with
carbon monoxide poisoning resulting from a suicide attempt is being
brought to the hospital by emergency medical services. Which
intervention will the nurse carry out as a priority upon arrival of the
client?
A. Administering 100% oxygen
B. Having a crisis counselor available
C. Instituting suicide precautions for the client
D. Obtaining blood for determination of the client's
carboxyhemoglobin level
Answer: A. Administering 100% oxygen
◉ 26 A nurse is caring for a client with sarcoidosis. The client is
upset because he has missed work and worried about how he will
care financially for his wife and three small children. On the basis of
the client's concern, which problem does the nurse identify?
, A. Anxiety
B. Powerlessness
C. Disruption of thought processes
D. Inability to maintain health
Answer: A. Anxiety
◉ 27 A nurse, performing an assessment of a client who has been
admitted to the hospital with suspected silicosis, is gathering both
subjective and objective data. Which question by the nurse would
elicit data specific to the cause of this disorder?
A. "Do you chew tobacco?"
B. "Do you smoke cigarettes?"
C. "Have you ever worked in a mine?"
D. "Are you frequently exposed to paint products?"
Answer: C. "Have you ever worked in a mine?"
◉ 28 A physician prescribes a dose of morphine sulfate 2.5 mg stat
to be administered intravenously to a client in pain. The nurse
preparing the medication notes that the label on the vial of
morphine sulfate solution for injection reads "4 mg/mL." How many
milliliters (mL) must the nurse draw into a syringe for
administration to the client? Type the answer in the space provided.
TEST 2026 ACTUAL EXAM SOLVED
QUESTIONS GRADED A+
◉ 21 The mother of an adolescent with type 1 diabetes mellitus tells
the nurse that her child is a member of the school soccer team and
expresses concern about her child's participation in sports. The
nurse, after providing information to the mother about diet,
exercise, insulin, and blood glucose control, tells the mother:
A. To always administer less insulin on the days of soccer games
B. That it is best not to encourage the child to participate in sports
activities
C. That the child should eat a carbohydrate snack about a half-hour
before each soccer game
D. To administer additional insulin before a soccer game if the blood
glucose level is 240 mg/dL or higher and ketones are present
Answer: C. That the child should eat a carbohydrate snack about a
half-hour before each soccer game
◉ 22 A client with chronic renal failure who will require dialysis
three times a week for the rest of his life says to the nurse, "Why
should I even bother to watch what I eat and drink? It doesn't really
matter what I do if I'm never going to get better!" On the basis of the
,client's statement, the nurse determines that the client is
experiencing which problem?
A. Anxiety
B. Powerlessness
C. Ineffective coping
D. Disturbed body image
Answer: B. Powerlessness
◉ 23 A nurse is providing morning care to a client in end-stage renal
failure. The client is reluctant to talk and shows little interest in
participating in hygiene care. Which statement by the nurse would
be therapeutic?
A. "What are your feelings right now?"
B. "Why don't you feel like washing up?"
C. "You aren't talking today. Cat got your tongue?"
D. "You need to get yourself cleaned up. You have company coming
today."
Answer: A. "What are your feelings right now?"
◉ 24 Empyema develops in a client with an infected pleural effusion,
and the nurse prepares the client for thoracentesis. What
characteristics of the fluid removed during thoracentesis should the
nurse, assisting the physician with the procedure, expect to note?
,A. Clear and yellow
B. Thick and opaque
C. White and odorless
D. Clear, with a foul odor
Answer: B. Thick and opaque
◉ 25 An emergency department nurse is told that a client with
carbon monoxide poisoning resulting from a suicide attempt is being
brought to the hospital by emergency medical services. Which
intervention will the nurse carry out as a priority upon arrival of the
client?
A. Administering 100% oxygen
B. Having a crisis counselor available
C. Instituting suicide precautions for the client
D. Obtaining blood for determination of the client's
carboxyhemoglobin level
Answer: A. Administering 100% oxygen
◉ 26 A nurse is caring for a client with sarcoidosis. The client is
upset because he has missed work and worried about how he will
care financially for his wife and three small children. On the basis of
the client's concern, which problem does the nurse identify?
, A. Anxiety
B. Powerlessness
C. Disruption of thought processes
D. Inability to maintain health
Answer: A. Anxiety
◉ 27 A nurse, performing an assessment of a client who has been
admitted to the hospital with suspected silicosis, is gathering both
subjective and objective data. Which question by the nurse would
elicit data specific to the cause of this disorder?
A. "Do you chew tobacco?"
B. "Do you smoke cigarettes?"
C. "Have you ever worked in a mine?"
D. "Are you frequently exposed to paint products?"
Answer: C. "Have you ever worked in a mine?"
◉ 28 A physician prescribes a dose of morphine sulfate 2.5 mg stat
to be administered intravenously to a client in pain. The nurse
preparing the medication notes that the label on the vial of
morphine sulfate solution for injection reads "4 mg/mL." How many
milliliters (mL) must the nurse draw into a syringe for
administration to the client? Type the answer in the space provided.
