HESI EXIT NGN, HESI RN EXIT EXAM
(2025) COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS ( DETAILED
& ELABORATED) ACTUAL EXAM 2025
TEST!!
A-pt-presses-the-call-bell-and-requests-pain-medication-for-a-severe-headache.-To-assess-
the-quality-of-the-pt.-Pain,-which-approach-should-the-nurse-use?---ans-✔✔Ask-the-
patient-to-describe-the-pain
The-nurse-is-wearing-personal-protective-equipment-while-caring-for-a-pt.-When-exiting-
the-room,-which-PPE-should-be-removed-first?---ans-✔✔Gloves
An-older-pt-is-brought-to-the-ED-with-a-sudden-onset-of-confusion-that-occurred-after-
experiencing-a-fall-at-home.-The-daughter,-who-has-power-of-attorney,-has-brought-the-
client's-prescriptions.-Which-information-should-the-nurse-provide-first-when-reporting-to-
the-healthcare-provider-using-SBAR-communication?---ans-✔✔Increasing-confusion-of-
the-pt.
A-pt-tells-the-nurse-about-working-out-with-a-personal-trainer-and-swimming-three-times-a-
week-in-an-effort-to-lose-weight-and-sleep-better.-The-pt-states-that-it-still-is-taking-hours-to-
fall-asleep-at-night.-Which-action-should-the-nurse-implement?---ans-✔✔Ask-the-pt-for-a-
description-of-the-exercise-schedule-that-is-being-followed
2-days-prior-to-discharge-from-the-rehab-facility,-the-nurse-is-teaching-a-pt-who-is-
recovering-from-Guillain-Barre-syndrome-about-home.-Which-actions-should-the-nurse-
include-when-providing-discharge-teaching-to-the-pt-and-spouse?-SATA---ans-✔✔-review-
safe-transfer-strategies
-develop-a-nutritional-plan
-help-identify-community-support
The-nurse-implements-a-tertiary-prevention-program-for-type-2-diabetes-in-a-rural-health-
clinic.-Which-outcome-indicates-that-the-program-was-effective?---ans-✔✔pt-who-develop-
disease-complications-promptly-received-rehabilitation
,The-nurse-has-received-funding-to-design-a-health-promotion-project-for-African-
American-women-who-are-at-risk-for-developing-breast-cancer.-Which-resource-is-most-
important-in-designing-this-program?---ans-✔✔participation-of-community-leaders-in-
planning-the-program
A-pt-with-multiple-injuries-is-being-treated-in-the-burn-trauma-unit-just-hours-after-the-
injuries-occurred.-The-healthcare-provider-instructs-the-nurse-to-avoid-auto-
contamination-when-performing-dressing-changes.-Which-intervention-is-most-important-
for-the-nurse-to-implement?---ans-✔✔use-gown,-mask,-and-gloves-with-dressing-changes
A-pt-is-recovering-in-the-critical-care-unit-following-a-cardiac-cath.-IV-nitro-and-heparin-are-
infusing.-The-pt-is-sedated-but-responds-to-instructions.-After-changing-positions,-the-pt-
complains-of-pain-at-the-right-groin-insertion-site.-What-action-should-the-nurse-
implement?---ans-✔✔Stimulate-the-pt-to-take-deep-breaths
Prior-to-obtaining-a-trapeze-bar-for-a-pt-with-limited-mobility,-which-pt-assessment-is-most-
important-for-the-nurse-to-obtain?---ans-✔✔upper-body-muscle-strength
While-the-nurse-is-assessing-an-older-pt-fall-risk,-the-pt-reports-living-at-home-alone-and-
never-falling.-Which-action-should-the-nurse-take?---ans-✔✔Continue-to-obtain-pt-data-
needed-to-complete-the-fall-risk-survey
The-nurse-is-feeding-an-older-adult-who-was-admitted-with-aspiration-pneumonia.-The-pt-
is-weak-and-begins-coughing-while-attempting-to-drink-through-a-straw.-Which-
intervention-should-the-nurse-implement?---ans-✔✔Teach-coughing-and-deep-breathing-
exercises
The-nurse-is-teaching-the-pt-about-home-care-after-surgery-for-an-ileal-conduit-placement.-
When-reviewing-the-information,-which-statement-should-the-nurse-recognize-as-needing-
additional-education?---ans-✔✔Empty-the-pouch-when-it-is-half-full.
