HESI RN EXIT EXAM 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS
|ALREADY GRADED A+|LATEST
UPDATE|GUARANTEED PASS
An older client is admitted to the hospital because of recurring transient ischemic attacks.
Neurological serial assessments for the past 24 hours were within normal limits. One day after
admission, the client suddenly becomes confused and combative indicating impaired mental
status (IMS). What intervention should the nurse implement first?
A. Document neurologic changes
B. Reduce environmental stimuli
C. Administer prescribed neuroleptic
D. Review medications for interactions
B. Reduce environmental stimuli
An adult client is admitted to the psychiatric unit because of a daily, complex handwashing ritual
that takes two hours or longer to complete. The client worries about staying clean and refuses
to sit on any of the chairs in the day area. This client's handwashing is an example of which
clinical behavior?
A. Phobia
B. Addiction
C. Obsession
D. Compulsion
D. Compulsion
1|Page
,The nurse is preparing to send a client to the cardiac catheterization lab for elective
cardioversion. Which intervention should the nurse implement before the client leaves the
medical unit?
A. Document that the client has remained NPO
B. Confirm monitor reading in synchronous mode
C. Notify the rapid response team of the transfer
D. Secure cardioversion pads on the client's chest
A. Document that the client has remained NPO
The nurse includes assessment for fat embolism syndrome (FES) in the plan of care for a client
with a fractured femur. Which findings should the nurse include that are often the earliest
indication of a FES?
A. Confusion, restlessness
B. Petechial rash
C. Tachycardia, fever
D. Pulmonary crackles
A. Confusion, restlessness
The nurse is assessing a first day postpartum client. Which finding is most indicative of a
postpartum infection?
A. Blood pressure of 122/74 mmHg
B. White blood count of 19,000mm3
C. Moderate amount of foul-smelling lochia
D. Oral temperature of 100.2F
C. Moderate amount of foul-smelling lochia
The nurse should be most concerned about risk for injury (falls) after administering which
medication?
A. Pantoprazole
B. Famotidine
C. Clarithromycin
D. Promethazine
D. Promethazine
The charge nurse in an extended care facility in organizing unit activities for the day. Which
action may be safely delegated to the practical nurse (PN)?
A. Measure the client's body weight each morning
B. Establish blood pressure parameters for client monitoring
2|Page
,C. Evaluate a staff member providing wound care
D. Evaluate client teaching through return demonstration
A. Measure the client's body weight each morning
An older adult client with chronic emphysema is admitted to the emergency room from home
with acute onset of weakness, palpitations, and vomiting. Which information is most important
for the nurse to obtain during the initial interview?
A. History of smoking over the past 6 months
B. Sleep patterns during the previous few weeks
C. Activity level prior to onset of symptoms
D. Recent compliance with prescribed medications
D. Recent compliance with prescribed medications
A client with cervical cancer is hospitalized for insertion of a sealed internal cervical radiation
implant. While providing care the nurse finds the radiation implant in the bed. What action
should the nurse take?
A. Apply double gloves to retrieve the implant for disposal
B. Place the implant in a lead container using long-handled forceps
C. Reinsert the implant into the vagina
D. Call the radiology department
B. Place the implant in a lead container using long-handled forceps
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The client is
weak and begins coughing while attempting to drink through a straw. Which intervention should
the nurse implement?
A. Assess the client's oral cavity for ulcerations
B. Monitor the client when using a straw for liquids
C. Teach coughing and deep breathing exercises
D. Request thick nectar liquids for the client
D. Request thick nectar liquids for the client
Which type of leukocyte is involved with allergic responses and the destruction of parasitic
worms?
A. Eosinophils
B. Neutrophils
C. Lymphocytes
D. Monocytes
A. Eosinophils
3|Page
, Which woman should the nurse consider at the highest risk for cervical cancer?
A. History of unprotected sex with multiple partners
B. Postmenopausal for 5 years with intermittent vaginal spotting
C. Taking birth control pills after 40 years of age
D. Multiparous delivery of infants more than 9 pounds
A. History of unprotected sex with multiple partners
Which intervention is most important for the nurse to include in the plan of care for a client
who is being mechanically ventilated and is receiving continuous enteral feedings?
A. Maintain the head of the bed elevated at 45 degrees
B. Check the feeding tube placement q8hours
C. Assess the gastric residual volume q4hours
D. Obtain a chest x-ray PRN for adventitious lung sounds
A. Maintain the head of the bed elevated at 45 degrees
After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The
family wish to see the body before it is taken to the funeral home. Which interventions should
the nurse take to prepare the body before the family enters the room?
A. Gently close the eyes
B. Remove resuscitation equipment from the room
C. Take out dentures and place in a labeled cup
D. Apply a body shroud
E. Place a small pillow under the head
A. Gently close the eyes
B. Remove resuscitation equipment from the room
E. Place a small pillow under the head
During discharge teaching, an overweight client with heart failure (HF) is asked to make a
grocery list for the nurse to review. Which food choices included on the client's list should the
nurse encourage?
