4/23/25, 10:48 PM RN HESI EXIT 2025
RN HESI ACTUAL EXIT EXAM 2025 COMPREHENSIVE TEST BANK
NEWEST VERSION 2025-2026 UPDATED QUESTIONS AND CORRECT DETAILED
ANSWERS||COMPLETE EXAM WITH VERIFIED ANSWERS ALREADY GRADED A+
an unlicensed assistive personnel (UAP) leaves the unit
without notifying staff . In which order should the unit
4. Note date and time of the
behavior. manager Implement these Interventions address the
2. Discuss the issue privately UAP's behavior? (Place the actions in order from
with the UAP first on top to last on bottom.
3. Plan for scheduled break
times
1. Evaluate the UAP for signs of improvement.
1. Evaluate the UAP for
2. Discuss the issue privately with the UAP
signs of improvement. 3. Plan for scheduled break times.
4. Note date and time of the behavior.
A female client with a history of heart failure (HF)
arrives at the clinic after what she describes as a very
long trip. Following the initial physical assessment and
chart review, which priority action should the nurse
Auscultate lung and heart
sounds implement?
•A Reteach medication regimen.
• B Give a potassium supplement.
•C Administer the prescribed diuretic.
• D Auscultate lung and heart sounds
A client who is receiving zidovudine reports the
appearance of pinpoint, red, round spots on the skin.
Which result should the nurse report to the healthcare
Complete blood count provider
(HCP)?
• A Complete blood count.
• B Skin biopsy.
• C Electromyography.
• D Allergy test.
1/34
,4/23/25, 10:48 PM RN HESI EXIT 2025
An older adult client is receiving a second unit of
packed red blood cells (PRBCs) when the nurse enters
the room and finds the client sitting up in bed. The clien
is dyspneic and seems confused. Lung auscultation
Keep the IV access line reveals crackles in the bases of both lungs. Vital sign
intact for diuretic measurement reveals a rapid, bounding pulse anc
administration. elevated blood pressure. After discontinuing the
transfusion, which intervention should the nurse
implement
• A Monitor for hives and pruritus
• B Obtain a urine specimen.
• C Send the PRBC bag and blood tubing to the blood bank
• D Keep the IV access line intact for diuretic administration.
The home care nurse provided self care instructions for
a client with chronic venous insufficiency caused by deep
vein thrombosis. Which instruction(S) should the nurse
B. Continue wearing include in the client's discharge teaching plan? Select
compression stockings all that apply.
D. Avoid prolonged standing A Use recliner for long periods of sitting.
or sitting. B Continue wearing compression stockings.
C Cross legs at knee but not at ankle.
D Avoid prolonged standing or sitting.
E Maintain the bed flat while sleeping.
A young adult female presents at the emergency
department (ED) with acute lower abdominal pain.
Which assessment finding is most important for the
Last menstrual period was 7 nurse to eport to the healthcare provider (HCP)?
weeks ago. • A Reports white, curdy vaginal discharge.
• B History of irritable bowel syndrome (IBS).
• C Last menstrual period was 7 weeks ago.
• D Pain scale rating of a 9 on a 0 to 10 scale.
2/34
,4/23/25, 10:48 PM RN HESI EXIT 2025
A female client with breast cancer is scheduled to
• C Both the sun and receive a series of radiotherapy (RT). She has red hair,
radiation can damage the fair skin, and freckles. She tells the nurse that her skin is
skin because it has a rapid particularly sensitive to the sun, so she is worried that
renewal rate. the radiation will adversely affect her skin. Which
information should the nurse provide this client about
• D Shielding helps to RT? Select all that apply.
localize the entrance •A lonizing energy of RT penetrates to the target tumor
of RT and protects and does not affect the skin like sun rays.
other sensitive • B Application of cold compresses after treatment decreases the
skin's sensitivity.
areas.
• C Both the sun and radiation can damage the skin
because it has a rapid renewal rate.
• E Special gels can be • D Shielding helps to localize the entrance of RT and protects
other sensitive areas.
prescribed for local
• E Special gels can be prescribed for local
application to promote
application to promote healing and comfort.
healing and comfort.
A client is admitted with abdominal pain, loss of
appetite, and a weight loss of 25 lbs (11 kg) in the last 4
months. During the admission assessment, the clien
Risk for self directed describes to the nurse of having no interest in playing
violence as evidenced by cards with friends anymore, and feels
feelings of hopelessness." worthless most days. Which nursing problem should the nurse
address first?
