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2025 HESI Exit Exam Questions and Correct Answers/ Latest Update / Already Graded

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A. Has she taken a bath since the rape occurred? Ans: A female client presents in the emergency department and tells the nurse that she was raped last night. Which question is most important for the nurse to ask? A. Has she taken a bath since the rape occurred? B. Is the place where she lives a safe place? C. Does she know the person who raped her? D. Did she report the rape to the police department? B. Sluggish and unequal pupillary responses Ans: The nurse is completing the admission assessment of a 3 year old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)? A. Tachycardia and tachypnea B. Sluggish and unequal pupillary responses C. Increased head circumference and bulging fontanels D. Blood pressure fluctuations and syncope Page | 2 All rights reserved © 2025/ 2026 | A. Abdominal pain decreases when lying supine Ans: A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum amylase. Which additional information is the client most likely to report to the nurse? A. Abdominal pain decreases when lying supine B. Pain lasts an hour and leaves the abdomen tender C. Right upper quadrant pain refers to right scapula D. Drinks alcohol until intoxicated at least twice weekly. A. Instructions about how much fluid the child should drink daily Ans: A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which information is most important for the nurse to provide the parents prior to discharge? A. Instructions about how much fluid the child should drink daily. B. Signs of addiction to opioid pain medications C. Information about non-pharmaceutical pain relief measures D. Referral for social services for the child and family I placed the red dot on the base of the neck on the right side Page | 3 All rights reserved © 2025/ 2026 | Ans: To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the location on the image with a red dot). D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity Ans: After receiving report on an inpatient acute care unit, which client should the nurse assess first? A. The client with an obstruction of the large intestine who is experiencing abdominal distention B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds C. The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity D. Respiratory alkalosis Ans: A teenager presents to the emergency department with palpitations after vaping at a party. The client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing which acid base imbalance? A. Respiratory acidosis B. Metabolic alkalosis Page | 4 All rights reserved © 2025/ 2026 | C. Metabolic acidosis D. Respiratory alkalosis Fowlers Ans: A client with dyspnea

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Page |1


2025 HESI Exit Exam Questions and
Correct Answers/ Latest Update / Already
Graded
A. Has she taken a bath since the rape occurred?

Ans: A female client presents in the emergency department
and tells the nurse that she was raped last night. Which
question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?


B. Sluggish and unequal pupillary responses

Ans: The nurse is completing the admission assessment of a 3 -
year old who is admitted with bacterial meningitis and
hydrocephalus. Which assessment finding is evidence that the
child is experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope




All rights reserved © 2025/ 2026 |

, Page |2

A. Abdominal pain decreases when lying supine

Ans: A client with acute pancreatitis is admitted with severe,
piercing abdominal pain and an elevated serum amylase. Which
additional information is the client most likely to report to the
nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.


A. Instructions about how much fluid the child should drink daily

Ans: A child newly diagnosed with sickle cell anemia (SCA) is
being discharged from the hospital. Which information is most
important for the nurse to provide the parents prior to
discharge?
A. Instructions about how much fluid the child should drink
daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family


I placed the red dot on the base of the neck on the right side



All rights reserved © 2025/ 2026 |

, Page |3


Ans: To auscultate for a carotid bruit, the nurse places the
stethoscope at what location. (Select the location on the image
with a red dot).


D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity

Ans: After receiving report on an inpatient acute care unit,
which client should the nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a
nasogastric tube that is draining greenish fluid
D. The client with a bowel obstruction due to a volvul us who is
experiencing abdominal rigidity


D. Respiratory alkalosis

Ans: A teenager presents to the emergency department with
palpitations after vaping at a party. The client is anxious,
fearful, and hyperventilating. The nurse anticipates the clie nt
developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis

All rights reserved © 2025/ 2026 |

, Page |4


C. Metabolic acidosis
D. Respiratory alkalosis


Fowlers

Ans: A client with dyspnea is being admitted to the medical
unit. To best prepare for the client's arrival, the nurse should
ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers


A. Frequent syncope

C. Flat affect

D. Blurred vision

Ans: The nurse is taking the blood pressure measurement of a
client with Parkinson's disease. Which information in the
client's admission assessment is relevant to the nurse's plan for
taking the blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect


All rights reserved © 2025/ 2026 |

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