7/26/25, 1:41 PM RN HESI EXIT 2025
HESI RN 2025 EXIT EXAM LATEST VERSION / ACTUAL AUTHENTIC
EXAM QUESTIONS AND ANSWERS (A+ GUIDE SOLUTION)
A group of nursing students is touring an in-patient
psychiatric unit when a male client who is in a manic
state shouts, "Want to see a crazy person?" and begins
to jump up and down, flap his arms, and cluck like a
Redirect the client's acting out chicken. Which action is best for the nurse to take?
behavior by asking him to
perform a unit task. A Direct the students to continue the tour without
responding to the client's behavior.
B Medicate the client with a PRN prescription for an antianxiety
agent.
C Restrict the client to his room until he can control his
behaviors.
D Redirect the client's acting out behavior by asking him to
perform a unit task.
An adult male client is brought to the emergency
department (ED) by ambulance following a motorcycle
collision. He was not wearing a helmet and presents
with
Nausea with projectile periorbital bruising and bloody drainage from both ears.
vomiting.
Which assessment finding warrants immediate
intervention by the nurse?
A Rebound abdominal tenderness.
B Diminished bilateral breath sounds.
C Nausea with projectile vomiting.
D Rib pain with deep inspiration.
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,7/26/25, 1:41 PM RN HESI EXIT 2025
A client diagnosed with Parkinson's disease receives a
prescription for carbidopa- levodopa, controlled
release (CR) 25/100 mg PO daily each morning.
C A change in urine color to Which
dark red often occurs while information should the nurse include in the client's
taking this drug. teaching plan? Select all that apply.
D An upset stomach may
occur as a side effect of this A Parkinson symptoms should diminish within one week.
medication. B Avoid sunlight and wear sunglasses while outdoors.
C A change in urine color to dark red often occurs while taking
this drug.
D An upset stomach may occur as a side effect of this medication.
E The medication should only be taken during a meal.
The healthcare provider (HCP) prescribes 500 mL of
0.45% normal saline with 100 units regular insulin to
25 gtt/min
infuse at 15 units/hour. The drop factor is 20 gtt/mL.
The nurse should regulate the IV to deliver how many
gtt/minute? (Enter numerical value only.)
A client with generalized anxiety disorder does not want
to communicate with friends, smokes 2 to 3 packages
of cigarettes a day, and describes difficulty
Focus on small achievable concentrating at work. Which coping strategy should the
tasks, not taxing problems. nurse include in the plan of care (POC)?
A Focus on small achievable tasks, not taxing problems.
B Concentrate on and ventilate emotions when distressed.
C Relax and reduce the amount of effort to solve the problem.
D Analyze past hurts and resentments to identify the source.
The nurse is caring for a client who reports sudden
right sided numbness and weakness of the arm and
leg. The nurse also observes a distinct right sided facial
droop. After reporting the findings to the healthcare
A Raise the head of the bed to provider (HCP), the nurse receives several
30° keeping head and neck prescriptions for the client, including a STAT
in neutral alignment. computerized
tomography (CT) scan of the head. Which action should the nurse
take first?
• A Raise the head of the bed to 30° keeping head and neck in
neutral alignment.
• B Start two large bore peripheral IV (PIV) catheters and
review inclusion criteria for IV fibrinolytic therapy.
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,7/26/25, 1:41 PM RN HESI EXIT 2025
•C Administer aspirin to prevent further clot formation and
platelet clumping.
• D Begin continuous observation for transient episodes of
neurologic dysfunction.
An older adult client is admitted with pneumonia, and
the healthcare provider (HCP) prescribes penicillinG
potassium IV. Which assessment finding increases the
Daily use of
risk of adverse reactions in this client?
spironolactone for
A Previous treatment with penicillin for pneumonia.
hypertension. B Daily use of spironolactone for hypertension.
C Documented allergy to sulfonamides.
D Sputum culture results of Streptococcus pneumoniae.
The nurse is preparing to administer 1.6 mL of
medication IM to a 4-month-old infant. Which action
Divide the medication into should the nurse include?
two injections with volumes A Select a 22 gauge 1 1/2 inch (3.8 cm) needle for the
intramuscular injection.
under 1 mL.
B Administer into the deltoid muscle while the parent holds the
infant securely.
C Use a quick dart like motion to inject into the dorsogluteal site
D Divide the medication into two injections with volumes under 1
mL.
