2025 HESI EXIT EXAM QUESTIONS
AND ANSWERS
A44female44client44presents44in44the44emergency44department44and44tells44the44nurse44t
hat44she44was44raped44last44night.44Which44question44is44most44important44for44the44nur
se44to44ask?
A.44Has44she44taken44a44bath44since44the44rape44occurred?44
B.44Is44the44place44where44she44lives44a44safe44place?44
C.44Does44she44know44the44person44who44raped44her?
D.44Did44she44report44the44rape44to44the44police44department?44-44answer--
A.44Has44she44taken44a44bath44since44the44rape44occurred?
The44nurse44is44completing44the44admission44assessment44of44a443-
year44old44who44is44admitted44with44bacterial44meningitis44and44hydrocephalus.44Which4
4assessment44finding44is44evidence44that44the44child44is44experiencing44increased44intra
cranial44pressure44(ICP)?
A.44Tachycardia44and44tachypnea
B.44Sluggish44and44unequal44pupillary44responses
C.44Increased44head44circumference44and44bulging44fontanels
D.44Blood44pressure44fluctuations44and44syncope44-44answer--
B.44Sluggish44and44unequal44pupillary44responses
A44client44with44acute44pancreatitis44is44admitted44with44severe,44piercing44abdominal44p
ain44and44an44elevated44serum44amylase.44Which44additional44information44is44the44clie
nt44most44likely44to44report44to44the44nurse?
A.44Abdominal44pain44decreases44when44lying44supine
B.44Pain44lasts44an44hour44and44leaves44the44abdomen44tender
C.44Right44upper44quadrant44pain44refers44to44right44scapula
D.44Drinks44alcohol44until44intoxicated44at44least44twice44weekly.44-44answer--
A.44Abdominal44pain44decreases44when44lying44supine
A44child44newly44diagnosed44with44sickle44cell44anemia44(SCA)44is44being44discharged44f
rom44the44hospital.44Which44information44is44most44important44for44the44nurse44to44provi
de44the44parents44prior44to44discharge?
A.44Instructions44about44how44much44fluid44the44child44should44drink44daily.
,B.44Signs44of44addiction44to44opioid44pain44medications
C.44Information44about44non-pharmaceutical44pain44relief44measures
D.44Referral44for44social44services44for44the44child44and44family44-44answer--
A.44Instructions44about44how44much44fluid44the44child44should44drink44daily
To44auscultate44for44a44carotid44bruit,44the44nurse44places44the44stethoscope44at44what44
location.44(Select44the44location44on44the44image44with44a44red44dot).44-44answer--
I44placed44the44red44dot44on44the44base44of44the44neck44on44the44right44side
After44receiving44report44on44an44inpatient44acute44care44unit,44which44client44should44th
e44nurse44assess44first?
A.44The44client44with44an44obstruction44of44the44large44intestine44who44is44experiencing44
abdominal44distention
B.44The44client44who44had44surgery44yesterday44and44is44experiencing44a44paralytic44ileu
s44with44absent44bowel44sounds
C.44The44client44with44a44small44bowel44obstruction44who44has44a44nasogastric44tube44th
at44is44draining44greenish44fluid
D.44The44client44with44a44bowel44obstruction44due44to44a44volvulus44who44is44experiencin
g44abdominal44rigidity44-44answer--
D.44The44client44with44a44bowel44obstruction44due44to44a44volvulus44who44is44experiencin
g44abdominal44rigidity
A44teenager44presents44to44the44emergency44department44with44palpitations44after44vapi
ng44at44a44party.44The44client44is44anxious,44fearful,44and44hyperventilating.44The44nurse
44anticipates44the44client44developing44which44acid44base44imbalance?
A.44Respiratory44acidosis
B.44Metabolic44alkalosis
C.44Metabolic44acidosis
D.44Respiratory44alkalosis44-44answer--D.44Respiratory44alkalosis
A44client44with44dyspnea44is44being44admitted44to44the44medical44unit.44To44best44prepar
e44for44the44client's44arrival,44the44nurse44should44ensure44that44the44client's44bed44is44in
44which44position?
