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? - CORRECT
ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-
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? - CORRECT
ANSWERS-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 - CORRECT
ANSWERS--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? - CORRECT
ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT
ANSWERS-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? - CORRECT
ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-
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? - CORRECT ANSWERS-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? - CORRECT
ANSWERS-take metformin for type 2 diabetes
The nurse should withhold which medication if the client's serum potassium level is 6.2
mEq/? - CORRECT ANSWERS-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? -
CORRECT ANSWERS-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? -
CORRECT ANSWERS--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 - CORRECT ANSWERS-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? - CORRECT ANSWERS-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 - CORRECT ANSWERS-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? -
CORRECT ANSWERS-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
(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? - CORRECT
ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-
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? - CORRECT
ANSWERS-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 - CORRECT
ANSWERS--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? - CORRECT
ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT
ANSWERS-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? - CORRECT
ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-
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? - CORRECT ANSWERS-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? - CORRECT
ANSWERS-take metformin for type 2 diabetes
The nurse should withhold which medication if the client's serum potassium level is 6.2
mEq/? - CORRECT ANSWERS-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? -
CORRECT ANSWERS-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? -
CORRECT ANSWERS--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 - CORRECT ANSWERS-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? - CORRECT ANSWERS-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 - CORRECT ANSWERS-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? -
CORRECT ANSWERS-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
