HESI RN EXIT EXAM VERSIONS 2 WITH REAL
QUESTIONS AND ANSWERS 2025-2026 UPDATE||ALREADY
GRADED A+
An adult male was diagnosed with stage IV lung cancer three weeks
ago. His wife approaches the nurse and asks how she will know that
her husband's death is imminent because their two adult children want
to be there when he dies. Which is the best response by the nurse?
A. Gather information regarding how long it will take for the children
to arrive
B. Explain that the client will start to lose consciousness and the body
systems will slow down
C. Reassure the spouse that the healthcare provider will notify when
to call the children
D. Offer to discuss the client's health status with each of the adult
children - Answer-B. Explain that the client will start to lose
consciousness and the body systems will slow down
The charge nurse of a critical care unit is informed at the beginning of
the shift that less than the optimal number of registered nurses will be
working that shift. In planning assignments, which client should
receive the most care hours by a registered nurse (RN)?
A. A 48-year-old marathon runner with a central venous catheter who
is experiencing nausea and vomiting due to electrolyte disturbance
following a race
B. A 34-year-old admitted today after an emergency appendectomy
who has a peripheral intravenous catheter and a Foley catheter
C. A 63-year-old chain smoker admitted with chronic bronchitis who
is receiving oxygen via nasal cannula and has a saline-locked
peripheral intravenous catheter
D. An 82-year-old client with Alzheimer's disease and a newly-
fractured femur who has a Foley catheter and soft wrist restraints
applied - Answer-D. An 82-year-old client with Alzheimer's disease
pg. 1
,and a newly-fractured femur who has a Foley catheter and soft wrist
restraints applied
The nurse is preparing a dose of 60 mcg of teriparatide. The
medication is labeled "750 mcg/2.4mL". How many mL should the
nurse administer? Round to nearest tenth. - Answer-0.2 mL
In caring for a client with Cushing's Syndrome, which serum
laboratory value is most important for the nurse to monitor?
A. Creatinine
B. Lactate
C. Glucose
D. Hemoglobin - Answer-C. Glucose
A client who received hemodialysis yesterday is experiencing a blood
pressure of 200/100 mmHg, heart rate 110 beats/minute, and
respiratory rate 36 breaths/minute. The client is manifesting shortness
of breath, bilateral 2+ pedal edema, and an oxygen saturation on room
air of 89%. Which action should the nurse take first?
A. Elevate the foot of the bed
B. Restrict the client's fluids
C. Begin supplemental oxygen
D. Prepare client for hemodialysis - Answer-C. Begin supplemental
oxygen
When caring for a client with full thickness burns to both lower
extremities, which assessment findings warrant immediate
intervention? Select all that apply
A. Sloughing tissue around wound edges
B. Complaint of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
pg. 2
,E. Weeping serosanguineous fluid from wounds - Answer-B.
Complaint of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
An older client is admitted with fluid volume deficit and dehydration.
Which assessment finding is the best indicator of hydration that the
nurse should report to the healthcare provider?
A. Urine specific gravity is 1.040
B. Systolic blood pressure decreases 10 points when standing
C. The client denies being thirsty
D. Skin tenting occurs when the client's forearm is pinched - Answer-
D. Skin tenting occurs when the client's forearm is pinched
The nurse assumes care of a postoperative adult client with type 2
diabetes mellitus and learns that the client has a current blood glucose
level of 720 mg/dL. When assessing the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate - Answer-A. Assess for signs of
fluid volume deficit
A male client tells the nurse that he is concerned that he may have a
stomach ulcer, because he is experiencing heartburn and dull gnawing
pain that is relieved when he eats. Which is the best response by the
nurse?
A. Encourage the client to obtain a complete physical exam, since
these symptoms are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since
ulcer pain is not relieved with food
pg. 3
, C. Instruct the client that these mild symptoms can generally be
controlled with changes in his diet
D. Advise the client that he needs to seek immediate medical
evaluation and treatment of these symptoms - Answer-A. Encourage
the client to obtain a complete physical exam, since these symptoms
are consistent with an ulcer
A male client with stomach cancer returns to the unit following a total
gastrectomy. He has a nasogastric tube to suction and is receiving
Lactated Ringer's solution at 75 mL/hr IV. One hour after admission
to the unit, the nurse notes 300mL of blood in the suction canister, the
client's heart rate is 155 beats/minute, and his blood pressure is 78/48
mmHg. In addition to reporting the findings to the surgeon, which
action should the nurse implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's solution - Answer-
D. Increase the infusion rate of Lactated Ringer's solution
A heparin infusion is prescribed for a client who weighs 220 pounds.
After administering a bolus dose of 80 units/kg, the nurse calculates
the infusion rate for the heparin solution as 18 units/kg/hour. The
available solution is Heparin Sodium 25,000 Units in 5% Dextrose
Injection 250 mL. The nurse should program the infusion pump to
deliver how many mL/hour? - Answer- -1st: calculate the weight =
220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/hr
- 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18 mL/hr
pg. 4
QUESTIONS AND ANSWERS 2025-2026 UPDATE||ALREADY
GRADED A+
An adult male was diagnosed with stage IV lung cancer three weeks
ago. His wife approaches the nurse and asks how she will know that
her husband's death is imminent because their two adult children want
to be there when he dies. Which is the best response by the nurse?
