Nursing School Final Review Prep –
Complete Exam Material
Description:
This document contains a comprehensive set of verified questions
and answers tailored for the 2025 HESI RN Exit Exam. It includes
a wide range of topics tested in the exam such as pharmacology,
pediatrics, maternity, psychiatric nursing, and critical care. Each
question is paired with its correct answer, covering scenarios
relevant to clinical practice and NCLEX-style reasoning. Ideal for
final exam preparation and practice.
Questions and Answers:
An antibiotic IM injection for a 2 year-old child is ordered. The
total volume of the injection equals 2.0 ml The correct action is to
A) Administer the medication in 2 separate injections
B) Give the medication in the dorsal gluteal site
C) Call to get a smaller volume ordered
D) Check with pharmacy for a liquid form of the medication skip -
Answer:A) Administer the medication in 2 separate injections
,The nurse receives an order to give a client iron by deep injection.
The nurse know that the reason for this route is to
A) Enhance absorption of the medication
B) Ensure that the entire dose of medication is given
C) Provide more even distribution of the drug
D) Prevent the drug from tissue irritation Skip -Answer:D)
Prevent the drug from tissue irritation Skip
A client with heart failure has Lanoxin (digoxin) ordered. What
would the nurse expect to find when evaluating for the
therapeutic effectiveness of this drug?
A) Diaphoresis with decreased urinary output
B) Increased heart rate with increase respirations
C) Improved respiratory status and increased urinary output D)
Decreased chest pain and decreased blood pressure -Answer:C)
Improved respiratory status and increased urinary output
While providing home care to a client with congestive heart
failure, the nurse is asked how long diuretics must be taken. What
is the nurse's best response?
,A) "As you urinate more, you will need less medication to control
fluid.
"B) "You will have to take this medication for about a year."
C) "The medication must be continued so the fluid problem is
controlled.
"D) "Please talk to your health care provider about medications
and treatments." -Answer:C) "The medication must be continued
so the fluid problem is controlled.
A client is being discharged with a prescription for
chlorpromazine (Thorazine).Before leaving for home, which of
these findings should the nurse teach the client to report? A)
Change in libido, breast enlargement
B) Sore throat, fever
C) Abdominal pain, nausea, diarrhea
D) Dsypnea, nasal congestion -Answer:B) Sore throat, fever
A mother brings her 6-year-old child, who has just stepped on a
rusty nail, to the pediatrician's office. Upon inspection, the nurse
notes that the nail went through the shoe and pierced the bottom
of the child's foot. Which action should the nurse implement first?
, A. Cleanse the foot with soap and water and apply an antibiotic
ointment
B. Provide teaching about the need for a tetanus booster within
the next 72 hours.
C. have the mother check the child's temperature q4h for the next
24 hours
D. transfer the child to the emergency department to receive a
gamma globulin
injection -Answer:A. Cleanse the foot with soap and water and
apply an antibiotic ointment
A 26-year-old female client is admitted to the hospital for
treatment of a simple goiter, and levothyroxine sodium
(Synthroid) is prescribed. Which symptoms indicate to the nurse
that the prescribed dosage is too high for this client? The client
experiences:
A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath -Answer:D. Palpitations
and shortness of breath