HESI RN 2025 EXIT EXAM QUESTIONS AND
ANSWERS GRADED A+ GUARANTEED PASS
The nurse has completed the diet teaching of a client who is being discharged
following treatment of a leg wound. A high-protein diet is encouraged to promote
wound healing. Which lunch toys by the client indicates that the teaching was
effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit.
C) A tuna fish sandwich with chips and ice cream.
A client with foul-smelling drainage from an incision on the upper left arm is
admitted with a suspected MRSA. Which nursing intervention should the nurse
include in the plan of care? SATA.
A) Institute contact precautions for staff and visitors.
B) Use standard precautions and wear a mask.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
E) Explain the purpose of a low bacteria diet.
A) Institute contact precautions for staff and visitors.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
,An adult client who is admitted to the mental health unit for treatment of bipolar
disorder has a slightly slurred speech pattern and an unsteady gait. Which
assessment finding is most important for the nurse to report to the healthcare
provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%.
D) Serum lithium level of 1.6.
D) Serum lithium level of 1.6.
When conducting diet teaching for a client who is on a post operative full liquid
diet, which foods should the nurse encouraged the client to eat? SATA.
A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
D) Creamy peanut butter.
E) Canned fruit cocktail.
A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
,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?
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.
D) Reposition the infant every two hours.
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.
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.
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.
A) Maintain strict intake and output.
ANSWERS GRADED A+ GUARANTEED PASS
The nurse has completed the diet teaching of a client who is being discharged
following treatment of a leg wound. A high-protein diet is encouraged to promote
wound healing. Which lunch toys by the client indicates that the teaching was
effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit.
C) A tuna fish sandwich with chips and ice cream.
A client with foul-smelling drainage from an incision on the upper left arm is
admitted with a suspected MRSA. Which nursing intervention should the nurse
include in the plan of care? SATA.
A) Institute contact precautions for staff and visitors.
B) Use standard precautions and wear a mask.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
E) Explain the purpose of a low bacteria diet.
A) Institute contact precautions for staff and visitors.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
,An adult client who is admitted to the mental health unit for treatment of bipolar
disorder has a slightly slurred speech pattern and an unsteady gait. Which
assessment finding is most important for the nurse to report to the healthcare
provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%.
D) Serum lithium level of 1.6.
D) Serum lithium level of 1.6.
When conducting diet teaching for a client who is on a post operative full liquid
diet, which foods should the nurse encouraged the client to eat? SATA.
A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
D) Creamy peanut butter.
E) Canned fruit cocktail.
A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
,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?
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.
D) Reposition the infant every two hours.
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.
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.
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.
A) Maintain strict intake and output.