A. Canned fruit in heavy syrup
B. Natural whole almonds
C. Plain, air-popped popcorn
D. Lightly salted potato chips
E. Cheddar cheese cubes
4|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS
|ALREADY GRADED A+|LATEST
UPDATE|GUARANTEED PASS
An older client is admitted to the hospital because of recurring transient ischemic attacks.
Neurological serial assessments for the past 24 hours were within normal limits. One day after
admission, the client suddenly becomes confused and combative indicating impaired mental
status (IMS). What intervention should the nurse implement first?
A. Document neurologic changes
B. Reduce environmental stimuli
C. Administer prescribed neuroleptic
D. Review medications for interactions
B. Reduce environmental stimuli
An adult client is admitted to the psychiatric unit because of a daily, complex handwashing ritual
that takes two hours or longer to complete. The client worries about staying clean and refuses
to sit on any of the chairs in the day area. This client's handwashing is an example of which
clinical behavior?
A. Phobia
B. Addiction
C. Obsession
D. Compulsion
D. Compulsion
1|Page
,The nurse is preparing to send a client to the cardiac catheterization lab for elective
cardioversion. Which intervention should the nurse implement before the client leaves the
medical unit?
A. Document that the client has remained NPO
B. Confirm monitor reading in synchronous mode
C. Notify the rapid response team of the transfer
D. Secure cardioversion pads on the client's chest
A. Document that the client has remained NPO
The nurse includes assessment for fat embolism syndrome (FES) in the plan of care for a client
with a fractured femur. Which findings should the nurse include that are often the earliest
indication of a FES?
A. Confusion, restlessness
B. Petechial rash
C. Tachycardia, fever
D. Pulmonary crackles
A. Confusion, restlessness
The nurse is assessing a first day postpartum client. Which finding is most indicative of a
postpartum infection?
A. Blood pressure of 122/74 mmHg
B. White blood count of 19,000mm3
C. Moderate amount of foul-smelling lochia
D. Oral temperature of 100.2F
C. Moderate amount of foul-smelling lochia
The nurse should be most concerned about risk for injury (falls) after administering which
medication?
A. Pantoprazole
B. Famotidine
C. Clarithromycin
D. Promethazine
D. Promethazine
The charge nurse in an extended care facility in organizing unit activities for the day. Which
action may be safely delegated to the practical nurse (PN)?
A. Measure the client's body weight each morning
B. Establish blood pressure parameters for client monitoring
2|Page
,C. Evaluate a staff member providing wound care
D. Evaluate client teaching through return demonstration
A. Measure the client's body weight each morning
An older adult client with chronic emphysema is admitted to the emergency room from home
with acute onset of weakness, palpitations, and vomiting. Which information is most important
for the nurse to obtain during the initial interview?
A. History of smoking over the past 6 months
B. Sleep patterns during the previous few weeks
C. Activity level prior to onset of symptoms
D. Recent compliance with prescribed medications
D. Recent compliance with prescribed medications
A client with cervical cancer is hospitalized for insertion of a sealed internal cervical radiation
implant. While providing care the nurse finds the radiation implant in the bed. What action
should the nurse take?
A. Apply double gloves to retrieve the implant for disposal
B. Place the implant in a lead container using long-handled forceps
C. Reinsert the implant into the vagina
D. Call the radiology department
B. Place the implant in a lead container using long-handled forceps
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The client is
weak and begins coughing while attempting to drink through a straw. Which intervention should
the nurse implement?
A. Assess the client's oral cavity for ulcerations
B. Monitor the client when using a straw for liquids
C. Teach coughing and deep breathing exercises
D. Request thick nectar liquids for the client
D. Request thick nectar liquids for the client
Which type of leukocyte is involved with allergic responses and the destruction of parasitic
worms?
A. Eosinophils
B. Neutrophils
C. Lymphocytes
D. Monocytes
A. Eosinophils
3|Page
, Which woman should the nurse consider at the highest risk for cervical cancer?
A. History of unprotected sex with multiple partners
B. Postmenopausal for 5 years with intermittent vaginal spotting
C. Taking birth control pills after 40 years of age
D. Multiparous delivery of infants more than 9 pounds
A. History of unprotected sex with multiple partners
Which intervention is most important for the nurse to include in the plan of care for a client
who is being mechanically ventilated and is receiving continuous enteral feedings?
A. Maintain the head of the bed elevated at 45 degrees
B. Check the feeding tube placement q8hours
C. Assess the gastric residual volume q4hours
D. Obtain a chest x-ray PRN for adventitious lung sounds
A. Maintain the head of the bed elevated at 45 degrees
After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The
family wish to see the body before it is taken to the funeral home. Which interventions should
the nurse take to prepare the body before the family enters the room?
A. Gently close the eyes
B. Remove resuscitation equipment from the room
C. Take out dentures and place in a labeled cup
D. Apply a body shroud
E. Place a small pillow under the head
A. Gently close the eyes
B. Remove resuscitation equipment from the room
E. Place a small pillow under the head
During discharge teaching, an overweight client with heart failure (HF) is asked to make a
grocery list for the nurse to review. Which food choices included on the client's list should the
nurse encourage?
A. Canned fruit in heavy syrup
B. Natural whole almonds
C. Plain, air-popped popcorn
D. Lightly salted potato chips
E. Cheddar cheese cubes
4|Page
