2025 HESI Exit Exam Test Questions with 100% Verified Answers
A female client presents in the emergency (SCA) is being discharged from the hospital.
department and tells the nurse that she was Which information is most important for the nurse
raped last night. Which question is most to provide the parents prior to discharge?
important for the nurse to ask? A. Instructions about how much fluid the child
A. Has she taken a bath since the rape should drink daily.
occurred? B. Signs of addiction to opioid pain medications
B. Is the place where she lives a safe place? C. Information about non-pharmaceutical pain
C. Does she know the person who raped her? relief measures
D. Did she report the rape to the police D. Referral for social services for the child and
department? - ANSWER -A. Has she taken family - ANSWER -A. Instructions about
a bath since the rape occurred? how much fluid the child should drink daily
The nurse is completing the admission To auscultate for a carotid bruit, the nurse places
assessment of a 3-year old who is admitted with the stethoscope at what location. (Select the
bacterial meningitis and hydrocephalus. Which location on the image with a red dot). -
assessment finding is evidence that the child is ANSWER -I placed the red dot on the base
experiencing increased intracranial pressure of the neck on the right side
(ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging After receiving report on an inpatient acute care
fontanels unit, which client should the nurse assess first?
D. Blood pressure fluctuations and syncope - A. The client with an obstruction of the large
ANSWER -B. Sluggish and unequal intestine who is experiencing abdominal
pupillary responses distention
B. The client who had surgery yesterday and is
experiencing a paralytic ileus with absent bowel
sounds
A client with acute pancreatitis is admitted with C. The client with a small bowel obstruction who
severe, piercing abdominal pain and an elevated has a nasogastric tube that is draining greenish
serum amylase. Which additional information is fluid
the client most likely to report to the nurse? D. The client with a bowel obstruction due to a
A. Abdominal pain decreases when lying supine volvulus who is experiencing abdominal rigidity -
B. Pain lasts an hour and leaves the abdomen ANSWER -D. The client with a bowel
tender obstruction due to a volvulus who is experiencing
C. Right upper quadrant pain refers to right abdominal rigidity
scapula
D. Drinks alcohol until intoxicated at least twice
weekly. - ANSWER -A. Abdominal pain
decreases when lying supine 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
A child newly diagnosed with sickle cell anemia developing which acid base imbalance?
,2025 HESI Exit Exam Test Questions with 100% Verified Answers
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - ANSWER -D. A preschool-aged boy is admitted to the pediatric
Respiratory alkalosis unit following successful resuscitation from a
near-drowning incident. While providing care to
the child, the nurse begins talking with his
preadolescent brother who rescued the child from
A client with dyspnea is being admitted to the the swimming pool and initiated resuscitation.
medical unit. To best prepare for the client's The nurse notices the older boy becomes
arrival, the nurse should ensure that the client's withdrawn when asked about what happened.
bed is in which position? Which action should the nurse take?
A. Supine A. Develop a water safety teaching plan for the
B. supine; feet elevated higher than head family
C. supine; head elevated higher than feet B. Ask the older brother how he felt during the
D. Fowlers - ANSWER -Fowlers incident
C. Tell the older brother that he seems
depressed
D. Commend the older brother for his heroic
The nurse is taking the blood pressure actions - ANSWER -B. Ask the older
measurement of a client with Parkinson's brother how he felt during the incident
disease. Which information in the client's
admission assessment is relevant to the nurse's
plan for taking the blood pressure reading?
(Select all the apply) A male client with cirrhosis has jaundice and
A. Frequent syncope pruritus. He tells the nurse that he has been
B. Occasional nocturia soaking in hot baths at night with no relief of his
C. Flat affect discomfort. Which action should the nurse take?
D. Blurred vision A. Encourage the client to use cooler water and
E. Frequent drooling - ANSWER -A. apply calamine lotion after soaking
Frequent syncope B. Obtain a PRN prescription for an analgesic
C. Flat affect that the client can use for symptom relief
D. Blurred vision C. Suggest that the client take brief showers and
apply oil-based lotion after showering
D. Explain that the symptoms are caused by liver
damage and cannot be relieved -
While caring for a client's postoperative dressing, ANSWER -A. Encourage the client to use
the nurse observes purulent drainage at the cooler water and apply calamine lotion after
wound. Before reporting this finding to the soaking
healthcare provider, the nurse should review
which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms An older client with a long history of coronary
C. Serum blood glucose level artery disease (CAD), hypertension (HTN), and
D. Creatinine level - ANSWER -B. Culture heart failure (HF) arrives in the Emergency
for sensitive organisms Department (ED) in respiratory distress. The
, 2025 HESI Exit Exam Test Questions with 100% Verified Answers
healthcare provider prescribes furosemide IV. B. The client's status should be conveyed to the
Which therapeutic response to furosemide chaplain
should the nurse expected in the client with C. The client's need for pain medication should
acute HF? be determined
A. Increased cardiac contractility D. The nurse manager should be updated on the
B. Reduced preload client's status - ANSWER -C. The client's
C. Relaxed vascular tone need for pain medication should be determined
D. Decreased afterload - ANSWER -B.
Reduced preload
Which self care measure is most important for
the nurse to include in the plan of care of a client
Which intervention should the nurse include in recently diagnosed with type 2 diabetes mellitus?