A-12-week-gestation-is-admitted-to-the-antepartum-unit-with-a-dx-of-hyperemesis-
gravidarum.-Which-action-is-most-important-for-the-nurse-to-implement?---ans-✔✔initiate-
prescribed-IV-fluids
A-pt-with-dyspnea-is-being-admitted-to-the-medical-unit.-To-best-prepare-for-the-pt-arrival,-
the-nurse-should-ensure-that-the-pt-bed-is-in-which-position?---ans-✔✔Picture-with-the-
bed-sitting-up
A-pt-who-is-scheduled-for-a-bronchoscopy-in-the-morning-is-anxious-and-asking-the-nurse-
numerous-questions-about-the-procedure.-In-preparing-the-pt-for-the-procedure,-which-
intervention-has-the-highest-priority?---ans-✔✔Instruct-pt-to-write-down-questions
While-caring-for-a-pt-post-operative-dressing,-the-nurse-observes-purulent-drainage-at-the-
wound.-Before-reporting-this-finding-to-the-provider,-the-nurse-should-review-which-of-the-
pt-lab-values?---ans-✔✔culture-for-sensitive-organisms
,A-pt-with-a-lower-respiratory-tract-infection-receives-a-prescription-for-ciprofloxacin-500mg-
PO-every-12hrs.-When-the-client-requests-an-afternoon-snack,-which-dietary-choice-
should-the-nurse-provide?---ans-✔✔Cinnamon-apple-sauce
An-older-male-reporting-abd-pain-is-admitted-from-a-facility.-It-has-been-7-days-since-his-
last-BM-and-his-abd-is-distended,-and-he-just-vomited-150ml-of-dark-brown-emesis.-In-
what-order-should-the-nurse-implement-these-interventions?---ans-✔✔Send-emesis-to-lab
Elevate-HOB
complete-focused-assessment
offers-PRN-pain-meds
A-patient-who-recently-received-a-prescription-for-ramelteon-to-treat-sleep-deprivation-
reports-experiencing-several-side-effects-since-taking-the-med.-Which-side-effect-should-
the-nurse-report-to-the-healthcare-provider?---ans-✔✔Somnambulism
A-pt-is-scheduled-for-a-spiral-CT-scan-with-contrast-to-evaluate-for-pulmonary-embolism.-
Which-information-in-the-client's-history-requires-follow-up-by-the-nurse?---ans-✔✔take-
metformin-for-type-2-diabetes
The-nurse-should-withhold-which-medication-if-the-client's-serum-potassium-level-is-6.2-
mEq/?---ans-✔✔Spironolactone
A-nurse-receives-a-report-on-a-pt-who-is-four-hours-post-total-abdominal-hysterectomy.-
The-previous-nurse-reports-that-it-was-necessary-to-change-the-client's-perineal-pad-
hourly-and-that-it-is-again-saturated.-The-previous-nurse-also-reports-that-the-client's-
urinary-output-has-decreased.-Which-action-should-the-nurse-implement-first?---ans-
✔✔Assess-for-weakness-or-dizziness
A-pt-who-is-admitted-for-primary-hypothyroidism-has-early-signs-of-myxedema-coma.-In-
assessing-the-pt,-in-which-sequence-should-the-nurse-complete-these-actions?---ans-✔✔-
Observe-breathing-patterns
-assess-blood-pressure
-measure-body-temp
-palpate-for-pedal-edema
The-nurse-is-taking-the-blood-pressure-measurement-of-a-client-with-Parkinson's-disease.-
Which-information-in-the-admission-assessment-is-relevant-to-the-nurse's-plan-for-taking-
the-blood-pressure-reading?-SATA---ans-✔✔Blurred-Vision
Flat-Affect
frequent-syncope
After-administering-a-proton-pump-inhibitor,-which-action-should-the-nurse-take-to-
evaluate-the-effectiveness-of-the-medication?---ans-✔✔Ask-the-pt-about-gastrointestinal-
pain
, A-pt-is-receiving-enoxaparin-30-mg-subcutaneously-twice-a-day.-In-assessing-for-adverse-
