HESI NURSING HESI-RN-EXIT-EXAM-(150
QUESTIONS-AND-ANSWERS) FOR A+
STUDENTS LATEST UPDATE 2025
GRADED A+
The nurse is evaluating a 3-day diet history with a client who has an
elevated lipid panel. Whatmeal selection indicates the client is managing
this condition well with diet?
a. A 4-ounce steak, French fries, iceberg lettuce
b. Baked chicken breast, broccoli, tomatoes
c. Fried catfish, cornbread, peas
d. Spaghetti with meat sauce, garlic bread
A client has been diagnosed with hypertension but does not take
the antihypertensivemedications because of a lack of symptoms.
What response by the nurse is best?
a. “Do you have trouble affording your medications?”
b. “Most People with hypertension do not have symptoms.”
c. “You are lucky; most people get severe morning headaches.”
d. “You need to take your medicine or you will get kidney failure.”
A nurse is interest in providing community education and screening on
hypertension. In order toreach a priority population, to what target
audience should the nurse provide this service?
a. African-American churches
b. Asian-American groceries
c. High school sports camps
d. Women’s health clinics
The nurse is caring for four hypertensive clients. Which drug-
, laboratory value combinationshould the nurse report immediately to
the health care provider?
a. Furosemide (Lasix)/potassium: 2.1 mEq/L
b. Hydrochlorothiazide (Hydrodiuril)/potassium: 4.2 mEq/L
c. Spironolactone (Aldactone)/potassium: 5.1 mEq/L
d. Torsemide (Demadex)/sodium: 142 mEq/L
A nurse is assessing a client with peripheral artery disease (PAD). The
client states walking fiveblocks is possible without pain. What question
asked next by the nurse will give the best information?
a. “Could you walk further than that a few months ago?”
b. “Do you walk mostly uphill, downhill, or on flat surfaces?”
c. “Have you ever considered swimming instead of walking?”
d. “How much pain medication do you take each day?”
A nurse is caring for four clients. Which one should the nurse see first?
a. Client who needs a beta blocker, and has a blood pressure of 92/58
mm Hg
b. Client who had a first dose of captopril (Capoten) and needs to use the
bathroom
c. Hypertensive client with a blood pressure of 188/92 mm Hg
d. Client who needs pain medication prior to a dressing change of a
surgical wound
A client had a percutaneous transluminal coronary angioplasty for
peripheral arterial disease. What assessment finding by the nurse indicates
a priority outcome for this client has been met?
a. Pain rated as 2/10 after medication
b. Distal pulse on affected extremity 2+/4+
, c. Remains on bedrest as directed
d. Verbalizes understanding of procedure
A nurse teaches a client who is prescribed digoxin (Lanoxin) therapy.
Which statement shouldthe nurse include in this client’s teaching?
a. “Avoid taking aspirin or aspirin-containing products.”
b. “Increase your intake of foods that are high in potassium.”
c. “Hold this medication if your pulse rate is below 80 beats/min.”
d. “Do not take this medication within 1 hour of taking an antacid.”
A nurse admits a client who is experiencing an exacerbation of heart failure.
Which action shouldthe nurse take first?
a. Assess the client’s respiratory status.
b. Draw blood to assess the client’s serum electrolytes.
c. Administer intravenous furosemide (Lasix).
d. Ask the client about current medications.
A nurse assesses a client who has a history of heart failure. Which question
should the nurse askto assess the extent of the client’s heart failure”
a. “Do you have trouble breathing or chest pain?”
b. “Are you able to walk upstairs without fatigue?”
c. “Do you awake with breathlessness during the night?”
d. “Do you have new-onset heaviness in your legs?”
After teaching a client with diverticular disease, a nurse assesses the
client’s understanding. Which menu selection made by the client indicates
the client correctly understood the teaching?
a. Roasted chicken with rice pilaf and a cup of coffee with cream
b. Spaghetti with meat sauce, a fresh fruit cup, and hot tea
, c. Garden salad with a cup of bean soup and a glass of low-fat milk
d. Baked fish with steamed carrots and a glass of apple juice
A nurse cares for a client who is prescribed mesalamine (Asacol) for
ulcerative colitis. The clientstates, “I am having trouble swallowing this
pill.” Which action should the nurse take?
a. Contact the clinical pharmacist and request the medication in
suspension form
b. Empty the contents of the capsule into applesauce or pudding for
administration.
c. Ask the health care provider to prescribe the medication as an enema
instead.
d. Crush the pill carefully and administer it in applesauce or pudding.
A nurse assesses a client who has ulcerative colitis and severe diarrhea.
