HESI EXIT REVIEW 6 2025/2026

1. An older male client is brought to the Emergency Department by family members who he has become
increasingly confused in the last 3 days. Which actions should the nurse (Select all That apply)
A. Explain that advanced age is associated with confusion
B. Evaluate polypharmacy for possible drug interactions
C. Obtain a urine specimen for culture and sensitivity
D. Discuss nursing home placement with the family
E. Determine oxygen saturation rate and breath sounds Correct Answer: B, C, E
2. A multigravida, full-term, laboring client complains of “back Labor”. Vaginalexamination reveals that
the client’s 3cm with 50% effacement and the fetal head is at -1 station. What action should the nurse
implement?
A. Apply counter-pressure to the sacral area
B. Turn the client to a lateral position
C. Notify the scrub nurse to prepare the OR
D. Ambulate the client between contractions
Correct Answer: A
3. An infant born to a heroin-addicted mother is admitted to the neonatal care unit.
What behaviors can this to exhibit?
A. Lethargy and a poor suck
B. Facial abnormalities and microcephaly
C. Irritability and a high-pitched cry
D. Low birth weight and intrauterine growth retardation
Correct Answer: C
4. A client with gestational diabetes is undergoing a non-stress test (NST) at 34weeks gestation; the baby’s
heart is 144 beats/minute. The client is instructed to mark the fetal monitor paper by pressing a…. Each
time the baby moves. After 20 minutes, the nurse evaluates the fetal monitor strip. ????
A. The mother perceives and marks at least four fetal movements
B. Fetal movements must be elicited with a vibroacoustic stimulator
C. Two FHR accelerations of 15 beats/minute x 15 seconds are recorded D. No FHR
late decelerations occur in response to fetal movement
Correct Answer: C
5. A toddler with a history of an acyanotic heart defect is admitted to the pediatric intensive, the
respiration rate of 60 breaths/minute, and a heart rate of 150 beats/minute. What action should the
nurse first?
A. Obtain a pulse oximeter reading
B. Assess the Child’s blood pressure
C. Perform a neurological assessment
D. Initiate peripheral intravenous access