effects-of-the-medication,-which-serum-laboratory-value-most-important-for-the-nurse-to-
monitor---ans-✔✔platelet-count
A-pediatric-client-is-taking-the-beta-adrenergic-blocking-agent-propranolol.-In-developing-
a-teaching-plan,-the-nurse-should-teach-the-parents-to-report-which-sign-of-overdose?---
ans-✔✔Bradycardia
The-nurse-is-demonstrating-correct-transfer-procedures-to-the-unlicensed-assistive-
personnel-working-on-a-rehab-unit.-The-UAP-asks-the-nurse-how-to-safely-move-a-
physically-disabled-pt-from-the...-wheelchair-to-the-bed.-Which-action-should-the-nurse-
recommend?---ans-✔✔Place-the-pt-locked-wheelchair-on-the-pt-strong-side-next-to-the-
bed
The-nurse-has-completed-the-diet-teaching-of-a-client-who-is-being-discharged-following-
tx-of-a-leg-wound.-A-high-protein-diet-is-encouraged-to-promote-wound-healing.-Which-
lunch-choice-by-the-pt-indicates-that-the-teaching-was-effective?---ans-✔✔A-tuna-fish-
sandwich-with-chips-and-ice-cream
When-conducting-diet-teaching-for-a-pt-who-was-dx-with-a-myocardial-infarction,-which-
snack-foods-should-the-nurse-encourage-the-pt-to-eat?-SATA---ans-✔✔Fresh-Turkey-
slices-and-berries
chick-bouillon-soup-and-toast
raw-unsalted-almonds-and-apples
A-pt-taking-clopidogrel-reports-the-onset-of-diarrhea.-Which-nursing-action-should-the-
nurse-implement-first?---ans-✔✔Observe-the-appearance-of-the-stool
A-pt-is-dx-with-Meniere's-disease.-Which-problem-should-the-nurse-identify-as-most-
important-in-the-plan-of-care?---ans-✔✔Risk-for-injury-related-to-vertigo
A-new-nurse-preparing-to-irrigate-an-IV-catheter-is-attaching-a-24-gauge-needle.-Which-
action-should-the-charge-nurse-implement?---ans-✔✔Suggest-the-nurse-use-20g-needle
A-nurse-working-on-an-Endocrine-Unit-should-see-which-client-first?---ans-✔✔A-pt-taking-
corticosteroids-who-has-become-disoriented-in-the-last-two-hours.
After-an-older-pt-receives-tx-for-drug-toxicity-the-healthcare-provider-prescribes-a-24-hr-
creatinine-clearance,-the-nurse-notes-that-the-pt-serum-creatinine-is-0.3mg.-Which-action-
should-the-nurse-implement?---ans-✔✔Notify-the-healthcare-provider-of-the-results
An-older-adult-pt-with-Systemic-inflammatory-syndrome-(SIRS)-has-a-temp-of-101.8,-HR-
of-110,-and-RR-of-24-breaths/min.-Which-additional-finding-is-most-important-to-report-to-
the-healthcare-provider?---ans-✔✔Serum-Creatinine-of-2mg/dl
(2025) COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS ( DETAILED
& ELABORATED) ACTUAL EXAM 2025
TEST!!
A-pt-presses-the-call-bell-and-requests-pain-medication-for-a-severe-headache.-To-assess-
the-quality-of-the-pt.-Pain,-which-approach-should-the-nurse-use?---ans-✔✔Ask-the-
patient-to-describe-the-pain
The-nurse-is-wearing-personal-protective-equipment-while-caring-for-a-pt.-When-exiting-
the-room,-which-PPE-should-be-removed-first?---ans-✔✔Gloves
An-older-pt-is-brought-to-the-ED-with-a-sudden-onset-of-confusion-that-occurred-after-
experiencing-a-fall-at-home.-The-daughter,-who-has-power-of-attorney,-has-brought-the-
client's-prescriptions.-Which-information-should-the-nurse-provide-first-when-reporting-to-
the-healthcare-provider-using-SBAR-communication?---ans-✔✔Increasing-confusion-of-
the-pt.
