2025 HESI RN EXIT
1000+ QUESTIONS BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This Document contains:
1000+ Questions with Correct Answers
Passing Score Guarantee
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
Next Generation NCLEX (NGN)-style.
Some questions feature “case scenarios”
Select All That Apply (SATA), ordering, fill-in-the-blank for dosage
,On the second postopera ve day, a client who had a colon resec on is star ng
to eat and ambulate with assistance. Although the client has a prescrip on for
an oral analgesic, they request that the PCA containing morphine be con nued
for one more day due to fear of pain. Which interven on is most important for
the nurse to implement?
A. Measure urinary output to ensure renal func oning.
B. Administer the oral analgesic medica on an hour before discon nuing the PCA
pump.
C. Monitor for a depressed respiratory rate.
D. Teach about the need to progress to a high-fiber diet.
Correct Answer:
B. Administer the oral analgesic medica on an hour before discon nuing the PCA
pump.
The nurse is triaging several children as they present to the emergency room
a#er a school bus accident. Which child requires the most immediate
interven on by the nurse?
A. A 12-year-old repor ng neck, arm, and lower back discomfort.
B. An 8-year-old with a full leg air splint for a possible broken bia.
C. A 6-year-old with mul ple superficial lacera ons of all extremi es.
D. An 11-year-old with a headache, nausea, and projec le vomi ng.
Correct Answer:
D. An 11-year-old with a headache, nausea, and projec le vomi ng.
When the parents of a 6-year-old boy with a brain tumor are told that his
condi on is terminal, the mother shouts at the father, "This is your fault! It
never would have happened if we had sought treatment sooner!" Which
interven on is best for the nurse to implement?
,A. Refer the parents to the chaplain to provide grief counseling.
B. Tell the parents that blaming each other will not change the situa on
C. Assure the parents that a terminal diagnosis is inevitable.
D. Explain to the parents that anger is a common response to grief.
Correct Answer:
D. Explain to the parents that anger is a common response to grief.
When the nurse enters the room of a male client who was admi)ed for a
fractured femur, his cardiac monitor displays a normal sinus rhythm (NSR), but
he has no spontaneous respira ons and his caro d pulse is not palpable. Which
interven on should the nurse implement?
A. Observe for swelling at the fracture site.
B. Analyze the cardiac rhythm in another lead.
C. Obtain a 12-lead electrocardiogram.
D. Begin chest compressions at 100/minute.
Correct Answer:
D. Begin chest compressions at 100/minute.
A client with persistent low back pain has received a prescrip on for an
electronic s mulator (TENS) unit. A#er the nurse applies the electrodes and
turns on the power, the client reports feeling a ngling sensa on. How should
the nurse respond?
A. Remove electrodes and observe for skin redness.
B. Decrease the strength of the electrical signals.
C. Check the amount of gel coa ng on the electrodes.
, D. Determine if the sensa on feels uncomfortable.
Correct Answer:
D. Determine if the sensa on feels uncomfortable.
The nurse implements a primary preven on program for sexually transmi)ed
diseases in a nurse-managed health center. Which outcome Indicates that the
program was effec ve?
A. New screening protocols were developed, validated, and implemented.
B. Clients who incurred disease complica ons promptly received rehabilita on.
C. Average client scores improved on specific risk factor knowledge tests.
D. More than half of at-risk clients were diagnosed early in their disease process.
Correct Answer:
C. Average client scores improved on specific risk factor knowledge tests.
An older client is admi1ed to the intensive care unit unconscious a2er several
days of vomi ng and diarrhea.
Vital Signs
Heart Rate-beats/minute- 110 Respira ons - breathes/minute- 28 Blood Pressure -
mmHG- 80/60
Arterial blood gases (ABGs)
Ph- 7.34
PaCO2- 34 mmHg
HCO3- 20 mmol/L
pO2- 90 mmHg
Electrolytes Results
Sodium
1000+ QUESTIONS BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This Document contains:
1000+ Questions with Correct Answers
Passing Score Guarantee
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
Next Generation NCLEX (NGN)-style.
Some questions feature “case scenarios”
Select All That Apply (SATA), ordering, fill-in-the-blank for dosage
,On the second postopera ve day, a client who had a colon resec on is star ng
to eat and ambulate with assistance. Although the client has a prescrip on for
an oral analgesic, they request that the PCA containing morphine be con nued
for one more day due to fear of pain. Which interven on is most important for
the nurse to implement?
A. Measure urinary output to ensure renal func oning.
B. Administer the oral analgesic medica on an hour before discon nuing the PCA
pump.
C. Monitor for a depressed respiratory rate.
D. Teach about the need to progress to a high-fiber diet.
Correct Answer:
B. Administer the oral analgesic medica on an hour before discon nuing the PCA
pump.
The nurse is triaging several children as they present to the emergency room
a#er a school bus accident. Which child requires the most immediate
interven on by the nurse?
A. A 12-year-old repor ng neck, arm, and lower back discomfort.
B. An 8-year-old with a full leg air splint for a possible broken bia.
C. A 6-year-old with mul ple superficial lacera ons of all extremi es.
D. An 11-year-old with a headache, nausea, and projec le vomi ng.
Correct Answer:
D. An 11-year-old with a headache, nausea, and projec le vomi ng.
When the parents of a 6-year-old boy with a brain tumor are told that his
condi on is terminal, the mother shouts at the father, "This is your fault! It
never would have happened if we had sought treatment sooner!" Which
interven on is best for the nurse to implement?
,A. Refer the parents to the chaplain to provide grief counseling.
B. Tell the parents that blaming each other will not change the situa on
C. Assure the parents that a terminal diagnosis is inevitable.
D. Explain to the parents that anger is a common response to grief.
Correct Answer:
D. Explain to the parents that anger is a common response to grief.
When the nurse enters the room of a male client who was admi)ed for a
fractured femur, his cardiac monitor displays a normal sinus rhythm (NSR), but
he has no spontaneous respira ons and his caro d pulse is not palpable. Which
interven on should the nurse implement?
A. Observe for swelling at the fracture site.
B. Analyze the cardiac rhythm in another lead.
C. Obtain a 12-lead electrocardiogram.
D. Begin chest compressions at 100/minute.
Correct Answer:
D. Begin chest compressions at 100/minute.
A client with persistent low back pain has received a prescrip on for an
electronic s mulator (TENS) unit. A#er the nurse applies the electrodes and
turns on the power, the client reports feeling a ngling sensa on. How should
the nurse respond?
A. Remove electrodes and observe for skin redness.
B. Decrease the strength of the electrical signals.
C. Check the amount of gel coa ng on the electrodes.
, D. Determine if the sensa on feels uncomfortable.
Correct Answer:
D. Determine if the sensa on feels uncomfortable.
The nurse implements a primary preven on program for sexually transmi)ed
diseases in a nurse-managed health center. Which outcome Indicates that the
program was effec ve?
A. New screening protocols were developed, validated, and implemented.
B. Clients who incurred disease complica ons promptly received rehabilita on.
C. Average client scores improved on specific risk factor knowledge tests.
D. More than half of at-risk clients were diagnosed early in their disease process.
Correct Answer:
C. Average client scores improved on specific risk factor knowledge tests.
An older client is admi1ed to the intensive care unit unconscious a2er several
days of vomi ng and diarrhea.
Vital Signs
Heart Rate-beats/minute- 110 Respira ons - breathes/minute- 28 Blood Pressure -
mmHG- 80/60
Arterial blood gases (ABGs)
Ph- 7.34
PaCO2- 34 mmHg
HCO3- 20 mmol/L
pO2- 90 mmHg
Electrolytes Results
Sodium
