HESI Exit RN V3 Question and Answers 2025
1. A 64 year-old client scheduled for surgery with a general anesthetic
refuses to remove a set of dentures prior to leaving the unit for the operating
room. What would be the most appropriate intervention by the nurse?
A) Explain to the client that the dentures must come out as they may get lost
or broken in the operating room
B) Ask the client if there are second thoughts about having the procedure
C) Notify the anesthesia department and the surgeon of the client's refusal
D) Ask the client if the preference would be to remove the dentures in the
operating room receiving area -
✔ D: Ask the client if the preference would be to remove the dentures in the
operating room receiving area
2. The nurse has been teaching adult clients about cardiac risks when they
visit the hypertension clinic. Which form of evaluation would best measure
learning?
A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
D) Reported behavioral changes -
✔ D: Reported behavioral changes
3. The nurse is planning care for an 18 month-old child. Which action should
be included in the child's care?
,A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children -
✔ B: Encourage the child to feed himself finger food
4. A partner is concerned because the client frequently daydreams about
moving to Arizona to get away from the pollution and crowding in southern
California. The nurse explains that
A) Such fantasies can gratify unconscious wishes or prepare for anticipated
future events
B) Detaching or dissociating in this way postpones painful feelings
C) This conversion or transferring of a mental conflict to a physical symptom
can lead to marital conflict
D) To isolate the feelings in this way reduces conflict within the client and
with others -
✔ A: Such fantasies can gratify unconscious wishes or prepare for
anticipated future events
5. An appropriate goal for a client with anxiety would be to
A) Ventilate anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma -
✔ C: Learn self-help techniques
,6. While the nurse is administering medications to a client, the client states
"I do not want to take that medicine today." Which of the following responses
by the nurse would be best?
A) "That's OK, its all right to skip your medication now and then."
B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your medicine?"
D) "Do you understand the consequences of refusing your prescribed
treatment?" -
✔ C: "Is there a reason why you don't want to take your medicine?"
7. While caring for a client, the nurse notes a pulsating mass in the client's
peri umbilical area. Which of the following assessments is appropriate for the
nurse to perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass -
✔ B: Auscultate the mass
8. A client is admitted to the hospital with a history of confusion. The client
has difficulty remembering recent events and becomes disoriented when
away from home. Which statement would provide the best reality orientation
for this client?
A) "Good morning. Do you remember where you are?"
, B) "Hello. My name is Elaine Jones and I am your nurse for today."
C) "How are you today? Remember, you're in the hospital."
D) "Good morning. You're in the hospital. I am your nurse Elaine Jones." -
✔ D: "Good morning. You're in the hospital. I am your nurse Elaine Jones."
9. The nurse is teaching the parents of a 3 month-old infant about nutrition.
What is the main source of fluids for an infant until about 12 months of age?
A) Formula or breast milk
B) Dilute nonfat dry milk
C) Warmed fruit juice
D) Fluoridated tap water -
✔ A: Formula or breast milk
10. The family of a 6 year-old with a fractured femur asks the nurse if the
child's height will be affected by the injury. Which statement is true
concerning long bone fractures in children?
A) Growth problems will occur if the fracture involves the periosteum
B) Epiphyseal fractures often interrupt a child's normal growth pattern
C) Children usually heal very quickly, so growth problems are rare
D) Adequate blood supply to the bone prevents growth delay after fractures -
✔ B: Epiphyseal fractures often interrupt a child''s normal growth pattern
11. The nurse is assessing a client who states her last menstrual period was
March 16, and she has missed one period. She reports episodes of nausea
and vomiting. Pregnancy is confirmed by a urine test. What will the nurse
calculate as the estimated date of delivery (EDD)?
1. A 64 year-old client scheduled for surgery with a general anesthetic
refuses to remove a set of dentures prior to leaving the unit for the operating
room. What would be the most appropriate intervention by the nurse?
A) Explain to the client that the dentures must come out as they may get lost
or broken in the operating room
B) Ask the client if there are second thoughts about having the procedure
C) Notify the anesthesia department and the surgeon of the client's refusal
D) Ask the client if the preference would be to remove the dentures in the
operating room receiving area -
✔ D: Ask the client if the preference would be to remove the dentures in the
operating room receiving area
2. The nurse has been teaching adult clients about cardiac risks when they
visit the hypertension clinic. Which form of evaluation would best measure
learning?
A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
D) Reported behavioral changes -
✔ D: Reported behavioral changes
3. The nurse is planning care for an 18 month-old child. Which action should
be included in the child's care?
,A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children -
✔ B: Encourage the child to feed himself finger food
4. A partner is concerned because the client frequently daydreams about
moving to Arizona to get away from the pollution and crowding in southern
California. The nurse explains that
A) Such fantasies can gratify unconscious wishes or prepare for anticipated
future events
B) Detaching or dissociating in this way postpones painful feelings
C) This conversion or transferring of a mental conflict to a physical symptom
can lead to marital conflict
D) To isolate the feelings in this way reduces conflict within the client and
with others -
✔ A: Such fantasies can gratify unconscious wishes or prepare for
anticipated future events
5. An appropriate goal for a client with anxiety would be to
A) Ventilate anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma -
✔ C: Learn self-help techniques
,6. While the nurse is administering medications to a client, the client states
"I do not want to take that medicine today." Which of the following responses
by the nurse would be best?
A) "That's OK, its all right to skip your medication now and then."
B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your medicine?"
D) "Do you understand the consequences of refusing your prescribed
treatment?" -
✔ C: "Is there a reason why you don't want to take your medicine?"
7. While caring for a client, the nurse notes a pulsating mass in the client's
peri umbilical area. Which of the following assessments is appropriate for the
nurse to perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass -
✔ B: Auscultate the mass
8. A client is admitted to the hospital with a history of confusion. The client
has difficulty remembering recent events and becomes disoriented when
away from home. Which statement would provide the best reality orientation
for this client?
A) "Good morning. Do you remember where you are?"
, B) "Hello. My name is Elaine Jones and I am your nurse for today."
C) "How are you today? Remember, you're in the hospital."
D) "Good morning. You're in the hospital. I am your nurse Elaine Jones." -
✔ D: "Good morning. You're in the hospital. I am your nurse Elaine Jones."
9. The nurse is teaching the parents of a 3 month-old infant about nutrition.
What is the main source of fluids for an infant until about 12 months of age?
A) Formula or breast milk
B) Dilute nonfat dry milk
C) Warmed fruit juice
D) Fluoridated tap water -
✔ A: Formula or breast milk
10. The family of a 6 year-old with a fractured femur asks the nurse if the
child's height will be affected by the injury. Which statement is true
concerning long bone fractures in children?
A) Growth problems will occur if the fracture involves the periosteum
B) Epiphyseal fractures often interrupt a child's normal growth pattern
C) Children usually heal very quickly, so growth problems are rare
D) Adequate blood supply to the bone prevents growth delay after fractures -
✔ B: Epiphyseal fractures often interrupt a child''s normal growth pattern
11. The nurse is assessing a client who states her last menstrual period was
March 16, and she has missed one period. She reports episodes of nausea
and vomiting. Pregnancy is confirmed by a urine test. What will the nurse
calculate as the estimated date of delivery (EDD)?
