HESI RN EXIT FINAL EXAM 2025 WITH NGN QUESTIONS AND DETAILED ANSWERS|A+
GRADED|
In planning care for a 6 month-old infant, what must the nurse
provide to assist in the development of trust?
A) Food
C) Security
B) Warmth
C) Security
D) Comfort
A nurse has just received a medication order which is not legible.
Which statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of
what you mean."
B) "Would you please clarify what you have written so I am sure I B) "Would you please clarify what you have written so I am sure I
am reading it am reading it
correctly?" correctly?"
C) "I am having difficulty reading your handwriting. It would save
me time if you would be more careful."
D) "Please print in the future so I do not have to spend extra time
attempting to read your writing."
What is the most important consideration when teaching parents
how to reduce risks in the home?
A) Age and knowledge level of the parents
D) Age of children in the home
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
A 35 year-old client with sickle cell crisis is talking on the telephone
but stops as the nurse enters the room to request something for
pain. The nurse should
A) Administer a placebo C) Administer the prescribed analgesia
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
While caring for a toddler with croup, which initial sign of croup
requires the nurse's immediate attention?
A) Respiratory rate of 42
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
A client is admitted with low T3 and T4 levels and an elevated TSH
level. On initial assessment, the nurse would anticipate which of
the following assessment findings?
A) Lethargy A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
The emergency room nurse admits a child who experienced a
seizure at school. The father comments that this is the first occur-
rence, and denies any family history of epilepsy. What is the best
response by the nurse?
B) "The seizure may or may not mean your child has epilepsy."
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
Alcohol and drug abuse impairs judgment and increases risk
taking behavior. What nursing diagnosis best applies?
A) Risk for injury
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
Which these findings would the nurse more closely associate with
anemia in a 10 month-old infant?
, HESI RN EXIT FINAL EXAM 2025 WITH NGN QUESTIONS AND DETAILED ANSWERS|A+
GRADED|
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
The nurse is caring for a client in hypertensive crisis in an intensive
care unit. The priority assessment in the first hour of care is
A) Heart rate
D) Pupil responses
B) Pedal pulses
C) Lung sounds
D) Pupil responses
Which of these clients who are all in the terminal stage of cancer
is least appropriate to suggest the use of patient controlled anal-
gesia (PCA) with a pump?
A) A young adult with a history of Down's syndrome D) A preschooler with intermittent episodes of alertness
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the hands
D) A preschooler with intermittent episodes of alertness
The nurse is about to assess a 6 month-old child with nonorganic
failure-to thrive (NOFTT). Upon entering the room, the nurse
would expect the baby to be
A) Irritable and "colicky" with no attempts to pull to standing D) Pale, thin arms and legs, uninterested in surroundings
B) Alert, laughing and playing with a rattle, sitting with support
C) Skin color dusky with poor skin turgor over abdomen
D) Pale, thin arms and legs, uninterested in surroundings
As the nurse is speaking with a group of teens which of these side
effects of chemotherapy for cancer would the nurse expect this
group to be more interested in during the discussion?
A) Mouth sores D) Hair loss
B) Fatigue
C) Diarrhea
D) Hair loss
While caring for a client who was admitted with myocardial in-
farction (MI) 2 days ago, the nurse notes today's temperature is
101.1 degrees Fahrenheit (38.5 degreesCelsius). The appropriate
nursing intervention is to
A) Call the health care provider immediately A) Administer acetaminophen as ordered as this is normal at this
time
B) Administer acetaminophen as ordered as this is normal at this
time
C) Send blood, urine and sputum for culture
D) Increase the client's fluid intake
A client is admitted for first and second degree burns on the face,
neck, anterior chest and hands. The nurse's priority should be
A) Cover the areas with dry sterile dressings
B) Assess for dyspnea or stridor B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication
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 D) I went to the bathroom and my urine looked very red and it didn't
every hour. hurt when I went.
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.
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.
, HESI RN EXIT FINAL EXAM 2025 WITH NGN QUESTIONS AND DETAILED ANSWERS|A+
GRADED|
B) The baby seems hungry all the time.
C) Mild vomiting that progressed to vomiting shooting across the B) Mild vomiting that progressed to vomiting shooting across the
room. room.
D) Irritation and spitting up immediately after feedings.
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
B) Tissue hypoxia
C) Cerebral edema
D) Reduced oxygen saturation
The nurse would expect the cystic fibrosis client to receive sup-
plemental pancreatic
enzymes along with a diet
A) High in carbohydrates and proteins 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
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 C) Tripled the birth weight
B) 2 deciduous teeth
C) Tripled the birth weight
D) Head > chest circumference
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
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
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
B) Imitation of sounds
C) Throaty sounds
D) Laughter
The nurse should recognize that physical dependence is accom-
panied by what
findings when alcohol consumption is first reduced or ended?
A) Seizures B) Withdrawal
B) Withdrawal
C) Craving
D) Marked tolerance
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 in-
B) Minimizing the episode and underestimating the victim's in-
juries
juries
C) Contacting a close friend and asking for help
D) Being very remorseful and assisting the victim with medical
care
GRADED|
In planning care for a 6 month-old infant, what must the nurse
provide to assist in the development of trust?