• A "Imbalanced nutrition as evidenced by 25 lb (11 kg) weight loss
in four months."
• B "Chronic low self esteem as evidenced by feelings of
worthlessness."
• C "Anxiety as evidenced by abdominal discomfort secondary to
depression."
• D Risk for self directed violence as evidenced by feelings of
hopelessness."
3/34
, 4/23/25, 10:48 PM RN HESI EXIT 2025
The healthcare provider (HCP) prescribed furosemide
for a 4-year-old child who has a ventricular septal
defect. Which outcome indicates to the nurse that this
pharmacological intervention was
effective? Reference Range:
Daily weight decrease of 2 lb Blood Urea Nitrogen (BUN) [5 to 18 mg/dL (1.8 to 6.4 mmol/L)]
(0.9 kg).
Urine Specific Gravity [1.005 to 1.03]
• A BUN increase from 8 to 12 mg/dL (2.9 to 4.3 mmol/L).
• B Daily weight decrease of 2 lb (0.9 kg).
•C Urine specific gravity change from 1.021 to 1.031.
• D Urinary output decrease of 5 mL/hour.
A client whose hyperthyroidism has not been responsive
to medications is admitted for evaluation. During the
admission assessment the client reports to the nurse of
a sudden onset of feeling apprehensive and the nurse
Obtain a complete set of vital notes the client is restless and very warm to touch.
signs.
Which action should the nurse implement
next
• A Obtain a complete set of vital signs.
• B Encourage relaxation and slow deep breathing.
• C Access laboratory results to confirm a thyroid crisis.
• D Initiate peripheral IV (PIV) access
After an unsuccessful resuscitation attempt, the nurse
calls the family of the deceased. The family wish to see
the body before it is taken to the funeral home. Which
•C Remove resuscitation
intervention(s) should the nurse take to prepare the
equipment from the room.
• D Place a small pillow under body before the family enters the room? Select all
the head.
that apply.
• E Gently close the eyes. • A Take out dentures and place in a labeled cup.
• B Apply a body shroud.
• C Remove resuscitation equipment from the room.
• D Place a small pillow under the head.
• E Gently close the eyes.
4/34
RN HESI ACTUAL EXIT EXAM 2025 COMPREHENSIVE TEST BANK
NEWEST VERSION 2025-2026 UPDATED QUESTIONS AND CORRECT DETAILED
ANSWERS||COMPLETE EXAM WITH VERIFIED ANSWERS ALREADY GRADED A+
an unlicensed assistive personnel (UAP) leaves the unit
without notifying staff . In which order should the unit
4. Note date and time of the
behavior. manager Implement these Interventions address the
2. Discuss the issue privately UAP's behavior? (Place the actions in order from
with the UAP first on top to last on bottom.
3. Plan for scheduled break
times
1. Evaluate the UAP for signs of improvement.
1. Evaluate the UAP for
2. Discuss the issue privately with the UAP
signs of improvement. 3. Plan for scheduled break times.
4. Note date and time of the behavior.
A female client with a history of heart failure (HF)
arrives at the clinic after what she describes as a very
long trip. Following the initial physical assessment and
chart review, which priority action should the nurse
Auscultate lung and heart
sounds implement?
•A Reteach medication regimen.
• B Give a potassium supplement.
•C Administer the prescribed diuretic.
• D Auscultate lung and heart sounds
A client who is receiving zidovudine reports the
appearance of pinpoint, red, round spots on the skin.
Which result should the nurse report to the healthcare
Complete blood count provider
(HCP)?
• A Complete blood count.
• B Skin biopsy.
• C Electromyography.
• D Allergy test.
1/34
,4/23/25, 10:48 PM RN HESI EXIT 2025
An older adult client is receiving a second unit of
packed red blood cells (PRBCs) when the nurse enters
the room and finds the client sitting up in bed. The clien
is dyspneic and seems confused. Lung auscultation
Keep the IV access line reveals crackles in the bases of both lungs. Vital sign
intact for diuretic measurement reveals a rapid, bounding pulse anc
administration. elevated blood pressure. After discontinuing the
transfusion, which intervention should the nurse
implement
• A Monitor for hives and pruritus
• B Obtain a urine specimen.
• C Send the PRBC bag and blood tubing to the blood bank
• D Keep the IV access line intact for diuretic administration.
