2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
2025 HESI RN Exit Exam | Actual Questions &
Verified Answers | PDF Format | Guaranteed Pass
– Ace Your Exams with Confidence
The nurse assumes care of a postoperative adult client with type 2 diabetes
mellitus and learns that the client has a current blood glucose level of 720 mg/dL.
When assessing the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate
- Answer- A. Assess for signs of fluid volume deficit
A male client tells the nurse that he is concerned that he may have a stomach
ulcer, because he is experiencing heartburn and dull gnawing pain that is relieved
when he eats. Which is the best response by the nurse?
A. Encourage the client to obtain a complete physical exam, since these symptoms
are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since ulcer pain is
not relieved with food
C. Instruct the client that these mild symptoms can generally be co
- Answer- A. Encourage the client to obtain a complete physical exam, since these
symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following a total gastrectomy.
He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at
75 mL/hr IV. One hour after admission to the unit, the nurse notes 300mL of blood in
the suction canister, the client's heart rate is 155 beats/minute, and his blood
pressure is 78/48 mmHg. In addition to reporting the findings to the surgeon, which
action should the nurse implement first?
1|Page
, 2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
A. Measure and document the client's uri
- Answer- D. Increase the infusion rate of Lactated Ringer's solution
A heparin infusion is prescribed for a client who weighs 220 pounds. After
administering a bolus dose of 80 units/kg, the nurse calculates the infusion rate for
the heparin solution as 18 units/kg/hour. The available solution is Heparin Sodium
25,000 Units in 5% Dextrose Injection 250 mL. The nurse should program the
infusion pump to deliver how many mL/hour?
- Answer- -1st: calculate the weight = 220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/hr
- 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18 mL/hr
An adult male who fell 20 feet from the roof of his home has multiple injuries,
including a right pneumothorax. Chest tubes were inserted in the emergency
department prior to his transfer to the intensive care unit (ICU). The nurse notes
that the suction control chamber is bubbling at the -10cm H2O mark, which
fluctuation in the water seal, and over the past hour 75 mL of bright red blood is
measured in the collection chamber. Which intervention should the nurse
implement?
- Answer- A. Add sterile water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife
approaches the nurse and asks how she will know that her husband's death is
imminent because their two adult children want to be there when he dies. Which is
the best response by the nurse?
A. Gather information regarding how long it will take for the children to arrive
B. Explain that the client will start to lose consciousness and the body systems will
slow down
C. Reassure the spouse that the healthcare provider
- Answer- B. Explain that the client will start to lose consciousness and the body
systems will slow down
2|Page
, 2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
The charge nurse of a critical care unit is informed at the beginning of the shift that
less than the optimal number of registered nurses will be working that shift. In
planning assignments, which client should receive the most care hours by a
registered nurse (RN)?
A. A 48-year-old marathon runner with a central venous catheter who is
experiencing nausea and vomiting due to electrolyte disturbance following a race
B. A 34-year-old admitted today after an emergency appendectomy who has a
periphe
- Answer- D. An 82-year-old client with Alzheimer's disease and a newly-fractured
femur who has a Foley catheter and soft wrist restraints applied
The nurse is preparing a dose of 60 mcg of teriparatide. The medication is labeled
"750 mcg/2.4mL". How many mL should the nurse administer? Round to nearest
tenth. - Answer- 0.2 mL
In caring for a client with Cushing's Syndrome, which serum laboratory value is
most important for the nurse to monitor?
A. Creatinine
B. Lactate
C. Glucose
D. Hemoglobin
- Answer- C. Glucose
A client who received hemodialysis yesterday is experiencing a blood pressure of
200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36
breaths/minute. The client is manifesting shortness of breath, bilateral 2+ pedal
edema, and an oxygen saturation on room air of 89%. Which action should the
nurse take first?
A. Elevate the foot of the bed
B. Restrict the client's fluids
C. Begin supplemental oxygen
3|Page
, 2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
D. Prepare client for hemodialysis
- Answer- C. Begin supplemental oxygen
When caring for a client with full thickness burns to both lower extremities, which
assessment findings warrant immediate intervention? Select all that apply
A. Sloughing tissue around wound edges
B. Complaint of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
E. Weeping serosanguineous fluid from wounds
- Answer- B. Complaint of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
An older client is admitted with fluid volume deficit and dehydration. Which
assessment finding is the best indicator of hydration that the nurse should report to
the healthcare provider?
A. Urine specific gravity is 1.040
B. Systolic blood pressure decreases 10 points when standing
C. The client denies being thirsty
D. Skin tenting occurs when the client's forearm is pinched
- Answer- D. Skin tenting occurs when the client's forearm is pinched
The healthcare provider prescribes methylergonovine maleate for a postpartum
client with uterine atony. What finding should indicate to the nurse to withhold the
next dose of the medication?