the plan of care for a child with tetanus? A. Self-injection techniques
A. Encourage coughing and deep breathing B. Blood glucose monitoring
B. Minimize the amount of stimuli in the room C. Diabetic diet meal planning
C. Reposition from side to side every hour D. A realistic exercise plan - ANSWER -B.
D. Open window shades to provide natural light - Blood glucose monitoring
ANSWER -B. Minimize the amount of
stimuli in the room
A client who gave birth 48 hours ago has decided
to bottle feed the infant. During the assessment,
An adolescent who was diagnosed with diabetes the nurse observes that both breasts are swollen,
mellitus Type 1 at the age of 9, is admitted to the warm, and tender on palpation. Which instruction
hospital in diabetic ketoacidosis. Which should the nurse provide?
occurrence is the most likely cause of the A. Apply ice to the breasts for comfort
ketoacidosis? B. Wear a loose-fitting bra during the day to
A. Ate an extra peanut butter sandwich before prevent nipple irritation
gym class C. Run warm water over breasts
B. incorrectly administered too much insulin D. Express small amounts of milk from the
C. Had a cold and ear infection for the past two breasts to relieve pressure - ANSWER -A.
days Apply ice to the breasts for comfort
D. Skipped eating lunch - ANSWER -C.
Had a cold and ear infection for the past two
days
The nurse is preparing a client who had a below-
the-knee (BKA) amputation for discharge to
home. Which recommendations should the nurse
A client with a prescription for "do not provide this client? (Select all that apply)
resuscitate" (DNR) begins to manifest signs of A. Avoid range of motion exercises
impending death. After notifying the family of the B. Use a residual limb shrinker
client's status, what priority action should the C. Apply alcohol to the stump after bathing
nurse implement? D. Inspect skin for redness
A. The impending signs of death should be E. Wash the stump with soap and water -
documented ANSWER -B. Use a residual limb shrinker
A female client presents in the emergency (SCA) is being discharged from the hospital.
department and tells the nurse that she was Which information is most important for the nurse
raped last night. Which question is most to provide the parents prior to discharge?
important for the nurse to ask? A. Instructions about how much fluid the child
A. Has she taken a bath since the rape should drink daily.
occurred? B. Signs of addiction to opioid pain medications
B. Is the place where she lives a safe place? C. Information about non-pharmaceutical pain
C. Does she know the person who raped her? relief measures
D. Did she report the rape to the police D. Referral for social services for the child and
department? - ANSWER -A. Has she taken family - ANSWER -A. Instructions about
a bath since the rape occurred? how much fluid the child should drink daily
The nurse is completing the admission To auscultate for a carotid bruit, the nurse places
assessment of a 3-year old who is admitted with the stethoscope at what location. (Select the
bacterial meningitis and hydrocephalus. Which location on the image with a red dot). -
assessment finding is evidence that the child is ANSWER -I placed the red dot on the base
experiencing increased intracranial pressure of the neck on the right side
(ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging After receiving report on an inpatient acute care
fontanels unit, which client should the nurse assess first?
D. Blood pressure fluctuations and syncope - A. The client with an obstruction of the large
ANSWER -B. Sluggish and unequal intestine who is experiencing abdominal
pupillary responses distention
B. The client who had surgery yesterday and is
experiencing a paralytic ileus with absent bowel
sounds
A client with acute pancreatitis is admitted with C. The client with a small bowel obstruction who
severe, piercing abdominal pain and an elevated has a nasogastric tube that is draining greenish
serum amylase. Which additional information is fluid
the client most likely to report to the nurse? D. The client with a bowel obstruction due to a
A. Abdominal pain decreases when lying supine volvulus who is experiencing abdominal rigidity -
B. Pain lasts an hour and leaves the abdomen ANSWER -D. The client with a bowel
tender obstruction due to a volvulus who is experiencing
C. Right upper quadrant pain refers to right abdominal rigidity
scapula
D. Drinks alcohol until intoxicated at least twice
weekly. - ANSWER -A. Abdominal pain
decreases when lying supine 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
A child newly diagnosed with sickle cell anemia developing which acid base imbalance?