A-pt-tells-the-nurse-about-working-out-with-a-personal-trainer-and-swimming-three-times-a-
week-in-an-effort-to-lose-weight-and-sleep-better.-The-pt-states-that-it-still-is-taking-hours-to-
fall-asleep-at-night.-Which-action-should-the-nurse-implement?---ans-✔✔Ask-the-pt-for-a-
description-of-the-exercise-schedule-that-is-being-followed
2-days-prior-to-discharge-from-the-rehab-facility,-the-nurse-is-teaching-a-pt-who-is-
recovering-from-Guillain-Barre-syndrome-about-home.-Which-actions-should-the-nurse-
include-when-providing-discharge-teaching-to-the-pt-and-spouse?-SATA---ans-✔✔-review-
safe-transfer-strategies
-develop-a-nutritional-plan
-help-identify-community-support
The-nurse-implements-a-tertiary-prevention-program-for-type-2-diabetes-in-a-rural-health-
clinic.-Which-outcome-indicates-that-the-program-was-effective?---ans-✔✔pt-who-develop-
disease-complications-promptly-received-rehabilitation
,The-nurse-has-received-funding-to-design-a-health-promotion-project-for-African-
American-women-who-are-at-risk-for-developing-breast-cancer.-Which-resource-is-most-
important-in-designing-this-program?---ans-✔✔participation-of-community-leaders-in-
planning-the-program
A-pt-with-multiple-injuries-is-being-treated-in-the-burn-trauma-unit-just-hours-after-the-
injuries-occurred.-The-healthcare-provider-instructs-the-nurse-to-avoid-auto-
contamination-when-performing-dressing-changes.-Which-intervention-is-most-important-
for-the-nurse-to-implement?---ans-✔✔use-gown,-mask,-and-gloves-with-dressing-changes
A-pt-is-recovering-in-the-critical-care-unit-following-a-cardiac-cath.-IV-nitro-and-heparin-are-
infusing.-The-pt-is-sedated-but-responds-to-instructions.-After-changing-positions,-the-pt-
complains-of-pain-at-the-right-groin-insertion-site.-What-action-should-the-nurse-
implement?---ans-✔✔Stimulate-the-pt-to-take-deep-breaths
Prior-to-obtaining-a-trapeze-bar-for-a-pt-with-limited-mobility,-which-pt-assessment-is-most-
important-for-the-nurse-to-obtain?---ans-✔✔upper-body-muscle-strength
While-the-nurse-is-assessing-an-older-pt-fall-risk,-the-pt-reports-living-at-home-alone-and-
never-falling.-Which-action-should-the-nurse-take?---ans-✔✔Continue-to-obtain-pt-data-
needed-to-complete-the-fall-risk-survey
The-nurse-is-feeding-an-older-adult-who-was-admitted-with-aspiration-pneumonia.-The-pt-
is-weak-and-begins-coughing-while-attempting-to-drink-through-a-straw.-Which-
intervention-should-the-nurse-implement?---ans-✔✔Teach-coughing-and-deep-breathing-
exercises
The-nurse-is-teaching-the-pt-about-home-care-after-surgery-for-an-ileal-conduit-placement.-
When-reviewing-the-information,-which-statement-should-the-nurse-recognize-as-needing-
additional-education?---ans-✔✔Empty-the-pouch-when-it-is-half-full.
A-12-week-gestation-is-admitted-to-the-antepartum-unit-with-a-dx-of-hyperemesis-
gravidarum.-Which-action-is-most-important-for-the-nurse-to-implement?---ans-✔✔initiate-
prescribed-IV-fluids
A-pt-with-dyspnea-is-being-admitted-to-the-medical-unit.-To-best-prepare-for-the-pt-arrival,-
the-nurse-should-ensure-that-the-pt-bed-is-in-which-position?---ans-✔✔Picture-with-the-
bed-sitting-up
A-pt-who-is-scheduled-for-a-bronchoscopy-in-the-morning-is-anxious-and-asking-the-nurse-
numerous-questions-about-the-procedure.-In-preparing-the-pt-for-the-procedure,-which-
intervention-has-the-highest-priority?---ans-✔✔Instruct-pt-to-write-down-questions
While-caring-for-a-pt-post-operative-dressing,-the-nurse-observes-purulent-drainage-at-the-
wound.-Before-reporting-this-finding-to-the-provider,-the-nurse-should-review-which-of-the-
pt-lab-values?---ans-✔✔culture-for-sensitive-organisms
,A-pt-with-a-lower-respiratory-tract-infection-receives-a-prescription-for-ciprofloxacin-500mg-
PO-every-12hrs.-When-the-client-requests-an-afternoon-snack,-which-dietary-choice-
should-the-nurse-provide?---ans-✔✔Cinnamon-apple-sauce
An-older-male-reporting-abd-pain-is-admitted-from-a-facility.-It-has-been-7-days-since-his-
last-BM-and-his-abd-is-distended,-and-he-just-vomited-150ml-of-dark-brown-emesis.-In-
what-order-should-the-nurse-implement-these-interventions?---ans-✔✔Send-emesis-to-lab
Elevate-HOB
