RN HESI EXIT EXAM 2024-2025 –
VERSION 6
(V6) ALL 170 QUESTIONS &
ANSWERS INCLUDED -
GUARANTEED PASS A+!!! ALL
BRAND NEW
1. A 3-year-old boy is being discharged after a hospital stay and has
regressed in toilet training. What should the nurse tell the parents?
A. A retraining program will need to start at home.
B. Diapers will be used due to hospital stress.
C. They should bring a potty chair from home.
D. Children typically regain toilet habits after leaving the hospital.
Answer: D. Children typically regain toilet habits after leaving the
hospital.
2. A 7-year-old child is admitted with vomiting and is on a nasogastric
tube with suction. Which finding is most critical to report?
A. IV intake of 640 mL and 30 mL PO ice chips.
B. Serum pH of 7.45.
C. Gastric output of 100 mL over 8 hours.
D. Serum potassium of 3.0 mg/dL.
Answer: D. Serum potassium of 3.0 mg/dL.
3. What key information should be given to the parents of a child
recently diagnosed with sickle cell anemia upon discharge?
, A. Guidelines for daily fluid intake.
B. Signs of opioid addiction.
C. Non-drug pain relief methods.
D. Referral to social services.
Answer: A. Guidelines for daily fluid intake.
4. A client inquires about reducing risk factors for benign prostatic
hyperplasia (BPH). What should the nurse advise?
A. Eat a high protein diet.
B. Increase physical activity.
C. Use vitamin supplements.
D. Get regular prostate-specific antigen tests.
Answer: B. Increase physical activity.
5. A client in early pregnancy is diagnosed with hyperemesis gravidarum.
What is the nurse's priority action?
A. Obtain a 24-hour dietary recall.
B. Assess mucosal membrane status.
C. Refer to a nutritionist.
D. Start prescribed IV fluids.
Answer: D. Start prescribed IV fluids.
6. A patient with calcium kidney stones has gout and is starting
aluminum hydroxide. Which medication should the nurse discuss
with the provider?
A. Enalapril.
B. Allopurinol.
C. Furosemide.
, D. Low-dose aspirin.
Answer: B. Allopurinol.
7. What should be documented in the health record after a client fell
while unattended by staff?
A. The assistant was helping another client.
B. The last time assistance was provided.
C. The unit was short-staffed at the time.
D. The client fractured their left hip in the fall.
Answer: D. The client fractured their left hip in the fall.
8. A client in the emergency department is speaking rapidly and reports
only sleeping three hours in the last two days. Which lab value should
the nurse check?
A. Lorazepam levels.
B. Fluoxetine levels.
C. Divalproex levels.
D. Olanzapine levels.
Answer: C. Divalproex levels.
9. A third-trimester pregnant client reports lumpy breasts and leaking
yellowish fluid. What should the nurse do?
A. Recommend nipple stimulation for breastfeeding.
B. Reschedule the appointment for the next day.
C. Explain this is normal and discuss at the next visit.
D. Advise wearing a supportive bra.
Answer: C. Explain this is normal and discuss at the next visit.
10. A patient with urolithiasis is admitted. What finding is most
concerning for the nurse to report?
, A. Voiding more than 300 mL each time.
B. Elevated serum potassium.
C. Reduced flank pain that has spread to the groin.
D. Pink-tinged hematuria.
Answer: D. Pink-tinged hematuria.
11. A client with Meniere's disease has a care plan. What should the
nurse focus on?
A. Self-management risk due to lack of knowledge.
B. Coping mechanisms related to feeling vulnerable.
C. Injury risk due to vertigo.
D. Anxiety due to changes in lifestyle.
Answer: C. Injury risk due to vertigo.
12. A patient receiving enoxaparin should be monitored for which lab
value?
A. Glucose levels.
B. Calcium levels.
C. Platelet count.
D. White blood cell count.
Answer: C. Platelet count.
13. After a cardiac catheterization, the client complains of groin
pain. What should the nurse do first?
A. Check for hematoma formation at the femoral site.
B. Encourage deep breaths.
C. Assess the IV insertion site.
D. Evaluate capillary refill in the lower extremities.
Answer: B. Encourage deep breaths.
