RN HESI LEADERSHIP EXIT ACTUAL
EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
28. A client with pneumococcal pneumonia had been started on antibiotics 16 hours ago. During
the nurse's initial evening rounds the nurse notices a foul smell in the room. The client makes all
of these statements during their conversation. Which statement would
alert the nurse to a complication?
A) "I have a sharp pain in my chest when I take a breath."
B) "I have been coughing up foul-tasting, brown, thick sputum."
C) "I have been sweating all day."
D) "I feel hot off and on." - - ANS✔️--B
,29. The nurse is performing an assessment on a client in congestive heart failure. Auscultation of
the heart is most likely to reveal
A) S3 ventricular gallop
B) Apical click
C) Systolic murmur
D) Split S2 - - ANS✔️--A
30. Which of these observations made by the nurse during an excretory urogram indicate a
complication?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client's entire body turns a bright red color
C) The client states "I have a feeling of getting warm."
D) The client gags and complains " I am getting sick." - - ANS✔️--B
31. A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest
tube. What is the best explanation for the nurse to provide this client?
A) "The tube will drain fluid from your chest."
B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest."
D) "The tube will seal the hole in your lung." - - ANS✔️--B
32. The nurse is reviewing laboratory results on a client with acute renal failure. Which one of
the following should be reported immediately?
,A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L - - ANS✔️--D
33. The nurse is caring for a client undergoing the placement of a central venous catheter line.
Which of the following would require the nurse's immediate attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms - - ANS✔️--C
34. The nurse is performing a physical assessment on a client who just had an endotracheal tube
inserted. Which finding would call for immediate action by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak - - ANS✔️--C
35. A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that
the client may need suctioning?
A) drowsiness
B) complaint of nausea
, C) pulse rate of 92
D) restlessness - - ANS✔️--D
36. The most effective nursing intervention to prevent atelectasis from developing in a post
operative client is to
A) Maintain adequate hydration
B) Assist client to turn, deep breathe, and cough
C) Ambulate client within 12 hours
D) Splint incision - - ANS✔️--B
37. When caring for a client with a post right thoracotomy who has undergone an upper
lobectomy, the nurse focuses on pain management to promote
A) Relaxation and sleep
B) Deep breathing and coughing
C) Incisional healing
D) Range of motion exercises - - ANS✔️--B
38. A nurse is to collect a sputum specimen for acid-fast bacillus (AFB) from a client. Which
action should the nurse take first?
A) Ask client to cough sputum into container
B) Have the client take several deep breaths
C) Provide a appropriate specimen container
D) Assist with oral hygiene - - ANS✔️--D
EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
28. A client with pneumococcal pneumonia had been started on antibiotics 16 hours ago. During
the nurse's initial evening rounds the nurse notices a foul smell in the room. The client makes all
of these statements during their conversation. Which statement would
alert the nurse to a complication?
A) "I have a sharp pain in my chest when I take a breath."
B) "I have been coughing up foul-tasting, brown, thick sputum."
C) "I have been sweating all day."
D) "I feel hot off and on." - - ANS✔️--B
,29. The nurse is performing an assessment on a client in congestive heart failure. Auscultation of
the heart is most likely to reveal
A) S3 ventricular gallop
B) Apical click
C) Systolic murmur
D) Split S2 - - ANS✔️--A
30. Which of these observations made by the nurse during an excretory urogram indicate a
complication?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client's entire body turns a bright red color
C) The client states "I have a feeling of getting warm."
D) The client gags and complains " I am getting sick." - - ANS✔️--B
31. A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest
tube. What is the best explanation for the nurse to provide this client?
A) "The tube will drain fluid from your chest."
B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest."
D) "The tube will seal the hole in your lung." - - ANS✔️--B
32. The nurse is reviewing laboratory results on a client with acute renal failure. Which one of
the following should be reported immediately?
,A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L - - ANS✔️--D
33. The nurse is caring for a client undergoing the placement of a central venous catheter line.
Which of the following would require the nurse's immediate attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms - - ANS✔️--C
34. The nurse is performing a physical assessment on a client who just had an endotracheal tube
inserted. Which finding would call for immediate action by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak - - ANS✔️--C
35. A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that
the client may need suctioning?
A) drowsiness
B) complaint of nausea
, C) pulse rate of 92
D) restlessness - - ANS✔️--D
36. The most effective nursing intervention to prevent atelectasis from developing in a post
operative client is to
A) Maintain adequate hydration
B) Assist client to turn, deep breathe, and cough
C) Ambulate client within 12 hours
D) Splint incision - - ANS✔️--B
37. When caring for a client with a post right thoracotomy who has undergone an upper
lobectomy, the nurse focuses on pain management to promote
A) Relaxation and sleep
B) Deep breathing and coughing
C) Incisional healing
D) Range of motion exercises - - ANS✔️--B
38. A nurse is to collect a sputum specimen for acid-fast bacillus (AFB) from a client. Which
action should the nurse take first?
A) Ask client to cough sputum into container
B) Have the client take several deep breaths
C) Provide a appropriate specimen container
D) Assist with oral hygiene - - ANS✔️--D
