HESI EXIT NGN, HESI RN EXIT EXAM FALL 2025
QUESTIONS WITH COMPLETE SOLUTIONS
When assessing a recently delivered, multigravida client, the
nurse finds that her vaginal bleeding is more than expected.
Which factor in this client's history is related to this finding?
A. The second stage of labor lasted 10 minutes
B. She received butorphanol 2mg IVP during labor
C. She is over 35 years of age
D. She is a gravida 6, para 5
D. She is a gravida 6, para 5
When assessing an IV site that is used for fluid replacement and
medication administration, the client complains of tenderness
when the arm is touched above the site. Which additional
assessment finding warrants immediate intervention by the
nurse?
A. Client uses the arm cautiously
B. Red streak tracking the vein
C. A sluggish blood return
D. Spot of dried blood at insertion site
B. Red streaks tracking the vein
,An older adult male reporting abdominal pain is admitted to the
hospital from a long-term care facility. It has been 7 days since
his last bowel movement, his abdomen is distended, and he just
vomited 150mL of dark brown emesis. In what order should the
nurse implement these interventions? (Highest to lowest
priority)
1. Send emesis sample to the lab
2. Elevate the head of the bed
3. Complete focused assessment
4. Offer PRN pain medication
When taking a health history, which information collected by
the nurse correlates most directly to a diagnosis of chronic
peripheral arterial insufficiency?
A. History of intermittent claudication
B. A positive Brodie-Trendelenburg test
C. Ankle ulceration and edema
D. A serum cholesterol level of 250mg/dl (6.47mmol/L)
A. History of intermittent claudication
The nurse is providing discharge teaching to the parents of a 13
month old child who underwent repair for an atrial septal defect.
The healthcare provider prescribes aspirin and an antibiotic for
the first 6 months postoperatively to prevent infective
endocarditis (IE). What information is most important for the
nurse discuss with the parents about the child's recovery and
,prevention of IE?
A. Refer the mother to the healthcare provider to discuss
infective endocarditis
B. Brush the child's teeth every day and ensure the child
receives regular dental followup
C. Give the child acetaminophen for pain or fever and visit the
surgeon for follow-up
D. Monitor the child for regular bowel movements and urine
output that exceeds intake
B. Brush the child's teeth every day and ensure the child
receives regular dental followup
An unlicensed assistive personnel (UAP) is assigned to ambulate
a client with influenza who has droplet precautions
implemented. The UAP requests a change in assignment, stating
the reason of having not been fitted yet for a N95 respirator
mask. Which action should the nurse take?
A. send the UAP to be fitted for a particulate filter mask
immediately so she can provide care to this client.
B. Instruct the UAP that a standard face mask is sufficient for
the provision of care for the assigned client
C. Before changing assignments, determine which staff
members have fitted particulate filter masks
D. Advise the UAP to wear a standard face mask to take vital
signs, and then get fitted for a filter mask before providing
personal care
B. Instruct the UAP that a standard face mask is sufficient for
the provision of care for the assigned client
, The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that
the program was effective?
A. Only 30% of clients did not attend self-management
education sessions.
B. More than 50% of at-risk clients were diagnosed early in their
disease process
C. Clients who developed disease complications promptly
received rehabilitation
D. Average client scores improved on specific risk factor
knowledge tests
C. Clients who developed disease complications promptly
received rehabilitation
Then nurse identifies several nursing problems for client who is
immobile and who has been experiencing fecal incontinence and
diarrhea for several days. The client's spouse is the primary
caregiver. In planning care, which problem has the highest
priority?
A. Impaired bed mobility
B. Caregiver role strain
C. Fluid volume deficit
D. Bowel incontinence
D. Bowel incontinence
The nurse is feeding an older adult who was admitted with
aspiration pneumonia. The client is weak and begins coughing
while attempting to drink through a straw. Which intervention
should the nurse implement?
QUESTIONS WITH COMPLETE SOLUTIONS
When assessing a recently delivered, multigravida client, the
nurse finds that her vaginal bleeding is more than expected.
Which factor in this client's history is related to this finding?
A. The second stage of labor lasted 10 minutes
B. She received butorphanol 2mg IVP during labor
C. She is over 35 years of age
D. She is a gravida 6, para 5
D. She is a gravida 6, para 5
When assessing an IV site that is used for fluid replacement and
medication administration, the client complains of tenderness
when the arm is touched above the site. Which additional
assessment finding warrants immediate intervention by the
nurse?
A. Client uses the arm cautiously
B. Red streak tracking the vein
C. A sluggish blood return
D. Spot of dried blood at insertion site
B. Red streaks tracking the vein
,An older adult male reporting abdominal pain is admitted to the
hospital from a long-term care facility. It has been 7 days since
his last bowel movement, his abdomen is distended, and he just
vomited 150mL of dark brown emesis. In what order should the
nurse implement these interventions? (Highest to lowest
priority)
1. Send emesis sample to the lab
2. Elevate the head of the bed
3. Complete focused assessment
4. Offer PRN pain medication
When taking a health history, which information collected by
the nurse correlates most directly to a diagnosis of chronic
peripheral arterial insufficiency?
A. History of intermittent claudication
B. A positive Brodie-Trendelenburg test
C. Ankle ulceration and edema
D. A serum cholesterol level of 250mg/dl (6.47mmol/L)
A. History of intermittent claudication
The nurse is providing discharge teaching to the parents of a 13
month old child who underwent repair for an atrial septal defect.
The healthcare provider prescribes aspirin and an antibiotic for
the first 6 months postoperatively to prevent infective
endocarditis (IE). What information is most important for the
nurse discuss with the parents about the child's recovery and
,prevention of IE?
A. Refer the mother to the healthcare provider to discuss
infective endocarditis
B. Brush the child's teeth every day and ensure the child
receives regular dental followup
C. Give the child acetaminophen for pain or fever and visit the
surgeon for follow-up
D. Monitor the child for regular bowel movements and urine
output that exceeds intake
B. Brush the child's teeth every day and ensure the child
receives regular dental followup
An unlicensed assistive personnel (UAP) is assigned to ambulate
a client with influenza who has droplet precautions
implemented. The UAP requests a change in assignment, stating
the reason of having not been fitted yet for a N95 respirator
mask. Which action should the nurse take?
A. send the UAP to be fitted for a particulate filter mask
immediately so she can provide care to this client.
B. Instruct the UAP that a standard face mask is sufficient for
the provision of care for the assigned client
C. Before changing assignments, determine which staff
members have fitted particulate filter masks
D. Advise the UAP to wear a standard face mask to take vital
signs, and then get fitted for a filter mask before providing
personal care
B. Instruct the UAP that a standard face mask is sufficient for
the provision of care for the assigned client
, The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that
the program was effective?
A. Only 30% of clients did not attend self-management
education sessions.
B. More than 50% of at-risk clients were diagnosed early in their
disease process
C. Clients who developed disease complications promptly
received rehabilitation
D. Average client scores improved on specific risk factor
knowledge tests
C. Clients who developed disease complications promptly
received rehabilitation
Then nurse identifies several nursing problems for client who is
immobile and who has been experiencing fecal incontinence and
diarrhea for several days. The client's spouse is the primary
caregiver. In planning care, which problem has the highest
priority?
A. Impaired bed mobility
B. Caregiver role strain
C. Fluid volume deficit
D. Bowel incontinence
D. Bowel incontinence
The nurse is feeding an older adult who was admitted with
aspiration pneumonia. The client is weak and begins coughing
while attempting to drink through a straw. Which intervention
should the nurse implement?
