v
1
HESI RN PROCTORED EXAM 2025/ACTUAL EXAM
tt tt tt tt tt
QUESTIONS AND WELL ELABORATEDtt tt tt tt
ANSWERS/NEWEST 2025/A+ GRADE tt tt tt
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop
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traction. Which nursing intervention is appropriate for this child?
t tt tt tt tt tt tt tt tt
A) Make certain the child is maintained in correct body alignment.
tt tt tt tt tt tt tt tt tt
B) Be sure the traction weights touch the end of the bed.
tt tt tt tt tt tt tt tt tt tt
C) Adjust the head and foot of the bed for the child's comfort
tt tt tt tt tt tt tt tt tt tt tt
D) Release the traction for 15-20 minutes every 6 hours PRN. tt tt tt tt tt tt tt tt tt
✓ A: Make certain the child is maintained in correct body alignment.
tt tt tt tt tt tt tt tt tt tt
2. The nurse is assessing a healthy child at the 2 year check up.
tt tt tt tt tt tt tt tt tt tt tt tt
Which of the following should the nurse report immediately to the
tt tt tt tt tt tt tt tt tt tt tt
health care provider?
t tt tt
A) Height and weight percentiles vary widely
tt tt tt tt t
B) Growth pattern appears to have slowed tt tt tt tt tt
C) Recumbent and standing height are different tt tt tt tt tt
D) Short term weight changes are uneven
tt tt tt tt tt
✓ A: Height and weight percentiles vary widely
tt tt tt tt tt tt
3. The parents of a 2 year-old child report that he has been holdinghis
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breath whenever he has temper tantrums. What is the best action
tt tt tt tt tt tt tt tt tt tt tt
by the nurse?
tt tt tt
A) Teach the parents how to perform cardiopulmonary
tt tt tt tt tt tt
resuscitation
t
B) Recommend that the parents give in when he holds his breath to tt tt tt tt tt tt tt tt tt tt tt
prevent anoxia
t tt
C) Advise the parents to ignore breath holding because breathingwill
tt tt tt tt tt tt tt tt t
begin as a reflex
tt tt tt tt
D) Instruct the parents on how to reason with the child about
tt tt tt tt tt tt tt tt tt tt
possible harmful effects
t tt tt
✓ C: Advise the parents to ignore breath holding because
tt tt tt tt tt tt tt tt
breathingwill begin as a reflex
tt t tt tt tt tt
4. The nurse is assessing a client in the emergency room. Which
tt tt tt tt tt tt tt tt tt tt
statement suggests that the problem is acute angina?
t tt tt tt tt tt tt tt
A) "My pain is deep in my chest behind my sternum."
tt tt tt tt tt tt tt tt tt
B) "When I sit up the pain gets worse." tt tt tt tt tt tt tt
,2
C) "As I take a deep breath the pain gets worse."
tt tt tt tt tt tt tt tt tt
D) "The pain is right here in my stomach area."
tt tt tt tt tt tt tt tt
✓ A: "My pain is deep in my chest behind my sternum."
tt tt tt tt tt tt tt tt tt tt
5. The nurse is assessing the mental status of a client admitted with
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possible organic brain disorder. Which of these questions willbest
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assess the function of the client's recent memory?
tt tt tt tt tt tt tt tt
A) "Name the year." "What season is this?" (pause for answer after
tt tt tt tt tt tt tt tt tt tt
each question)
t tt
B) "Subtract 7 from 100 and then subtract 7 from that." (pause for tt tt tt tt tt tt tt tt tt tt tt
answer) "Now continue to subtract 7 from the new number."
t tt tt tt tt tt tt tt tt tt
C) "I am going to say the names of three things and I want you to
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
repeat them after me: blue, ball, pen."
t tt tt tt tt tt tt
D) "What is this on my wrist?" (point to your watch) Then ask,
tt tt tt tt tt tt tt tt tt tt tt
"What is the purpose of it?"
t tt tt tt tt tt
✓ C: "I am going to say the names of three things and I want you
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
torepeat them after me: blue, ball, pen."
tt t tt tt tt tt tt tt
6. In planning care for a 6 month-old infant, what must the nurse
tt tt tt tt tt tt tt tt tt tt tt
provide to assist in the development of trust?
t tt tt tt tt tt tt tt
A) Food
B) Warmth
C) Security
D) Comfort
✓ C: Security tt
7. A nurse has just received a medication order which is not legible.
tt tt tt tt tt tt tt tt tt tt tt
Which statement best reflects assertive communication?
