HESI RN EXIT EXAM 2025 LATEST VERSIONS V1-
V6 COMPLETE TEST BANK /RN HESI EXIT TEST
BANK QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) ||COMPLETE A+ GUIDE
VERSION 1 f
1. Which finformation fis fmost fconcerning fto fthe fnurse fwhen fcaring ffor fan folder fclient
fwith fbilateral fcataracts?
a. States f having f difficulty f with f color f perception
b. Presents f with f opacity f of fthe flens f upon f assessment
c. Complains f of f seeing f a f cobweb-type f structure f in f the f visual f field
d. Reports f the f need f to f use fa fmagnifying f glass fto f see fsmall f print
Rationale:
Visualization fof fa fcobweb- for fhairnet-type fstructure fis fa fsign fof fa fretinal fdetachment, fwhich
fconstitutes fa fmedical femergency. fClients fwith fcataracts fare fat fincreased frisk ffor fretinal
fdetachment. fDistorted fcolor fperception, fopacity fof fthe flens, fand fgradual fvision floss fare
fexpected fsigns fand fsymptoms fof fcataracts fbut fdo fnot fneed fimmediate fattention.
2. When fcaring ffor fa fclient fhospitalized fwith fGuillain-Barré fsyndrome, fwhich finformation
f is fmost fimportant ffor fthe fnurse fto freport fto fthe fprimary fhealth fcare fprovider?
a. f Decrease fin f cognitive fstatus fof fthe f client
Rationale:
A fdecline fin fcognitive fstatus fin fa fclient fis findicative fof fsymptoms fof fhypoxia fand fa fpossible
fneed f to fassist fthe fclient fwith fmechanical fventilation. fA fprimary fhealth fcare fprovider fwill fneed
fto fbe fcontacted fimmediately. fOptions fA, fC, fand fD fare ffindings fassociated fwith fGuillain-Barré
f syndrome fthat fshould falso fbe freported f but fare fnot fas fcritical fas fthe fclient's fhypoxic fstatus.
3. A fclient fis fadmitted fwith fa fdiagnosis fof fleukemia. fThis fcondition fis fmanifested
f by fwhich fof fthe ffollowing?
a. f Hyperplasia fof f the f gums, f elevated f white f blood fcount, f weakness
Rationale:
Hyperplastic fgums, fweakness, fand felevated fwhite fblood fcount fare fclassic fsigns fof fleukemia.
1|Page
, f Options fA, fB, fand fD fstate fincorrect finformation ffor fsymptoms fof fleukemia.
4. The fnurse fenters fthe fexamination froom fof fa fclient fwho fhas fbeen ftold fby fher fhealth
fcare fprovider fthat fshe fhas fadvanced fovarian fcancer. fWhich fresponse fby fthe fnurse fis flikely fto fbe
fmost fsupportive ffor fthe fclient?
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, a. f "Tell fme fabout fwhat f you fare ffeeling fright fnow."
Rationale:
The fmost ftherapeutic faction ffor fthe fnurse fis fto fbe fan factive flistener fand fto fencourage fthe fclient fto
fexplore fher ffeelings. fGiving ffalse freassurance for fpersonal fsuggestions fare fnot ftherapeutic
fcommunication ffor fthe fclient.
5. A fnurse fworking fin fthe femergency fdepartment fadmits fa fclient fwith ffull fthickness
fburns fto f50% fof fthe fbody. fAssessment ffindings findicate fhigh-pitched fwheezing, fheart frate fof
f120 fbeats/min, fand fdisorientation. fWhich faction fshould fthe fnurse ftake ffirst?
a. f Prepare fto f assist fwith fmaintaining f the fairway.
Rationale:
High-pitched f wheezing f indicates f laryngeal f stridor, f a f sign f of f laryngeal f edema f associated
f with flung finjury. fAirway fmanagement fis fthe ffirst fpriority fof fcare. fOptions fA, fC, fand fD fare fall
fappropriate finterventions fin fmanaging fthe fclient fwith fa fburn fbut fare fnot fas fcritical fas
festablishing fan fairway.
6. The fnurse fwalks finto fthe froom fand fobserves fthe fclient fexperiencing fa ftonic- fclonic
f seizure. fWhich fintervention fshould fthe fnurse fimplement ffirst?
a. f Turn fthe f client fon fthe fside fto faid fventilation.
Rationale:
Maintaining fthe fairway fduring fa fseizure fis fthe fpriority ffor fsafety. fOptions fA, fB, fand fC fare
fcontraindicated fduring fa fseizure fand fmay fcause ffurther finjury fto fthe fclient.
