HESI RN 2025 EXIT EXAM LATEST VERSION / ACTUAL
AUTHENTIC EXAM QUESTIONS AND ANSWERS (A+
GUIDE SOLUTION)
An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and heart
failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The healthcare provider
prescribes furosemide IV. Which therapeutic response to furosemide should the nurse expected in the
client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload answerB. Reduced preload
Which intervention should the nurse include in the plan of care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light answerB. Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted to the
hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch answerC. Had a cold and ear infection for the past two days
,A female client presents in the emergency department and tells the nurse that she was raped last night.
Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department? answerA. Has she taken a bath since the rape
occurred?
The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial
meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing
increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope answerB. Sluggish and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum
amylase. Which additional information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. answerA. Abdominal pain decreases when lying
supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which
information is most important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family answerA. Instructions about how much fluid the
child should drink daily
,A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death.
After notifying the family of the client's status, what priority action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status answerC. The client's need for pain
medication should be determined
Which self care measure is most important for the nurse to include in the plan of care of a client
recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan answerB. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During the assessment, the
nurse observes that both breasts are swollen, warm, and tender on palpation. Which instruction should
the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure answerA. Apply ice to the breasts
for comfort
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the location
on the image with a red dot). answerI placed the red dot on the base of the neck on the right side
D. Blurred vision
E. Frequent drooling answerA. Frequent syncope
C. Flat affect
D. Blurred vision
, 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 answerB. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric 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 the swimming pool and initiated resuscitation. The nurse notices
the older boy becomes withdrawn when asked about what happened. Which action should the nurse
take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions answerB. Ask the older brother how he felt during
the incident
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot
baths at night with no relief of his discomfort. Which action should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
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 answerA. Encourage
the client to use cooler water and apply calamine lotion after soaking
After receiving report on an inpatient acute care unit, which client should the nurse assess first?
A. The client with an obstruction of the large intestine who is experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid
AUTHENTIC EXAM QUESTIONS AND ANSWERS (A+
GUIDE SOLUTION)
An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and heart
failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The healthcare provider
prescribes furosemide IV. Which therapeutic response to furosemide should the nurse expected in the
client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload answerB. Reduced preload
Which intervention should the nurse include in the plan of care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light answerB. Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted to the
hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch answerC. Had a cold and ear infection for the past two days
,A female client presents in the emergency department and tells the nurse that she was raped last night.
Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department? answerA. Has she taken a bath since the rape
occurred?
The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial
meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing
increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope answerB. Sluggish and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum
amylase. Which additional information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. answerA. Abdominal pain decreases when lying
supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which
information is most important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family answerA. Instructions about how much fluid the
child should drink daily
,A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death.
After notifying the family of the client's status, what priority action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status answerC. The client's need for pain
medication should be determined
Which self care measure is most important for the nurse to include in the plan of care of a client
recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan answerB. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During the assessment, the
nurse observes that both breasts are swollen, warm, and tender on palpation. Which instruction should
the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure answerA. Apply ice to the breasts
for comfort
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the location
on the image with a red dot). answerI placed the red dot on the base of the neck on the right side
D. Blurred vision
E. Frequent drooling answerA. Frequent syncope
C. Flat affect
D. Blurred vision
, 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 answerB. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric 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 the swimming pool and initiated resuscitation. The nurse notices
the older boy becomes withdrawn when asked about what happened. Which action should the nurse
take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions answerB. Ask the older brother how he felt during
the incident
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot
baths at night with no relief of his discomfort. Which action should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
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 answerA. Encourage
the client to use cooler water and apply calamine lotion after soaking
After receiving report on an inpatient acute care unit, which client should the nurse assess first?
A. The client with an obstruction of the large intestine who is experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid
