HESI RN 2025 EXIT EXAM MOST TESTED EXAM QUESTIONS
1. When preparing to administer a prescribed medica- B) Withhold the medica-
tion to a homeless client at a community psychiatric tion until the dosage can
clinic. The client tells the nurse that the usual dosage be confirmed.
taken is different from the dose the nurse is giving.
Which action should the nurse take?
A) Inform the client that he may refuse the medication
and document whether or not the client takes it.
B) Withhold the medication until the dosage can be
confirmed.
C) Explain to the client that the dosage has been
changed.
D) Tell the client to take the medication then verify the
dosage at the next healthcare team meeting.
2. The charge nurse is making assignments for one prac- B) Viral meningitis whose
tical nurse and three registered nurses who are caring temperature change from
for neurologically compromised clients. Which client 101 S to 102F.
with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure
changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from
101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale
score changed from 10 to 7.
D) Myxedema, whose blood pressure changed from
80/50 to 70/40.
3. The nurse is caring for a client with pneumonia who A) Maintain strict intake
now develops initial signs of septic shock and mul- and output.
ti organ failure. The healthcare provider prescribes a
, HESI RN 2025 EXIT EXAM MOST TESTED EXAM QUESTIONS
sepsis protocol. Which intervention is most important
for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
4. And adolescent client is admitted to the hospital be- D) Go to the clients room
cause of writing a suicide note to a teacher at school. and ask what happened.
On the second day of hospitalization, the nurse asked
the client to meet with the treatment team. After the
team meeting, the client leaves in tears and goes to
their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
5. The nurse has completed the diet teaching of a client C) A tuna fish sandwich
who is being discharged following treatment of a leg with chips and ice cream.
wound. A high-protein diet is encouraged to promote
wound healing. Which lunch toys by the client indicates
that the teaching was effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit.
6. An adult client who is admitted to the mental health D) Serum lithium level of
unit for treatment of bipolar disorder has a slightly 1.6.
, HESI RN 2025 EXIT EXAM MOST TESTED EXAM QUESTIONS
slurred speech pattern and an unsteady gait. Which
assessment finding is most important for the nurse to
report to the healthcare provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%.
D) Serum lithium level of 1.6.
7. The nurse is preparing a four year-old client with a D) Reposition the infant
serum bilirubin level of 19 for discharge from the hos- every two hours.
pital. When teaching the parents about home photo
therapy, which instruction should the nurse include in
the discharge teaching plan?
A) Cover with a receiving blanket.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours.
8. The nurse initiate the procedure to remove a clients B) Finish the procedure.
peripherally inserted central catheter when a code
blue is called for another client in the unit who collapse
in the hallway while ambulating with the unlicensed
assistive personnel. Which action should the nurse
take?
A) Close the room door.
B) Finish the procedure.
C) Respond to the code.
D) Call for an assistant.
9.
1. When preparing to administer a prescribed medica- B) Withhold the medica-
tion to a homeless client at a community psychiatric tion until the dosage can
clinic. The client tells the nurse that the usual dosage be confirmed.
taken is different from the dose the nurse is giving.
Which action should the nurse take?
A) Inform the client that he may refuse the medication
and document whether or not the client takes it.
B) Withhold the medication until the dosage can be
confirmed.
C) Explain to the client that the dosage has been
changed.
D) Tell the client to take the medication then verify the
dosage at the next healthcare team meeting.
2. The charge nurse is making assignments for one prac- B) Viral meningitis whose
tical nurse and three registered nurses who are caring temperature change from
for neurologically compromised clients. Which client 101 S to 102F.
with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure
changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from
101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale
score changed from 10 to 7.
D) Myxedema, whose blood pressure changed from
80/50 to 70/40.
3. The nurse is caring for a client with pneumonia who A) Maintain strict intake
now develops initial signs of septic shock and mul- and output.
ti organ failure. The healthcare provider prescribes a
, HESI RN 2025 EXIT EXAM MOST TESTED EXAM QUESTIONS
sepsis protocol. Which intervention is most important
for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
4. And adolescent client is admitted to the hospital be- D) Go to the clients room
cause of writing a suicide note to a teacher at school. and ask what happened.
On the second day of hospitalization, the nurse asked
the client to meet with the treatment team. After the
team meeting, the client leaves in tears and goes to
their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
5. The nurse has completed the diet teaching of a client C) A tuna fish sandwich
who is being discharged following treatment of a leg with chips and ice cream.
wound. A high-protein diet is encouraged to promote
wound healing. Which lunch toys by the client indicates
that the teaching was effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit.
6. An adult client who is admitted to the mental health D) Serum lithium level of
unit for treatment of bipolar disorder has a slightly 1.6.
, HESI RN 2025 EXIT EXAM MOST TESTED EXAM QUESTIONS
slurred speech pattern and an unsteady gait. Which
assessment finding is most important for the nurse to
report to the healthcare provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%.
D) Serum lithium level of 1.6.
7. The nurse is preparing a four year-old client with a D) Reposition the infant
serum bilirubin level of 19 for discharge from the hos- every two hours.
pital. When teaching the parents about home photo
therapy, which instruction should the nurse include in
the discharge teaching plan?
A) Cover with a receiving blanket.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours.
8. The nurse initiate the procedure to remove a clients B) Finish the procedure.
peripherally inserted central catheter when a code
blue is called for another client in the unit who collapse
in the hallway while ambulating with the unlicensed
assistive personnel. Which action should the nurse
take?
A) Close the room door.
B) Finish the procedure.
C) Respond to the code.
D) Call for an assistant.
9.
