2025 HESI EXIT EXAM | QUESTIONS AND CORRECT ANSWERS | GRADED A+ | LATEST VERSION | VERIFIED ANSWERS (JUST RELEASED)

2025 HESI EXIT EXAM | QUESTIONS AND
CORRECT ANSWERS | GRADED A+ |
LATEST VERSION | VERIFIED ANSWERS
(JUST RELEASED)

A nurse assigned to a manipulative client for 5 days becomes aware of
feelings for a
reluctance to interact with the client. The next action by the nurse should be
to
A) Discuss the feeling of reluctance with an objective peer or supervisor
B) Limit contacts with the client to avoid reinforcement of the manipulative
behavior
C) Confront the client about the negative effects of behaviors on other
clients and staff
D) Develop a behavior modification plan that will promote more functional
behavior ---------CORRECT ANSWER-----------------is A: Discuss the feeling
of reluctance with an objective peer or
supervisor
2



A client is being treated for paranoid schizophrenia. When the client
became loud and
boisterous, the nurse immediately placed him in seclusion as a
precautionary measure.
The client willingly complied. The nurse's action
A) May result in charges of unlawful seclusion and restraint
B) Leaves the nurse vulnerable for charges of assault and battery
C) Was appropriate in view of the client's history of violence
D) Was necessary to maintain the therapeutic milieu of the unit ---------
CORRECT ANSWER-----------------is A: May result in charges of unlawful
seclusion and restraint
2

,A client has been admitted to the Coronary Care Unit with a myocardial
infarction.
Which nursing diagnosis should have priority?
A) Pain related to ischemia
B) Risk for altered elimination: constipation
C) Risk for complication: dysrhythmias
D) Anxiety related to pain ---------CORRECT ANSWER-----------------is A:
Pain related to ischemia
2



The provisions of the law for the Americans with Disabilities Act require
nurse
managers to
A) Maintain an environment free from associated hazards
B) Provide reasonable accommodations for disabled individuals
C) Make all necessary accommodations for disabled individuals
D) Consider both mental and physical disabilities ---------CORRECT
ANSWER-----------------is B: Provide reasonable accommodations for
disabled individuals
2



A 42 year-old male client refuses to take propranolol hydrochloride (Inderal)
as
prescribed. Which client statement s from the assessment data is likely to
explain his
noncompliance?
A) "I have problems with diarrhea."
B) "I have difficulty falling asleep."
C) "I have diminished sexual function."
D) "I often feel jittery." ---------CORRECT ANSWER-----------------is C: "I
have diminished sexual function."
2

,A client is admitted to a voluntary hospital mental health unit due to suicidal
ideation.
The client has been on the unit for 2 days and now states "I demand to be
released now "
The appropriate action is for the nurse to
A) You cannot be released because you are still suicidal.
B) You can be released only if you sign a no suicide contract.
C) Let's discuss your decision to leave and then we can prepare you for
discharge.
D) You have a right to sign out as soon as we get an order from the health
care provider's
discharge order. ---------CORRECT ANSWER-----------------! is C: Let's
discuss your decision to leave and then we can prepare you
for discharge.
3



A client is admitted with infective endocarditis (IE). Which symptom would
alert the
nurse to a complication of this condition?
A) Dyspnea
B) Heart murmur
C) Macular rash
D) Hemorrhage ---------CORRECT ANSWER-----------------is B: Heart
murmur Large, soft, rapidly developing vegetations attach
to the heart valves.
3



A nurse admits a premature infant who has respiratory distress syndrome.
In planning
care, nursing actions are based on the fact that the most likely cause of this
problem
stems from the infant's inability
to
A) Stabilize thermoregulation
B) Maintain alveolar surface tension
C) Begin normal pulmonary blood flow

, D) Regulate intra cardiac pressure ---------CORRECT ANSWER---------------
--is B: Maintain alveolar surface tension
3



An 18 year-old client is admitted to intensive care from the emergency
room
following a diving accident. The injury is suspected to be at the level of the
2nd cervical
vertebrae. The nurse's priority
assessment should be
A) Response to stimuli
B) Bladder control
C) Respiratory function
D) Muscle weakness ---------CORRECT ANSWER-----------------is C:
Respiratory function
4



The nurse is caring for a client who was successfully resuscitated from a
pulseless
dysrhythmia. Which of the following assessments is CRITICAL for the
nurse to include
in the plan of care?
A) Hourly urine output
B) White blood count
C) Blood glucose every 4 hours
D) Temperature every 2 hours ---------CORRECT ANSWER-----------------is
A: Hourly urine output
4



The charge nurse on the night shift at an urgent care center has to deal
with admitting
clients of a higher acuity than usual because of a large fire in the area.
Which style of
leadership and decision-making would be best in this circumstance?