HESI EXIT RN EXAM V1-V7 Exam 2025–2026
Accurate Real Exam Questions and Verified Correct
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A teenager presents to the emergency department with palpitations after vaping at a party. The
client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing
which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - answer>>>D. Respiratory alkalosis
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the
wound. Before reporting this finding to the healthcare provider, the nurse should review which
of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level - answer>>>B. Culture for sensitive organisms
A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for adverse
effects of the medication, which serum laboratory value is most important for the nurse to
monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - answer>>>C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory sensitivity, difficulty engaging in
social interactions, and has not yet spoken two-word phrases. Which assessment should the
nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
,B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
D. The Ages and Stages Questionnaire (ASQ) - answer>>>A. The Modified Checklist for Autism in
Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the nurse's legal responsibility
with regard to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the consent form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is included in the client's
record.
D. Validate the client's understanding of the surgical procedure to be conducted - answer>>>C.
Determine that the surgical consent form has been signed and is included in the client's record
A client with hyperthyroidism is admitted to the postoperative unit after a subtotal
thyroidectomy. Which of the client's serum laboratory values requires intervention by the
nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - answer>>>C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in her
breasts and that her nipples sometimes leak a yellowish fluid. She has an appointment with her
healthcare provider in two weeks. What action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere - answer>>>C. Explain that
this normal secretion can be assessed at the next visit
,While the nurse is assessing an older client's fall risk, the client reports living at home alone and
never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age - answer>>>C. Continue
to obtain client data needed to complete the fall risk survey
The nurse is providing education to a client who experiences recurrent levels of moderate
anxiety to situations and perceived stress. In addition to information about prescribed
medication and administration, which instruction should the nurse include in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
D. Think about reasons the episodes occur - answer>>>B. Practice using muscle relaxation
techniques
A young woman with multiple sclerosis just received several immunizations in preparation for
moving into a college dormitory. Two days later, she reports to the nurse that she is
experiencing increasing fatigue and visual problems. What teaching should the nurse provide?
A. Plans to move into the dormitory need to be postponed for at least a semester
B. These are common side effects of the vaccines and will resolve in a few days
C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest
D. these early signs of an infection may require medical treatment with antibiotics -
answer>>>C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest
The nurse is caring for a preterm newborn with nasal flaring, grunting, and sternal retractions.
After administering surfactant, which assessment is most important for the nurse to monitor?
A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate - answer>>>A. Arterial blood gasses
, An S3 heart sound is auscultated in a client in her third trimester of pregnancy. What
intervention should the nurse take?
A. Prepare the client for an echocardiogram
B. Document in the client's record
C. Notify the healthcare provider
D. Limit the client's fluids - answer>>>B. Document in the client's record
A young male client is admitted to rehabilitation following a right above-knee amputation (AKA)
for a severe traumatic injury. He is in the commons room and anxiously calls out to the nurse,
stating that his "right foot is aching". The nurse offers reassurance and support. Which
additional intervention is most important for the nurse to implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
D. Offer to assist the client to a quieter location so he can relax - answer>>>A. Encourage
discussion of feelings about the loss of his limb
A combination multi-drug cocktail is being considered for an asymptomatic HIV-infected client
with a CD4 cell count of 500. Which nursing assessment of the client is most crucial in
determining whether therapy should be initiated?
A. Willing to comply with complex drug schedules
B. Maintains an adequate social support system
C. Qualifies for a prescription assistance program
D. States various side effects of retroviral agents - answer>>>A. Willing to comply with complex
drug schedules
The nurse is caring for a seated client who is experiencing a tonic-clonic seizure. Which actions
should the nurse implement? (Select all that apply)
A. Loosen restrictive clothing
B. Insert a bite block
C. Ease the client to the floor
Accurate Real Exam Questions and Verified Correct
Answers JUST RELEASED
A teenager presents to the emergency department with palpitations after vaping at a party. The
client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing
which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - answer>>>D. Respiratory alkalosis
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the
wound. Before reporting this finding to the healthcare provider, the nurse should review which
of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level - answer>>>B. Culture for sensitive organisms
A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for adverse
effects of the medication, which serum laboratory value is most important for the nurse to
monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - answer>>>C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory sensitivity, difficulty engaging in
social interactions, and has not yet spoken two-word phrases. Which assessment should the
nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
,B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
D. The Ages and Stages Questionnaire (ASQ) - answer>>>A. The Modified Checklist for Autism in
Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the nurse's legal responsibility
with regard to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the consent form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is included in the client's
record.
D. Validate the client's understanding of the surgical procedure to be conducted - answer>>>C.
Determine that the surgical consent form has been signed and is included in the client's record
A client with hyperthyroidism is admitted to the postoperative unit after a subtotal
thyroidectomy. Which of the client's serum laboratory values requires intervention by the
nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - answer>>>C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in her
breasts and that her nipples sometimes leak a yellowish fluid. She has an appointment with her
healthcare provider in two weeks. What action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere - answer>>>C. Explain that
this normal secretion can be assessed at the next visit
,While the nurse is assessing an older client's fall risk, the client reports living at home alone and
never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age - answer>>>C. Continue
to obtain client data needed to complete the fall risk survey
The nurse is providing education to a client who experiences recurrent levels of moderate
anxiety to situations and perceived stress. In addition to information about prescribed
medication and administration, which instruction should the nurse include in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
D. Think about reasons the episodes occur - answer>>>B. Practice using muscle relaxation
techniques
A young woman with multiple sclerosis just received several immunizations in preparation for
moving into a college dormitory. Two days later, she reports to the nurse that she is
experiencing increasing fatigue and visual problems. What teaching should the nurse provide?
A. Plans to move into the dormitory need to be postponed for at least a semester
B. These are common side effects of the vaccines and will resolve in a few days
C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest
D. these early signs of an infection may require medical treatment with antibiotics -
answer>>>C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest
The nurse is caring for a preterm newborn with nasal flaring, grunting, and sternal retractions.
After administering surfactant, which assessment is most important for the nurse to monitor?
A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate - answer>>>A. Arterial blood gasses
, An S3 heart sound is auscultated in a client in her third trimester of pregnancy. What
intervention should the nurse take?
A. Prepare the client for an echocardiogram
B. Document in the client's record
C. Notify the healthcare provider
D. Limit the client's fluids - answer>>>B. Document in the client's record
A young male client is admitted to rehabilitation following a right above-knee amputation (AKA)
for a severe traumatic injury. He is in the commons room and anxiously calls out to the nurse,
stating that his "right foot is aching". The nurse offers reassurance and support. Which
additional intervention is most important for the nurse to implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
D. Offer to assist the client to a quieter location so he can relax - answer>>>A. Encourage
discussion of feelings about the loss of his limb
A combination multi-drug cocktail is being considered for an asymptomatic HIV-infected client
with a CD4 cell count of 500. Which nursing assessment of the client is most crucial in
determining whether therapy should be initiated?
A. Willing to comply with complex drug schedules
B. Maintains an adequate social support system
C. Qualifies for a prescription assistance program
D. States various side effects of retroviral agents - answer>>>A. Willing to comply with complex
drug schedules
The nurse is caring for a seated client who is experiencing a tonic-clonic seizure. Which actions
should the nurse implement? (Select all that apply)
A. Loosen restrictive clothing
B. Insert a bite block
C. Ease the client to the floor