A.44Supine
B.44supine;44feet44elevated44higher44than44head
C.44supine;44head44elevated44higher44than44feet
D.44Fowlers44-44answer--Fowlers
The44nurse44is44taking44the44blood44pressure44measurement44of44a44client44with44Parkin
son's44disease.44Which44information44in44the44client's44admission44assessment44is44rele
vant44to44the44nurse's44plan44for44taking44the44blood44pressure44reading?
44(Select44all44the44apply)
A.44Frequent44syncope
B.44Occasional44nocturia
C.44Flat44affect
D.44Blurred44vision
,E.44Frequent44drooling44-44answer--A.44Frequent44syncope
C.44Flat44affect
D.44Blurred44vision
While44caring44for44a44client's44postoperative44dressing,44the44nurse44observes44purulen
t44drainage44at44the44wound.44Before44reporting44this44finding44to44the44healthcare44provi
der,44the44nurse44should44review44which44of44the44client's44laboratory44values?
A.44Serum44albumin
B.44Culture44for44sensitive44organisms
C.44Serum44blood44glucose44level
D.44Creatinine44level44-44answer--B.44Culture44for44sensitive44organisms
A44preschool-
aged44boy44is44admitted44to44the44pediatric44unit44following44successful44resuscitation44fr
om44a44near-
drowning44incident.44While44providing44care44to44the44child,44the44nurse44begins44talking
44with44his44preadolescent44brother44who44rescued44the44child44from44the44swimming44p
ool44and44initiated44resuscitation.44The44nurse44notices44the44older44boy44becomes44with
drawn44when44asked44about44what44happened.44Which44action44should44the44nurse44tak
e?
A.44Develop44a44water44safety44teaching44plan44for44the44family
B.44Ask44the44older44brother44how44he44felt44during44the44incident
C.44Tell44the44older44brother44that44he44seems44depressed
D.44Commend44the44older44brother44for44his44heroic44actions44-44answer--
B.44Ask44the44older44brother44how44he44felt44during44the44incident
A44male44client44with44cirrhosis44has44jaundice44and44pruritus.44He44tells44the44nurse44th
at44he44has44been44soaking44in44hot44baths44at44night44with44no44relief44of44his44discomf
ort.44Which44action44should44the44nurse44take?
A.44Encourage44the44client44to44use44cooler44water44and44apply44calamine44lotion44after4
4soaking
B.44Obtain44a44PRN44prescription44for44an44analgesic44that44the44client44can44use44for44s
ymptom44relief
C.44Suggest44that44the44client44take44brief44showers44and44apply44oil-
based44lotion44after44showering
D.44Explain44that44the44symptoms44are44caused44by44liver44damage44and44cannot44be44r
elieved44-44answer--
A.44Encourage44the44client44to44use44cooler44water44and44apply44calamine44lotion44after4
4soaking
An44older44client44with44a44long44history44of44coronary44artery44disease44(CAD),44hyperte
nsion44(HTN),44and44heart44failure44(HF)44arrives44in44the44Emergency44Department44(E
D)44in44respiratory44distress.44The44healthcare44provider44prescribes44furosemide44IV.44
Which44therapeutic44response44to44furosemide44should44the44nurse44expected44in44the44
client44with44acute44HF?
A.44Increased44cardiac44contractility
, B.44Reduced44preload
C.44Relaxed44vascular44tone
D.44Decreased44afterload44-44answer--B.44Reduced44preload
Which44intervention44should44the44nurse44include44in44the44plan44of44care44for44a44child44
with44tetanus?
A.44Encourage44coughing44and44deep44breathing
B.44Minimize44the44amount44of44stimuli44in44the44room
C.44Reposition44from44side44to44side44every44hour
D.44Open44window44shades44to44provide44natural44light44-44answer--
B.44Minimize44the44amount44of44stimuli44in44the44room
An44adolescent44who44was44diagnosed44with44diabetes44mellitus44Type44144at44the44age
44of449,44is44admitted44to44the44hospital44in44diabetic44ketoacidosis.44Which44occurrence4
4is44the44most44likely44cause44of44the44ketoacidosis?
