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2025 HESI RN Exit Exam | Multiple-Choice Practice Questions with Verified Answers & Rationales

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This 2025 HESI RN Exit Exam Test Bank is a complete study resource for nursing students preparing for their final HESI exam. It includes multiple-choice practice questions with verified answers and detailed rationales, written to mirror the official HESI exam format. Content covers all core nursing areas: pharmacology, medical-surgical, pediatrics, maternal-newborn, psychiatric/mental health, leadership/management, and critical care. Each question is designed to strengthen clinical reasoning and test-taking strategies, while rationales explain both correct and incorrect options for deeper understanding. Perfect for RN students aiming to pass the HESI Exit Exam in 2025 and prepare for NCLEX success, this test bank saves valuable study time by focusing on high-yield exam content. Whether used for structured study sessions, quick reviews, or last-minute cramming, this HESI RN Exit Exam resource helps boost confidence and ensure first-attempt success.

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HESI RN EXIT Exam Questions with
multiple choices and Verified Answers



In planning care for a 6 month-old infant, what must the nurse provide to
assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
- ANS- C) Security


A nurse has just received a medication order which is not legible. Which
statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you
mean."
B) "Would you please clarify what you have written so I am sure I am
reading it correctly?"
C) "I am having difficulty reading your handwriting. It would save me
time if you would be more careful."
D) "Please print in the future so I do not have to spend extra time
attempting to read your writing."
- ANS- B) "Would you please clarify what you have written so I am sure I
am reading it
correctly?"

,What is the most important consideration when teaching parents how to
reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
- ANS- D) Age of children in the home


A 35 year-old client with sickle cell crisis is talking on the telephone but
stops as the nurse enters the room to request something for pain. The
nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
- ANS- C) Administer the prescribed analgesia


While caring for a toddler with croup, which initial sign of croup requires
the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
- ANS- A) Respiratory rate of 42


A client is admitted with low T3 and T4 levels and an elevated TSH level.
On initial assessment, the nurse would anticipate which of the following
assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions

,- ANS- A) Lethargy

, The emergency room nurse admits a child who experienced a seizure at
school. The father comments that this is the first occurrence, and denies
any family history of epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
- ANS- B) "The seizure may or may not mean your child has epilepsy."


Alcohol and drug abuse impairs judgment and increases risk taking
behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
- ANS- A) Risk for injury


Which these findings would the nurse more closely associate with
anemia in a 10 month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
- ANS- B) Pale mucosa of the eyelids and lips


The nurse is caring for a client in hypertensive crisis in an intensive care
unit. The priority assessment in the first hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses
- ANS- D) Pupil responses

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