A. Gather information regarding how long it will take for the children
to arrive
B. Explain that the client will start to lose consciousness and the body
systems will slow down
C. Reassure the spouse that the healthcare provider will notify when
to call the children
D. Offer to discuss the client's health status with each of the adult
children - Answer-B. Explain that the client will start to lose
consciousness and the body systems will slow down
The charge nurse of a critical care unit is informed at the beginning of
the shift that less than the optimal number of registered nurses will be
working that shift. In planning assignments, which client should
receive the most care hours by a registered nurse (RN)?
A. A 48-year-old marathon runner with a central venous catheter who
is experiencing nausea and vomiting due to electrolyte disturbance
following a race
B. A 34-year-old admitted today after an emergency appendectomy
who has a peripheral intravenous catheter and a Foley catheter
C. A 63-year-old chain smoker admitted with chronic bronchitis who
is receiving oxygen via nasal cannula and has a saline-locked
peripheral intravenous catheter
D. An 82-year-old client with Alzheimer's disease and a newly-
fractured femur who has a Foley catheter and soft wrist restraints
applied - Answer-D. An 82-year-old client with Alzheimer's disease
pg. 1
,and a newly-fractured femur who has a Foley catheter and soft wrist
restraints applied
The nurse is preparing a dose of 60 mcg of teriparatide. The
medication is labeled "750 mcg/2.4mL". How many mL should the
nurse administer? Round to nearest tenth. - Answer-0.2 mL
In caring for a client with Cushing's Syndrome, which serum
laboratory value is most important for the nurse to monitor?
A. Creatinine
B. Lactate
C. Glucose
D. Hemoglobin - Answer-C. Glucose
A client who received hemodialysis yesterday is experiencing a blood
pressure of 200/100 mmHg, heart rate 110 beats/minute, and
respiratory rate 36 breaths/minute. The client is manifesting shortness
of breath, bilateral 2+ pedal edema, and an oxygen saturation on room
air of 89%. Which action should the nurse take first?
A. Elevate the foot of the bed
B. Restrict the client's fluids
C. Begin supplemental oxygen
D. Prepare client for hemodialysis - Answer-C. Begin supplemental
oxygen
When caring for a client with full thickness burns to both lower
extremities, which assessment findings warrant immediate
intervention? Select all that apply
A. Sloughing tissue around wound edges
B. Complaint of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
pg. 2
,E. Weeping serosanguineous fluid from wounds - Answer-B.
Complaint of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
An older client is admitted with fluid volume deficit and dehydration.
Which assessment finding is the best indicator of hydration that the
nurse should report to the healthcare provider?
A. Urine specific gravity is 1.040
B. Systolic blood pressure decreases 10 points when standing
C. The client denies being thirsty
D. Skin tenting occurs when the client's forearm is pinched - Answer-
D. Skin tenting occurs when the client's forearm is pinched
The nurse assumes care of a postoperative adult client with type 2
diabetes mellitus and learns that the client has a current blood glucose
level of 720 mg/dL. When assessing the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate - Answer-A. Assess for signs of
fluid volume deficit
A male client tells the nurse that he is concerned that he may have a
stomach ulcer, because he is experiencing heartburn and dull gnawing
pain that is relieved when he eats. Which is the best response by the
nurse?
A. Encourage the client to obtain a complete physical exam, since
these symptoms are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since
ulcer pain is not relieved with food
pg. 3
, C. Instruct the client that these mild symptoms can generally be
controlled with changes in his diet
D. Advise the client that he needs to seek immediate medical
evaluation and treatment of these symptoms - Answer-A. Encourage
the client to obtain a complete physical exam, since these symptoms
are consistent with an ulcer
A male client with stomach cancer returns to the unit following a total
gastrectomy. He has a nasogastric tube to suction and is receiving
Lactated Ringer's solution at 75 mL/hr IV. One hour after admission
to the unit, the nurse notes 300mL of blood in the suction canister, the
client's heart rate is 155 beats/minute, and his blood pressure is 78/48
mmHg. In addition to reporting the findings to the surgeon, which
action should the nurse implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's solution - Answer-
D. Increase the infusion rate of Lactated Ringer's solution
A heparin infusion is prescribed for a client who weighs 220 pounds.
After administering a bolus dose of 80 units/kg, the nurse calculates
the infusion rate for the heparin solution as 18 units/kg/hour. The
available solution is Heparin Sodium 25,000 Units in 5% Dextrose
Injection 250 mL. The nurse should program the infusion pump to
deliver how many mL/hour? - Answer- -1st: calculate the weight =
220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/hr
- 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18 mL/hr
pg. 4
