2
2025 HESI RN EXIT V3 FULL 160 ANSWERS
1. The nurse is has just admitted a client with severe depression. From which focus should
the nurse identify a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
The correct answer is D: Safety
2. While explaining an illness to a 10 year-old, what should the nurse keep in mind
about the cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective D) Conclusions are
based on previous experiences
The correct answer is B: Think logically in organizing facts
3. The nurse enters the room asa 3 year-old is having a generalized seizure. Which
intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
The correct answer is B: Place the child on the side
4. The nurse is reviewing a depressed client's history from an earlier admission.
Documentation of anhedonia is noted. The nurse understands that this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
1|P a g e
, C) Lack of enjoyment in usual pleasures
3
D) Reduced senses of taste and smell
The correct answer is C: Lack of enjoyment in usual pleasures
5. A client has just returnedto the medical-surgical unit following a segmental lung
resection. After assessing the client, the first nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation
The correct answer is B: Suction excessive tracheobronchial secretions
6. While assessing a client in an outpatient facility with a panic disorder, the nurse
completes a thorough health history and physical exam. Which finding is most
significant for this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
The correct answer is B: Sense of impending doom
7. A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this
child enters the hospital room for the first time, the toddler runs to the mother, clings to her
and begins to cry. What would be the initial action by the nurse?
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention
The correct answer is B: Explain that this behavior is expected
2|P a g e
, 8. A 15 year-old client with a lengthy confining illness is at risk for altered growth and
development of which task?
A) Loss of control
4
B) Insecurity
C) Dependence
D) Lack of trust
The correct answer is C: Dependence
9. Which playroom activities should the nurse organize for a small group of 7 year-
old hospitalized children? A) Sports and games with rules
B) Finger paints and water play
C) "Dress-up" clothes and props
D) Chess and television programs
The correct answer is A: Sports and games with rules
10. The nurse is discussing dietary intake with an adolescent who has acne. The
most appropriate statement for the nurse is A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D) "Do not use caffeine in any form, including
chocolate." The correct answer is A: "Eat a
balanced diet for your age."
11. The fnurse fis fassigned fto fa fnewly fdelivered fwoman fwith fHIV/AIDS. fThe fstudent fasks
fthe fnurse fabout fhow fit fis fdetermined fthat fa fperson fhas fAIDS fother fthan fa fpositive fHIV
ftest. fThe fnurse fresponds
A) "The fcomplaints fof fat fleast f3 fcommon ffindings."
B) "The fabsence fof fany fopportunistic finfection."
3|P a g e
, C) "CD4 flymphocyte fcount fis fless fthan f200."
D) "Developmental fdelays fin fchildren."
The fcorrect fanswer fis fC: f"CD4 flymphocyte fcount fis fless fthan f200."
12. The fnurse fis fcaring ffor fa fchild fwho fhas fjust freturned ffrom fsurgery ffollowing
fa ftonsillectomy fand fadenoidectomy. fWhich faction fby fthe fnurse fis fappropriate?
A) Offer fice fcream fevery f2 fhours
B) Place fthe fchild fin fa fsupine fposition
3 f| fP f a f g f e
5
C) Allow fthe fchild fto fdrink fthrough fa fstraw
D) Observe fswallowing fpatterns
The fcorrect fanswer fis fD: fObserve fswallowing fpatterns
13. A f23 fyear-old fsingle fclient fis fin fthe f33rd fweek fof fher ffirst fpregnancy. fShe ftells
fthe fnurse fthat fshe fhas feverything fready ffor fthe fbaby fand fhas fmade fplans ffor fthe
ffirst fweeks ftogether fat fhome. fWhich fnormal femotional freaction fdoes fthe fnurse
frecognize?
A) Acceptance fof fthe fpregnancy
B) Focus fon ffetal fdevelopment
C) Anticipation fof fthe fbirth
D) Ambivalence fabout fpregnancy
The fcorrect fanswer fis fC: fAnticipation fof fthe fbirth
14. The fnurse fis fplanning fcare ffor fa fclient fwith fpneumococcal fpneumonia. fWhich fof
fthe ffollowing fwould fbe fmost feffective fin fremoving frespiratory fsecretions?
A) Administration fof fcough fsuppressants
B) Increasing foral ffluid fintake fto f3000 fcc fper fday
C) Maintaining fbed frest fwith fbathroom fprivileges
D) Performing fchest fphysiotherapy ftwice fa fday
The fcorrect fanswer fis fB: fIncreasing foral ffluid fintake fto f3000 fcc fper fday
15. The fnurse fin fa fwell-child fclinic fexamines fmany fchildren fon fa fdaily fbasis. fWhich fof
fthe ffollowing ftoddlers frequires ffurther ffollow fup?
