HESI RN EXIT EXAM 2025/2026 LATEST
UPDATE| QUALITY EXAM QUESTIONS WITH
VERIFIED CORRECT ANSWERS (100%
CORRECT) GRADED A+
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 fontanelles
D. Blood pressure fluctuations and syncope - ✅✅B. Sluggish and unequal pupillary responses
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 the right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - ✅✅A. Abdominal pain decreases when lying
supine
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 to the parents before 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 - ✅✅A. Instructions about how much fluid the child
should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what location? (Select the location on the
image with a red dot.) - ✅✅I placed the red dot on the base of the neck on the right side
,After receiving a 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. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
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
C. Metabolic acidosis
D. Respiratory alkalosis - ✅✅D. Respiratory alkalosis
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 - ✅✅Fowlers
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
that apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
,E. Frequent drooling - ✅✅A. Frequent syncope
C. Flat affect
D. Blurred vision
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the wound. Before
reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level - ✅✅B. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following successful resuscitation from a near-drowning
incident. While providing care to the child, the nurse begins talking with his preadolescent brother, who rescued
the child from the swimming pool and initiated resuscitation. The nurse notices the older boy becomes
withdrawn when asked about what happened. Which action should the nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions - ✅✅B. Ask the older brother how he felt during the
incident
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot baths at
night with no relief from his discomfort. Which action should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
C. Suggest that the client take brief showers and apply oil-based lotion after showering
D. Explain that the symptoms are caused by liver damage and cannot be relieved - ✅✅A. Encourage the
client to use cooler water and apply calamine lotion after soaking
, An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and heart
failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The healthcare provider
prescribes furosemide IV. Which therapeutic response to furosemide should the nurse expect in the client with
acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload - ✅✅B. Reduced preload
Which intervention should the nurse include in the plan of care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light - ✅✅B. Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9 is admitted to the hospital in
diabetic ketoacidosis. Which occurrence is the most likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and an ear infection for the past two days
D. Skipped eating lunch - ✅✅C. Had a cold and an ear infection for the past two days
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After
notifying the family of the client's status, what priority action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status - ✅✅C. The client's need for pain medication
should be determined
UPDATE| QUALITY EXAM QUESTIONS WITH
VERIFIED CORRECT ANSWERS (100%
CORRECT) GRADED A+
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 fontanelles
D. Blood pressure fluctuations and syncope - ✅✅B. Sluggish and unequal pupillary responses
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 the right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - ✅✅A. Abdominal pain decreases when lying
supine
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 to the parents before 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 - ✅✅A. Instructions about how much fluid the child
should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what location? (Select the location on the
image with a red dot.) - ✅✅I placed the red dot on the base of the neck on the right side
,After receiving a 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. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
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
C. Metabolic acidosis
D. Respiratory alkalosis - ✅✅D. Respiratory alkalosis
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 - ✅✅Fowlers
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
that apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
,E. Frequent drooling - ✅✅A. Frequent syncope
C. Flat affect
D. Blurred vision
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the wound. Before
reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level - ✅✅B. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following successful resuscitation from a near-drowning
incident. While providing care to the child, the nurse begins talking with his preadolescent brother, who rescued
the child from the swimming pool and initiated resuscitation. The nurse notices the older boy becomes
withdrawn when asked about what happened. Which action should the nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions - ✅✅B. Ask the older brother how he felt during the
incident
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot baths at
night with no relief from his discomfort. Which action should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
C. Suggest that the client take brief showers and apply oil-based lotion after showering
D. Explain that the symptoms are caused by liver damage and cannot be relieved - ✅✅A. Encourage the
client to use cooler water and apply calamine lotion after soaking
, An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and heart
failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The healthcare provider
prescribes furosemide IV. Which therapeutic response to furosemide should the nurse expect in the client with
acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload - ✅✅B. Reduced preload
Which intervention should the nurse include in the plan of care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light - ✅✅B. Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9 is admitted to the hospital in
diabetic ketoacidosis. Which occurrence is the most likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and an ear infection for the past two days
D. Skipped eating lunch - ✅✅C. Had a cold and an ear infection for the past two days
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After
notifying the family of the client's status, what priority action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status - ✅✅C. The client's need for pain medication
should be determined