7. Which fintervention fshould fbe fincluded fin fthe fplan fof fcare ffor fa fclient fadmitted fto
f the fhospital fwith fulcerative fcolitis?
a. f Provide f a flow-residue fdiet.
Rationale:
A flow-residue fdiet fwill fhelp fdecrease fsymptoms fof fdiarrhea, fwhich fare fclinical fmanifestations fof
fulcerative fcolitis.
8. A fnurse fimplements fan feducation fprogram fto freduce fhospital freadmissions ffor fclients
f with fheart ffailure. fWhich fstatement fby fthe fclient findicates fthat fteaching fhas fbeen feffective?
a. "I fwill f not ftake fmy f digoxin f if fmy f heart f rate fis f higher fthan f 100 fbeats/min."
b. "I fshould f weigh f myself f once f a f week f and freport f any fincreases."
c. "It f is f important fto f increase fmy ffluid f intake f whenever f possible."
d. "I fshould f report f an f increase fof f swelling fin fmy f feet for f ankles."
Rationale:
An fincrease fin fedema findicates fworsening fright-sided fheart ffailure fand fshould fbe freported fto fthe
fprimary fhealth fcare fprovider. fDigitalis fshould fbe fheld fwhen fthe fheart frate fis flower fthan f60
fbeats/min. fThe fclient f with f heart f failure fshould f weigh fhimself for fherself f daily f and freport fa
fgain fof f 2 fto f3 flb. fAn fincrease fin ffluid fcan fworsen fheart ffailure.
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, 9. After fassessing fa f26-year-old fclient fwith ftype f1 fdiabetes fmellitus, fwhich fdata
f may findicate fthat fthe fclient fis fexperiencing fchronic fcomplications fof fdiabetes?
a. f Blood f pressure, f 159/98 f mm f Hg
Rationale:
A fblood fpressure fof f159/98 fmm fHg fis fhypertensive fand fincreases fthe fclient's frisk ffor facute
fcoronary fsyndrome fand/or fstroke.
10. When fcaring ffor fa fclient fwith fa ftracheostomy, fwhich fintervention fshould fthe
fnurse fdelegate fto fthe funlicensed fassistive fpersonnel f(UAP)?
a. f Take fthe fvital fsigns f and fobtain fan f O2 fsaturation flevel.
Rationale:
The fnurse fmay fdelegate fobtaining fvital fsigns fand fO2 fsaturation; fhowever, fthe fnurse fis
fresponsible ffor ffollowing fup fon fany freported fdata.
11. The fcharge fnurse fis fmaking fassignments ffor fthe fupcoming fshift. fWhich fclient fis
f most fappropriate fto fassign fto fthe fpractical fnurse f(PN)?
a. A fclient f with f nausea f who fneeds fa f nasogastric f tube f inserted
b. A fclient fin f hypertensive f crisis f who f needs ftitration f of f IV fnitroglycerin
c. A fnewly f admitted fclient fwho fneeds fto f have fa f plan f of fcare festablished
d. A fclient f who f is f ready ffor fdischarge f who f needs fdischarge f teaching
Rationale:
The fclient fmentioned fin foption fA fhas fa fneed ffor fa fskill fthat fis fwithin fthe fscope fof fpractice ffor
fthe fPN. fTitration fof fan f IV fdrip, festablishing fcare fplans, fand fdischarge fteaching fare fwithin fthe
fscope f of fpractice fof fa fregistered fnurse f(RN) fand fare fnot fdelegated.
12. A fnurse fperforms fan finitial fadmission fassessment fof fa f56-year-old fclient. fWhich
ffactor(s) fwould f indicate fthat fthe fclient fis fat frisk ffor fmetabolic fsyndrome? f(Select fall f that
fapply.)
a. Abdominal f obesity
b. Sedentary f lifestyle
c. Hispanic f or fAsian f ethnicity
d. Increased f triglycerides
Rationale:
Metabolic fsyndrome fis fa fname ffor fa fgroup fof frisk ffactors fthat fincrease fthe frisk ffor fcoronary
fartery fdisease, ftype f2 fdiabetes, fand fstroke f(A, fB, fD, fand fE).
