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HESI RN EXIT EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 300 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
The nurse is teaching elderly clients how to use multidose
inhalers. The nurse is concerned that the client is unable to
coordinate the release of the medication with the inhalation
phase. What is the nurses best recommendation to improve
delivery of medication? - ANSWER-adding a spacer device to
the MDI canister
A two year old child is brought to the healthcare providers office
with a chief complaint of mild diarrhea for 2 days. Nutritional
counseling by the nurse should include which statement? -
ANSWER-Continue with regular diet and give oral rehydration
fluids
The nurse is preparing the teaching plan for a group of parents
about the risks to toddlers. The nurse plans to explain proper
communication in the event of accidental poisoning. The nurse
should plan to tell the parents to first state what substance was
ingested and then what information should be the priority for the
,2|Page
parents to communicate? - ANSWER-The affected child's age
and weight
The nurse is completing the assessment of a 3 yr old who is
admitted with bacterial meningitis and hydrocephalus. Which
assessment finding is evidence that the child is experiencing
increased intracranial pressure (ICP) - ANSWER-sluggish and
unequal pupillary responses
A client with acute pancreatitis is admitted with severe piercing
abdominal pain and an elevated serum amylase. Which
additional information is the client most likely to report to the
nurse? - ANSWER-abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being
discharged from the hospital. Which information is most
important for the nurse to provide the parents prior to discharge?
- ANSWER-Instructions about how much the child should drink
daily
After receiving report on an inpatient acute care unit, Which
client should the nurse assess first? - ANSWER-The client with
a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
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A teenager presents to the Emergency Department with
palpitations after vaping at a party. The client is anxious, fearful,
and hyperventilating. The nurse anticipates the client is
developing which acid base imbalance - ANSWER-Respiratory
Alkalosis
The nurse is taking the blood pressure of a client with
Parkinson's disease. Which information in the client's admission
assessment is relevant to the nurse's plan for taking the blood
pressure reading? - ANSWER-- frequent syncope
-flat affect
-blurred vision
While caring for a client's postop dressing the nurse observes
purulent drainage at the wound. Before reporting this finding to
the healthcare provider the nurse should review which of the
client's lab values? - ANSWER-cultures for sensitive organisms
A preschool aged boy is admitted to the pedi unit following
successful resuscitation from a near drowning incident. While
providing care to the child the nurse begins talking with the
preadolescent brother who rescued the child from the pool and
initiated resuscitation. The nurse notices the older boy becomes
, 4|Page
withdrawn when asked about what happened. What action
should the nurse take? - ANSWER-Ask the older boy how he
felt during the incident
A male client with cirrhosis has jaundice and pruritis he tells the
nurse he has been taking hot baths at night with no relief of his
discomfort. Which action should the nurse take? - ANSWER-
Encourage the client to use cooler water and apply calamine
lotion after soaking
At 14 weeks gestation a client arrives at the Emergency
Department complaining of a dull pain in the right lower
quadrant of her abdomen. The nurse obtains a blood sample and
initiates an IV. 30 mins after admission the client reports feeling
a sharp abdominal pain and a shoulder pain. Assessment
findings include diaphoresis, a heart rate of 120 bpm, and a BP
of 86/48. Which action should the nurse implement next? -
ANSWER-Increase the rate of IV Fluids
A woman who thinks she could be pregnant calls her neighbor, a
nurse, to ask when she could use a home pregnancy test to
diagnose pregnancy. Which response is best? - ANSWER-a
home pregnancy test can be used right after your first missed
period
HESI RN EXIT EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 300 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
The nurse is teaching elderly clients how to use multidose
inhalers. The nurse is concerned that the client is unable to
coordinate the release of the medication with the inhalation
phase. What is the nurses best recommendation to improve
delivery of medication? - ANSWER-adding a spacer device to
the MDI canister
A two year old child is brought to the healthcare providers office
with a chief complaint of mild diarrhea for 2 days. Nutritional
counseling by the nurse should include which statement? -
ANSWER-Continue with regular diet and give oral rehydration
fluids
The nurse is preparing the teaching plan for a group of parents
about the risks to toddlers. The nurse plans to explain proper
communication in the event of accidental poisoning. The nurse
should plan to tell the parents to first state what substance was
ingested and then what information should be the priority for the
,2|Page
parents to communicate? - ANSWER-The affected child's age
and weight
The nurse is completing the assessment of a 3 yr old who is
admitted with bacterial meningitis and hydrocephalus. Which
assessment finding is evidence that the child is experiencing
increased intracranial pressure (ICP) - ANSWER-sluggish and
unequal pupillary responses
A client with acute pancreatitis is admitted with severe piercing
abdominal pain and an elevated serum amylase. Which
additional information is the client most likely to report to the
nurse? - ANSWER-abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being
discharged from the hospital. Which information is most
important for the nurse to provide the parents prior to discharge?
- ANSWER-Instructions about how much the child should drink
daily
After receiving report on an inpatient acute care unit, Which
client should the nurse assess first? - ANSWER-The client with
a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
,3|Page
A teenager presents to the Emergency Department with
palpitations after vaping at a party. The client is anxious, fearful,
and hyperventilating. The nurse anticipates the client is
developing which acid base imbalance - ANSWER-Respiratory
Alkalosis
The nurse is taking the blood pressure of a client with
Parkinson's disease. Which information in the client's admission
assessment is relevant to the nurse's plan for taking the blood
pressure reading? - ANSWER-- frequent syncope
-flat affect
-blurred vision
While caring for a client's postop dressing the nurse observes
purulent drainage at the wound. Before reporting this finding to
the healthcare provider the nurse should review which of the
client's lab values? - ANSWER-cultures for sensitive organisms
A preschool aged boy is admitted to the pedi unit following
successful resuscitation from a near drowning incident. While
providing care to the child the nurse begins talking with the
preadolescent brother who rescued the child from the pool and
initiated resuscitation. The nurse notices the older boy becomes
, 4|Page
withdrawn when asked about what happened. What action
should the nurse take? - ANSWER-Ask the older boy how he
felt during the incident
A male client with cirrhosis has jaundice and pruritis he tells the
nurse he has been taking hot baths at night with no relief of his
discomfort. Which action should the nurse take? - ANSWER-
Encourage the client to use cooler water and apply calamine
lotion after soaking
At 14 weeks gestation a client arrives at the Emergency
Department complaining of a dull pain in the right lower
quadrant of her abdomen. The nurse obtains a blood sample and
initiates an IV. 30 mins after admission the client reports feeling
a sharp abdominal pain and a shoulder pain. Assessment
findings include diaphoresis, a heart rate of 120 bpm, and a BP
of 86/48. Which action should the nurse implement next? -
ANSWER-Increase the rate of IV Fluids
A woman who thinks she could be pregnant calls her neighbor, a
nurse, to ask when she could use a home pregnancy test to
diagnose pregnancy. Which response is best? - ANSWER-a
home pregnancy test can be used right after your first missed
period
