2025 HESI Exit Exam Questions and Answers
Question 1.
A female client presents in the emergency depart-ment and tells the nurse that she was
raped Which question is most important for the nurse 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 last night. since the rape occurred? to
Question 2.
The nurse is completing the admission assessment of a 3-year old who is admitted with
bacterial gitis and hydrocephalus. Which assessment 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 menin-pupillary responses finding
Question 3.
A client with acute pancreatitis is admitted vere, piercing abdominal pain and an elevated
amylase. Which additional information is the most likely to report to the nurse? A.
Abdominal pain decreases when lying supine B. Pain lasts an hour and leaves the
abdomen C. Right upper quadrant pain refers to right D. Drinks alcohol until intoxicated at
least twice ly.
Correct Answer: with se- A. Abdominal pain de-serum creases when lying supine
client tender scapula week-
Question 4.
A child newly diagnosed with sickle cell anemia is being discharged from the hospital.
Which tion is most important for the nurse to provide parents prior to discharge? A.
Instructions about how much fluid the child drink daily. B. Signs of addiction to opioid pain
medications C. Information about non-pharmaceutical pain measures D. Referral for social
services for the child and
Correct Answer: (SCA) informa- the A. Instructions about how much fluid the
child should should drink daily relief family
Question 5.
To auscultate for a carotid bruit, the nurse places stethoscope at what location. (Select the
location the image with a red dot).
Correct Answer: the I placed the red dot on the on base of the neck on the right
side
Question 6.
,After receiving report on an inpatient acute which client should the nurse assess first? A.
The client with an obstruction of the large who is experiencing abdominal distention B. The
client who had surgery yesterday and riencing a paralytic ileus with absent bowel C. The
client with a small bowel obstruction a nasogastric tube that is draining greenish D. The
client with a bowel obstruction due to lus who is experiencing abdominal rigidity
Correct Answer: care unit, D. The client with a bowel obstruction due to a
volvu-intestine lus who is experiencing abdominal rigidity is expe-sounds who
has fluid a volvu-
Question 7.
A teenager presents to the emergency department with palpitations after vaping at a
party. The is anxious, fearful, and hyperventilating. The anticipates the client developing
which acid balance? A. Respiratory acidosis B. Metabolic alkalosis C. Metabolic acidosis D.
Respiratory alkalosis
Correct Answer: D. Respiratory alkalosis client nurse base im-
Question 8.
A client with dyspnea is being admitted to the unit. To best prepare for the client's arrival,
should ensure that the client's bed is in which tion? A. Supine B. supine; feet elevated
higher than head C. supine; head elevated higher than feet D. Fowlers
Correct Answer: medical Fowlers the nurse posi-
Question 9.
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 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
Correct Answer: A. Frequent syncope C. Flat affect to the D. Blurred vision
Question 10.
While caring for a client's postoperative dressing, nurse observes purulent drainage at the
wound. fore reporting this finding to the healthcare the nurse should review which of the
client's ry values? A. Serum albumin B. Culture for sensitive organisms C. Serum blood
glucose level D. Creatinine level
Correct Answer: the B. Culture for sensitive or- Be-ganisms provider, laborato-
Question 11.
A preschool-aged boy is admitted to the pediatric following successful resuscitation from a
near-drown-ing incident. While providing care to the child, nurse begins talking with his
preadolescent who rescued the child from the swimming pool initiated resuscitation. The
nurse notices the boy becomes withdrawn when asked about pened. Which action should
the nurse take? A. Develop a water safety teaching plan for B. Ask the older brother how
he felt during dent C. Tell the older brother that he seems depressed D. Commend the
older brother for his heroic
,Correct Answer: unit B. Ask the older brother how he felt during the in-the
cident brother and older what hap-the family the inci-actions
Question 12.
