2025-2026 HESI RN EXIT EXAM WITH
NGN LATEST VERSION | Latest
Questions and Answer.
HESI RN EXIT EXAM
,HESI RN EXIT EXAM LATEST EDITION
1.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?
CORRECT ANSWER: A. Has she taken a bath since the rape occurred?
2. 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
CORRECT ANSWER: B. Sluggish and unequal pupillary responses
3. 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.
CORRECT ANSWER: A. Abdominal pain decreases when lying supine
4. 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
CORRECT ANSWER: A. Instructions about how much fluid the child should drink
daily
5. To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot).
I placed the red dot on the base of the neck on the right side
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
D. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
CORRECT ANSWER: D. The client with a bowel obstruction due to a volvulus who
is experiencing abdominal rigidity
6. A teenager presents to the emergency department with palpitations after vaping
at a party. The client is anxious, fearful, and hyperventilating. The nurse
anticipates the client developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
CORRECT ANSWER: D. Respiratory alkalosis
7. A client with dyspnea is being admitted to the medical unit. To best prepare for
the client's arrival, the nurse should ensure that the client's bed is in which
position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
CORRECT ANSWER: Fowlers
8. The nurse is taking the blood pressure measurement of a client with Parkinson's
disease. Which information in the client's admission assessment is relevant to the
nurse's plan for taking the blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
ANSWER:
A. Frequent syncope
C. Flat affect
D. Blurred vision
9. 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
CORRECT ANSWER: B. Culture for sensitive organisms
10. 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
CORRECT ANSWER: B. Ask the older brother how he felt during the incident
11. 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
CORRECT ANSWER: A. Encourage the client to use cooler water and apply
calamine lotion after soaking
12. 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
CORRECT ANSWER: B. Reduced preload
13. Which intervention should the nurse include in the plan of care for a child with
tetanus?
A. Encourage coughing and deep breathing
NGN LATEST VERSION | Latest
Questions and Answer.
HESI RN EXIT EXAM
,HESI RN EXIT EXAM LATEST EDITION
1.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?
CORRECT ANSWER: A. Has she taken a bath since the rape occurred?
2. 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
CORRECT ANSWER: B. Sluggish and unequal pupillary responses
3. 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.
CORRECT ANSWER: A. Abdominal pain decreases when lying supine
4. 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
CORRECT ANSWER: A. Instructions about how much fluid the child should drink
daily
5. To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot).
I placed the red dot on the base of the neck on the right side
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
D. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
CORRECT ANSWER: D. The client with a bowel obstruction due to a volvulus who
is experiencing abdominal rigidity
6. A teenager presents to the emergency department with palpitations after vaping
at a party. The client is anxious, fearful, and hyperventilating. The nurse
anticipates the client developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
CORRECT ANSWER: D. Respiratory alkalosis
7. A client with dyspnea is being admitted to the medical unit. To best prepare for
the client's arrival, the nurse should ensure that the client's bed is in which
position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
CORRECT ANSWER: Fowlers
8. The nurse is taking the blood pressure measurement of a client with Parkinson's
disease. Which information in the client's admission assessment is relevant to the
nurse's plan for taking the blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
ANSWER:
A. Frequent syncope
C. Flat affect
D. Blurred vision
9. 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
CORRECT ANSWER: B. Culture for sensitive organisms
10. 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
CORRECT ANSWER: B. Ask the older brother how he felt during the incident
11. 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
CORRECT ANSWER: A. Encourage the client to use cooler water and apply
calamine lotion after soaking
12. 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
CORRECT ANSWER: B. Reduced preload
13. Which intervention should the nurse include in the plan of care for a child with
tetanus?
A. Encourage coughing and deep breathing