13. Which fclinical fmanifestation fin fthe fclient fwith fhyperthyroidism fis fmost fThe fapical
fheart frate fof f130 fbeats/min fis fa fcritical ffinding fthat fcould flead fto fheart ffailure for fother fcardiac
fdisorders. fOptions fA, fB, fand fD fare fall fexpected ffindings fthat fshould falso fbe freported fbut fare
fnot fas fcritical.
a. f Apical fheart frate f of f 130 f beats/min
Rationale:
4|Page
V6 COMPLETE TEST BANK /RN HESI EXIT TEST
BANK QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) ||COMPLETE A+ GUIDE
VERSION 1 f
1. Which finformation fis fmost fconcerning fto fthe fnurse fwhen fcaring ffor fan folder fclient
fwith fbilateral fcataracts?
a. States f having f difficulty f with f color f perception
b. Presents f with f opacity f of fthe flens f upon f assessment
c. Complains f of f seeing f a f cobweb-type f structure f in f the f visual f field
d. Reports f the f need f to f use fa fmagnifying f glass fto f see fsmall f print
Rationale:
Visualization fof fa fcobweb- for fhairnet-type fstructure fis fa fsign fof fa fretinal fdetachment, fwhich
fconstitutes fa fmedical femergency. fClients fwith fcataracts fare fat fincreased frisk ffor fretinal
fdetachment. fDistorted fcolor fperception, fopacity fof fthe flens, fand fgradual fvision floss fare
fexpected fsigns fand fsymptoms fof fcataracts fbut fdo fnot fneed fimmediate fattention.
2. When fcaring ffor fa fclient fhospitalized fwith fGuillain-Barré fsyndrome, fwhich finformation
f is fmost fimportant ffor fthe fnurse fto freport fto fthe fprimary fhealth fcare fprovider?
a. f Decrease fin f cognitive fstatus fof fthe f client
Rationale:
A fdecline fin fcognitive fstatus fin fa fclient fis findicative fof fsymptoms fof fhypoxia fand fa fpossible
fneed f to fassist fthe fclient fwith fmechanical fventilation. fA fprimary fhealth fcare fprovider fwill fneed
fto fbe fcontacted fimmediately. fOptions fA, fC, fand fD fare ffindings fassociated fwith fGuillain-Barré
f syndrome fthat fshould falso fbe freported f but fare fnot fas fcritical fas fthe fclient's fhypoxic fstatus.
3. A fclient fis fadmitted fwith fa fdiagnosis fof fleukemia. fThis fcondition fis fmanifested
f by fwhich fof fthe ffollowing?
a. f Hyperplasia fof f the f gums, f elevated f white f blood fcount, f weakness
Rationale:
Hyperplastic fgums, fweakness, fand felevated fwhite fblood fcount fare fclassic fsigns fof fleukemia.
1|Page
, f Options fA, fB, fand fD fstate fincorrect finformation ffor fsymptoms fof fleukemia.
4. The fnurse fenters fthe fexamination froom fof fa fclient fwho fhas fbeen ftold fby fher fhealth
fcare fprovider fthat fshe fhas fadvanced fovarian fcancer. fWhich fresponse fby fthe fnurse fis flikely fto fbe
fmost fsupportive ffor fthe fclient?
2|Page
, a. f "Tell fme fabout fwhat f you fare ffeeling fright fnow."
Rationale:
The fmost ftherapeutic faction ffor fthe fnurse fis fto fbe fan factive flistener fand fto fencourage fthe fclient fto
fexplore fher ffeelings. fGiving ffalse freassurance for fpersonal fsuggestions fare fnot ftherapeutic
fcommunication ffor fthe fclient.
5. A fnurse fworking fin fthe femergency fdepartment fadmits fa fclient fwith ffull fthickness
fburns fto f50% fof fthe fbody. fAssessment ffindings findicate fhigh-pitched fwheezing, fheart frate fof
f120 fbeats/min, fand fdisorientation. fWhich faction fshould fthe fnurse ftake ffirst?
a. f Prepare fto f assist fwith fmaintaining f the fairway.
Rationale:
High-pitched f wheezing f indicates f laryngeal f stridor, f a f sign f of f laryngeal f edema f associated
f with flung finjury. fAirway fmanagement fis fthe ffirst fpriority fof fcare. fOptions fA, fC, fand fD fare fall
fappropriate finterventions fin fmanaging fthe fclient fwith fa fburn fbut fare fnot fas fcritical fas
festablishing fan fairway.
6. The fnurse fwalks finto fthe froom fand fobserves fthe fclient fexperiencing fa ftonic- fclonic
f seizure. fWhich fintervention fshould fthe fnurse fimplement ffirst?
a. f Turn fthe f client fon fthe fside fto faid fventilation.
Rationale:
Maintaining fthe fairway fduring fa fseizure fis fthe fpriority ffor fsafety. fOptions fA, fB, fand fC fare
fcontraindicated fduring fa fseizure fand fmay fcause ffurther finjury fto fthe fclient.