A male client with cirrhosis has jaundice and He tells the nurse that he has been soaking
baths at night with no relief of his discomfort. action should the nurse take? A. Encourage
the client to use cooler water calamine lotion after soaking B. Obtain a PRN prescription for
an analgesic client can use for symptom relief C. Suggest that the client take brief showers
oil-based lotion after showering D. Explain that the symptoms are caused by age and
cannot be relieved
Correct Answer: pruritus. A. Encourage the client to in hot use cooler water and
ap- Which ply calamine lotion after soaking and apply that the and apply liver
dam-
Question 13.
An older client with a long history of coronary disease (CAD), hypertension (HTN), and
heart ure (HF) arrives in the Emergency Department in respiratory distress. The healthcare
provider scribes furosemide IV. Which therapeutic response furosemide should the nurse
expected in the with acute HF? A. Increased cardiac contractility B. Reduced preload C.
Relaxed vascular tone D. Decreased afterload
Correct Answer: artery B. Reduced preload fail- (ED) pre-to client
Question 14.
Which intervention should the nurse include plan of care for a child with tetanus? A.
Encourage coughing and deep breathing B. Minimize the amount of stimuli in the room C.
Reposition from side to side every hour D. Open window shades to provide natural
Correct Answer: in the B. Minimize the amount of stimuli in the room light
Question 15.
An adolescent who was diagnosed with diabetes litus Type 1 at the age of 9, is admitted to
the in diabetic ketoacidosis. Which occurrence is likely cause of the ketoacidosis? A. Ate an
extra peanut butter sandwich before class B. incorrectly administered too much insulin C.
Had a cold and ear infection for the past D. Skipped eating lunch
Correct Answer: mel- C. Had a cold and ear in-hospital fection for the past two
the most days gym two days
Question 16.
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of
impending After notifying the family of the client's status, priority action should the nurse
implement? A. The impending signs of death should be document-ed B. The client's status
should be conveyed to lain C. The client's need for pain medication should determined D.
The nurse manager should be updated on client's status
Correct Answer: C. The client's need for death. pain medication should what be
determined the chap- be the
, Question 17.
Which self care measure is most important nurse to include in the plan of care of a client
diagnosed with type 2 diabetes mellitus? A. Self-injection techniques B. Blood glucose
monitoring C. Diabetic diet meal planning D. A realistic exercise plan
Correct Answer: for the B. Blood glucose monitor-recently ing
Question 18.
A client who gave birth 48 hours ago has decided to bottle feed the infant. During the
assessment, nurse observes that both breasts are swollen, and tender on palpation. Which
instruction should nurse provide? A. Apply ice to the breasts for comfort B. Wear a
loose-fitting bra during the day to nipple irritation C. Run warm water over breasts D.
Express small amounts of milk from the relieve pressure
Correct Answer: A. Apply ice to the breasts the for comfort warm, the prevent
breasts to
Question 19.
The nurse is preparing a client who had a be-low-the-knee (BKA) amputation for discharge
home. Which recommendations should the vide this client? (Select all that apply) A. Avoid
range of motion exercises B. Use a residual limb shrinker C. Apply alcohol to the stump
after bathing D. Inspect skin for redness E. Wash the stump with soap and water
Correct Answer: B. Use a residual limb to shrinker nurse pro- D. Inspect skin for
red-ness E. Wash the stump with soap and water
Question 20.
A toddler presenting with a history of intermittent rashes, hives, abdominal pain, and
vomiting curs after ingesting of milk products arrives ic accompanied by the parents.
Which type should the nurse provide education to the toddler's family about? A. Serum
immunoglobulin E (IgE) B. Intradermal test C. Atopy patch test D. Placebo-controlled food
challenge
Correct Answer: skin A. Serum immunoglobulin that oc- E (IgE) to the clin-of
testing
Question 21.
A client who is scheduled for a bronchoscopy morning is anxious and asking the nurse
numerous questions about the procedure. In preparing for the procedure, which
intervention has the priority? A. Allow client to gargle with warm salt water B. Administer a
sedative to alleviate anxiety C. Instruct client to write down the questions D. Deny client's
request for a midnight snack
Correct Answer: in the C. Instruct client to write down the questions the client
highest
Question 22.
The nurse assesses a client one hour after starting transfusion of packed red blood cells
and determines that there are no indications of a transfusion What instruction should the
Question 1.
