HESI RN EXIT EXAM QUESTIONS WITH
VERIFIED ANSWERS 2025
Which of these clients who call the community health clinic would the nurse ask to
come in that day to be seen by the health care provider?
A) I started my period and now my urine has turned bright red.
B) I am an diabetic and today I have been going to the bathroom every hour.
C) I was started on medicine yesterday for a urine infection. Now my lower belly
hurts when I go to the bathroom.
D) I went to the bathroom and my urine looked very red and it didn't hurt when I
went. - ANSWER-D) I went to the bathroom and my urine looked very red and it
didn't hurt when I went.
Which of these parents' comment for a newborn would most likely reveal an initial
finding of a suspected pyloric stenosis?
A) I noticed a little lump a little above the belly button.
B) The baby seems hungry all the time.
C) Mild vomiting that progressed to vomiting shooting across the room.
D) Irritation and spitting up immediately after feedings. - ANSWER-C) Mild vomiting
that progressed to vomiting shooting across the room.
The nurse is assessing a child for clinical manifestations of iron deficiency anemia.
Which factor would the nurse recognize as cause for the findings?
A) Decreased cardiac output
B) Tissue hypoxia
C) Cerebral edema
D) Reduced oxygen saturation - ANSWER-B) Tissue hypoxia
The nurse would expect the cystic fibrosis client to receive supplemental pancreatic
enzymes along with a diet
A) High in carbohydrates and proteins
B) Low in carbohydrates and proteins
C) High in carbohydrates, low in proteins
D) Low in carbohydrates, high in proteins - ANSWER-A) High in carbohydrates and
proteins
In evaluating the growth of a 12 month-old child, which of these findings would the
nurse expect to be present in the infant?
A) Increased 10% in height
B) 2 deciduous teeth
C) Tripled the birth weight
D) Head > chest circumference - ANSWER-C) Tripled the birth weight
A Hispanic client in the postpartum period refuses the hospital food because it is
"cold." The best initial action by the nurse is to
A) 1Have the unlicensed assistive personnel (UAP) reheat the food if the client
wishes
B) Ask the client what foods are acceptable or bad
,C) Encourage her to eat for healing and strength
D) Schedule the dietitian to meet with the client as soon as possible - ANSWER-B)
Ask the client what foods are acceptable or bad
The father of an 8 month-old infant asks the nurse if his infant's vocalizations are
normal for his age. Which of the following would the nurse expect at this age?
A) Cooing
B) Imitation of sounds
C) Throaty sounds
D) Laughter - ANSWER-B) Imitation of sounds
The nurse should recognize that physical dependence is accompanied by what
findings when alcohol consumption is first reduced or ended?
A) Seizures
B) Withdrawal
C) Craving
D) Marked tolerance - ANSWER-B) Withdrawal
Immediately following an acute battering incident in a violent relationship, the
batterer may respond to the partner's injuries by
A) Seeking medical help for the victim's injuries
B) Minimizing the episode and underestimating the victim's injuries
C) Contacting a close friend and asking for help
D) Being very remorseful and assisting the victim with medical care - ANSWER-B)
Minimizing the episode and underestimating the victim's injuries
A client with pneumococcal pneumonia had been started on antibiotics 16 hours
ago.During the nurse's initial evening rounds the nurse notices a foul smell in the
room. The client makes all of these statements during their conversation. Which
statement would alert the nurse to a complication?
A) "I have a sharp pain in my chest when I take a breath.
"B) "I have been coughing up foul-tasting, brown, thick sputum.
" C) "I have been sweating all day.
"D) "I feel hot off and on." - ANSWER-"B) "I have been coughing up foul-tasting,
brown, thick sputum.
The nurse is performing an assessment on a client in congestive heart failure.
Auscultation of the heart is most likely to reveal
A) S3 ventricular gallop
B) Apical click
C) Systolic murmur
D) Split S2 - ANSWER-A) S3 ventricular gallop
Which of these observations made by the nurse during an excretory urogram
indicate a complicaton?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client's entire body turns a bright red color
C) The client states "I have a feeling of getting warm."
D) The client gags and complains " I am getting sick." - ANSWER-B) The client's
entire body turns a bright red color
, A client is diagnosed with a spontaneous pneumothorax necessitating the insertion
of a chest tube. What is the best explanation for the nurse to provide this client?
A) "The tube will drain fluid from your chest.
"B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest.
" D) "The tube will seal the hole in your lung." - ANSWER-"B) "The tube will remove
excess air from your chest."
The nurse is reviewing laboratory results on a client with acute renal failure. Which
one of the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L - ANSWER-D) Serum potassium 6 mEq/L
The nurse is caring for a client undergoing the placement of a central venous
catheter line. Which of the following would require the nurse's immediate attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms - ANSWER-C) Dyspnea
The nurse is performing a physical assessment on a client who just had an
endotracheal tube inserted. Which finding would call for immediate action by the
nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak - ANSWER-C) Pulse oximetry of 88
A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates
that the client may need suctioning?A) Drowsiness
B) Complaint of nausea
C) Pulse rate of 92
D) Restlessness - ANSWER-D) Restlessness
During the evaluation phase for a client, the nurse should focus on
A) All finding of physical and psychosocial stressors of the client and in the family
B) The client's status, progress toward goal achievement, and ongoing re-evaluation
C) Setting short and long-term goals to insure continuity of care from hospital to
home
D) Select interventions that are measurable and achievable within selected
timeframes - ANSWER-B) The client's status, progress toward goal achievement,
and ongoing re-evaluation
The school nurse suspects that a third grade child might have Attention Deficit
Hyperactivity Disorder. Prior to referring the child for further evaluation, the nurse
should
A) Observe the child's behavior on at least 2 occasions
VERIFIED ANSWERS 2025
Which of these clients who call the community health clinic would the nurse ask to
come in that day to be seen by the health care provider?