7. Which fintervention fshould fbe fincluded fin fthe fplan fof fcare ffor fa fclient fadmitted fto
f the fhospital fwith fulcerative fcolitis?
a. f Provide f a flow-residue fdiet.
Rationale:
A flow-residue fdiet fwill fhelp fdecrease fsymptoms fof fdiarrhea, fwhich fare fclinical fmanifestations fof
fulcerative fcolitis.
8. A fnurse fimplements fan feducation fprogram fto freduce fhospital freadmissions ffor fclients
f with fheart ffailure. fWhich fstatement fby fthe fclient findicates fthat fteaching fhas fbeen feffective?
a. "I fwill f not ftake fmy f digoxin f if fmy f heart f rate fis f higher fthan f 100 fbeats/min."
b. "I fshould f weigh f myself f once f a f week f and freport f any fincreases."
c. "It f is f important fto f increase fmy ffluid f intake f whenever f possible."
d. "I fshould f report f an f increase fof f swelling fin fmy f feet for f ankles."
Rationale:
An fincrease fin fedema findicates fworsening fright-sided fheart ffailure fand fshould fbe freported fto fthe
fprimary fhealth fcare fprovider. fDigitalis fshould fbe fheld fwhen fthe fheart frate fis flower fthan f60
fbeats/min. fThe fclient f with f heart f failure fshould f weigh fhimself for fherself f daily f and freport fa
fgain fof f 2 fto f3 flb. fAn fincrease fin ffluid fcan fworsen fheart ffailure.
3|Page
, 9. After fassessing fa f26-year-old fclient fwith ftype f1 fdiabetes fmellitus, fwhich fdata
f may findicate fthat fthe fclient fis fexperiencing fchronic fcomplications fof fdiabetes?
a. f Blood f pressure, f 159/98 f mm f Hg
Rationale:
A fblood fpressure fof f159/98 fmm fHg fis fhypertensive fand fincreases fthe fclient's frisk ffor facute
fcoronary fsyndrome fand/or fstroke.
10. When fcaring ffor fa fclient fwith fa ftracheostomy, fwhich fintervention fshould fthe
fnurse fdelegate fto fthe funlicensed fassistive fpersonnel f(UAP)?
a. f Take fthe fvital fsigns f and fobtain fan f O2 fsaturation flevel.
Rationale:
The fnurse fmay fdelegate fobtaining fvital fsigns fand fO2 fsaturation; fhowever, fthe fnurse fis
fresponsible ffor ffollowing fup fon fany freported fdata.
11. The fcharge fnurse fis fmaking fassignments ffor fthe fupcoming fshift. fWhich fclient fis
f most fappropriate fto fassign fto fthe fpractical fnurse f(PN)?
a. A fclient f with f nausea f who fneeds fa f nasogastric f tube f inserted
b. A fclient fin f hypertensive f crisis f who f needs ftitration f of f IV fnitroglycerin
c. A fnewly f admitted fclient fwho fneeds fto f have fa f plan f of fcare festablished
d. A fclient f who f is f ready ffor fdischarge f who f needs fdischarge f teaching
Rationale:
The fclient fmentioned fin foption fA fhas fa fneed ffor fa fskill fthat fis fwithin fthe fscope fof fpractice ffor
fthe fPN. fTitration fof fan f IV fdrip, festablishing fcare fplans, fand fdischarge fteaching fare fwithin fthe
fscope f of fpractice fof fa fregistered fnurse f(RN) fand fare fnot fdelegated.
12. A fnurse fperforms fan finitial fadmission fassessment fof fa f56-year-old fclient. fWhich
ffactor(s) fwould f indicate fthat fthe fclient fis fat frisk ffor fmetabolic fsyndrome? f(Select fall f that
fapply.)
a. Abdominal f obesity
b. Sedentary f lifestyle
c. Hispanic f or fAsian f ethnicity
d. Increased f triglycerides
Rationale:
Metabolic fsyndrome fis fa fname ffor fa fgroup fof frisk ffactors fthat fincrease fthe frisk ffor fcoronary
fartery fdisease, ftype f2 fdiabetes, fand fstroke f(A, fB, fD, fand fE).
13. Which fclinical fmanifestation fin fthe fclient fwith fhyperthyroidism fis fmost fThe fapical
fheart frate fof f130 fbeats/min fis fa fcritical ffinding fthat fcould flead fto fheart ffailure for fother fcardiac
fdisorders. fOptions fA, fB, fand fD fare fall fexpected ffindings fthat fshould falso fbe freported fbut fare
fnot fas fcritical.
a. f Apical fheart frate f of f 130 f beats/min
Rationale:
4|Page
