HESI RN EXIT EXAM 160 QUESTIONS AND
ANSWERS GRADED A+ 2026
Which information is a priority for the RN to reinforce to an older client
after intravenous pyelography?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is
tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every
hour for the next 2 days
D) Measure the urine output for the next day and immediately notify
the health care provider if it should decrease. ANS >>D: Measure
the urine output for the next day and immediately notify the health
care provider if it should decrease.
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
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight ANS >>D: weekly weight
,HESI RN EXIT EXAM
A client has been diagnosed with Zollinger-Ellison syndrome. Which
information is most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastronomes
form in the pancreas or in the upper part of the small intestine
(duodenum)
B) It is critical to report promptly to your health care provider any
findings of peptic ulcers
c) Treatment consists of medications to reduce acid and heal any
peptic ulcers and, if possible, surgery to remove any tumors
D) With the average age at diagnosis at 50 years the peptic ulcers
may occur at unusual areas of the stomach or intestine ANS >>The
correct answer is B: It is critical to report promptly to your health care
provider any findings of peptic ulcers.
A primigravida in the third trimester is hospitalized for preeclampsia.
The nurse determines that the client's blood pressure is increasing.
Which action should the nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output ANS >>B: Have the client turn to the left
side
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?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea ANS >>C: A cold, pale lower leg
,HESI RN EXIT EXAM
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?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash D) Muscle tenderness ANS >>B: Fever of
103 degrees F (39.5 degrees C)
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?
A) Until the health care provider has determined that your ejaculate
doesn't contain sperm, continue to use another form of
contraception.
B) This procedure doesn't impede the production of male hormones or
the production of sperm in the testicles. The sperm can no longer
enter your semen and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at
least 48 hours. If your work doesn't involve hard physical labor, you
can return to your job as soon as you feel up to it. The stitches
generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice, an
athletic supporter or over-the- counter pain medication to relieve any
discomfort. ANS >>A: Until the health care provider has determined
that your ejaculate doesn't contain sperm, continue to use another
form of contraception.
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?
A) Some needles go as deep as 3 inches, depending on where
they're placed in the body and what the treatment is for. The needles
usually are left in for 15 to 30 minutes.
B) In traditional Chinese medicine, imbalances in the basic
energetic flow of life — known as qi or chi — are thought to cause
illness.
C) The flow of life is believed to flow through major pathways or
nerve clusters in your body.
, HESI RN EXIT EXAM
D) By inserting extremely fine needles into some of the over 400
acupuncture points in various combinations it is believed that energy
flow will rebalance to allow the body's natural healing mechanisms to
take over. ANS >>C: The flow of life is believed to flow through
major pathways or nerve clusters in your body.
The nurse is discussing with a group of students the disease
Kawasaki. What statement made by a student about Kawasaki
disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it
affects the mucous membranes (inside the mouth, throat and nose),
skin and lymph nodes.
B) In the second phase of the disease, findings include peeling of the
skin on the hands and feet with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children younger
than age 5 and children of Hispanic descent