RN HESI EXIT EXAM VERSIONS V1-V10(2025-2026) UPDATE EXAM QUES-
TIONS WITH MULTIPLE CHOICES VERIFIED & REVISED ANSWERS (NEW)!!
1. 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 pres-
sure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope: B. Sluggish and unequal pupillary responses
2. 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 right scapula
D. Drinks alcohol until intoxicated at least twice weekly.: A. Abdominal pain decreases
when lying supine
3. 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 the parents prior to 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
4. 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
5. After receiving 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
, RN HESI EXIT EXAM VERSIONS V1-V10(2025-2026) UPDATE EXAM QUES-
TIONS WITH MULTIPLE CHOICES VERIFIED & REVISED ANSWERS (NEW)!!
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
6. 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
7. 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
8. The nurse is taking the blood pressure measurement of a client with Parkin-
son's disease. Which information in the client's admission assessment is rele-
vant to the nurse's plan for taking the blood pressure reading? (Select all the
apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling: A. Frequent syncope
, RN HESI EXIT EXAM VERSIONS V1-V10(2025-2026) UPDATE EXAM QUES-
TIONS WITH MULTIPLE CHOICES VERIFIED & REVISED ANSWERS (NEW)!!
C. Flat attect
D. Blurred vision
9. While caring for a client's postoperative dressing, the nurse observes puru-
lent 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
10. 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
11. 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 of 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
, RN HESI EXIT EXAM VERSIONS V1-V10(2025-2026) UPDATE EXAM QUES-
TIONS WITH MULTIPLE CHOICES VERIFIED & REVISED ANSWERS (NEW)!!
12. An older client with a long history of coronary artery disease (CAD), hyper-
tension (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 expected in the
client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload: B. Reduced preload
13. 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
14. 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 ear infection for the past two days
D. Skipped eating lunch: C. Had a cold and ear infection for the past two days
15. 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
TIONS WITH MULTIPLE CHOICES VERIFIED & REVISED ANSWERS (NEW)!!
1. 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 pres-
sure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope: B. Sluggish and unequal pupillary responses
2. 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 right scapula
D. Drinks alcohol until intoxicated at least twice weekly.: A. Abdominal pain decreases
when lying supine
3. 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 the parents prior to 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
4. 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
5. After receiving 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
, RN HESI EXIT EXAM VERSIONS V1-V10(2025-2026) UPDATE EXAM QUES-
TIONS WITH MULTIPLE CHOICES VERIFIED & REVISED ANSWERS (NEW)!!
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
6. 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
7. 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
8. The nurse is taking the blood pressure measurement of a client with Parkin-
son's disease. Which information in the client's admission assessment is rele-
vant to the nurse's plan for taking the blood pressure reading? (Select all the
apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling: A. Frequent syncope
, RN HESI EXIT EXAM VERSIONS V1-V10(2025-2026) UPDATE EXAM QUES-
TIONS WITH MULTIPLE CHOICES VERIFIED & REVISED ANSWERS (NEW)!!
C. Flat attect
D. Blurred vision
9. While caring for a client's postoperative dressing, the nurse observes puru-
lent 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
10. 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
11. 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 of 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
, RN HESI EXIT EXAM VERSIONS V1-V10(2025-2026) UPDATE EXAM QUES-
TIONS WITH MULTIPLE CHOICES VERIFIED & REVISED ANSWERS (NEW)!!
12. An older client with a long history of coronary artery disease (CAD), hyper-
tension (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 expected in the
client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload: B. Reduced preload
13. 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
14. 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 ear infection for the past two days
D. Skipped eating lunch: C. Had a cold and ear infection for the past two days
15. 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