Which assessmentshould the nurse complete first?
a. Inspection of oral mucosa
b. Recent dietary intake
c. Heart rate and rhythm
d. Percussion of abdomen
A nurse assesses a client with Crohn’s disease and colonic strictures. Which clinical
manifestationshould alert the nurse to urgently contact the health care provider?
a. Distended abdomen
b. Temperature of 100.0° F (37.8° C)
c. Loose and bloody stool
d. Lower abdominal cramps
A nurse reviews the chart of a client who has Crohn’s disease and a draining
fistula. Whichdocumentation should alert the nurse to urgently contact the
QUESTIONS-AND-ANSWERS) FOR A+
STUDENTS LATEST UPDATE 2025
GRADED A+
The nurse is evaluating a 3-day diet history with a client who has an
elevated lipid panel. Whatmeal selection indicates the client is managing
this condition well with diet?
a. A 4-ounce steak, French fries, iceberg lettuce
b. Baked chicken breast, broccoli, tomatoes
c. Fried catfish, cornbread, peas
d. Spaghetti with meat sauce, garlic bread
A client has been diagnosed with hypertension but does not take
the antihypertensivemedications because of a lack of symptoms.
What response by the nurse is best?
a. “Do you have trouble affording your medications?”
b. “Most People with hypertension do not have symptoms.”
c. “You are lucky; most people get severe morning headaches.”
d. “You need to take your medicine or you will get kidney failure.”
A nurse is interest in providing community education and screening on
hypertension. In order toreach a priority population, to what target
audience should the nurse provide this service?
a. African-American churches
b. Asian-American groceries
c. High school sports camps
d. Women’s health clinics
The nurse is caring for four hypertensive clients. Which drug-
, laboratory value combinationshould the nurse report immediately to
the health care provider?
a. Furosemide (Lasix)/potassium: 2.1 mEq/L
b. Hydrochlorothiazide (Hydrodiuril)/potassium: 4.2 mEq/L
c. Spironolactone (Aldactone)/potassium: 5.1 mEq/L
d. Torsemide (Demadex)/sodium: 142 mEq/L
A nurse is assessing a client with peripheral artery disease (PAD). The
client states walking fiveblocks is possible without pain. What question
asked next by the nurse will give the best information?
a. “Could you walk further than that a few months ago?”
b. “Do you walk mostly uphill, downhill, or on flat surfaces?”
c. “Have you ever considered swimming instead of walking?”
d. “How much pain medication do you take each day?”
A nurse is caring for four clients. Which one should the nurse see first?
a. Client who needs a beta blocker, and has a blood pressure of 92/58
mm Hg
b. Client who had a first dose of captopril (Capoten) and needs to use the
bathroom
c. Hypertensive client with a blood pressure of 188/92 mm Hg
d. Client who needs pain medication prior to a dressing change of a
surgical wound
A client had a percutaneous transluminal coronary angioplasty for
peripheral arterial disease. What assessment finding by the nurse indicates
a priority outcome for this client has been met?
a. Pain rated as 2/10 after medication
b. Distal pulse on affected extremity 2+/4+
, c. Remains on bedrest as directed
d. Verbalizes understanding of procedure
A nurse teaches a client who is prescribed digoxin (Lanoxin) therapy.
Which statement shouldthe nurse include in this client’s teaching?
a. “Avoid taking aspirin or aspirin-containing products.”
b. “Increase your intake of foods that are high in potassium.”
c. “Hold this medication if your pulse rate is below 80 beats/min.”
d. “Do not take this medication within 1 hour of taking an antacid.”
A nurse admits a client who is experiencing an exacerbation of heart failure.
Which action shouldthe nurse take first?
a. Assess the client’s respiratory status.
b. Draw blood to assess the client’s serum electrolytes.
c. Administer intravenous furosemide (Lasix).
d. Ask the client about current medications.
A nurse assesses a client who has a history of heart failure. Which question
should the nurse askto assess the extent of the client’s heart failure”
a. “Do you have trouble breathing or chest pain?”
b. “Are you able to walk upstairs without fatigue?”
c. “Do you awake with breathlessness during the night?”
d. “Do you have new-onset heaviness in your legs?”
After teaching a client with diverticular disease, a nurse assesses the
client’s understanding. Which menu selection made by the client indicates
the client correctly understood the teaching?
a. Roasted chicken with rice pilaf and a cup of coffee with cream
b. Spaghetti with meat sauce, a fresh fruit cup, and hot tea
, c. Garden salad with a cup of bean soup and a glass of low-fat milk
d. Baked fish with steamed carrots and a glass of apple juice
A nurse cares for a client who is prescribed mesalamine (Asacol) for
ulcerative colitis. The clientstates, “I am having trouble swallowing this
pill.” Which action should the nurse take?
a. Contact the clinical pharmacist and request the medication in
suspension form
b. Empty the contents of the capsule into applesauce or pudding for
administration.
c. Ask the health care provider to prescribe the medication as an enema
instead.
d. Crush the pill carefully and administer it in applesauce or pudding.
A nurse assesses a client who has ulcerative colitis and severe diarrhea.
Which assessmentshould the nurse complete first?
a. Inspection of oral mucosa
b. Recent dietary intake
c. Heart rate and rhythm
d. Percussion of abdomen
A nurse assesses a client with Crohn’s disease and colonic strictures. Which clinical
manifestationshould alert the nurse to urgently contact the health care provider?
a. Distended abdomen
b. Temperature of 100.0° F (37.8° C)
c. Loose and bloody stool
d. Lower abdominal cramps
A nurse reviews the chart of a client who has Crohn’s disease and a draining
fistula. Whichdocumentation should alert the nurse to urgently contact the
