RN HESI EXIT/HESI Exit RN Exam
Version 6(V6) Real/Actual/Authentic
Exam 2025 LATEST UPDATE
*105. The nurse enters a client's room to administer oral medications and
finds an unlicensed assistive personnel (UAP) providing personal care to the
client, whose condition has obviously deteriorated. The client is lying in a
supine position and is weak, pale, and diaphoretic. What is the priority
nursing action?
a. Determine why the UAP did not notify the nurse of the change in the
client's condition
b. Advise the UAP stop providing care so the nurse can assess the client's
condition
c. Explain to the UAP that changes in the client's condition should be
reported immediately
d. Ask the UAP to position the client so the oral medications can be
administered - ANSWER-b. Advise the UAP stop providing care so the nurse can assess the client's
condition
*108. Which laboratory values are critical for the nurse to monitor for a client
who is experiencing thyrotoxic crisis?
a. Blood in urine cultures
b. Glucose and calcium levels
c. Renal and liver function tests
d. Electrolytes and hemoglobin - ANSWER-d. Electrolytes and hemoglobin
Other:
c. Renal and liver function tests
*114. A client with peptic ulcer disease receives a prescription for an
,RN HESI EXIT/HESI Exit RN Exam
Version 6(V6) Real/Actual/Authentic
Exam 2025 LATEST UPDATE
intermittent suction via a Salem Sump nasogastric tube (NGT). After inserting
the NGT and obtaining coffee ground gastric contents, the nurse clamps the
NGT because the client must leave the unit for diagnostic studies. Upon
return to the unit, the client complaints of nausea. Which action should the
nurse implement first?
a. Connect the NGT to low intermittent suction
b. Irrigate the NGT with sterile normal saline
c. Provide oral suction using a Yank Auer tip
d. Administer a prescribed antiemetic agent - ANSWER-d. Administer a prescribed antiemetic agent
Other:
a. Connect the NGT to low intermittent suction
*122. Which instruction regarding skin care should the nurse provide to a
client who is receiving radiation therapy for metastatic breast cancer?
a. Frequently apply moisturizers to prevent dry skin
b. Protect the site from getting wet during bathing
c. Use a sponge to debride the affected area
d. Gently pat the skin dry after rinsing with water - ANSWER-d. Gently pat the skin dry after rinsing with
water
*18.A client is admitted with a severe asthma attack. For the last three hours the
client has experienced increasing shortness of breath. Arterial blood gas
results are: ph 7.22; paco2 55mmhg; HCO3 25 meq/L (25 mmol/L). Which
intervention should the nurse implement?
a. Space care to provide periods of rest
,RN HESI EXIT/HESI Exit RN Exam
Version 6(V6) Real/Actual/Authentic
Exam 2025 LATEST UPDATE
b. Instruct client to purse lip breathe
c. Position client for maximum comfort
d. Administer PRN dose of albuterol - ANSWER-d. Administer PRN dose of albuterol
*34.After initiating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a
Korotkoff sound. What action should the nurse take next?
a. Note the presence of an auscultatory gap
b. Reinflate the cuff to a higher number
c. Reposition the stethoscope over the brachial artery
d. Continue with the blood pressure assessment - ANSWER-a. Note the presence of an auscultatory gap
Choice A rationale:
Continue with the blood pressure assessment. Continuing with the blood pressure assessment without
addressing the observed auscultatory gap could lead to an inaccurate reading. It's important to
investigate and note the presence of an auscultatory gap before proceeding with the assessment.
Choice B rationale:
Reposition the stethoscope over the brachial artery. Repositioning the stethoscope may not resolve the
issue of hearing silence followed by a Korotkoff sound. It is important to assess the situation further
before making adjustments.
Choice C rationale:
Reinflate the cuff to a higher number. Reinflating the cuff to a higher number without addressing the
auscultatory gap can result in an inaccurate reading. The presence of an auscultatory gap should be
noted and managed appropriately.
Choice D rationale:
Note the presence of an auscultatory gap. This is the correct choice. An auscultatory gap is a temporary
disappearance of sounds during the blood pressure measurement, and it may indicate underlying
cardiovascular issues. The nurse should note its presence, document it, and take appropriate action if
necessary.
*49.A mother brings her child, who has a history of asthma, to the emergency
, RN HESI EXIT/HESI Exit RN Exam
Version 6(V6) Real/Actual/Authentic
Exam 2025 LATEST UPDATE
room. The child is wheezing and speaking one word between each breath.
The child is anxious, tachycardic, and has labored respirations. Which
assessment is most important for the nurse to obtain?
a. Frequency that the child uses a rescue inhaler during the week
b. Type of allergen exposure or trigger for the current episode
c. Type of inhaler the child typically uses on a regular basis
d. Last dose and type of rescue inhaler used by the child - ANSWER-a. Frequency that the child uses a
rescue inhaler during the week
Chegg:
d. Last dose and type of rescue inhaler used by the child
*60.The nurse is caring for a client who is receiving continuous ambulatory
peritoneal dialysis (CAPD) and notes that the urine output flow is 100 ml less
than the input flow. Which action should the nurse implement first?
a. Irrigate the dialysis catheter
b. Check the client's blood pressure and serum bicarbonate
c. Change the client position
d. Continue to monitor and take an output with next exchange - ANSWER-d. Continue to monitor and
take an output with next exchange
1. A mother runs into the emergency department with a toddler in her arms and
tells the nurse that her child got into some cleaning products. the child smells
of chemicals on the hands, face, and on the front of the child's clothes. after
ensuring the airway is patent, what action should the nurse implement first?