A) I started my period and now my urine has turned bright red.
B) I am an diabetic and today I have been going to the bathroom every hour.
C) I was started on medicine yesterday for a urine infection. Now my lower belly
hurts when I go to the bathroom.
D) I went to the bathroom and my urine looked very red and it didn't hurt when I
went. - ANSWER-D) I went to the bathroom and my urine looked very red and it
didn't hurt when I went.
Which of these parents' comment for a newborn would most likely reveal an initial
finding of a suspected pyloric stenosis?
A) I noticed a little lump a little above the belly button.
B) The baby seems hungry all the time.
C) Mild vomiting that progressed to vomiting shooting across the room.
D) Irritation and spitting up immediately after feedings. - ANSWER-C) Mild vomiting
that progressed to vomiting shooting across the room.
The nurse is assessing a child for clinical manifestations of iron deficiency anemia.
Which factor would the nurse recognize as cause for the findings?
A) Decreased cardiac output
B) Tissue hypoxia
C) Cerebral edema
D) Reduced oxygen saturation - ANSWER-B) Tissue hypoxia
The nurse would expect the cystic fibrosis client to receive supplemental pancreatic
enzymes along with a diet
A) High in carbohydrates and proteins
B) Low in carbohydrates and proteins
C) High in carbohydrates, low in proteins
D) Low in carbohydrates, high in proteins - ANSWER-A) High in carbohydrates and
proteins
In evaluating the growth of a 12 month-old child, which of these findings would the
nurse expect to be present in the infant?
A) Increased 10% in height
B) 2 deciduous teeth
C) Tripled the birth weight
D) Head > chest circumference - ANSWER-C) Tripled the birth weight
A Hispanic client in the postpartum period refuses the hospital food because it is
"cold." The best initial action by the nurse is to
A) 1Have the unlicensed assistive personnel (UAP) reheat the food if the client
wishes
B) Ask the client what foods are acceptable or bad
,C) Encourage her to eat for healing and strength
D) Schedule the dietitian to meet with the client as soon as possible - ANSWER-B)
Ask the client what foods are acceptable or bad
The father of an 8 month-old infant asks the nurse if his infant's vocalizations are
normal for his age. Which of the following would the nurse expect at this age?
A) Cooing
B) Imitation of sounds
C) Throaty sounds
D) Laughter - ANSWER-B) Imitation of sounds
The nurse should recognize that physical dependence is accompanied by what
findings when alcohol consumption is first reduced or ended?
A) Seizures
B) Withdrawal
C) Craving
D) Marked tolerance - ANSWER-B) Withdrawal
Immediately following an acute battering incident in a violent relationship, the
batterer may respond to the partner's injuries by
A) Seeking medical help for the victim's injuries
B) Minimizing the episode and underestimating the victim's injuries
C) Contacting a close friend and asking for help
D) Being very remorseful and assisting the victim with medical care - ANSWER-B)
Minimizing the episode and underestimating the victim's injuries
A client with pneumococcal pneumonia had been started on antibiotics 16 hours
ago.During the nurse's initial evening rounds the nurse notices a foul smell in the
room. The client makes all of these statements during their conversation. Which
statement would alert the nurse to a complication?
A) "I have a sharp pain in my chest when I take a breath.
"B) "I have been coughing up foul-tasting, brown, thick sputum.
" C) "I have been sweating all day.
"D) "I feel hot off and on." - ANSWER-"B) "I have been coughing up foul-tasting,
brown, thick sputum.
The nurse is performing an assessment on a client in congestive heart failure.
Auscultation of the heart is most likely to reveal
A) S3 ventricular gallop
B) Apical click
C) Systolic murmur
D) Split S2 - ANSWER-A) S3 ventricular gallop
Which of these observations made by the nurse during an excretory urogram
indicate a complicaton?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client's entire body turns a bright red color
C) The client states "I have a feeling of getting warm."
D) The client gags and complains " I am getting sick." - ANSWER-B) The client's
entire body turns a bright red color
, A client is diagnosed with a spontaneous pneumothorax necessitating the insertion
of a chest tube. What is the best explanation for the nurse to provide this client?
A) "The tube will drain fluid from your chest.
"B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest.
" D) "The tube will seal the hole in your lung." - ANSWER-"B) "The tube will remove
excess air from your chest."
The nurse is reviewing laboratory results on a client with acute renal failure. Which
one of the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L - ANSWER-D) Serum potassium 6 mEq/L
The nurse is caring for a client undergoing the placement of a central venous
catheter line. Which of the following would require the nurse's immediate attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms - ANSWER-C) Dyspnea
The nurse is performing a physical assessment on a client who just had an
endotracheal tube inserted. Which finding would call for immediate action by the
nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak - ANSWER-C) Pulse oximetry of 88
A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates
that the client may need suctioning?A) Drowsiness
B) Complaint of nausea
C) Pulse rate of 92
D) Restlessness - ANSWER-D) Restlessness
During the evaluation phase for a client, the nurse should focus on
A) All finding of physical and psychosocial stressors of the client and in the family
B) The client's status, progress toward goal achievement, and ongoing re-evaluation
C) Setting short and long-term goals to insure continuity of care from hospital to
home
D) Select interventions that are measurable and achievable within selected
timeframes - ANSWER-B) The client's status, progress toward goal achievement,
and ongoing re-evaluation
The school nurse suspects that a third grade child might have Attention Deficit
Hyperactivity Disorder. Prior to referring the child for further evaluation, the nurse
should
A) Observe the child's behavior on at least 2 occasions
