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HESI RN Exit Exam 2025 — Comprehensive Study Guide,
Practice Questions & Nursing Exam Prep
Prepare for the HESI RN Exit Exam 2025 with a complete study guide, practice questions,
and review materials. Master essential nursing concepts, clinical reasoning, patient care,
pharmacology, medical-surgical nursing, and leadership skills to excel in your HESI RN
Exit Exam and succeed in your nursing career.
HESI RN Exit Exam 2025
• HESI RN Exit study guide
• HESI RN Exit practice questions
• Nursing exam preparation HESI RN
An 11-year-old client is admitted to the mental health unit after trying to run away from home
and threatening self-harm. The nurse establishes a goal to promote effective coping and plans
to ask the client to verbalize three ways to deal with stress. Which activity is best to establish
rapport and accomplish this therapeutic goal?
A. Bring the client to the team meeting to discuss the treatment plan
B. Explain the purpose of each medication the client is currently taking
C. Ask the client to write feelings in a journal and then review it together
D. Play a board game with the client and begin talking about stressors - ANSWER-D. Play a board
game with the client and begin talking about stressors
The nurse is assessing a 4-year-old child with eczema. The child's skin is dry and scaly, and the
mother reports that the child frequently scratches the lesions on the skin to the point of causing
bleeding. Which guideline is indicated for care of this child?
,2|Page
A. Keep the nails trimmed short
B. Apply baby lotion to the skin twice daily
C. Bathe the child with bath oil
D. Allow the child to wear only 100% cotton clothing - ANSWER-A. Keep the nails trimmed short
A nurse working on an Endocrine Unit should see which client first?
A. An older client with Addison's disease whose current blood sugar level is 62 mg/dL
B. An adult with a blood sugar of 284 mg/dL and a urine output of 350 mL in the last hour
C. An adolescent male with type 1 diabetes who is arguing about his insulin dose
D. A client taking corticosteroids who has become disoriented in the last two hours - ANSWER-
D. A client taking corticosteroids who has become disoriented in the last two hours
An adult female client tells the nurse that though she is afraid her abusive boyfriend might one
day kill her, she keeps hoping that he will change. Which action should the nurse take first?
A. Explore client's readiness to discuss the situation
B. Discuss treatment options for abusive partners
C. Report the finding to the police department
D. Determine the frequency and type of client's abuse - ANSWER-A. Explore client's readiness to
discuss the situation
The nurse is preparing to send a client to the cardiac catheterization lab for an angioplasty.
Which client report is most important for the nurse to explore further prior to the start of the
procedure?
A. Drank a glass of water in the past 2 hours
B. Verbalizes a fear of being in a confined space
C. Experiences facial swelling after eating crab
D. Reports left chest wall pain prior to admission - ANSWER-C. Experiences facial swelling after
eating crab
,3|Page
When developing a teaching plan for a client with newly diagnosed type 1 diabetes, the nurse
should explain that an increased thirst is an early sign of diabetic ketoacidosis (DKA). Which
action should the nurse instruct the client to implement if this sign of DKA occurs?
A. Resume normal physical activity
B. Give a dose of regular insulin as prescribed
C. Measure urine output over the next 24 hours
D. Drink electrolyte fluid replacements - ANSWER-B. Give a dose of regular insulin as prescribed
The nurse assesses a child in 90-90 skeletal traction. Where should the nurse assess for signs of
compartment syndrome? - ANSWER-Click spot right on toes on injured foot
The nurse is working on an infectious disease unit. Which client should be assigned to a room
with negative airflow, while requiring personnel to use a particulate respirator mask and
requiring staff to observe airborne, as well as standard precautions?
A. A female adolescent admitted with multiple genital herpes simplex II lesions
B. An older client with scabies who is admitted from an extended care facility
C. Twin siblings admitted with scarlet fever that is complicated with pneumonia
D. A client with a positive Mantoux and sputum cultures results positive for AFB - ANSWER-D. A
client with a positive Mantoux and sputum cultures results positive for AFB
The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to
home. Which recommendations should the nurse provide this client?
A. Inspect skin for redness
B. Avoid range of motion exercises
C. Apply alcohol to the stump after bathing
, 4|Page
D. Use a residual limb shrinker
E. Wash the stump with soap and water - ANSWER-A. Inspect skin for redness
D. Use a residual limb shrinker
E. Wash the stump with soap and water
A young adult woman visits the clinic and learns that she is positive for BRCA1 gene mutation
and asks the nurse what to expect next. How should the nurse respond?
A. Explain that counseling will be provided to give her information about her cancer risk
B. Offer assurance that there are a variety of effective treatments for breast cancer
C. Gather additional information about the client's family history for all types of cancer
D. Provide information about survival rates for women who have this genetic mutation -
ANSWER-A. Explain that counseling will be provided to give her information about her cancer
risk
A new mother on the postpartum unit runs out of the room screaming that her newborn
infant's crib is empty and the baby is missing. What action should the nurse take first?
A. Determine if the newborn is in the nursery
B. Activate the lockdown procedure
C. Ask the mother if any visitors were expected to arrive
D. Match ID bands of all infants and mothers on the unit - ANSWER-D. Match ID bands of all
infants and mothers on the unit
The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an
unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?