The home care nurse provided self care instructions for
a client with chronic venous insufficiency caused by deep
vein thrombosis. Which instruction(S) should the nurse
B. Continue wearing include in the client's discharge teaching plan? Select
compression stockings all that apply.
D. Avoid prolonged standing A Use recliner for long periods of sitting.
or sitting. B Continue wearing compression stockings.
C Cross legs at knee but not at ankle.
D Avoid prolonged standing or sitting.
E Maintain the bed flat while sleeping.
A young adult female presents at the emergency
department (ED) with acute lower abdominal pain.
Which assessment finding is most important for the
Last menstrual period was 7 nurse to eport to the healthcare provider (HCP)?
weeks ago. • A Reports white, curdy vaginal discharge.
• B History of irritable bowel syndrome (IBS).
• C Last menstrual period was 7 weeks ago.
• D Pain scale rating of a 9 on a 0 to 10 scale.
2/34
,4/23/25, 10:48 PM RN HESI EXIT 2025
A female client with breast cancer is scheduled to
• C Both the sun and receive a series of radiotherapy (RT). She has red hair,
radiation can damage the fair skin, and freckles. She tells the nurse that her skin is
skin because it has a rapid particularly sensitive to the sun, so she is worried that
renewal rate. the radiation will adversely affect her skin. Which
information should the nurse provide this client about
• D Shielding helps to RT? Select all that apply.
localize the entrance •A lonizing energy of RT penetrates to the target tumor
of RT and protects and does not affect the skin like sun rays.
other sensitive • B Application of cold compresses after treatment decreases the
skin's sensitivity.
areas.
• C Both the sun and radiation can damage the skin
because it has a rapid renewal rate.
• E Special gels can be • D Shielding helps to localize the entrance of RT and protects
other sensitive areas.
prescribed for local
• E Special gels can be prescribed for local
application to promote
application to promote healing and comfort.
healing and comfort.
A client is admitted with abdominal pain, loss of
appetite, and a weight loss of 25 lbs (11 kg) in the last 4
months. During the admission assessment, the clien
Risk for self directed describes to the nurse of having no interest in playing
violence as evidenced by cards with friends anymore, and feels
feelings of hopelessness." worthless most days. Which nursing problem should the nurse
address first?
• A "Imbalanced nutrition as evidenced by 25 lb (11 kg) weight loss
in four months."
• B "Chronic low self esteem as evidenced by feelings of
worthlessness."
• C "Anxiety as evidenced by abdominal discomfort secondary to
depression."
• D Risk for self directed violence as evidenced by feelings of
hopelessness."
3/34
, 4/23/25, 10:48 PM RN HESI EXIT 2025
The healthcare provider (HCP) prescribed furosemide
for a 4-year-old child who has a ventricular septal
defect. Which outcome indicates to the nurse that this
pharmacological intervention was
effective? Reference Range:
Daily weight decrease of 2 lb Blood Urea Nitrogen (BUN) [5 to 18 mg/dL (1.8 to 6.4 mmol/L)]
(0.9 kg).
Urine Specific Gravity [1.005 to 1.03]
• A BUN increase from 8 to 12 mg/dL (2.9 to 4.3 mmol/L).
• B Daily weight decrease of 2 lb (0.9 kg).
•C Urine specific gravity change from 1.021 to 1.031.
• D Urinary output decrease of 5 mL/hour.
A client whose hyperthyroidism has not been responsive
to medications is admitted for evaluation. During the
admission assessment the client reports to the nurse of
a sudden onset of feeling apprehensive and the nurse
Obtain a complete set of vital notes the client is restless and very warm to touch.
signs.
Which action should the nurse implement
next
• A Obtain a complete set of vital signs.
• B Encourage relaxation and slow deep breathing.
• C Access laboratory results to confirm a thyroid crisis.
• D Initiate peripheral IV (PIV) access
After an unsuccessful resuscitation attempt, the nurse
calls the family of the deceased. The family wish to see
the body before it is taken to the funeral home. Which
•C Remove resuscitation
intervention(s) should the nurse take to prepare the
equipment from the room.
• D Place a small pillow under body before the family enters the room? Select all
the head.
that apply.
• E Gently close the eyes. • A Take out dentures and place in a labeled cup.
• B Apply a body shroud.
• C Remove resuscitation equipment from the room.
• D Place a small pillow under the head.
• E Gently close the eyes.
4/34
