ASSESSED EXIT HESI EXAM
QUESTIONS AND ANSWERS
2026
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty
of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by
the nurse?
A) Remind the client that it is also important to switch to decaffeinated coffee and tea.
B) Suggest that the client also plan to eat frequent small meals to reduce discomfort.
C) Review with the client the need to avoid foods that are rich in milk and cream.
D) Reinforce this teaching by asking the client to list a dairy food that he might select. - CORRECT
ANSWER -C) Review with the client the need to avoid foods that are rich in milk and cream.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be avoided.
2. A male client with hypertension, who received new antihypertensive prescriptions at his last visit
returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits
that he has not been taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an elevated BP places the
client at risk for which pathophysiological condition?
A) Blindness secondary to cataracts
,B) Acute mkidney minjury mdue mto mglomerular mdamage m m
m
C) Stoke msecondary mto mhemorrhage m m
m
D) Heart mblock mdue mto mmyocardial mdamage m- mCORRECT mANSWER m-C) mStoke msecondary mto
mhemorrhage m m
m
Rationale: mStroke mrelated mto mcerebral mhemorrhage mis mmajor mrisk mfor muncontrolled mhypertension. m
m
3. mThe mnurse mobserves man munlicensed massistive mpersonnel m(UAP) mpositioning ma mnewly madmitted
mclient mwho mhas ma mseizure mdisorder. mThe mclient mis msupine mand mthe mUAP mis mplacing msoft mpillows malong
mthe mside mrails. mWhat maction mshould mthe mnurse mimplement? m m
m
A) Ensure mthat mthe mUAP mhas mplaced mpillows meffectively mto mprotect mthe mclient. m m
m
B) Instruct mthe mUAP mto mobtain msoft mblankets mto msecure mto mthe mside mrails minstead mof mpillows. m m
m
C) Assume mresponsibility mfor mplacing mthe mpillows mwhile mthe mUAP mcompletes manother mtask. m m
m
D) Ask mthe mUAP mto muse msome mof mthe mpillows mto mprop mthe mclient min ma mside mlying mposition. m-
mCORRECT mANSWER m-B) mInstruct mthe mUAP mto mobtain msoft mblankets mto msecure mto mthe mside mrails
minstead mof mpillows. m m
m
Rationale: mThe mnurse mshould minstruct mthe mUAP mto mpad mthe mside mrails mwith msoft mblankets mbecause
mthe muse mof mpillows mcould mresult min msuffocation mand mwould mneed mto mbe mremoved mat mthe monset mof
mseizure. mThe mnurse mCAN mdelegate mpadding mthe mside mrails mto mthe mUAP. m
m
4. mAn madolescent mwith mmajor mdepressive mdisorder mhas mbeen mtaking mduloxetine m(Cymbalta) mfor mthe
mpast m12 mdays. mWhich massessment mrequires mimmediate mfollow-up? m
m
A) Describes mlife mwithout mpurpose m m
,m
B) Complains mof mnausea mand mloss mof mappetite m
m
C) States mis moften mfatigued mand mdrowsy m
m
D) Exhibits man mincrease min msweating m- mCORRECT mANSWER m-A) mDescribes mlife mwithout mpurpose m m
m
Rationale: mCymbalta mis ma mselective mserotonin mand mnorepinephrine mreuptake minhibitor mthat mis mknown
mto mincrease mthe mrisk mof msuicidal mthinking min madolescents mand myoung madults mwith mmajor mdepressive
mdisorder. mB, mC mand mD mare mside meffects. m
m
5. mA m60-year-old mfemale mclient mwith ma mpositive mfamily mhistory mof movarian mcancer mhas mdeveloped man
mabdominal mmass mand mis mbeing mevaluated mfor mpossible movarian mcancer. mHer mpapanicolau m(pap)
msmear mresults mare mnegative. mWhat minformation mshould mthe mnurse minclude min mthe mclient's mteaching
mplan? m m
m
A) Further mevaluation minvolving msurgery mmay mbe mneeded m
m
B) A mpelvic mexam mis malso mneeded mbefore mcancer mis mruled mout m
m
C) Pap msmear mevaluation mshould mbe mcontinued mevery msix mmonth m
m
D) One madditional mnegative mpap msmear min msix mmonths mis mneeded m- mCORRECT mANSWER m-A) mFurther
mevaluation minvolving msurgery mmay mbe mneeded m
m
Rationale: mAn mabdominal mmass min ma mclient mwith mfamily mhistory mfor movarian mcancer mshould mbe
mevaluated mcarefully. m
m
6. mA mclient mwho mrecently munderwear ma mtracheostomy mis mbeing mprepared mfor mdischarge mto mhome.
mWhich minstructions mis mmost mimportant mfor mthe mnurse mto minclude min mthe mdischarge mplan? m
m
A) Explain mhow mto muse mcommunication mtools. m
m
, B) Teach mtracheal msuctioning mtechniques m
m
C) Encourage mself-care mand mindependence. m
m
D) Demonstrate mhow mto mclean mtracheostomy msite. m- mCORRECT mANSWER m-B) mTeach mtracheal
msuctioning mtechniques m
m
Rationale: mSuctioning mhelps mto mclear msecretions mand mmaintain man mopen mairway, mwhich mis mcritical. m
m
7. mIn massessing man madult mclient mwith ma mpartial mrebreather mmask, mthe mnurse mnotes mthat mthe moxygen
mreservoir mbag mdoes mnot mdeflate mcompletely mduring minspiration mand mthe mclient's mrespiratory mrate mis
m14 mbreaths m/ mminute. mWhat maction mshould mthe mnurse mimplement? m
m
A) Encourage mthe mclient mto mtake mdeep mbreaths m
m
B) Remove mthe mmask mto mdeflate mthe mbag m
m
C) Increase mthe mliter mflow mof moxygen m
m
D) Document mthe massessment mdata m- mCORRECT mANSWER m-D) mDocument mthe massessment mdata m m
m
Rational: mreservoir mbag mshould mnot mdeflate mcompletely mduring minspiration mand mthe mclient's
mrespiratory mrate mis mwithin mnormal mlimits. m
m
8. mDuring ma mhome mvisit, mthe mnurse mobserved man melderly mclient mwith mdiabetes mslip mand mfall. mWhat
maction mshould mthe mnurse mtake mfirst? m
m
A) Give mthe mclient m4 mounces mof morange mjuice m
m
B) Call m911 mto msummon memergency massistance m
m
C) Check mthe mclient mfor mlacerations mor mfractures m
QUESTIONS AND ANSWERS
2026
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty
of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by
the nurse?
A) Remind the client that it is also important to switch to decaffeinated coffee and tea.
B) Suggest that the client also plan to eat frequent small meals to reduce discomfort.
C) Review with the client the need to avoid foods that are rich in milk and cream.
D) Reinforce this teaching by asking the client to list a dairy food that he might select. - CORRECT
ANSWER -C) Review with the client the need to avoid foods that are rich in milk and cream.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be avoided.
2. A male client with hypertension, who received new antihypertensive prescriptions at his last visit
returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits
that he has not been taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an elevated BP places the
client at risk for which pathophysiological condition?
A) Blindness secondary to cataracts
,B) Acute mkidney minjury mdue mto mglomerular mdamage m m
m
C) Stoke msecondary mto mhemorrhage m m
m
D) Heart mblock mdue mto mmyocardial mdamage m- mCORRECT mANSWER m-C) mStoke msecondary mto
mhemorrhage m m
m
Rationale: mStroke mrelated mto mcerebral mhemorrhage mis mmajor mrisk mfor muncontrolled mhypertension. m
m
3. mThe mnurse mobserves man munlicensed massistive mpersonnel m(UAP) mpositioning ma mnewly madmitted
mclient mwho mhas ma mseizure mdisorder. mThe mclient mis msupine mand mthe mUAP mis mplacing msoft mpillows malong
mthe mside mrails. mWhat maction mshould mthe mnurse mimplement? m m
m
A) Ensure mthat mthe mUAP mhas mplaced mpillows meffectively mto mprotect mthe mclient. m m
m
B) Instruct mthe mUAP mto mobtain msoft mblankets mto msecure mto mthe mside mrails minstead mof mpillows. m m
m
C) Assume mresponsibility mfor mplacing mthe mpillows mwhile mthe mUAP mcompletes manother mtask. m m
m
D) Ask mthe mUAP mto muse msome mof mthe mpillows mto mprop mthe mclient min ma mside mlying mposition. m-