A. Administer PRN oral analgesics to a client with a history of chronic pain
B. Transport a client who is receiving IV fluids to the radiology department
C. Supervise a newly hired graduate nurse during an admission assessment
HESI RN Exit Exam 2025 — Comprehensive Study Guide,
Practice Questions & Nursing Exam Prep
Prepare for the HESI RN Exit Exam 2025 with a complete study guide, practice questions,
and review materials. Master essential nursing concepts, clinical reasoning, patient care,
pharmacology, medical-surgical nursing, and leadership skills to excel in your HESI RN
Exit Exam and succeed in your nursing career.
HESI RN Exit Exam 2025
• HESI RN Exit study guide
• HESI RN Exit practice questions
• Nursing exam preparation HESI RN
An 11-year-old client is admitted to the mental health unit after trying to run away from home
and threatening self-harm. The nurse establishes a goal to promote effective coping and plans
to ask the client to verbalize three ways to deal with stress. Which activity is best to establish
rapport and accomplish this therapeutic goal?
A. Bring the client to the team meeting to discuss the treatment plan
B. Explain the purpose of each medication the client is currently taking
C. Ask the client to write feelings in a journal and then review it together
D. Play a board game with the client and begin talking about stressors - ANSWER-D. Play a board
game with the client and begin talking about stressors
The nurse is assessing a 4-year-old child with eczema. The child's skin is dry and scaly, and the
mother reports that the child frequently scratches the lesions on the skin to the point of causing
bleeding. Which guideline is indicated for care of this child?
,2|Page
A. Keep the nails trimmed short
B. Apply baby lotion to the skin twice daily
C. Bathe the child with bath oil
D. Allow the child to wear only 100% cotton clothing - ANSWER-A. Keep the nails trimmed short
A nurse working on an Endocrine Unit should see which client first?
A. An older client with Addison's disease whose current blood sugar level is 62 mg/dL
B. An adult with a blood sugar of 284 mg/dL and a urine output of 350 mL in the last hour
C. An adolescent male with type 1 diabetes who is arguing about his insulin dose
D. A client taking corticosteroids who has become disoriented in the last two hours - ANSWER-
D. A client taking corticosteroids who has become disoriented in the last two hours
An adult female client tells the nurse that though she is afraid her abusive boyfriend might one
day kill her, she keeps hoping that he will change. Which action should the nurse take first?
A. Explore client's readiness to discuss the situation
B. Discuss treatment options for abusive partners
C. Report the finding to the police department
D. Determine the frequency and type of client's abuse - ANSWER-A. Explore client's readiness to
discuss the situation
The nurse is preparing to send a client to the cardiac catheterization lab for an angioplasty.
Which client report is most important for the nurse to explore further prior to the start of the
procedure?
A. Drank a glass of water in the past 2 hours
B. Verbalizes a fear of being in a confined space
C. Experiences facial swelling after eating crab
D. Reports left chest wall pain prior to admission - ANSWER-C. Experiences facial swelling after
eating crab
,3|Page
When developing a teaching plan for a client with newly diagnosed type 1 diabetes, the nurse
should explain that an increased thirst is an early sign of diabetic ketoacidosis (DKA). Which
action should the nurse instruct the client to implement if this sign of DKA occurs?
A. Resume normal physical activity
B. Give a dose of regular insulin as prescribed
C. Measure urine output over the next 24 hours
D. Drink electrolyte fluid replacements - ANSWER-B. Give a dose of regular insulin as prescribed
The nurse assesses a child in 90-90 skeletal traction. Where should the nurse assess for signs of
compartment syndrome? - ANSWER-Click spot right on toes on injured foot
The nurse is working on an infectious disease unit. Which client should be assigned to a room
with negative airflow, while requiring personnel to use a particulate respirator mask and
requiring staff to observe airborne, as well as standard precautions?
A. A female adolescent admitted with multiple genital herpes simplex II lesions
B. An older client with scabies who is admitted from an extended care facility
C. Twin siblings admitted with scarlet fever that is complicated with pneumonia
D. A client with a positive Mantoux and sputum cultures results positive for AFB - ANSWER-D. A
client with a positive Mantoux and sputum cultures results positive for AFB
The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to
home. Which recommendations should the nurse provide this client?
A. Inspect skin for redness
B. Avoid range of motion exercises
C. Apply alcohol to the stump after bathing
, 4|Page
D. Use a residual limb shrinker
E. Wash the stump with soap and water - ANSWER-A. Inspect skin for redness
D. Use a residual limb shrinker
E. Wash the stump with soap and water
A young adult woman visits the clinic and learns that she is positive for BRCA1 gene mutation
and asks the nurse what to expect next. How should the nurse respond?
A. Explain that counseling will be provided to give her information about her cancer risk
B. Offer assurance that there are a variety of effective treatments for breast cancer
C. Gather additional information about the client's family history for all types of cancer
D. Provide information about survival rates for women who have this genetic mutation -
ANSWER-A. Explain that counseling will be provided to give her information about her cancer
risk
A new mother on the postpartum unit runs out of the room screaming that her newborn
infant's crib is empty and the baby is missing. What action should the nurse take first?
A. Determine if the newborn is in the nursery
B. Activate the lockdown procedure
C. Ask the mother if any visitors were expected to arrive
D. Match ID bands of all infants and mothers on the unit - ANSWER-D. Match ID bands of all
infants and mothers on the unit
The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an
unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?
A. Administer PRN oral analgesics to a client with a history of chronic pain
B. Transport a client who is receiving IV fluids to the radiology department
C. Supervise a newly hired graduate nurse during an admission assessment