t tt tt tt tt tt
A) "I cannot give this medication as it is written. I have no idea of
tt tt tt tt tt tt tt tt tt tt tt tt tt
what you mean."
t tt tt
B) "Would you please clarify what you have written so I am sure Iam tt tt tt tt tt tt tt tt tt tt tt tt t
reading it correctly?"
tt tt tt
C) "I am having difficulty reading your handwriting. It would saveme
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time if you would be more careful."
tt tt tt tt tt tt tt
D) "Please print in the future so I do not have to spend extra time tt tt tt tt tt tt tt tt tt tt tt tt tt
attempting to read your writing."
t tt tt tt tt
✓ B) "Would you please clarify what you have written so I am
tt tt tt tt tt tt tt tt tt tt tt
sure Iam reading it correctly?"
tt tt t tt tt tt
8. What is the most important consideration when teaching parentshow
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to reduce risks in the home?
tt tt tt tt tt tt
A) Age and knowledge level of the parents
tt tt tt tt tt tt
B) Proximity to emergency services t tt t
,3
C) Number of children in the home tt tt tt tt tt
D) Age of children in the home tt tt tt tt tt
✓ D: Age of children in the home tt tt tt tt tt tt
9. A 35 year-old client with sickle cell crisis is talking on the
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telephone but stops as the nurse enters the room to request
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something for pain. The nurse should
t tt tt tt tt tt
A) Administer a placebo tt tt
B) Encourage increased fluid intake tt tt tt
C) Administer the prescribed analgesia tt t tt
D) Recommend relaxation exercises for pain control tt tt tt tt tt
✓ C: Administer the prescribed analgesia tt tt tt tt
✓
10. While caring for a toddler with croup, which initial sign of croup
tt tt tt tt tt tt tt tt tt tt tt
requires the nurse's immediate attention?
t tt tt tt tt
A) Respiratory rate of 42 tt tt tt
B) Lethargy for the past hour tt tt tt tt
C) Apical pulse of 54 tt tt tt
D) Coughing up copious secretions tt tt tt
✓ A: Respiratory rate of 30 tt tt tt tt
11. A client is admitted with low T3 and T4 levels and an elevated
tt tt tt tt tt tt tt tt tt tt tt tt
TSH level. On initial assessment, the nurse would anticipate whichof
tt tt tt tt tt tt tt tt tt tt t
the following assessment findings?
tt tt tt tt
A) Lethargy
B) Heat intolerance t
C) Diarrhea
D) Skin eruptions tt
✓ A: Lethargy tt
12. The emergency room nurse admits a child who experienced a
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seizure at school. The father comments that this is the first
tt tt tt tt tt tt tt tt tt tt tt
occurrence, and denies any family history of epilepsy. What is the
tt tt tt tt tt tt tt tt tt tt tt
best response by the nurse?
t tt tt tt tt
A) "Do not worry. Epilepsy can be treated with medications."
tt tt tt tt tt tt tt tt
B) "The seizure may or may not mean your child has epilepsy."
tt tt t tt t tt tt tt tt tt
C) "Since this was the first convulsion, it may not happen again."
tt tt tt tt tt tt tt t tt tt
D) "Long term treatment will prevent future seizures."
tt tt tt tt tt tt
✓ B: "The seizure may or may not mean your child has epilepsy."
tt tt tt tt tt tt tt tt tt tt tt
13. Alcohol and drug abuse impairs judgment and increases risk tt tt tt tt tt tt tt tt
taking behavior. What nursing diagnosis best applies?
t tt tt tt tt tt tt
, A) Risk for injury tt tt
4
B) Risk for knowledge deficit tt tt tt
C) Altered thought process tt t
D) Disturbance in self-esteem tt tt
✓ A: Risk for injury tt tt tt
14. The nurse is caring for a 10 month-old infant who is has oxygen
tt tt tt tt tt tt tt tt tt tt tt tt
via mask. It is important for the nurse to maintain patency of which of
t tt tt tt tt tt tt tt tt tt tt tt tt tt
these areas?
tt tt
A) Mouth
B) Nasal passages tt
C) Back of throat tt tt
D) Bronchials
✓ B: Nasal passages tt tt
15. The nurse is providing instructions for a client with pneumonia.
tt tt tt tt tt tt tt tt tt
What is the most important information to convey to the client?
