HESI RN EXIT EXAM QUESTIONS AND VERIFIED
ANSWERS 2025
Why is it important for the nurse to monitor blood pressure in clients
receiving antipsychotic drugs?
A) Orthostatic hypotension is a common side effect
B) Most antipsychotic drugs cause elevated blood pressure
C) This provides information on the amount of sodium allowed in the diet
D) It will indicate the need to institute anti parkinsonian drugs -Answer-A)
Orthostatic hypotension is a common side effect
The nurse is teaching the client to select foods rich in potassium to help
prevent digitalis toxicity. Which choice indicates the client understands
dietary needs?
A) Three apricots
B) Medium banana
C) Naval orange
D) Baked potato -Answer-D) Baked potato
An 86 year-old nursing home resident who has decreased mental status is
hospitalized with pneumonic infiltrates in the right lower lobe. When the
nurse assists the client with a clear liquid diet, the client begins to cough.
What should the nurse do next?
A) Add a thickening agent to the fluids
B) Check the client's gag reflex
C) Feed the client only solid foods
,D) Increase the rate of intravenous fluids -Answer-B) Check the client's gag
reflex
The nurse is planning care for a client with a CVA. Which of the following
measures planned by the nurse would be most effective in preventing skin
breakdown?
A) Place client in the wheelchair for four hours each day
B) Pad the bony prominence
C) Reposition every two hours
D) Massage reddened bony prominence -Answer-C) Reposition every two
hours
A nurse is assessing several clients in a long term health care facility. Which
client is at highest risk for development of decubitus ulcers?
A) A 79 year-old malnourished client on bed rest
B) An obese client who uses a wheelchair
C) A client who had 3 incontinent diarrhea stools
D) An 80 year-old ambulatory diabetic client -Answer-C) A client who had 3
incontinent diarrhea stools
Constipation is one of the most frequent complaints of elders. When assessing
this problem, which action should be the nurse's priority?
A) Obtain a complete blood count
B) Obtain a health and dietary history
C) Refer to a provider for a physical examination
D) Measure height and weight -Answer-B) Obtain a health and dietary history
,After a client has an enteral feeding tube inserted, the most accurate method
for verification of placement is
A) Abdominal x-ray
B) Auscultation
C) Flushing tube with saline
D) Aspiration for gastric contents -Answer-A) Abdominal x-ray
A client was just taken off the ventilator after surgery and has a nasogastric
tube draining bile colored liquids. Which nursing measure will provide the
most comfort to the client?A) Allow the client to melt ice chips in the mouth
B) Provide mints to freshen the breath
C) Perform frequent oral care with a tooth sponge
D) Swab the mouth with glycerin swabs -Answer-C) Perform frequent oral
care with a tooth sponge
The nurse is instructing a 65 year-old female client diagnosed with
osteoporosis. The most important instruction regarding exercise would be to
A) Exercise doing weight bearing activities
B) Exercise to reduce weight
C) Avoid exercise activities that increase the risk of fracture D) Exercise to
strengthen muscles and thereby protect bones -Answer-A) Exercise doing
weight bearing activities
The nurse has been teaching a client with congestive heart failure about
proper nutrition. The selection of which lunch indicates the client has learned
about sodium restriction?
A) Cheese sandwich with a glass of 2% milk
B) Sliced turkey sandwich and canned pineapple
, C) Cheeseburger and baked potato
D) Mushroom pizza and ice cream -Answer-B) Sliced turkey sandwich and
canned pineapple
Which bed position is preferred for use with a client in an extended care
facility on falls risk prevention protocol?
A) All 4 side rails up, wheels locked, bed closest to door
B) Lower side rails up, bed facing doorway
C) Knees bent, head slightly elevated, bed in lowest position
D) Bed in lowest position, wheels locked, place bed against wall -Answer-D)
Bed in lowest position, wheels locked, place bed against wall
The nurse is talking to parents about nutrition in school aged children. Which
of the following is the most common nutritional disorder in this age group?
A) Bulimia
B) Anorexia
C) Obesity
D) Malnutrition -Answer-C) Obesity
At the geriatric day care program a client is crying and repeating "I want to go
home. Call my daddy to come for me." The nurse should
A) Invite the client to join the exercise group
B) Tell the client you will call someone to come for her
C) Give the client simple information about what she will be doing
D) Firmly direct the client to her assigned group activity -Answer-C) Give the
client simple information about what she will be doing
ANSWERS 2025
Why is it important for the nurse to monitor blood pressure in clients
receiving antipsychotic drugs?