A) Food
C) Security
B) Warmth
C) Security
D) Comfort
A nurse has just received a medication order which is not legible.
Which statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of
what you mean."
B) "Would you please clarify what you have written so I am sure I B) "Would you please clarify what you have written so I am sure I
am reading it am reading it
correctly?" correctly?"
C) "I am having difficulty reading your handwriting. It would save
me time if you would be more careful."
D) "Please print in the future so I do not have to spend extra time
attempting to read your writing."
What is the most important consideration when teaching parents
how to reduce risks in the home?
A) Age and knowledge level of the parents
D) Age of children in the home
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
A 35 year-old client with sickle cell crisis is talking on the telephone
but stops as the nurse enters the room to request something for
pain. The nurse should
A) Administer a placebo C) Administer the prescribed analgesia
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
While caring for a toddler with croup, which initial sign of croup
requires the nurse's immediate attention?
A) Respiratory rate of 42
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
A client is admitted with low T3 and T4 levels and an elevated TSH
level. On initial assessment, the nurse would anticipate which of
the following assessment findings?
A) Lethargy A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
The emergency room nurse admits a child who experienced a
seizure at school. The father comments that this is the first occur-
rence, and denies any family history of epilepsy. What is the best
response by the nurse?
B) "The seizure may or may not mean your child has epilepsy."
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
Alcohol and drug abuse impairs judgment and increases risk
taking behavior. What nursing diagnosis best applies?
A) Risk for injury
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
Which these findings would the nurse more closely associate with
anemia in a 10 month-old infant?
, HESI RN EXIT FINAL EXAM 2025 WITH NGN QUESTIONS AND DETAILED ANSWERS|A+
GRADED|
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
The nurse is caring for a client in hypertensive crisis in an intensive
care unit. The priority assessment in the first hour of care is
A) Heart rate
D) Pupil responses
B) Pedal pulses
C) Lung sounds
D) Pupil responses
Which of these clients who are all in the terminal stage of cancer
is least appropriate to suggest the use of patient controlled anal-
gesia (PCA) with a pump?
A) A young adult with a history of Down's syndrome D) A preschooler with intermittent episodes of alertness
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the hands
D) A preschooler with intermittent episodes of alertness
The nurse is about to assess a 6 month-old child with nonorganic
failure-to thrive (NOFTT). Upon entering the room, the nurse
would expect the baby to be
A) Irritable and "colicky" with no attempts to pull to standing D) Pale, thin arms and legs, uninterested in surroundings
B) Alert, laughing and playing with a rattle, sitting with support
C) Skin color dusky with poor skin turgor over abdomen
D) Pale, thin arms and legs, uninterested in surroundings
As the nurse is speaking with a group of teens which of these side
effects of chemotherapy for cancer would the nurse expect this
group to be more interested in during the discussion?
A) Mouth sores D) Hair loss
B) Fatigue
C) Diarrhea
D) Hair loss
While caring for a client who was admitted with myocardial in-
farction (MI) 2 days ago, the nurse notes today's temperature is
101.1 degrees Fahrenheit (38.5 degreesCelsius). The appropriate
nursing intervention is to
A) Call the health care provider immediately A) Administer acetaminophen as ordered as this is normal at this
time
B) Administer acetaminophen as ordered as this is normal at this
time
C) Send blood, urine and sputum for culture
D) Increase the client's fluid intake
A client is admitted for first and second degree burns on the face,
neck, anterior chest and hands. The nurse's priority should be
A) Cover the areas with dry sterile dressings
B) Assess for dyspnea or stridor B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication
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 D) I went to the bathroom and my urine looked very red and it didn't
every hour. hurt when I went.
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.
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.
, HESI RN EXIT FINAL EXAM 2025 WITH NGN QUESTIONS AND DETAILED ANSWERS|A+
GRADED|
B) The baby seems hungry all the time.
C) Mild vomiting that progressed to vomiting shooting across the B) Mild vomiting that progressed to vomiting shooting across the
room. room.
D) Irritation and spitting up immediately after feedings.
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
B) Tissue hypoxia
C) Cerebral edema
D) Reduced oxygen saturation
The nurse would expect the cystic fibrosis client to receive sup-
plemental pancreatic
enzymes along with a diet
A) High in carbohydrates and proteins 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
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 C) Tripled the birth weight
B) 2 deciduous teeth
C) Tripled the birth weight
D) Head > chest circumference
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
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
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
B) Imitation of sounds
C) Throaty sounds
D) Laughter
The nurse should recognize that physical dependence is accom-
panied by what
findings when alcohol consumption is first reduced or ended?
A) Seizures B) Withdrawal
B) Withdrawal
C) Craving
D) Marked tolerance
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 in-
B) Minimizing the episode and underestimating the victim's in-
juries
juries
C) Contacting a close friend and asking for help
D) Being very remorseful and assisting the victim with medical
care