t tt tt tt tt tt tt tt tt tt tt
A) "Take at least 2 weeks off from work." tt tt tt tt tt tt tt
B) "You will need another chest x-ray in 6 weeks."
tt tt tt tt tt tt tt tt
C) "Take your temperature every day." tt tt tt t
D) "Complete all of the antibiotic even if your findings decrease." tt tt tt tt tt tt tt tt tt
✓ D: "Complete all of the antibiotic even if your findings decrease."
tt tt tt tt tt tt tt tt tt tt
16. When counseling a 6 year old who is experiencing enuresis,
tt tt tt tt tt tt tt tt tt
what must the nurse understand about the pathophysiological
t tt tt tt tt tt tt tt
basis of this disorder?
tt tt tt tt
A) Has no clear etiology tt tt tt
B) May be associated with sleep phobia
t tt tt tt tt
C) Has a definite genetic link
tt tt tt tt
D) Is a sign of willful misbehavior
tt tt tt tt tt
✓ A: Has no clear etiology tt tt tt tt
17. The nurse is discussing negativism with the parents of a 30
tt tt tt tt tt tt tt tt tt tt
month-old child. How should the nurse tell the parents to best
t tt tt tt tt tt tt tt tt tt tt
respond to this behavior?
tt tt tt tt
A) Reprimand the child and give a 15 minute "time out" tt tt tt tt tt tt tt tt tt
B) Maintain a permissive attitude for this behavior tt tt tt tt tt tt
C) Use patience and a sense of humor to deal with this behavior
tt tt tt tt tt tt tt tt tt tt tt
D) Assert authority over the child through limit settingtt tt tt tt tt tt tt
✓ C: Use patience and a sense of humor to deal with this behavior
tt tt tt tt tt tt tt tt tt tt tt tt
18. The nurse is talking by telephone with a parent of a 4 year-old
tt tt tt tt tt tt tt tt tt tt tt tt
child who has chickenpox. Which of the following demonstrates
t tt tt tt tt tt tt tt tt
1
HESI RN PROCTORED EXAM 2025/ACTUAL EXAM
tt tt tt tt tt
QUESTIONS AND WELL ELABORATEDtt tt tt tt
ANSWERS/NEWEST 2025/A+ GRADE tt tt tt
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop
tt tt tt tt tt tt tt tt tt tt
traction. Which nursing intervention is appropriate for this child?
t tt tt tt tt tt tt tt tt
A) Make certain the child is maintained in correct body alignment.
tt tt tt tt tt tt tt tt tt
B) Be sure the traction weights touch the end of the bed.
tt tt tt tt tt tt tt tt tt tt
C) Adjust the head and foot of the bed for the child's comfort
tt tt tt tt tt tt tt tt tt tt tt
D) Release the traction for 15-20 minutes every 6 hours PRN. tt tt tt tt tt tt tt tt tt
✓ A: Make certain the child is maintained in correct body alignment.
tt tt tt tt tt tt tt tt tt tt
2. The nurse is assessing a healthy child at the 2 year check up.
tt tt tt tt tt tt tt tt tt tt tt tt
Which of the following should the nurse report immediately to the
tt tt tt tt tt tt tt tt tt tt tt
health care provider?
t tt tt
A) Height and weight percentiles vary widely
tt tt tt tt t
B) Growth pattern appears to have slowed tt tt tt tt tt
C) Recumbent and standing height are different tt tt tt tt tt
D) Short term weight changes are uneven
tt tt tt tt tt
✓ A: Height and weight percentiles vary widely
tt tt tt tt tt tt
3. The parents of a 2 year-old child report that he has been holdinghis
tt tt tt tt tt tt tt tt tt tt tt tt t
breath whenever he has temper tantrums. What is the best action
tt tt tt tt tt tt tt tt tt tt tt
by the nurse?
tt tt tt
A) Teach the parents how to perform cardiopulmonary
tt tt tt tt tt tt
resuscitation
t
B) Recommend that the parents give in when he holds his breath to tt tt tt tt tt tt tt tt tt tt tt
prevent anoxia
t tt
C) Advise the parents to ignore breath holding because breathingwill
tt tt tt tt tt tt tt tt t
begin as a reflex
tt tt tt tt
D) Instruct the parents on how to reason with the child about
tt tt tt tt tt tt tt tt tt tt
possible harmful effects
t tt tt
✓ C: Advise the parents to ignore breath holding because
tt tt tt tt tt tt tt tt
breathingwill begin as a reflex
tt t tt tt tt tt
4. The nurse is assessing a client in the emergency room. Which
tt tt tt tt tt tt tt tt tt tt
statement suggests that the problem is acute angina?