VERSION 6
(V6) ALL 170 QUESTIONS &
ANSWERS INCLUDED -
GUARANTEED PASS A+!!! ALL
BRAND NEW
1. A 3-year-old boy is being discharged after a hospital stay and has
regressed in toilet training. What should the nurse tell the parents?
A. A retraining program will need to start at home.
B. Diapers will be used due to hospital stress.
C. They should bring a potty chair from home.
D. Children typically regain toilet habits after leaving the hospital.
Answer: D. Children typically regain toilet habits after leaving the
hospital.
2. A 7-year-old child is admitted with vomiting and is on a nasogastric
tube with suction. Which finding is most critical to report?
A. IV intake of 640 mL and 30 mL PO ice chips.
B. Serum pH of 7.45.
C. Gastric output of 100 mL over 8 hours.
D. Serum potassium of 3.0 mg/dL.
Answer: D. Serum potassium of 3.0 mg/dL.
3. What key information should be given to the parents of a child
recently diagnosed with sickle cell anemia upon discharge?
, A. Guidelines for daily fluid intake.
B. Signs of opioid addiction.
C. Non-drug pain relief methods.
D. Referral to social services.
Answer: A. Guidelines for daily fluid intake.
4. A client inquires about reducing risk factors for benign prostatic
hyperplasia (BPH). What should the nurse advise?
A. Eat a high protein diet.
B. Increase physical activity.
C. Use vitamin supplements.
D. Get regular prostate-specific antigen tests.
Answer: B. Increase physical activity.
5. A client in early pregnancy is diagnosed with hyperemesis gravidarum.
What is the nurse's priority action?
A. Obtain a 24-hour dietary recall.
B. Assess mucosal membrane status.
C. Refer to a nutritionist.
D. Start prescribed IV fluids.
Answer: D. Start prescribed IV fluids.
6. A patient with calcium kidney stones has gout and is starting
aluminum hydroxide. Which medication should the nurse discuss
with the provider?
A. Enalapril.
B. Allopurinol.
C. Furosemide.
, D. Low-dose aspirin.
Answer: B. Allopurinol.
7. What should be documented in the health record after a client fell
while unattended by staff?
A. The assistant was helping another client.
B. The last time assistance was provided.
C. The unit was short-staffed at the time.
D. The client fractured their left hip in the fall.
Answer: D. The client fractured their left hip in the fall.
8. A client in the emergency department is speaking rapidly and reports
only sleeping three hours in the last two days. Which lab value should
the nurse check?
A. Lorazepam levels.
B. Fluoxetine levels.
C. Divalproex levels.
D. Olanzapine levels.
Answer: C. Divalproex levels.
9. A third-trimester pregnant client reports lumpy breasts and leaking
yellowish fluid. What should the nurse do?
A. Recommend nipple stimulation for breastfeeding.
B. Reschedule the appointment for the next day.
C. Explain this is normal and discuss at the next visit.
D. Advise wearing a supportive bra.
Answer: C. Explain this is normal and discuss at the next visit.
10. A patient with urolithiasis is admitted. What finding is most
concerning for the nurse to report?
, A. Voiding more than 300 mL each time.
B. Elevated serum potassium.
C. Reduced flank pain that has spread to the groin.
D. Pink-tinged hematuria.
Answer: D. Pink-tinged hematuria.
11. A client with Meniere's disease has a care plan. What should the
nurse focus on?
A. Self-management risk due to lack of knowledge.
B. Coping mechanisms related to feeling vulnerable.
C. Injury risk due to vertigo.
D. Anxiety due to changes in lifestyle.
Answer: C. Injury risk due to vertigo.
12. A patient receiving enoxaparin should be monitored for which lab
value?
A. Glucose levels.
B. Calcium levels.
C. Platelet count.
D. White blood cell count.
Answer: C. Platelet count.
13. After a cardiac catheterization, the client complains of groin
pain. What should the nurse do first?
A. Check for hematoma formation at the femoral site.
B. Encourage deep breaths.
C. Assess the IV insertion site.
D. Evaluate capillary refill in the lower extremities.
Answer: B. Encourage deep breaths.