An infant who weighs 22 Ibs. receives a prescription for
amoxicillin 20 mg/kg/day PO in divided doses every 8
1.3 mL hours. The bottle is labeled, "Amoxicillin for Oral
Suspension, USP 250 mg per 5 mL." How many mL
should the nurse administer with
each dose? (Enter numerical value only. If rounding is
necessary, round to the nearest tenth.)
A client who is homebound and is receiving continuous feedings
through a
gastrostomy tube reports experiencing frequent
diarrhea. Which instructions should the nurse provide
Decrease the rate at which the
feeding is given
A. Decrease the rate at which the feeding is given.
B. Do not allow the feeding to sit at room temperature.
C. Increase the concentration of the teedings.
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, 7/26/25, 1:41 PM RN HESI EXIT 2025
D. Elevate the head of the bed to ninety degrees.
The nurse is preparing a client who had a below-the-knee (BKA)
amputation for
B. Wash the residual limb discharge to home. Which recommendations) should
with soap and water the nurse provide this client? Select all that apply.
C. Use a residual limb shrinker A. Avoid range of motion exercises
D. Inspect skin for redness. B. Wash the residual limb with soap and water
C. Use a residual limb shrinker
D. Inspect skin for redness.
E. Apply alcohol to the residual limb after bathing
Following laser trabeculoplasty surgery for open-angle
glaucoma, the client reports acute pain deep within
the eye. Which action should the nurse take?
Report the eye pain to the
• A Report the eye pain to the surgeon.
surgeon.
• B Administer an antiemetic to prevent vomiting.
• C Apply bilateral eye shields to reduce photosensitivity.
• D Begin postoperative prophylactic antibiotics.
an unlicensed assistive personnel (UAP) leaves the unit
without notifying the staff. In which order should the
Note date and time of unit manager Implement these Interventions address
the behavior. Discuss the UAP's behavior? (Place the actions in order from
the issue privately with first on top to last on bottom.
the UAP Plan for
scheduled break times Evaluate the UAP for signs of
Evaluate the UAP for signs of improvement. Discuss the
improvement.
issue privately with the
UAP
Plan for scheduled break times.
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?
https://quizlet.com/1027586819/rn-hesi-exit-2025-flash-cards/ 4/38
HESI RN 2025 EXIT EXAM LATEST VERSION / ACTUAL AUTHENTIC
EXAM QUESTIONS AND ANSWERS (A+ GUIDE SOLUTION)
A group of nursing students is touring an in-patient
psychiatric unit when a male client who is in a manic
state shouts, "Want to see a crazy person?" and begins
to jump up and down, flap his arms, and cluck like a
Redirect the client's acting out chicken. Which action is best for the nurse to take?
behavior by asking him to
perform a unit task. A Direct the students to continue the tour without
responding to the client's behavior.
B Medicate the client with a PRN prescription for an antianxiety
agent.
C Restrict the client to his room until he can control his
behaviors.
D Redirect the client's acting out behavior by asking him to
perform a unit task.
An adult male client is brought to the emergency
department (ED) by ambulance following a motorcycle
collision. He was not wearing a helmet and presents
with
Nausea with projectile periorbital bruising and bloody drainage from both ears.
vomiting.
Which assessment finding warrants immediate
intervention by the nurse?
A Rebound abdominal tenderness.
B Diminished bilateral breath sounds.
C Nausea with projectile vomiting.
D Rib pain with deep inspiration.
https://quizlet.com/1027586819/rn-hesi-exit-2025-flash-cards/ 1/38
,7/26/25, 1:41 PM RN HESI EXIT 2025
A client diagnosed with Parkinson's disease receives a
prescription for carbidopa- levodopa, controlled
release (CR) 25/100 mg PO daily each morning.
C A change in urine color to Which
dark red often occurs while information should the nurse include in the client's
taking this drug. teaching plan? Select all that apply.
D An upset stomach may
occur as a side effect of this A Parkinson symptoms should diminish within one week.
medication. B Avoid sunlight and wear sunglasses while outdoors.
C A change in urine color to dark red often occurs while taking
this drug.
D An upset stomach may occur as a side effect of this medication.
E The medication should only be taken during a meal.
The healthcare provider (HCP) prescribes 500 mL of
0.45% normal saline with 100 units regular insulin to
25 gtt/min
infuse at 15 units/hour. The drop factor is 20 gtt/mL.
The nurse should regulate the IV to deliver how many
gtt/minute? (Enter numerical value only.)