t tt tt tt tt tt tt tt
A) "My pain is deep in my chest behind my sternum."
tt tt tt tt tt tt tt tt tt
B) "When I sit up the pain gets worse." tt tt tt tt tt tt tt
,2
C) "As I take a deep breath the pain gets worse."
tt tt tt tt tt tt tt tt tt
D) "The pain is right here in my stomach area."
tt tt tt tt tt tt tt tt
✓ A: "My pain is deep in my chest behind my sternum."
tt tt tt tt tt tt tt tt tt tt
5. The nurse is assessing the mental status of a client admitted with
tt tt tt tt tt tt tt tt tt tt tt
possible organic brain disorder. Which of these questions willbest
tt tt tt tt tt tt tt tt tt t
assess the function of the client's recent memory?
tt tt tt tt tt tt tt tt
A) "Name the year." "What season is this?" (pause for answer after
tt tt tt tt tt tt tt tt tt tt
each question)
t tt
B) "Subtract 7 from 100 and then subtract 7 from that." (pause for tt tt tt tt tt tt tt tt tt tt tt
answer) "Now continue to subtract 7 from the new number."
t tt tt tt tt tt tt tt tt tt
C) "I am going to say the names of three things and I want you to
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
repeat them after me: blue, ball, pen."
t tt tt tt tt tt tt
D) "What is this on my wrist?" (point to your watch) Then ask,
tt tt tt tt tt tt tt tt tt tt tt
"What is the purpose of it?"
t tt tt tt tt tt
✓ C: "I am going to say the names of three things and I want you
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
torepeat them after me: blue, ball, pen."
tt t tt tt tt tt tt tt
6. In planning care for a 6 month-old infant, what must the nurse
tt tt tt tt tt tt tt tt tt tt tt
provide to assist in the development of trust?
t tt tt tt tt tt tt tt
A) Food
B) Warmth
C) Security
D) Comfort
✓ C: Security tt
7. A nurse has just received a medication order which is not legible.
tt tt tt tt tt tt tt tt tt tt tt
Which statement best reflects assertive communication?
t tt tt tt tt tt
A) "I cannot give this medication as it is written. I have no idea of
tt tt tt tt tt tt tt tt tt tt tt tt tt
what you mean."
t tt tt
B) "Would you please clarify what you have written so I am sure Iam tt tt tt tt tt tt tt tt tt tt tt tt t
reading it correctly?"
tt tt tt
C) "I am having difficulty reading your handwriting. It would saveme
tt tt tt tt tt tt tt tt tt t
time if you would be more careful."
tt tt tt tt tt tt tt
D) "Please print in the future so I do not have to spend extra time tt tt tt tt tt tt tt tt tt tt tt tt tt
attempting to read your writing."
t tt tt tt tt
✓ B) "Would you please clarify what you have written so I am
tt tt tt tt tt tt tt tt tt tt tt
sure Iam reading it correctly?"
tt tt t tt tt tt
8. What is the most important consideration when teaching parentshow
tt tt tt tt tt tt tt tt t
to reduce risks in the home?
tt tt tt tt tt tt
A) Age and knowledge level of the parents
tt tt tt tt tt tt
B) Proximity to emergency services t tt t
,3
C) Number of children in the home tt tt tt tt tt
D) Age of children in the home tt tt tt tt tt
✓ D: Age of children in the home tt tt tt tt tt tt
9. A 35 year-old client with sickle cell crisis is talking on the
tt tt tt tt tt tt tt tt tt tt tt
telephone but stops as the nurse enters the room to request
tt tt tt tt tt tt tt tt tt tt tt
something for pain. The nurse should
t tt tt tt tt tt
A) Administer a placebo tt tt
B) Encourage increased fluid intake tt tt tt
C) Administer the prescribed analgesia tt t tt
D) Recommend relaxation exercises for pain control tt tt tt tt tt
✓ C: Administer the prescribed analgesia tt tt tt tt
✓
10. While caring for a toddler with croup, which initial sign of croup
tt tt tt tt tt tt tt tt tt tt tt
requires the nurse's immediate attention?