Page 4 of 44
2025 HESI RN EXIT V3 FULL 160 ANSWERS
1. The nurse is has just admitted a client with severe depression. From which focus should
the nurse identify a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
The correct answer is D: Safety
2. While explaining an illness to a 10 year-old, what should the nurse keep in mind
about the cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective D) Conclusions are
based on previous experiences
The correct answer is B: Think logically in organizing facts
3. The nurse enters the room asa 3 year-old is having a generalized seizure. Which
intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
The correct answer is B: Place the child on the side
4. The nurse is reviewing a depressed client's history from an earlier admission.
Documentation of anhedonia is noted. The nurse understands that this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
1|P a g e
, C) Lack of enjoyment in usual pleasures
3
D) Reduced senses of taste and smell
The correct answer is C: Lack of enjoyment in usual pleasures
5. A client has just returnedto the medical-surgical unit following a segmental lung
resection. After assessing the client, the first nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation
The correct answer is B: Suction excessive tracheobronchial secretions
6. While assessing a client in an outpatient facility with a panic disorder, the nurse
completes a thorough health history and physical exam. Which finding is most
significant for this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
The correct answer is B: Sense of impending doom
7. A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this
child enters the hospital room for the first time, the toddler runs to the mother, clings to her
and begins to cry. What would be the initial action by the nurse?
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention
The correct answer is B: Explain that this behavior is expected
2|P a g e
, 8. A 15 year-old client with a lengthy confining illness is at risk for altered growth and
development of which task?
A) Loss of control
4
B) Insecurity
C) Dependence
D) Lack of trust
The correct answer is C: Dependence
9. Which playroom activities should the nurse organize for a small group of 7 year-
old hospitalized children? A) Sports and games with rules
B) Finger paints and water play
C) "Dress-up" clothes and props
D) Chess and television programs
The correct answer is A: Sports and games with rules
10. The nurse is discussing dietary intake with an adolescent who has acne. The
most appropriate statement for the nurse is A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D) "Do not use caffeine in any form, including
chocolate." The correct answer is A: "Eat a
balanced diet for your age."
11. The fnurse fis fassigned fto fa fnewly fdelivered fwoman fwith fHIV/AIDS. fThe fstudent fasks
fthe fnurse fabout fhow fit fis fdetermined fthat fa fperson fhas fAIDS fother fthan fa fpositive fHIV
ftest. fThe fnurse fresponds
A) "The fcomplaints fof fat fleast f3 fcommon ffindings."
B) "The fabsence fof fany fopportunistic finfection."
3|P a g e
, C) "CD4 flymphocyte fcount fis fless fthan f200."
D) "Developmental fdelays fin fchildren."
The fcorrect fanswer fis fC: f"CD4 flymphocyte fcount fis fless fthan f200."
12. The fnurse fis fcaring ffor fa fchild fwho fhas fjust freturned ffrom fsurgery ffollowing
fa ftonsillectomy fand fadenoidectomy. fWhich faction fby fthe fnurse fis fappropriate?
A) Offer fice fcream fevery f2 fhours
B) Place fthe fchild fin fa fsupine fposition
3 f| fP f a f g f e
5
C) Allow fthe fchild fto fdrink fthrough fa fstraw
D) Observe fswallowing fpatterns
The fcorrect fanswer fis fD: fObserve fswallowing fpatterns
13. A f23 fyear-old fsingle fclient fis fin fthe f33rd fweek fof fher ffirst fpregnancy. fShe ftells
fthe fnurse fthat fshe fhas feverything fready ffor fthe fbaby fand fhas fmade fplans ffor fthe
ffirst fweeks ftogether fat fhome. fWhich fnormal femotional freaction fdoes fthe fnurse
frecognize?
A) Acceptance fof fthe fpregnancy
B) Focus fon ffetal fdevelopment
C) Anticipation fof fthe fbirth
D) Ambivalence fabout fpregnancy
The fcorrect fanswer fis fC: fAnticipation fof fthe fbirth
14. The fnurse fis fplanning fcare ffor fa fclient fwith fpneumococcal fpneumonia. fWhich fof
fthe ffollowing fwould fbe fmost feffective fin fremoving frespiratory fsecretions?
A) Administration fof fcough fsuppressants
B) Increasing foral ffluid fintake fto f3000 fcc fper fday
C) Maintaining fbed frest fwith fbathroom fprivileges
D) Performing fchest fphysiotherapy ftwice fa fday
The fcorrect fanswer fis fB: fIncreasing foral ffluid fintake fto f3000 fcc fper fday
15. The fnurse fin fa fwell-child fclinic fexamines fmany fchildren fon fa fdaily fbasis. fWhich fof
fthe ffollowing ftoddlers frequires ffurther ffollow fup?
Page 4 of 44