mCORRECT mANSWER m-B) mInstruct mthe mUAP mto mobtain msoft mblankets mto msecure mto mthe mside mrails
minstead mof mpillows. m m
m
Rationale: mThe mnurse mshould minstruct mthe mUAP mto mpad mthe mside mrails mwith msoft mblankets mbecause
mthe muse mof mpillows mcould mresult min msuffocation mand mwould mneed mto mbe mremoved mat mthe monset mof
mseizure. mThe mnurse mCAN mdelegate mpadding mthe mside mrails mto mthe mUAP. m
m
4. mAn madolescent mwith mmajor mdepressive mdisorder mhas mbeen mtaking mduloxetine m(Cymbalta) mfor mthe
mpast m12 mdays. mWhich massessment mrequires mimmediate mfollow-up? m
m
A) Describes mlife mwithout mpurpose m m
,m
B) Complains mof mnausea mand mloss mof mappetite m
m
C) States mis moften mfatigued mand mdrowsy m
m
D) Exhibits man mincrease min msweating m- mCORRECT mANSWER m-A) mDescribes mlife mwithout mpurpose m m
m
Rationale: mCymbalta mis ma mselective mserotonin mand mnorepinephrine mreuptake minhibitor mthat mis mknown
mto mincrease mthe mrisk mof msuicidal mthinking min madolescents mand myoung madults mwith mmajor mdepressive
mdisorder. mB, mC mand mD mare mside meffects. m
m
5. mA m60-year-old mfemale mclient mwith ma mpositive mfamily mhistory mof movarian mcancer mhas mdeveloped man
mabdominal mmass mand mis mbeing mevaluated mfor mpossible movarian mcancer. mHer mpapanicolau m(pap)
msmear mresults mare mnegative. mWhat minformation mshould mthe mnurse minclude min mthe mclient's mteaching
mplan? m m
m
A) Further mevaluation minvolving msurgery mmay mbe mneeded m
m
B) A mpelvic mexam mis malso mneeded mbefore mcancer mis mruled mout m
m
C) Pap msmear mevaluation mshould mbe mcontinued mevery msix mmonth m
m
D) One madditional mnegative mpap msmear min msix mmonths mis mneeded m- mCORRECT mANSWER m-A) mFurther
mevaluation minvolving msurgery mmay mbe mneeded m
m
Rationale: mAn mabdominal mmass min ma mclient mwith mfamily mhistory mfor movarian mcancer mshould mbe
mevaluated mcarefully. m
m
6. mA mclient mwho mrecently munderwear ma mtracheostomy mis mbeing mprepared mfor mdischarge mto mhome.
mWhich minstructions mis mmost mimportant mfor mthe mnurse mto minclude min mthe mdischarge mplan? m
m
A) Explain mhow mto muse mcommunication mtools. m
m
, B) Teach mtracheal msuctioning mtechniques m
m
C) Encourage mself-care mand mindependence. m
m
D) Demonstrate mhow mto mclean mtracheostomy msite. m- mCORRECT mANSWER m-B) mTeach mtracheal
msuctioning mtechniques m
m
Rationale: mSuctioning mhelps mto mclear msecretions mand mmaintain man mopen mairway, mwhich mis mcritical. m
m
7. mIn massessing man madult mclient mwith ma mpartial mrebreather mmask, mthe mnurse mnotes mthat mthe moxygen
mreservoir mbag mdoes mnot mdeflate mcompletely mduring minspiration mand mthe mclient's mrespiratory mrate mis
m14 mbreaths m/ mminute. mWhat maction mshould mthe mnurse mimplement? m
m
A) Encourage mthe mclient mto mtake mdeep mbreaths m
m
B) Remove mthe mmask mto mdeflate mthe mbag m
m
C) Increase mthe mliter mflow mof moxygen m
m
D) Document mthe massessment mdata m- mCORRECT mANSWER m-D) mDocument mthe massessment mdata m m
m
Rational: mreservoir mbag mshould mnot mdeflate mcompletely mduring minspiration mand mthe mclient's
mrespiratory mrate mis mwithin mnormal mlimits. m
m
8. mDuring ma mhome mvisit, mthe mnurse mobserved man melderly mclient mwith mdiabetes mslip mand mfall. mWhat
maction mshould mthe mnurse mtake mfirst? m
m
A) Give mthe mclient m4 mounces mof morange mjuice m
m
B) Call m911 mto msummon memergency massistance m
m
C) Check mthe mclient mfor mlacerations mor mfractures m