A. Difficulty locating the uterine fundus
B. Excessive lochia
C. Saturation of more than one pad per hour
4|Page
2025 HESI RN Exit Exam | Actual Questions &
Verified Answers | PDF Format | Guaranteed Pass
– Ace Your Exams with Confidence
The nurse assumes care of a postoperative adult client with type 2 diabetes
mellitus and learns that the client has a current blood glucose level of 720 mg/dL.
When assessing the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate
- Answer- A. Assess for signs of fluid volume deficit
A male client tells the nurse that he is concerned that he may have a stomach
ulcer, because he is experiencing heartburn and dull gnawing pain that is relieved
when he eats. Which is the best response by the nurse?
A. Encourage the client to obtain a complete physical exam, since these symptoms
are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since ulcer pain is
not relieved with food
C. Instruct the client that these mild symptoms can generally be co
- Answer- A. Encourage the client to obtain a complete physical exam, since these
symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following a total gastrectomy.
He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at
75 mL/hr IV. One hour after admission to the unit, the nurse notes 300mL of blood in
the suction canister, the client's heart rate is 155 beats/minute, and his blood
pressure is 78/48 mmHg. In addition to reporting the findings to the surgeon, which
action should the nurse implement first?
1|Page
, 2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
A. Measure and document the client's uri
- Answer- D. Increase the infusion rate of Lactated Ringer's solution
A heparin infusion is prescribed for a client who weighs 220 pounds. After
administering a bolus dose of 80 units/kg, the nurse calculates the infusion rate for
the heparin solution as 18 units/kg/hour. The available solution is Heparin Sodium
25,000 Units in 5% Dextrose Injection 250 mL. The nurse should program the
infusion pump to deliver how many mL/hour?
- Answer- -1st: calculate the weight = 220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/hr
- 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18 mL/hr
An adult male who fell 20 feet from the roof of his home has multiple injuries,
including a right pneumothorax. Chest tubes were inserted in the emergency
department prior to his transfer to the intensive care unit (ICU). The nurse notes
that the suction control chamber is bubbling at the -10cm H2O mark, which
fluctuation in the water seal, and over the past hour 75 mL of bright red blood is
measured in the collection chamber. Which intervention should the nurse
implement?
- Answer- A. Add sterile water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife
approaches the nurse and asks how she will know that her husband's death is
imminent because their two adult children want to be there when he dies. Which is
the best response by the nurse?
A. Gather information regarding how long it will take for the children to arrive
B. Explain that the client will start to lose consciousness and the body systems will
slow down
C. Reassure the spouse that the healthcare provider
- Answer- B. Explain that the client will start to lose consciousness and the body
systems will slow down
2|Page
, 2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
The charge nurse of a critical care unit is informed at the beginning of the shift that
less than the optimal number of registered nurses will be working that shift. In
planning assignments, which client should receive the most care hours by a
registered nurse (RN)?
A. A 48-year-old marathon runner with a central venous catheter who is
experiencing nausea and vomiting due to electrolyte disturbance following a race
B. A 34-year-old admitted today after an emergency appendectomy who has a
periphe
- Answer- D. An 82-year-old client with Alzheimer's disease and a newly-fractured
femur who has a Foley catheter and soft wrist restraints applied
The nurse is preparing a dose of 60 mcg of teriparatide. The medication is labeled
"750 mcg/2.4mL". How many mL should the nurse administer? Round to nearest
tenth. - Answer- 0.2 mL
In caring for a client with Cushing's Syndrome, which serum laboratory value is
most important for the nurse to monitor?
A. Creatinine
B. Lactate
C. Glucose
D. Hemoglobin
- Answer- C. Glucose
A client who received hemodialysis yesterday is experiencing a blood pressure of
200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36
breaths/minute. The client is manifesting shortness of breath, bilateral 2+ pedal
edema, and an oxygen saturation on room air of 89%. Which action should the
nurse take first?
A. Elevate the foot of the bed
B. Restrict the client's fluids
C. Begin supplemental oxygen
3|Page
, 2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
D. Prepare client for hemodialysis
- Answer- C. Begin supplemental oxygen
When caring for a client with full thickness burns to both lower extremities, which
assessment findings warrant immediate intervention? Select all that apply
A. Sloughing tissue around wound edges
B. Complaint of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
E. Weeping serosanguineous fluid from wounds
- Answer- B. Complaint of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
An older client is admitted with fluid volume deficit and dehydration. Which
assessment finding is the best indicator of hydration that the nurse should report to
the healthcare provider?
A. Urine specific gravity is 1.040
B. Systolic blood pressure decreases 10 points when standing
C. The client denies being thirsty
D. Skin tenting occurs when the client's forearm is pinched
- Answer- D. Skin tenting occurs when the client's forearm is pinched
The healthcare provider prescribes methylergonovine maleate for a postpartum
client with uterine atony. What finding should indicate to the nurse to withhold the
next dose of the medication?
A. Difficulty locating the uterine fundus
B. Excessive lochia
C. Saturation of more than one pad per hour
4|Page