a. Assess the child for altered sensorium
b. Determine type of chemical exposure
Version 6(V6) Real/Actual/Authentic
Exam 2025 LATEST UPDATE
*105. The nurse enters a client's room to administer oral medications and
finds an unlicensed assistive personnel (UAP) providing personal care to the
client, whose condition has obviously deteriorated. The client is lying in a
supine position and is weak, pale, and diaphoretic. What is the priority
nursing action?
a. Determine why the UAP did not notify the nurse of the change in the
client's condition
b. Advise the UAP stop providing care so the nurse can assess the client's
condition
c. Explain to the UAP that changes in the client's condition should be
reported immediately
d. Ask the UAP to position the client so the oral medications can be
administered - ANSWER-b. Advise the UAP stop providing care so the nurse can assess the client's
condition
*108. Which laboratory values are critical for the nurse to monitor for a client
who is experiencing thyrotoxic crisis?
a. Blood in urine cultures
b. Glucose and calcium levels
c. Renal and liver function tests
d. Electrolytes and hemoglobin - ANSWER-d. Electrolytes and hemoglobin
Other:
c. Renal and liver function tests
*114. A client with peptic ulcer disease receives a prescription for an
,RN HESI EXIT/HESI Exit RN Exam
Version 6(V6) Real/Actual/Authentic
Exam 2025 LATEST UPDATE
intermittent suction via a Salem Sump nasogastric tube (NGT). After inserting
the NGT and obtaining coffee ground gastric contents, the nurse clamps the
NGT because the client must leave the unit for diagnostic studies. Upon
return to the unit, the client complaints of nausea. Which action should the
nurse implement first?
a. Connect the NGT to low intermittent suction
b. Irrigate the NGT with sterile normal saline
c. Provide oral suction using a Yank Auer tip
d. Administer a prescribed antiemetic agent - ANSWER-d. Administer a prescribed antiemetic agent
Other:
a. Connect the NGT to low intermittent suction
*122. Which instruction regarding skin care should the nurse provide to a
client who is receiving radiation therapy for metastatic breast cancer?
a. Frequently apply moisturizers to prevent dry skin
b. Protect the site from getting wet during bathing
c. Use a sponge to debride the affected area
d. Gently pat the skin dry after rinsing with water - ANSWER-d. Gently pat the skin dry after rinsing with
water
*18.A client is admitted with a severe asthma attack. For the last three hours the
client has experienced increasing shortness of breath. Arterial blood gas
results are: ph 7.22; paco2 55mmhg; HCO3 25 meq/L (25 mmol/L). Which
intervention should the nurse implement?
a. Space care to provide periods of rest
,RN HESI EXIT/HESI Exit RN Exam
Version 6(V6) Real/Actual/Authentic
Exam 2025 LATEST UPDATE
b. Instruct client to purse lip breathe
c. Position client for maximum comfort
d. Administer PRN dose of albuterol - ANSWER-d. Administer PRN dose of albuterol
*34.After initiating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a
Korotkoff sound. What action should the nurse take next?
a. Note the presence of an auscultatory gap
b. Reinflate the cuff to a higher number
c. Reposition the stethoscope over the brachial artery
d. Continue with the blood pressure assessment - ANSWER-a. Note the presence of an auscultatory gap
Choice A rationale:
Continue with the blood pressure assessment. Continuing with the blood pressure assessment without
addressing the observed auscultatory gap could lead to an inaccurate reading. It's important to
investigate and note the presence of an auscultatory gap before proceeding with the assessment.
Choice B rationale:
Reposition the stethoscope over the brachial artery. Repositioning the stethoscope may not resolve the
issue of hearing silence followed by a Korotkoff sound. It is important to assess the situation further
before making adjustments.
Choice C rationale:
Reinflate the cuff to a higher number. Reinflating the cuff to a higher number without addressing the
auscultatory gap can result in an inaccurate reading. The presence of an auscultatory gap should be
noted and managed appropriately.
Choice D rationale:
Note the presence of an auscultatory gap. This is the correct choice. An auscultatory gap is a temporary
disappearance of sounds during the blood pressure measurement, and it may indicate underlying
cardiovascular issues. The nurse should note its presence, document it, and take appropriate action if
necessary.
*49.A mother brings her child, who has a history of asthma, to the emergency
, RN HESI EXIT/HESI Exit RN Exam
Version 6(V6) Real/Actual/Authentic
Exam 2025 LATEST UPDATE
room. The child is wheezing and speaking one word between each breath.
The child is anxious, tachycardic, and has labored respirations. Which
assessment is most important for the nurse to obtain?
a. Frequency that the child uses a rescue inhaler during the week
b. Type of allergen exposure or trigger for the current episode
c. Type of inhaler the child typically uses on a regular basis
d. Last dose and type of rescue inhaler used by the child - ANSWER-a. Frequency that the child uses a
rescue inhaler during the week
Chegg:
d. Last dose and type of rescue inhaler used by the child
*60.The nurse is caring for a client who is receiving continuous ambulatory
peritoneal dialysis (CAPD) and notes that the urine output flow is 100 ml less
than the input flow. Which action should the nurse implement first?
a. Irrigate the dialysis catheter
b. Check the client's blood pressure and serum bicarbonate
c. Change the client position
d. Continue to monitor and take an output with next exchange - ANSWER-d. Continue to monitor and
take an output with next exchange
1. A mother runs into the emergency department with a toddler in her arms and
tells the nurse that her child got into some cleaning products. the child smells
of chemicals on the hands, face, and on the front of the child's clothes. after
ensuring the airway is patent, what action should the nurse implement first?
a. Assess the child for altered sensorium
b. Determine type of chemical exposure
