HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS
WITH RATIONALE ) LATEST UPDATED 2025
1. An adolescent with major depressive disorder has been taking
duloxetine (Cymbalta) for the past 12 days. Which assessment finding
requires immediate follow-up?
a- Describes life without purpose
b- Complains of nausea and loss of appetite c-
States is often fatigued and drowsy d- Exhibits
an increase in sweating.
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake
inhibitor that is known to increase the risk of suicidal thinking in
adolescents and young adults with major depressive
, disorder. B, C and D are side effects
2. A 60-year-old female client with a positive family history of
ovarian cancer has developed an abdominal mass and is being
evaluated for possible ovarian cancer. Her Papanicolau (Pap)
smear results are negative. What information should the nurse
include in the client’s teaching plan?
a- Further evaluation involving surgery may be needed
b- A pelvic exam is also needed before cancer is ruled out c- Pap
smear evaluation should be continued every six month d- One
additional negative pap smear in six months is needed.
Rationale: An abdominal mass in a client with a family history for ovarian
cancer should be evaluated carefully
3. A client who recently underwear a tracheostomy is being
prepared for discharge to home. Which instructions is most
important for the nurse to include in the discharge plan?
a- Explain how to use communication tools. b-
Teach tracheal suctioning techniques c-
Encourage self-care and independence.
d- Demonstrate how to clean tracheostomy site.
Rationale: Suctioning helps to clear secretions and maintain an open
airway, which is critical.
4. Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he will drink plenty of dairy products, such as milk, to help
coat and protect his ulcer. What is the best follow-up action by the
nurse?
a- Remind the client that it is also important to switch to decaffeinated
, coffee and tea.
b- Suggest that the client also plan to eat frequent small meals to
reduce discomfort
c- Review with the client the need to avoid foods that are rich in
milk and cream.
d- Reinforce this teaching by asking the client to list a dairy food that he
might select.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should
be avoided.
5. A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic
, two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and
he admits that he has not been taking the prescribed medication because
the drugs make him “feel bad”. In explaining the need for hypertension
control, the nurse should stress that an elevated BP places the client at
risk for which pathophysiological condition?
a- Blindness secondary to cataracts b- Acute kidney
injury due to glomerular damage c- Stroke secondary
to hemorrhage d- Heart block due to myocardial
damage
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled
hypertension.
6. The nurse observes an unlicensed assistive personnel (UAP) positioning
a newly admitted client who has a seizure disorder. The client is supine
and the UAP is placing soft pillows along the side rails. What action
should the nurse implement?
a- Ensure that the UAP has placed the pillows effectively to protect the
client.
b- Instruct the UAP to obtain soft blankets to secure to the side rails
WITH RATIONALE ) LATEST UPDATED 2025
1. An adolescent with major depressive disorder has been taking
duloxetine (Cymbalta) for the past 12 days. Which assessment finding
requires immediate follow-up?
a- Describes life without purpose
b- Complains of nausea and loss of appetite c-
States is often fatigued and drowsy d- Exhibits
an increase in sweating.
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake
inhibitor that is known to increase the risk of suicidal thinking in
adolescents and young adults with major depressive
, disorder. B, C and D are side effects
2. A 60-year-old female client with a positive family history of
ovarian cancer has developed an abdominal mass and is being
evaluated for possible ovarian cancer. Her Papanicolau (Pap)
smear results are negative. What information should the nurse
include in the client’s teaching plan?
a- Further evaluation involving surgery may be needed
b- A pelvic exam is also needed before cancer is ruled out c- Pap
smear evaluation should be continued every six month d- One
additional negative pap smear in six months is needed.
Rationale: An abdominal mass in a client with a family history for ovarian
cancer should be evaluated carefully
3. A client who recently underwear a tracheostomy is being
prepared for discharge to home. Which instructions is most
important for the nurse to include in the discharge plan?
a- Explain how to use communication tools. b-
Teach tracheal suctioning techniques c-
Encourage self-care and independence.
d- Demonstrate how to clean tracheostomy site.
Rationale: Suctioning helps to clear secretions and maintain an open
airway, which is critical.
4. Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he will drink plenty of dairy products, such as milk, to help
coat and protect his ulcer. What is the best follow-up action by the
nurse?
a- Remind the client that it is also important to switch to decaffeinated
, coffee and tea.
b- Suggest that the client also plan to eat frequent small meals to
reduce discomfort
c- Review with the client the need to avoid foods that are rich in
milk and cream.
d- Reinforce this teaching by asking the client to list a dairy food that he
might select.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should
be avoided.
5. A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic
, two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and
he admits that he has not been taking the prescribed medication because
the drugs make him “feel bad”. In explaining the need for hypertension
control, the nurse should stress that an elevated BP places the client at
risk for which pathophysiological condition?
a- Blindness secondary to cataracts b- Acute kidney
injury due to glomerular damage c- Stroke secondary
to hemorrhage d- Heart block due to myocardial
damage
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled
hypertension.
6. The nurse observes an unlicensed assistive personnel (UAP) positioning
a newly admitted client who has a seizure disorder. The client is supine
and the UAP is placing soft pillows along the side rails. What action
should the nurse implement?
a- Ensure that the UAP has placed the pillows effectively to protect the
client.
b- Instruct the UAP to obtain soft blankets to secure to the side rails
