HESI RN 2025 EXIT EXAM QUESTIONS AND ANSWERS GRADED A+
ASSURED SUCCESS NEW UPDATE 2026-2027
An infant born with esophageal atresia and tracheoesophageal fistula receives a
prescription for internal feedings after corrective surgery. To promote normal
growth and development of the infant, which action should the nurse include in the
plan of care? - ANS... -Offer a pacifier for non-Nutritive sucking
The nurse is preparing a four year-old client with a serum bilirubin level of 19 for
discharge from the hospital. When teaching the parents about home photo therapy,
which instruction should the nurse include in the discharge teaching plan?
A) Cover with a receiving blanket.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours. - ANS... -D) Reposition the infant every
two hours.
The nurse initiate the procedure to remove a clients peripherally inserted central
catheter when a code blue is called for another client in the unit who collapse in the
hallway while ambulating with the unlicensed assistive personnel. Which action
should the nurse take?
A) Close the room door.
B) Finish the procedure.
C) Respond to the code.
D) Call for an assistant. - ANS... -B) Finish the procedure.
Which nursing intervention is most important for the nurse to include in the plan of
care for a client with alcohol withdrawal delirium?
A) Maintain a quiet, non-stimulating environment.
B) Confront the clients denial of substance abuse.
C) Force oral fluids and provide frequent small meals.
D) Encourage attendance and group participation. - ANS... -A) Maintain a quiet,
non-stimulating environment.
,A client arrives at the emergency department describing chest pain that began three
hours earlier which has not subsided. To assess the quality of the clients chest pain.
Which approach for the nurse use?
A) Provide a numeric pain scale.
B) Ask the client to describe the pain.
C) Identify effective pain relief measures.
D) Observe body language and movement. - ANS... -B) Ask the client to describe
the pain.
An adolescent who was diagnosed with type one diabetes Molite us at the age of
nine, is admitted to the hospital in diabetic keto acidosis. Which occurrence is the
most likely cause of the keto acidosis?
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 while at school. - ANS... -C) Had a cold and ear infection
for the past two days.
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage taken
is different from the dose the nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or
not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting. - ANS... -B) Withhold the medication until the dosage
can be confirmed.
The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients. Which
client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
,D) Myxedema, whose blood pressure change from 80/50 to 70/40. - ANS... -B)
Viral meningitis whose temperature change from 101 S to 102F.
The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan
of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - ANS... -A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide note
to a teacher at school. On the second day of hospitalization, the nurse asked the
client to meet with the treatment team. After the team meeting, the client leaves in
tears and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - ANS... -D) Go to the clients
room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous
once a day for a client who weighs 154 pounds. The medication is available and
25,000 units per milliliter vial. How many milliliters should the nurse administer?
(Enter numerical value only. If rounding is required, round to the nearest 10th.) -
ANS... -0.6
NGN: The client is a 49-year-old male who reports flu like symptoms including
fever and chest congestion for four days. He came to the emergency department
last night when he was having more difficulty breathing he has a history of 1/2
pack a day cigarette smoking for 20 years. He has no significant medical or
surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
, D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. - ANS... -B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture,
start a peripheral IV infusion, start oxygen 3 L per minute via nasal cannula, begin
0.9% sodium chloride IV infusion at 150 mL per hour, acetaminophen 350 mg PO
every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse collects from
the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. - ANS... -D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has decreased
breath sounds in the left lower low. His mucus membranes are dry. He has a
productive cough with thick, yellow secretions. His capillary refill is four seconds.
Vital signs, temperature 100.2. Heart rate 101 bpm, respiratory rate 28 breaths per
minute, blood pressure 145/89, oxygen saturation 90% on room air.
(for each body system click to specify the assessment findings that indicates
hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure
145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm,
productive cough. - ANS... -Cardiovascular: capillary refill for seconds, blood
pressure 145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
ASSURED SUCCESS NEW UPDATE 2026-2027
An infant born with esophageal atresia and tracheoesophageal fistula receives a
prescription for internal feedings after corrective surgery. To promote normal
growth and development of the infant, which action should the nurse include in the
plan of care? - ANS... -Offer a pacifier for non-Nutritive sucking
The nurse is preparing a four year-old client with a serum bilirubin level of 19 for
discharge from the hospital. When teaching the parents about home photo therapy,
which instruction should the nurse include in the discharge teaching plan?
A) Cover with a receiving blanket.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours. - ANS... -D) Reposition the infant every
two hours.
The nurse initiate the procedure to remove a clients peripherally inserted central
catheter when a code blue is called for another client in the unit who collapse in the
hallway while ambulating with the unlicensed assistive personnel. Which action
should the nurse take?
A) Close the room door.
B) Finish the procedure.
C) Respond to the code.
D) Call for an assistant. - ANS... -B) Finish the procedure.
Which nursing intervention is most important for the nurse to include in the plan of
care for a client with alcohol withdrawal delirium?
A) Maintain a quiet, non-stimulating environment.
B) Confront the clients denial of substance abuse.
C) Force oral fluids and provide frequent small meals.
D) Encourage attendance and group participation. - ANS... -A) Maintain a quiet,
non-stimulating environment.
,A client arrives at the emergency department describing chest pain that began three
hours earlier which has not subsided. To assess the quality of the clients chest pain.
Which approach for the nurse use?
A) Provide a numeric pain scale.
B) Ask the client to describe the pain.
C) Identify effective pain relief measures.
D) Observe body language and movement. - ANS... -B) Ask the client to describe
the pain.
An adolescent who was diagnosed with type one diabetes Molite us at the age of
nine, is admitted to the hospital in diabetic keto acidosis. Which occurrence is the
most likely cause of the keto acidosis?
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 while at school. - ANS... -C) Had a cold and ear infection
for the past two days.
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage taken
is different from the dose the nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or
not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting. - ANS... -B) Withhold the medication until the dosage
can be confirmed.
The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients. Which
client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
,D) Myxedema, whose blood pressure change from 80/50 to 70/40. - ANS... -B)
Viral meningitis whose temperature change from 101 S to 102F.
The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan
of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - ANS... -A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide note
to a teacher at school. On the second day of hospitalization, the nurse asked the
client to meet with the treatment team. After the team meeting, the client leaves in
tears and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - ANS... -D) Go to the clients
room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous
once a day for a client who weighs 154 pounds. The medication is available and
25,000 units per milliliter vial. How many milliliters should the nurse administer?
(Enter numerical value only. If rounding is required, round to the nearest 10th.) -
ANS... -0.6
NGN: The client is a 49-year-old male who reports flu like symptoms including
fever and chest congestion for four days. He came to the emergency department
last night when he was having more difficulty breathing he has a history of 1/2
pack a day cigarette smoking for 20 years. He has no significant medical or
surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
, D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. - ANS... -B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture,
start a peripheral IV infusion, start oxygen 3 L per minute via nasal cannula, begin
0.9% sodium chloride IV infusion at 150 mL per hour, acetaminophen 350 mg PO
every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse collects from
the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. - ANS... -D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has decreased
breath sounds in the left lower low. His mucus membranes are dry. He has a
productive cough with thick, yellow secretions. His capillary refill is four seconds.
Vital signs, temperature 100.2. Heart rate 101 bpm, respiratory rate 28 breaths per
minute, blood pressure 145/89, oxygen saturation 90% on room air.
(for each body system click to specify the assessment findings that indicates
hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure
145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm,
productive cough. - ANS... -Cardiovascular: capillary refill for seconds, blood
pressure 145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
