HESI RN Exit Exam 2025 Questions and Answers

HESI RN Exit Exam 2025 Questions and
Answers

Ayclientyisyadmittedywithyaydiagnosisyofyleukemia.yThisyconditionyisymanifested
byywhichyofytheyfollowing?
A.yFever,yelevatedywhiteybloodycount,yelevatedyplatelets
B.yFatigue,yweightylossyandyanorexia,yelevatedyred
bloodycells
C.yHyperplasiayofytheygums,yelevatedywhiteybloodycount,yweakness
D.yHypocellularyboneymarrowyaspirate,yfever,
decreasedyhemoglobinylevely-yCORRECTyyANSWER-
C.yHyperplasiayofytheygums,yelevatedywhiteybloodycount,yweakness

Ayclientyisyscheduledytoyundergoyanyupperygastrointestinaly(GI)yseries,yandytheynurseyprovi
desyinstructionsytoytheyclientyaboutytheytest.yWhichystatementybyytheyclientyindicatesyayneed
yforyfurtheryinstruction?




A)y"Theytestywillytakeyabouty30yminutes"
B)y"Iyneedytoyfastyfory8yhoursybeforeytheytest"
C)y"IyneedytoydrinkycitrateyofymagnesiaytheynightybeforeytheytestyandygiveymyselfyayFleetyene
mayonytheymorningyofytheytest."
D)y"Iyneedytoytakeyaylaxativeyafterytheytestyisycompleted,ybecauseytheyliquidythatyI'llyhaveytoyd
rinkyforytheytestycanybeyconstipating."y-yCORRECTyyANSWER-
C)y"IyneedytoydrinkycitrateyofymagnesiaytheynightybeforeytheytestyandygiveymyselfyayFleetyene
mayonytheymorningyofytheytest."

Rationale
AnyupperyGIyseriesyinvolvesyvisualizationyofytheyesophagus,yduodenum,yandyupper
jejunumybyymeansyofytheyuseyofyaycontrastymedium.yItyinvolvesyswallowingyaycontrast
mediumy(usuallyybarium),ywhichyisyadministeredyinyayflavoredymilkshake.yFilmsyareytaken
atyintervalsyduringytheytest,ywhichytakesyabouty30yminutes.yNoyspecialypreparationyis
necessaryybeforeyayGIyseries,yexceptythatyNPOystatusymustybeymaintainedyfory8yhours
beforeytheytest.yAfteryanyupperyGIyseries,ytheyclientyisyprescribedyaylaxativeytoyhasten
eliminationyofytheybarium.yBariumythatyremainsyinytheycolonymayybecomeyhardyand
difficultytoyexpel,yleadingytoyfecalyimpaction.

Ayclientywhoyrecentlyyunderwentycoronaryyarteryybypassygraftysurgeryycomesytoythe
physician'syofficeyforyayfollow-upyvisit.yOnyassessment,ytheyclientytellsytheynurseythatyheyis
feelingydepressed.yWhichyresponseybyytheynurseyisytherapeutic?
A.y"Tellymeymoreyaboutywhatyyou'reyfeeling."
B.y"That'syaynormalyresponseyafterythisytypeyofysurgery."
C.y"Itywillytakeytime,ybut,yIypromiseyyou,yyouywillygetyoverythisydepression."

, D.y"Everyyclientywhoyhasythisysurgeryyfeelsytheysameywayyforyaboutyaymonth."y-
yCORRECTyyANSWER-A.y"Tellymeymoreyaboutywhatyyou'reyfeeling."




Ayclientywithyhumanyimmunodeficiencyyvirusy(HIV)ydevelopsyaypainful
blisteringyskinyrashyonytheyrightylateralyabdominalyarea.yWhichydrugyshouldytheynurseyexpec
tytoyadministerytoytreatythisycondition?
A.yLevofloxacin
B.yAcyclovirysodium
C.yFluconazole
D.yEsomeprazoley-yCORRECTyyANSWER-B.yAcyclovirysodium

Aynurseyonytheyeveningyshiftychecksyayphysician'syprescriptionsyandynotesythatytheydoseyofy
ayprescribedymedicationyisyhigherythanytheynormalydose.yTheynurseycallsytheyphysician'syan
sweringyserviceyandyisytoldythatytheyphysicianyifyoffyforytheynightyandywillybeyavailableytheyne
xtymorning.yTheynurseyshould:y
A)ycallytheynursingysupervisor
B)yAskytheyansweringyserviceytoycontactytheyon-callyphysician
C)yWithholdytheymedicationyuntilytheyphysicianycanybeyreachedyinytheymorning
D)yAdministerytheymedicationybutyconsultytheyphysicianywhenyheybecomesyavailabley-
yCORRECTyyANSWER-B)yAskytheyansweringyserviceytoycontactytheyon-callyphysician




Aynurseyperformsyanyinitialyadmissionyassessmentyofyay56-year-oldyclient.
Whichyfactor(s)ywouldyindicateythatytheyclientyisyatyriskyforymetabolic
syndrome?y(Selectyallythatyapply.)
A.yAbdominalyobesity
B.ySedentaryylifestyle
C.yHistoryyofyhypoglycemia
D.yHispanicyoryAsianyethnicity
E.yIncreasedytriglyceridesy-yCORRECTyyANSWER-A)yabdominalyobesity
B)ysedentaryylifestyle
D)yhispanicyoryAsianyethnicity
E)yincreasedytriglycerides

Anyemergencyydepartmenty(ED)ynurseyisymonitoringyayclientywithysuspectedyacute
myocardialyinfarctiony(MI)ywhoyisyawaitingytransferytoytheycoronaryyintensiveycareyunit.
Theynurseynotesytheysuddenyonsetyofyprematureyventricularycontractionsy(PVCs)yonythe
monitor,ychecksytheyclient'sycarotidypulse,yandydeterminesythatytheyPVCsyareynot
resultingyinyperfusion.yTheyappropriateyactionybyytheynurseyis:
A.yDocumentingytheyfindings
B.yAskingytheyEDyphysicianytoycheckytheyclient
C.yContinuingytoymonitorytheyclient'sycardiacystatus
D.yInformingytheyclientythatyPVCsyareyexpectedyafteryanyMIy-yCORRECTyyANSWER-
B.yAskingytheyEDyphysicianytoycheckytheyclient

Enalaprilymaleatey(Vasotec)yisyprescribedyforyayhospitalizedyclient.yWhichyassessmentydoe
sytheynurseyperformyasyaypriorityybeforeyadministeringytheymedication?