complete-focused-assessment
offers-PRN-pain-meds
A-patient-who-recently-received-a-prescription-for-ramelteon-to-treat-sleep-deprivation-
reports-experiencing-several-side-effects-since-taking-the-med.-Which-side-effect-should-
the-nurse-report-to-the-healthcare-provider?---ans-✔✔Somnambulism
A-pt-is-scheduled-for-a-spiral-CT-scan-with-contrast-to-evaluate-for-pulmonary-embolism.-
Which-information-in-the-client's-history-requires-follow-up-by-the-nurse?---ans-✔✔take-
metformin-for-type-2-diabetes
The-nurse-should-withhold-which-medication-if-the-client's-serum-potassium-level-is-6.2-
mEq/?---ans-✔✔Spironolactone
A-nurse-receives-a-report-on-a-pt-who-is-four-hours-post-total-abdominal-hysterectomy.-
The-previous-nurse-reports-that-it-was-necessary-to-change-the-client's-perineal-pad-
hourly-and-that-it-is-again-saturated.-The-previous-nurse-also-reports-that-the-client's-
urinary-output-has-decreased.-Which-action-should-the-nurse-implement-first?---ans-
✔✔Assess-for-weakness-or-dizziness
A-pt-who-is-admitted-for-primary-hypothyroidism-has-early-signs-of-myxedema-coma.-In-
assessing-the-pt,-in-which-sequence-should-the-nurse-complete-these-actions?---ans-✔✔-
Observe-breathing-patterns
-assess-blood-pressure
-measure-body-temp
-palpate-for-pedal-edema
The-nurse-is-taking-the-blood-pressure-measurement-of-a-client-with-Parkinson's-disease.-
Which-information-in-the-admission-assessment-is-relevant-to-the-nurse's-plan-for-taking-
the-blood-pressure-reading?-SATA---ans-✔✔Blurred-Vision
Flat-Affect
frequent-syncope
After-administering-a-proton-pump-inhibitor,-which-action-should-the-nurse-take-to-
evaluate-the-effectiveness-of-the-medication?---ans-✔✔Ask-the-pt-about-gastrointestinal-
pain
, A-pt-is-receiving-enoxaparin-30-mg-subcutaneously-twice-a-day.-In-assessing-for-adverse-
effects-of-the-medication,-which-serum-laboratory-value-most-important-for-the-nurse-to-
monitor---ans-✔✔platelet-count
A-pediatric-client-is-taking-the-beta-adrenergic-blocking-agent-propranolol.-In-developing-
a-teaching-plan,-the-nurse-should-teach-the-parents-to-report-which-sign-of-overdose?---
ans-✔✔Bradycardia
The-nurse-is-demonstrating-correct-transfer-procedures-to-the-unlicensed-assistive-
personnel-working-on-a-rehab-unit.-The-UAP-asks-the-nurse-how-to-safely-move-a-
physically-disabled-pt-from-the...-wheelchair-to-the-bed.-Which-action-should-the-nurse-
recommend?---ans-✔✔Place-the-pt-locked-wheelchair-on-the-pt-strong-side-next-to-the-
bed
The-nurse-has-completed-the-diet-teaching-of-a-client-who-is-being-discharged-following-
tx-of-a-leg-wound.-A-high-protein-diet-is-encouraged-to-promote-wound-healing.-Which-
lunch-choice-by-the-pt-indicates-that-the-teaching-was-effective?---ans-✔✔A-tuna-fish-
sandwich-with-chips-and-ice-cream
When-conducting-diet-teaching-for-a-pt-who-was-dx-with-a-myocardial-infarction,-which-
snack-foods-should-the-nurse-encourage-the-pt-to-eat?-SATA---ans-✔✔Fresh-Turkey-
slices-and-berries
chick-bouillon-soup-and-toast
raw-unsalted-almonds-and-apples
A-pt-taking-clopidogrel-reports-the-onset-of-diarrhea.-Which-nursing-action-should-the-
nurse-implement-first?---ans-✔✔Observe-the-appearance-of-the-stool
A-pt-is-dx-with-Meniere's-disease.-Which-problem-should-the-nurse-identify-as-most-
important-in-the-plan-of-care?---ans-✔✔Risk-for-injury-related-to-vertigo
A-new-nurse-preparing-to-irrigate-an-IV-catheter-is-attaching-a-24-gauge-needle.-Which-
action-should-the-charge-nurse-implement?---ans-✔✔Suggest-the-nurse-use-20g-needle
A-nurse-working-on-an-Endocrine-Unit-should-see-which-client-first?---ans-✔✔A-pt-taking-
corticosteroids-who-has-become-disoriented-in-the-last-two-hours.
After-an-older-pt-receives-tx-for-drug-toxicity-the-healthcare-provider-prescribes-a-24-hr-
creatinine-clearance,-the-nurse-notes-that-the-pt-serum-creatinine-is-0.3mg.-Which-action-
should-the-nurse-implement?---ans-✔✔Notify-the-healthcare-provider-of-the-results
An-older-adult-pt-with-Systemic-inflammatory-syndrome-(SIRS)-has-a-temp-of-101.8,-HR-
of-110,-and-RR-of-24-breaths/min.-Which-additional-finding-is-most-important-to-report-to-
the-healthcare-provider?---ans-✔✔Serum-Creatinine-of-2mg/dl