A.44Ate44an44extra44peanut44butter44sandwich44before44gym44class
B.44incorrectly44administered44too44much44insulin44
C.44Had44a44cold44and44ear44infection44for44the44past44two44days44
D.44Skipped44eating44lunch44-44answer--
C.44Had44a44cold44and44ear44infection44for44the44past44two44days
A44client44with44a44prescription44for44"do44not44resuscitate"44(DNR)44begins44to44manifes
t44signs44of44impending44death.44After44notifying44the44family44of44the44client's44status,44
what44priority44action44should44the44nurse44implement?
A.44The44impending44signs44of44death44should44be44documented
B.44The44client's44status44should44be44conveyed44to44the44chaplain
C.44The44client's44need44for44pain44medication44should44be44determined44
D.44The44nurse44manager44should44be44updated44on44the44client's44status44-44answer--
C.44The44client's44need44for44pain44medication44should44be44determined
Which44self44care44measure44is44most44important44for44the44nurse44to44include44in44the44
plan44of44care44of44a44client44recently44diagnosed44with44type44244diabetes44mellitus?
A.44Self-injection44techniques
B.44Blood44glucose44monitoring
C.44Diabetic44diet44meal44planning
D.44A44realistic44exercise44plan44-44answer--B.44Blood44glucose44monitoring
A44client44who44gave44birth444844hours44ago44has44decided44to44bottle44feed44the44infant
.44During44the44assessment,44the44nurse44observes44that44both44breasts44are44swollen,4
4warm,44and44tender44on44palpation.44Which44instruction44should44the44nurse44provide?
A.44Apply44ice44to44the44breasts44for44comfort
B.44Wear44a44loose-fitting44bra44during44the44day44to44prevent44nipple44irritation
C.44Run44warm44water44over44breasts
D.44Express44small44amounts44of44milk44from44the44breasts44to44relieve44pressure44-
44answer--A.44Apply44ice44to44the44breasts44for44comfort
AND ANSWERS
A44female44client44presents44in44the44emergency44department44and44tells44the44nurse44t
hat44she44was44raped44last44night.44Which44question44is44most44important44for44the44nur
se44to44ask?
A.44Has44she44taken44a44bath44since44the44rape44occurred?44
B.44Is44the44place44where44she44lives44a44safe44place?44
C.44Does44she44know44the44person44who44raped44her?
D.44Did44she44report44the44rape44to44the44police44department?44-44answer--
A.44Has44she44taken44a44bath44since44the44rape44occurred?
The44nurse44is44completing44the44admission44assessment44of44a443-
year44old44who44is44admitted44with44bacterial44meningitis44and44hydrocephalus.44Which4
4assessment44finding44is44evidence44that44the44child44is44experiencing44increased44intra
cranial44pressure44(ICP)?
A.44Tachycardia44and44tachypnea
B.44Sluggish44and44unequal44pupillary44responses
C.44Increased44head44circumference44and44bulging44fontanels
D.44Blood44pressure44fluctuations44and44syncope44-44answer--
B.44Sluggish44and44unequal44pupillary44responses
A44client44with44acute44pancreatitis44is44admitted44with44severe,44piercing44abdominal44p
ain44and44an44elevated44serum44amylase.44Which44additional44information44is44the44clie
nt44most44likely44to44report44to44the44nurse?
A.44Abdominal44pain44decreases44when44lying44supine
B.44Pain44lasts44an44hour44and44leaves44the44abdomen44tender
C.44Right44upper44quadrant44pain44refers44to44right44scapula
D.44Drinks44alcohol44until44intoxicated44at44least44twice44weekly.44-44answer--
A.44Abdominal44pain44decreases44when44lying44supine
A44child44newly44diagnosed44with44sickle44cell44anemia44(SCA)44is44being44discharged44f
rom44the44hospital.44Which44information44is44most44important44for44the44nurse44to44provi
de44the44parents44prior44to44discharge?