t tt tt tt tt
A) Respiratory rate of 42 tt tt tt
B) Lethargy for the past hour tt tt tt tt
C) Apical pulse of 54 tt tt tt
D) Coughing up copious secretions tt tt tt
✓ A: Respiratory rate of 30 tt tt tt tt
11. A client is admitted with low T3 and T4 levels and an elevated
tt tt tt tt tt tt tt tt tt tt tt tt
TSH level. On initial assessment, the nurse would anticipate whichof
tt tt tt tt tt tt tt tt tt tt t
the following assessment findings?
tt tt tt tt
A) Lethargy
B) Heat intolerance t
C) Diarrhea
D) Skin eruptions tt
✓ A: Lethargy tt
12. The emergency room nurse admits a child who experienced a
tt tt tt tt tt tt tt tt tt
seizure at school. The father comments that this is the first
tt tt tt tt tt tt tt tt tt tt tt
occurrence, and denies any family history of epilepsy. What is the
tt tt tt tt tt tt tt tt tt tt tt
best response by the nurse?
t tt tt tt tt
A) "Do not worry. Epilepsy can be treated with medications."
tt tt tt tt tt tt tt tt
B) "The seizure may or may not mean your child has epilepsy."
tt tt t tt t tt tt tt tt tt
C) "Since this was the first convulsion, it may not happen again."
tt tt tt tt tt tt tt t tt tt
D) "Long term treatment will prevent future seizures."
tt tt tt tt tt tt
✓ B: "The seizure may or may not mean your child has epilepsy."
tt tt tt tt tt tt tt tt tt tt tt
13. Alcohol and drug abuse impairs judgment and increases risk tt tt tt tt tt tt tt tt
taking behavior. What nursing diagnosis best applies?
t tt tt tt tt tt tt
, A) Risk for injury tt tt
4
B) Risk for knowledge deficit tt tt tt
C) Altered thought process tt t
D) Disturbance in self-esteem tt tt
✓ A: Risk for injury tt tt tt
14. The nurse is caring for a 10 month-old infant who is has oxygen
tt tt tt tt tt tt tt tt tt tt tt tt
via mask. It is important for the nurse to maintain patency of which of
t tt tt tt tt tt tt tt tt tt tt tt tt tt
these areas?
tt tt
A) Mouth
B) Nasal passages tt
C) Back of throat tt tt
D) Bronchials
✓ B: Nasal passages tt tt
15. The nurse is providing instructions for a client with pneumonia.
tt tt tt tt tt tt tt tt tt
What is the most important information to convey to the client?
t tt tt tt tt tt tt tt tt tt tt
A) "Take at least 2 weeks off from work." tt tt tt tt tt tt tt
B) "You will need another chest x-ray in 6 weeks."
tt tt tt tt tt tt tt tt
C) "Take your temperature every day." tt tt tt t
D) "Complete all of the antibiotic even if your findings decrease." tt tt tt tt tt tt tt tt tt
✓ D: "Complete all of the antibiotic even if your findings decrease."
tt tt tt tt tt tt tt tt tt tt
16. When counseling a 6 year old who is experiencing enuresis,
tt tt tt tt tt tt tt tt tt
what must the nurse understand about the pathophysiological
t tt tt tt tt tt tt tt
basis of this disorder?
tt tt tt tt
A) Has no clear etiology tt tt tt
B) May be associated with sleep phobia
t tt tt tt tt
C) Has a definite genetic link
tt tt tt tt
D) Is a sign of willful misbehavior
tt tt tt tt tt
✓ A: Has no clear etiology tt tt tt tt
17. The nurse is discussing negativism with the parents of a 30
tt tt tt tt tt tt tt tt tt tt
month-old child. How should the nurse tell the parents to best
t tt tt tt tt tt tt tt tt tt tt
respond to this behavior?
tt tt tt tt
A) Reprimand the child and give a 15 minute "time out" tt tt tt tt tt tt tt tt tt
B) Maintain a permissive attitude for this behavior tt tt tt tt tt tt
C) Use patience and a sense of humor to deal with this behavior
tt tt tt tt tt tt tt tt tt tt tt
D) Assert authority over the child through limit settingtt tt tt tt tt tt tt
✓ C: Use patience and a sense of humor to deal with this behavior
tt tt tt tt tt tt tt tt tt tt tt tt
18. The nurse is talking by telephone with a parent of a 4 year-old
tt tt tt tt tt tt tt tt tt tt tt tt
child who has chickenpox. Which of the following demonstrates
t tt tt tt tt tt tt tt tt