A) Orthostatic hypotension is a common side effect
B) Most antipsychotic drugs cause elevated blood pressure
C) This provides information on the amount of sodium allowed in the diet
D) It will indicate the need to institute anti parkinsonian drugs -Answer-A)
Orthostatic hypotension is a common side effect
The nurse is teaching the client to select foods rich in potassium to help
prevent digitalis toxicity. Which choice indicates the client understands
dietary needs?
A) Three apricots
B) Medium banana
C) Naval orange
D) Baked potato -Answer-D) Baked potato
An 86 year-old nursing home resident who has decreased mental status is
hospitalized with pneumonic infiltrates in the right lower lobe. When the
nurse assists the client with a clear liquid diet, the client begins to cough.
What should the nurse do next?
A) Add a thickening agent to the fluids
B) Check the client's gag reflex
C) Feed the client only solid foods
,D) Increase the rate of intravenous fluids -Answer-B) Check the client's gag
reflex
The nurse is planning care for a client with a CVA. Which of the following
measures planned by the nurse would be most effective in preventing skin
breakdown?
A) Place client in the wheelchair for four hours each day
B) Pad the bony prominence
C) Reposition every two hours
D) Massage reddened bony prominence -Answer-C) Reposition every two
hours
A nurse is assessing several clients in a long term health care facility. Which
client is at highest risk for development of decubitus ulcers?
A) A 79 year-old malnourished client on bed rest
B) An obese client who uses a wheelchair
C) A client who had 3 incontinent diarrhea stools
D) An 80 year-old ambulatory diabetic client -Answer-C) A client who had 3
incontinent diarrhea stools
Constipation is one of the most frequent complaints of elders. When assessing
this problem, which action should be the nurse's priority?
A) Obtain a complete blood count
B) Obtain a health and dietary history
C) Refer to a provider for a physical examination
D) Measure height and weight -Answer-B) Obtain a health and dietary history
,After a client has an enteral feeding tube inserted, the most accurate method
for verification of placement is
A) Abdominal x-ray
B) Auscultation
C) Flushing tube with saline
D) Aspiration for gastric contents -Answer-A) Abdominal x-ray
A client was just taken off the ventilator after surgery and has a nasogastric
tube draining bile colored liquids. Which nursing measure will provide the
most comfort to the client?A) Allow the client to melt ice chips in the mouth
B) Provide mints to freshen the breath
C) Perform frequent oral care with a tooth sponge
D) Swab the mouth with glycerin swabs -Answer-C) Perform frequent oral
care with a tooth sponge
The nurse is instructing a 65 year-old female client diagnosed with
osteoporosis. The most important instruction regarding exercise would be to
A) Exercise doing weight bearing activities
B) Exercise to reduce weight
C) Avoid exercise activities that increase the risk of fracture D) Exercise to
strengthen muscles and thereby protect bones -Answer-A) Exercise doing
weight bearing activities
The nurse has been teaching a client with congestive heart failure about
proper nutrition. The selection of which lunch indicates the client has learned
about sodium restriction?
A) Cheese sandwich with a glass of 2% milk
B) Sliced turkey sandwich and canned pineapple
, C) Cheeseburger and baked potato
D) Mushroom pizza and ice cream -Answer-B) Sliced turkey sandwich and
canned pineapple
Which bed position is preferred for use with a client in an extended care
facility on falls risk prevention protocol?
A) All 4 side rails up, wheels locked, bed closest to door
B) Lower side rails up, bed facing doorway
C) Knees bent, head slightly elevated, bed in lowest position
D) Bed in lowest position, wheels locked, place bed against wall -Answer-D)
Bed in lowest position, wheels locked, place bed against wall
The nurse is talking to parents about nutrition in school aged children. Which
of the following is the most common nutritional disorder in this age group?
A) Bulimia
B) Anorexia
C) Obesity
D) Malnutrition -Answer-C) Obesity
At the geriatric day care program a client is crying and repeating "I want to go
home. Call my daddy to come for me." The nurse should
A) Invite the client to join the exercise group
B) Tell the client you will call someone to come for her
C) Give the client simple information about what she will be doing
D) Firmly direct the client to her assigned group activity -Answer-C) Give the
client simple information about what she will be doing