A.44Instructions44about44how44much44fluid44the44child44should44drink44daily.
,B.44Signs44of44addiction44to44opioid44pain44medications
C.44Information44about44non-pharmaceutical44pain44relief44measures
D.44Referral44for44social44services44for44the44child44and44family44-44answer--
A.44Instructions44about44how44much44fluid44the44child44should44drink44daily
To44auscultate44for44a44carotid44bruit,44the44nurse44places44the44stethoscope44at44what44
location.44(Select44the44location44on44the44image44with44a44red44dot).44-44answer--
I44placed44the44red44dot44on44the44base44of44the44neck44on44the44right44side
After44receiving44report44on44an44inpatient44acute44care44unit,44which44client44should44th
e44nurse44assess44first?
A.44The44client44with44an44obstruction44of44the44large44intestine44who44is44experiencing44
abdominal44distention
B.44The44client44who44had44surgery44yesterday44and44is44experiencing44a44paralytic44ileu
s44with44absent44bowel44sounds
C.44The44client44with44a44small44bowel44obstruction44who44has44a44nasogastric44tube44th
at44is44draining44greenish44fluid
D.44The44client44with44a44bowel44obstruction44due44to44a44volvulus44who44is44experiencin
g44abdominal44rigidity44-44answer--
D.44The44client44with44a44bowel44obstruction44due44to44a44volvulus44who44is44experiencin
g44abdominal44rigidity
A44teenager44presents44to44the44emergency44department44with44palpitations44after44vapi
ng44at44a44party.44The44client44is44anxious,44fearful,44and44hyperventilating.44The44nurse
44anticipates44the44client44developing44which44acid44base44imbalance?
A.44Respiratory44acidosis
B.44Metabolic44alkalosis
C.44Metabolic44acidosis
D.44Respiratory44alkalosis44-44answer--D.44Respiratory44alkalosis
A44client44with44dyspnea44is44being44admitted44to44the44medical44unit.44To44best44prepar
e44for44the44client's44arrival,44the44nurse44should44ensure44that44the44client's44bed44is44in
44which44position?
A.44Supine
B.44supine;44feet44elevated44higher44than44head
C.44supine;44head44elevated44higher44than44feet
D.44Fowlers44-44answer--Fowlers
The44nurse44is44taking44the44blood44pressure44measurement44of44a44client44with44Parkin
son's44disease.44Which44information44in44the44client's44admission44assessment44is44rele
vant44to44the44nurse's44plan44for44taking44the44blood44pressure44reading?
44(Select44all44the44apply)
A.44Frequent44syncope
B.44Occasional44nocturia
C.44Flat44affect
D.44Blurred44vision
,E.44Frequent44drooling44-44answer--A.44Frequent44syncope
C.44Flat44affect
D.44Blurred44vision
While44caring44for44a44client's44postoperative44dressing,44the44nurse44observes44purulen
t44drainage44at44the44wound.44Before44reporting44this44finding44to44the44healthcare44provi
der,44the44nurse44should44review44which44of44the44client's44laboratory44values?
A.44Serum44albumin
B.44Culture44for44sensitive44organisms
C.44Serum44blood44glucose44level
D.44Creatinine44level44-44answer--B.44Culture44for44sensitive44organisms
A44preschool-
aged44boy44is44admitted44to44the44pediatric44unit44following44successful44resuscitation44fr
om44a44near-
drowning44incident.44While44providing44care44to44the44child,44the44nurse44begins44talking
44with44his44preadolescent44brother44who44rescued44the44child44from44the44swimming44p
ool44and44initiated44resuscitation.44The44nurse44notices44the44older44boy44becomes44with
drawn44when44asked44about44what44happened.44Which44action44should44the44nurse44tak
e?
A.44Develop44a44water44safety44teaching44plan44for44the44family
B.44Ask44the44older44brother44how44he44felt44during44the44incident
C.44Tell44the44older44brother44that44he44seems44depressed
D.44Commend44the44older44brother44for44his44heroic44actions44-44answer--
B.44Ask44the44older44brother44how44he44felt44during44the44incident
A44male44client44with44cirrhosis44has44jaundice44and44pruritus.44He44tells44the44nurse44th
at44he44has44been44soaking44in44hot44baths44at44night44with44no44relief44of44his44discomf
ort.44Which44action44should44the44nurse44take?
