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EXIT HESI -PN EXAM A PRACTICE
2026 BRAND NEW OFFICIAL
QUESTIONS WITH ANSWERS.
The nurse administers levothyroxine (Synthroid) to a client with
hypothyroidism. Which data indicate(s) that the drug is effective?
(Select all that apply.)
A.Increase in T3 and T4
B.Decrease in heart rate
C.Increase in TSH
D.Decrease in urine output
E.Decrease in periorbital edema - correct answer -ABE
Levothyroxine is a thyroid replacement drug that increases thyroid
hormone levels (T3 [triiodothyronine] and T4 [thyroxine]) and
decreases periorbital edema, a symptom of hypothyroidism (A
and E). Decrease in heart rate and an increased level of thyroid-
stimulating hormone (TSH) are not therapeutic results from taking
levothyroxine (Synthroid) (B and C). Levothyroxine does not affect
urine output (D).
The charge nurse overhears a staff member asking for a
doughnut from a client's meal tray. Which action should the
charge nurse implement?
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A.Advise the client that food from the meal tray should not be
shared with others.
B.Leave the room and discuss the incident privately with the staff
member.
C.Objectively document the situation as observed on a variance
report.
D.Call the nurse-manager to the client's room immediately. -
correct answer -B
Discussing the incident privately (B) promotes open
communication between the charge nurse and staff member. The
client is free to share unwanted food (A) with family or friends, but
the employee should not ask for the client's food. (C) is not
necessary, and the charge nurse can respond to this situation
without implementing (D).
A nurse-manager of a long-term care facility learns that the
nursing administrator plans to remove the television from the
residents' day room because night shift staff members are sitting
around watching television. How should the nurse-manager
respond to this situation?
A.Advocate for the rights of the staff to watch television once their
assignments are complete.
B.Confront the administrator about making a decision that will
negatively affect the residents.
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C.Offer to develop an alternate solution so that the residents can
continue to watch television.
D.Remind the administrator that watching television helps the
night shift staff remain awake. - correct answer -C
The role of the nurse-manager in the mediation process is to
assess the problem, analyze the information, and reframe it in a
manner that might provide compromise (C). The staff do not have
the right to watch television (A) while being paid to work. (B)
challenges the administrator and is likely to alienate the
administrator, causing anger and shutting off further
communication. (D) is not a sound rationale for the use of the
television.
When caring for a postpartum client, which intervention is best for
the nurse to implement to promote increased peripheral vascular
activity?
A.Encourage the client to turn from side to side every 2 hours.
B.Elevate the foot of the client's bed at least 6 inches.
C.Encourage the client to ambulate every 3 hours.
D.Teach the client how to perform leg exercises while in bed. -
correct answer -C
Ambulation is the best way to increase peripheral vascular activity
(C). (A, B, and D) will increase peripheral vascular activity but are
not as effective as ambulation.
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Six hours following thoracic surgery, a client has the following
arterial blood gas (ABG) findings: pH, 7.50; Paco2, 30 mm Hg;
HCO3, 25 mEq/L; Pao2, 96 mm Hg. Which intervention should
the nurse implement based on these results?
A.Increase the oxygen flow rate from 4 to 10 L/min per nasal
cannula.
B.Assess the client for pain and administer pain medication as
prescribed.
C.Encourage the client to take short shallow breaths for 5
minutes.
D.Prepare to administer sodium bicarbonate IV over 30 minutes.
- correct answer -B
These ABGs reveal respiratory alkalosis (B), and treatment
depends on the underlying cause. Because the client is only 6
hours postoperative, he or she should be assessed for pain
because treating the pain will correct the underlying problem. A
Pao2 of 96 mm Hg does not indicate the need for an increase in
oxygen administration (A). The Paco2 indicates mild
hyperventilation, so (C) is not indicated. In addition, it is very
difficult to change one's breathing pattern. The use of sodium
bicarbonate (D) is indicated for the treatment of metabolic
acidosis, not respiratory alkalosis.
Which assessment is most important for the nurse to implement
when seeing a client with multiple myeloma?