A female client presents in the emergency depart-ment and tells the nurse that she was
raped Which question is most important for the nurse 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 last night. since the rape occurred? to
Question 2.
The nurse is completing the admission assessment of a 3-year old who is admitted with
bacterial gitis and hydrocephalus. Which assessment 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 menin-pupillary responses finding
Question 3.
A client with acute pancreatitis is admitted vere, piercing abdominal pain and an elevated
amylase. Which additional information is the most likely to report to the nurse? A.
Abdominal pain decreases when lying supine B. Pain lasts an hour and leaves the
abdomen C. Right upper quadrant pain refers to right D. Drinks alcohol until intoxicated at
least twice ly.
Correct Answer: with se- A. Abdominal pain de-serum creases when lying supine
client tender scapula week-
Question 4.
A child newly diagnosed with sickle cell anemia is being discharged from the hospital.
Which tion is most important for the nurse to provide parents prior to discharge? A.
Instructions about how much fluid the child drink daily. B. Signs of addiction to opioid pain
medications C. Information about non-pharmaceutical pain measures D. Referral for social
services for the child and
Correct Answer: (SCA) informa- the A. Instructions about how much fluid the
child should should drink daily relief family
Question 5.
To auscultate for a carotid bruit, the nurse places stethoscope at what location. (Select the
location the image with a red dot).
Correct Answer: the I placed the red dot on the on base of the neck on the right
side
Question 6.
,After receiving report on an inpatient acute which client should the nurse assess first? A.
The client with an obstruction of the large who is experiencing abdominal distention B. The
client who had surgery yesterday and riencing a paralytic ileus with absent bowel C. The
client with a small bowel obstruction a nasogastric tube that is draining greenish D. The
client with a bowel obstruction due to lus who is experiencing abdominal rigidity
Correct Answer: care unit, D. The client with a bowel obstruction due to a
volvu-intestine lus who is experiencing abdominal rigidity is expe-sounds who
has fluid a volvu-
Question 7.
A teenager presents to the emergency department with palpitations after vaping at a
party. The is anxious, fearful, and hyperventilating. The anticipates the client developing
which acid balance? A. Respiratory acidosis B. Metabolic alkalosis C. Metabolic acidosis D.
Respiratory alkalosis
Correct Answer: D. Respiratory alkalosis client nurse base im-
Question 8.
A client with dyspnea is being admitted to the unit. To best prepare for the client's arrival,
should ensure that the client's bed is in which tion? A. Supine B. supine; feet elevated
higher than head C. supine; head elevated higher than feet D. Fowlers
Correct Answer: medical Fowlers the nurse posi-
Question 9.
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 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
Correct Answer: A. Frequent syncope C. Flat affect to the D. Blurred vision
Question 10.
While caring for a client's postoperative dressing, nurse observes purulent drainage at the
wound. fore reporting this finding to the healthcare the nurse should review which of the
client's ry values? A. Serum albumin B. Culture for sensitive organisms C. Serum blood
glucose level D. Creatinine level
Correct Answer: the B. Culture for sensitive or- Be-ganisms provider, laborato-
Question 11.
A preschool-aged boy is admitted to the pediatric following successful resuscitation from a
near-drown-ing incident. While providing care to the child, nurse begins talking with his
preadolescent who rescued the child from the swimming pool initiated resuscitation. The
nurse notices the boy becomes withdrawn when asked about pened. Which action should
the nurse take? A. Develop a water safety teaching plan for B. Ask the older brother how
he felt during dent C. Tell the older brother that he seems depressed D. Commend the
older brother for his heroic
,Correct Answer: unit B. Ask the older brother how he felt during the in-the
cident brother and older what hap-the family the inci-actions
Question 12.
A male client with cirrhosis has jaundice and He tells the nurse that he has been soaking
baths at night with no relief of his discomfort. action should the nurse take? A. Encourage
the client to use cooler water calamine lotion after soaking B. Obtain a PRN prescription for
an analgesic client can use for symptom relief C. Suggest that the client take brief showers
oil-based lotion after showering D. Explain that the symptoms are caused by age and
cannot be relieved
Correct Answer: pruritus. A. Encourage the client to in hot use cooler water and
ap- Which ply calamine lotion after soaking and apply that the and apply liver
dam-
Question 13.
