Questions and Answers, Graded A+
(Comprehensive Exam Preparation Material)
Introduction:
This document contains a complete and detailed compilation of
the most frequently tested questions and answers for the HESI
RN 2025 Exit Exam. It covers high-yield topics across medical-
surgical, maternal-newborn, pediatrics, mental health,
pharmacology, and NGN-style clinical judgment scenarios. The
material includes correct answers, explanations, and
prioritization/NGN examples to support focused and effective
exam preparation. It is designed as a comprehensive study
resource closely aligned with the structure and difficulty of the
actual HESI RN exam.
Exam Questions and Answers:
Four hours after surgery, a client reports nausea and begins to
vomit. The nurse knows that the client has a scopolamine
transdermal patch applied behind the ear. Which action should
the nurse take?
A) Reposition the transdermal patch to the clients trunk.
,B) Remove the transdermal patch until the vomiting subsides.
C) Notify the clients healthcare provider of the vomiting.
D) Explain that this is a side effect of the medication in the
patch. -Answers:-C) Notify the clients healthcare provider of
the vomiting.
This medication is used for nausea and the provider should be
made aware if the medication is not effective.
The adult child of an older adult client who has Parkinson's
disease, calls the clinic and reports that the client has been
confused for the past week. Which action should the nurse
take? SATA.
A) Instruct the adult child to check the clients temperature.
B) Encourage increased intake of high protein foods.
C) Determine if the client has recently experienced a fall.
D) Reviewed the clients current food and medication allergies.
E) Ask if the client is experiencing any pain with urination. -
Answers:-A) Instruct the adult child to check the clients
temperature.
C) Determine if the client has recently experienced a fall.
,E) Ask if the client is experiencing any pain with urination.
The healthcare provider prescribes 30 survive for a four-year-
old child who has a ventricular septal defect. Which outcome
indicates to the nurse that this pharmacological intervention
was effective?
A) Urine specific gravity change from 1.0212 1.031.
B) Urinary output decreases of 5 mL per hour.
C) Daily weight decrease of 2 pounds.
D) Blood urea nitrogen increase from 8 to 12. -Answers:-C)
Daily weight decrease of 2 pounds.
Lasix is a diarrhetic so there would not be a decrease in urine
output, it is used for fluid retention so decreased weight would
be appropriate.
NGN: Nurses Notes, 1800: the client is a female neonate born
at 37 weeks of gestation to a gravida to party one mother, who
was diagnosed with gestational diabetes following a
spontaneous vaginal birth, she received Apgar scores of seven
at one minute and eight at five minutes. The client weighs 8
lbs. 9 oz. and appears pink with acrocyanosis and a moderate
, amount of subcutaneous fat. She is noted to be slightly jittery
at 30....
The nurse recognizes that the infant of a diabetic mother is at
risk for __________________, _________________________,
and ___________________________. -Answers:-
Hyperbilirubinemia , respiratory distress syndrome ,
cardiomyopathy
NGN: (Nurses Notes)1800: The client is a female neonate born
at 37 weeks of gestation to a G 2 P 1 mother, who was
diagnosed with gestational diabetes. Following a spontaneous
vaginal birth, she received Apgar scores of seven at one minute
and eight at five minutes. The client weighs 4036.97g (8lbs
9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery
at 30min of age. Axillary temperature 96F, .....
(For each assessment finding, click to indicate whether the
findings are associated with an infant of a diabetic mother or
normal presentation.)
-Mongolian spot.
-Acrocyanosis.
-Jittery at 30 minutes of age.