EXIT HESI -PN EXAM A PRACTICE
2026 BRAND NEW OFFICIAL
QUESTIONS WITH ANSWERS.
The nurse administers levothyroxine (Synthroid) to a client with
hypothyroidism. Which data indicate(s) that the drug is effective?
(Select all that apply.)
A.Increase in T3 and T4
B.Decrease in heart rate
C.Increase in TSH
D.Decrease in urine output
E.Decrease in periorbital edema - correct answer -ABE
Levothyroxine is a thyroid replacement drug that increases thyroid
hormone levels (T3 [triiodothyronine] and T4 [thyroxine]) and
decreases periorbital edema, a symptom of hypothyroidism (A
and E). Decrease in heart rate and an increased level of thyroid-
stimulating hormone (TSH) are not therapeutic results from taking
levothyroxine (Synthroid) (B and C). Levothyroxine does not affect
urine output (D).
The charge nurse overhears a staff member asking for a
doughnut from a client's meal tray. Which action should the
charge nurse implement?
, Page | 2
A.Advise the client that food from the meal tray should not be
shared with others.
B.Leave the room and discuss the incident privately with the staff
member.
C.Objectively document the situation as observed on a variance
report.
D.Call the nurse-manager to the client's room immediately. -
correct answer -B
Discussing the incident privately (B) promotes open
communication between the charge nurse and staff member. The
client is free to share unwanted food (A) with family or friends, but
the employee should not ask for the client's food. (C) is not
necessary, and the charge nurse can respond to this situation
without implementing (D).
A nurse-manager of a long-term care facility learns that the
nursing administrator plans to remove the television from the
residents' day room because night shift staff members are sitting
around watching television. How should the nurse-manager
respond to this situation?
A.Advocate for the rights of the staff to watch television once their
assignments are complete.
B.Confront the administrator about making a decision that will
negatively affect the residents.
, Page | 3
C.Offer to develop an alternate solution so that the residents can
continue to watch television.
D.Remind the administrator that watching television helps the
night shift staff remain awake. - correct answer -C
The role of the nurse-manager in the mediation process is to
assess the problem, analyze the information, and reframe it in a
manner that might provide compromise (C). The staff do not have
the right to watch television (A) while being paid to work. (B)
challenges the administrator and is likely to alienate the
administrator, causing anger and shutting off further
communication. (D) is not a sound rationale for the use of the
television.
When caring for a postpartum client, which intervention is best for
the nurse to implement to promote increased peripheral vascular
activity?
A.Encourage the client to turn from side to side every 2 hours.
B.Elevate the foot of the client's bed at least 6 inches.
C.Encourage the client to ambulate every 3 hours.
D.Teach the client how to perform leg exercises while in bed. -
correct answer -C
Ambulation is the best way to increase peripheral vascular activity
(C). (A, B, and D) will increase peripheral vascular activity but are
not as effective as ambulation.
, Page | 4
Six hours following thoracic surgery, a client has the following
arterial blood gas (ABG) findings: pH, 7.50; Paco2, 30 mm Hg;
HCO3, 25 mEq/L; Pao2, 96 mm Hg. Which intervention should
the nurse implement based on these results?
A.Increase the oxygen flow rate from 4 to 10 L/min per nasal
cannula.
B.Assess the client for pain and administer pain medication as
prescribed.
C.Encourage the client to take short shallow breaths for 5
minutes.
D.Prepare to administer sodium bicarbonate IV over 30 minutes.
- correct answer -B
These ABGs reveal respiratory alkalosis (B), and treatment
depends on the underlying cause. Because the client is only 6
hours postoperative, he or she should be assessed for pain
because treating the pain will correct the underlying problem. A
Pao2 of 96 mm Hg does not indicate the need for an increase in
oxygen administration (A). The Paco2 indicates mild
hyperventilation, so (C) is not indicated. In addition, it is very
difficult to change one's breathing pattern. The use of sodium
bicarbonate (D) is indicated for the treatment of metabolic
acidosis, not respiratory alkalosis.
Which assessment is most important for the nurse to implement
when seeing a client with multiple myeloma?