An older client with a long history of coronary disease (CAD), hypertension (HTN), and
heart ure (HF) arrives in the Emergency Department in respiratory distress. The healthcare
provider scribes furosemide IV. Which therapeutic response furosemide should the nurse
expected in the with acute HF? A. Increased cardiac contractility B. Reduced preload C.
Relaxed vascular tone D. Decreased afterload
Correct Answer: artery B. Reduced preload fail- (ED) pre-to client
Question 14.
Which intervention should the nurse include plan of care for a child with tetanus? A.
Encourage coughing and deep breathing B. Minimize the amount of stimuli in the room C.
Reposition from side to side every hour D. Open window shades to provide natural
Correct Answer: in the B. Minimize the amount of stimuli in the room light
Question 15.
An adolescent who was diagnosed with diabetes litus Type 1 at the age of 9, is admitted to
the in diabetic ketoacidosis. Which occurrence is likely cause of the ketoacidosis? A. Ate an
extra peanut butter sandwich before class B. incorrectly administered too much insulin C.
Had a cold and ear infection for the past D. Skipped eating lunch
Correct Answer: mel- C. Had a cold and ear in-hospital fection for the past two
the most days gym two days
Question 16.
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of
impending After notifying the family of the client's status, priority action should the nurse
implement? A. The impending signs of death should be document-ed B. The client's status
should be conveyed to lain C. The client's need for pain medication should determined D.
The nurse manager should be updated on client's status
Correct Answer: C. The client's need for death. pain medication should what be
determined the chap- be the
, Question 17.
Which self care measure is most important nurse to include in the plan of care of a client
diagnosed with type 2 diabetes mellitus? A. Self-injection techniques B. Blood glucose
monitoring C. Diabetic diet meal planning D. A realistic exercise plan
Correct Answer: for the B. Blood glucose monitor-recently ing
Question 18.
A client who gave birth 48 hours ago has decided to bottle feed the infant. During the
assessment, nurse observes that both breasts are swollen, and tender on palpation. Which
instruction should nurse provide? A. Apply ice to the breasts for comfort B. Wear a
loose-fitting bra during the day to nipple irritation C. Run warm water over breasts D.
Express small amounts of milk from the relieve pressure
Correct Answer: A. Apply ice to the breasts the for comfort warm, the prevent
breasts to
Question 19.
The nurse is preparing a client who had a be-low-the-knee (BKA) amputation for discharge
home. Which recommendations should the vide this client? (Select all that apply) A. Avoid
range of motion exercises B. Use a residual limb shrinker C. Apply alcohol to the stump
after bathing D. Inspect skin for redness E. Wash the stump with soap and water
Correct Answer: B. Use a residual limb to shrinker nurse pro- D. Inspect skin for
red-ness E. Wash the stump with soap and water
Question 20.
A toddler presenting with a history of intermittent rashes, hives, abdominal pain, and
vomiting curs after ingesting of milk products arrives ic accompanied by the parents.
Which type should the nurse provide education to the toddler's family about? A. Serum
immunoglobulin E (IgE) B. Intradermal test C. Atopy patch test D. Placebo-controlled food
challenge
Correct Answer: skin A. Serum immunoglobulin that oc- E (IgE) to the clin-of
testing
Question 21.
A client who is scheduled for a bronchoscopy morning is anxious and asking the nurse
numerous questions about the procedure. In preparing for the procedure, which
intervention has the priority? A. Allow client to gargle with warm salt water B. Administer a
sedative to alleviate anxiety C. Instruct client to write down the questions D. Deny client's
request for a midnight snack
Correct Answer: in the C. Instruct client to write down the questions the client
highest
Question 22.
The nurse assesses a client one hour after starting transfusion of packed red blood cells
and determines that there are no indications of a transfusion What instruction should the