A.44Encourage44the44client44to44use44cooler44water44and44apply44calamine44lotion44after4
4soaking
B.44Obtain44a44PRN44prescription44for44an44analgesic44that44the44client44can44use44for44s
ymptom44relief
C.44Suggest44that44the44client44take44brief44showers44and44apply44oil-
based44lotion44after44showering
D.44Explain44that44the44symptoms44are44caused44by44liver44damage44and44cannot44be44r
elieved44-44answer--
A.44Encourage44the44client44to44use44cooler44water44and44apply44calamine44lotion44after4
4soaking
An44older44client44with44a44long44history44of44coronary44artery44disease44(CAD),44hyperte
nsion44(HTN),44and44heart44failure44(HF)44arrives44in44the44Emergency44Department44(E
D)44in44respiratory44distress.44The44healthcare44provider44prescribes44furosemide44IV.44
Which44therapeutic44response44to44furosemide44should44the44nurse44expected44in44the44
client44with44acute44HF?
A.44Increased44cardiac44contractility
, B.44Reduced44preload
C.44Relaxed44vascular44tone
D.44Decreased44afterload44-44answer--B.44Reduced44preload
Which44intervention44should44the44nurse44include44in44the44plan44of44care44for44a44child44
with44tetanus?
A.44Encourage44coughing44and44deep44breathing
B.44Minimize44the44amount44of44stimuli44in44the44room
C.44Reposition44from44side44to44side44every44hour
D.44Open44window44shades44to44provide44natural44light44-44answer--
B.44Minimize44the44amount44of44stimuli44in44the44room
An44adolescent44who44was44diagnosed44with44diabetes44mellitus44Type44144at44the44age
44of449,44is44admitted44to44the44hospital44in44diabetic44ketoacidosis.44Which44occurrence4
4is44the44most44likely44cause44of44the44ketoacidosis?
A.44Ate44an44extra44peanut44butter44sandwich44before44gym44class
B.44incorrectly44administered44too44much44insulin44
C.44Had44a44cold44and44ear44infection44for44the44past44two44days44
D.44Skipped44eating44lunch44-44answer--
C.44Had44a44cold44and44ear44infection44for44the44past44two44days
A44client44with44a44prescription44for44"do44not44resuscitate"44(DNR)44begins44to44manifes
t44signs44of44impending44death.44After44notifying44the44family44of44the44client's44status,44
what44priority44action44should44the44nurse44implement?
A.44The44impending44signs44of44death44should44be44documented
B.44The44client's44status44should44be44conveyed44to44the44chaplain
C.44The44client's44need44for44pain44medication44should44be44determined44
D.44The44nurse44manager44should44be44updated44on44the44client's44status44-44answer--
C.44The44client's44need44for44pain44medication44should44be44determined
Which44self44care44measure44is44most44important44for44the44nurse44to44include44in44the44
plan44of44care44of44a44client44recently44diagnosed44with44type44244diabetes44mellitus?
A.44Self-injection44techniques
B.44Blood44glucose44monitoring
C.44Diabetic44diet44meal44planning
D.44A44realistic44exercise44plan44-44answer--B.44Blood44glucose44monitoring
A44client44who44gave44birth444844hours44ago44has44decided44to44bottle44feed44the44infant
.44During44the44assessment,44the44nurse44observes44that44both44breasts44are44swollen,4
4warm,44and44tender44on44palpation.44Which44instruction44should44the44nurse44provide?
A.44Apply44ice44to44the44breasts44for44comfort
B.44Wear44a44loose-fitting44bra44during44the44day44to44prevent44nipple44irritation
C.44Run44warm44water44over44breasts
D.44Express44small44amounts44of44milk44from44the44breasts44to44relieve44pressure44-
44answer--A.44Apply44ice44to44the44breasts44for44comfort