,2025 HESI Exit Exam Test Questions with 100% Verified Answers
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - ANSWER -D. A preschool-aged boy is admitted to the pediatric
Respiratory alkalosis unit following successful resuscitation from a
near-drowning incident. While providing care to
the child, the nurse begins talking with his
preadolescent brother who rescued the child from
A client with dyspnea is being admitted to the the swimming pool and initiated resuscitation.
medical unit. To best prepare for the client's The nurse notices the older boy becomes
arrival, the nurse should ensure that the client's withdrawn when asked about what happened.
bed is in which position? Which action should the nurse take?
A. Supine A. Develop a water safety teaching plan for the
B. supine; feet elevated higher than head family
C. supine; head elevated higher than feet B. Ask the older brother how he felt during the
D. Fowlers - ANSWER -Fowlers incident
C. Tell the older brother that he seems
depressed
D. Commend the older brother for his heroic
The nurse is taking the blood pressure actions - ANSWER -B. Ask the older
measurement of a client with Parkinson's brother how he felt during the incident
disease. Which information in the client's
admission assessment is relevant to the nurse's
plan for taking the blood pressure reading?
(Select all the apply) A male client with cirrhosis has jaundice and
A. Frequent syncope pruritus. He tells the nurse that he has been
B. Occasional nocturia soaking in hot baths at night with no relief of his
C. Flat affect discomfort. Which action should the nurse take?
D. Blurred vision A. Encourage the client to use cooler water and
E. Frequent drooling - ANSWER -A. apply calamine lotion after soaking
Frequent syncope B. Obtain a PRN prescription for an analgesic
C. Flat affect that the client can use for symptom relief
D. Blurred vision C. Suggest that the client take brief showers and
apply oil-based lotion after showering
D. Explain that the symptoms are caused by liver
damage and cannot be relieved -
While caring for a client's postoperative dressing, ANSWER -A. Encourage the client to use
the nurse observes purulent drainage at the cooler water and apply calamine lotion after
wound. Before reporting this finding to the soaking
healthcare provider, the nurse should review
which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms An older client with a long history of coronary
C. Serum blood glucose level artery disease (CAD), hypertension (HTN), and
D. Creatinine level - ANSWER -B. Culture heart failure (HF) arrives in the Emergency
for sensitive organisms Department (ED) in respiratory distress. The
, 2025 HESI Exit Exam Test Questions with 100% Verified Answers
healthcare provider prescribes furosemide IV. B. The client's status should be conveyed to the
Which therapeutic response to furosemide chaplain
should the nurse expected in the client with C. The client's need for pain medication should
acute HF? be determined
A. Increased cardiac contractility D. The nurse manager should be updated on the
B. Reduced preload client's status - ANSWER -C. The client's
C. Relaxed vascular tone need for pain medication should be determined
D. Decreased afterload - ANSWER -B.
Reduced preload
Which self care measure is most important for
the nurse to include in the plan of care of a client
Which intervention should the nurse include in recently diagnosed with type 2 diabetes mellitus?
the plan of care for a child with tetanus? A. Self-injection techniques
A. Encourage coughing and deep breathing B. Blood glucose monitoring
B. Minimize the amount of stimuli in the room C. Diabetic diet meal planning
C. Reposition from side to side every hour D. A realistic exercise plan - ANSWER -B.
D. Open window shades to provide natural light - Blood glucose monitoring
ANSWER -B. Minimize the amount of
stimuli in the room
A client who gave birth 48 hours ago has decided
to bottle feed the infant. During the assessment,
An adolescent who was diagnosed with diabetes the nurse observes that both breasts are swollen,
mellitus Type 1 at the age of 9, is admitted to the warm, and tender on palpation. Which instruction
hospital in diabetic ketoacidosis. Which should the nurse provide?
occurrence is the most likely cause of the A. Apply ice to the breasts for comfort
ketoacidosis? B. Wear a loose-fitting bra during the day to
A. Ate an extra peanut butter sandwich before prevent nipple irritation
gym class C. Run warm water over breasts
B. incorrectly administered too much insulin D. Express small amounts of milk from the
C. Had a cold and ear infection for the past two breasts to relieve pressure - ANSWER -A.
days Apply ice to the breasts for comfort
D. Skipped eating lunch - ANSWER -C.
Had a cold and ear infection for the past two
days
The nurse is preparing a client who had a below-
the-knee (BKA) amputation for discharge to
home. Which recommendations should the nurse
A client with a prescription for "do not provide this client? (Select all that apply)
resuscitate" (DNR) begins to manifest signs of A. Avoid range of motion exercises
impending death. After notifying the family of the B. Use a residual limb shrinker
client's status, what priority action should the C. Apply alcohol to the stump after bathing
nurse implement? D. Inspect skin for redness
A. The impending signs of death should be E. Wash the stump with soap and water -
documented ANSWER -B. Use a residual limb shrinker