A client with generalized anxiety disorder does not want
to communicate with friends, smokes 2 to 3 packages
of cigarettes a day, and describes difficulty
Focus on small achievable concentrating at work. Which coping strategy should the
tasks, not taxing problems. nurse include in the plan of care (POC)?
A Focus on small achievable tasks, not taxing problems.
B Concentrate on and ventilate emotions when distressed.
C Relax and reduce the amount of effort to solve the problem.
D Analyze past hurts and resentments to identify the source.
The nurse is caring for a client who reports sudden
right sided numbness and weakness of the arm and
leg. The nurse also observes a distinct right sided facial
droop. After reporting the findings to the healthcare
A Raise the head of the bed to provider (HCP), the nurse receives several
30° keeping head and neck prescriptions for the client, including a STAT
in neutral alignment. computerized
tomography (CT) scan of the head. Which action should the nurse
take first?
• A Raise the head of the bed to 30° keeping head and neck in
neutral alignment.
• B Start two large bore peripheral IV (PIV) catheters and
review inclusion criteria for IV fibrinolytic therapy.
https://quizlet.com/1027586819/rn-hesi-exit-2025-flash-cards/ 2/38
,7/26/25, 1:41 PM RN HESI EXIT 2025
•C Administer aspirin to prevent further clot formation and
platelet clumping.
• D Begin continuous observation for transient episodes of
neurologic dysfunction.
An older adult client is admitted with pneumonia, and
the healthcare provider (HCP) prescribes penicillinG
potassium IV. Which assessment finding increases the
Daily use of
risk of adverse reactions in this client?
spironolactone for
A Previous treatment with penicillin for pneumonia.
hypertension. B Daily use of spironolactone for hypertension.
C Documented allergy to sulfonamides.
D Sputum culture results of Streptococcus pneumoniae.
The nurse is preparing to administer 1.6 mL of
medication IM to a 4-month-old infant. Which action
Divide the medication into should the nurse include?
two injections with volumes A Select a 22 gauge 1 1/2 inch (3.8 cm) needle for the
intramuscular injection.
under 1 mL.
B Administer into the deltoid muscle while the parent holds the
infant securely.
C Use a quick dart like motion to inject into the dorsogluteal site
D Divide the medication into two injections with volumes under 1
mL.
An infant who weighs 22 Ibs. receives a prescription for
amoxicillin 20 mg/kg/day PO in divided doses every 8
1.3 mL hours. The bottle is labeled, "Amoxicillin for Oral
Suspension, USP 250 mg per 5 mL." How many mL
should the nurse administer with
each dose? (Enter numerical value only. If rounding is
necessary, round to the nearest tenth.)
A client who is homebound and is receiving continuous feedings
through a
gastrostomy tube reports experiencing frequent
diarrhea. Which instructions should the nurse provide
Decrease the rate at which the
feeding is given
A. Decrease the rate at which the feeding is given.
B. Do not allow the feeding to sit at room temperature.
C. Increase the concentration of the teedings.
https://quizlet.com/1027586819/rn-hesi-exit-2025-flash-cards/ 3/38
, 7/26/25, 1:41 PM RN HESI EXIT 2025
D. Elevate the head of the bed to ninety degrees.
The nurse is preparing a client who had a below-the-knee (BKA)
amputation for
B. Wash the residual limb discharge to home. Which recommendations) should
with soap and water the nurse provide this client? Select all that apply.
C. Use a residual limb shrinker A. Avoid range of motion exercises
D. Inspect skin for redness. B. Wash the residual limb with soap and water
C. Use a residual limb shrinker
D. Inspect skin for redness.
E. Apply alcohol to the residual limb after bathing
Following laser trabeculoplasty surgery for open-angle
glaucoma, the client reports acute pain deep within
the eye. Which action should the nurse take?
Report the eye pain to the
• A Report the eye pain to the surgeon.
surgeon.
• B Administer an antiemetic to prevent vomiting.
• C Apply bilateral eye shields to reduce photosensitivity.
• D Begin postoperative prophylactic antibiotics.
an unlicensed assistive personnel (UAP) leaves the unit
without notifying the staff. In which order should the
Note date and time of unit manager Implement these Interventions address
the behavior. Discuss the UAP's behavior? (Place the actions in order from
the issue privately with first on top to last on bottom.
the UAP Plan for
scheduled break times Evaluate the UAP for signs of
Evaluate the UAP for signs of improvement. Discuss the
improvement.
issue privately with the
UAP
Plan for scheduled break times.
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?
https://quizlet.com/1027586819/rn-hesi-exit-2025-flash-cards/ 4/38
