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Exam (elaborations)

HESI RN Exit Exam – Verified Questions and Answers Compilation (Nursing Exam Prep, USA)

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This document provides a comprehensive set of verified questions and answers for the HESI RN Exit Exam. It includes detailed, exam-relevant multiple-choice questions designed to test clinical judgment, nursing concepts, pharmacology, and patient care scenarios. Ideal for final-year nursing students preparing for the HESI Exit Exam as part of their NCLEX readiness strategy

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Institution
HESI RN EXIT
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Uploaded on
May 3, 2025
Number of pages
48
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

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HESI RN EXIT EXAM QUESTIONS AND
VERIFIED ANSWERS (UPDATE 2025)RATED A+
In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust?

A) Food

B) Warmth

C) Security

D) Comfort ~CORRECT ANSWER~C) Security



A nurse has just received a medication order which is not legible. Which statement best
reflects assertive communication?

A) "I cannot give this medication as it is written. I have no idea of what you mean."

B) "Would you please clarify what you have written so I am sure I am reading it

correctly?"

C) "I am having difficulty reading your handwriting. It would save me time if you would
be more careful."

D) "Please print in the future so I do not have to spend extra time attempting to read your
writing." ~CORRECT ANSWER~B) "Would you please clarify what you have written
so I am sure I am reading it

correctly?"



What is the most important consideration when teaching parents how to reduce risks in
the home?

A) Age and knowledge level of the parents

B) Proximity to emergency services

,C) Number of children in the home

D) Age of children in the home ~CORRECT ANSWER~D) Age of children in the home



A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the
nurse enters the room to request something for pain. The nurse should

A) Administer a placebo

B) Encourage increased fluid intake

C) Administer the prescribed analgesia

D) Recommend relaxation exercises for pain control ~CORRECT ANSWER~C)
Administer the prescribed analgesia



While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?

A) Respiratory rate of 42

B) Lethargy for the past hour

C) Apical pulse of 54

D) Coughing up copious secretions ~CORRECT ANSWER~A) Respiratory rate of 42



A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following assessment findings?

A) Lethargy

B) Heat intolerance

C) Diarrhea

D) Skin eruptions ~CORRECT ANSWER~A) Lethargy

,The emergency room nurse admits a child who experienced a seizure at school. The
father comments that this is the first occurrence, and denies any family history of
epilepsy. What is the best response by the nurse?

A) "Do not worry. Epilepsy can be treated with medications."

B) "The seizure may or may not mean your child has epilepsy."

C) "Since this was the first convulsion, it may not happen again."

D) "Long term treatment will prevent future seizures." ~CORRECT ANSWER~B) "The
seizure may or may not mean your child has epilepsy."



Alcohol and drug abuse impairs judgment and increases risk taking behavior. What
nursing diagnosis best applies?

A) Risk for injury

B) Risk for knowledge deficit

C) Altered thought process

D) Disturbance in self-esteem ~CORRECT ANSWER~A) Risk for injury



Which these findings would the nurse more closely associate with anemia in a 10 month-
old infant?

A) Hemoglobin level of 12 g/dI

B) Pale mucosa of the eyelids and lips

C) Hypoactivity

D) A heart rate between 140 to 160 ~CORRECT ANSWER~B) Pale mucosa of the
eyelids and lips



The nurse is caring for a client in hypertensive crisis in an intensive care unit. The
priority assessment in the first hour of care is

, A) Heart rate

B) Pedal pulses

C) Lung sounds

D) Pupil responses ~CORRECT ANSWER~D) Pupil responses



Which of these clients who are all in the terminal stage of cancer is least appropriate to
suggest the use of patient controlled analgesia (PCA) with a pump?

A) A young adult with a history of Down's syndrome

B) A teenager who reads at a 4th grade level

C) An elderly client with numerous arthritic nodules on the hands

D) A preschooler with intermittent episodes of alertness ~CORRECT ANSWER~D) A
preschooler with intermittent episodes of alertness



The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive
(NOFTT). Upon entering the room, the nurse would expect the baby to be

A) Irritable and "colicky" with no attempts to pull to standing

B) Alert, laughing and playing with a rattle, sitting with support

C) Skin color dusky with poor skin turgor over abdomen

D) Pale, thin arms and legs, uninterested in surroundings ~CORRECT ANSWER~D)
Pale, thin arms and legs, uninterested in surroundings



As the nurse is speaking with a group of teens which of these side effects of
chemotherapy for cancer would the nurse expect this group to be more interested in
during the discussion?

A) Mouth sores

B) Fatigue

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