HESI RN EXIT EXAMS 2025| VERSION 1 – 6
ACCURATE AND VERIFIED| 500+ REAL EXAM
QUESTIONS AND ANSWERS WITH RATIONALES |
2025 LATEST UPDATE
A 60-YO female patient with a positive family history of ovarian cancer has developed an
abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear
results are negative. What information should the nursing practitioner include in the patient's
teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
Further evaluation involving surgery may be needed
ELABORATION: An abdominal mass in a patient with a family history for ovarian cancer
should be evaluated carefully
A patient who recently underwent a tracheostomy is being prepared for discharge to home.
Which instructions is most important for the nursing practitioner to include in the discharge
plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
Teach tracheal suctioning techniques
ELABORATION: Suctioning helps to clear secretions and maintain an open airway, which is
critical.
,In assessing an adult patient with a partial rebreather mask, the nursing practitioner notes that
the oxygen reservoir bag does not deflate completely during inspiration and the patient's
respiratory rate is 14 breaths / minute. What action should the nursing practitioner implement
a. Encourage the patient to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and the patient's
respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which
patient alarm should the nursing practitioner investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
Respiratory apnea of 30 seconds
ELABORATION: The priority is the patient whose alarm indicating respiratory apnea that
should be assessed first.
During a home visit, the nursing practitioner observed an elderly patient with diabetes slip and fall.
What action should the nursing practitioner take first?
a. Give the patient 4 ounces of orange juice
b. Call 911 to summon emergency assistance
,c. Check the patient for lacerations or fractures
d. Asses patients blood sugar level
Check the patient for lacerations or fractures
ELABORATION: After the patient falls, the nursing practitioner should immediately assess for
the possibility of injuries and provide first aid as needed
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the patient
tells the nursing practitioner that she drank a cup a coffee at 0400 because she wanted to
avoid getting a headache. Which action should the nursing practitioner take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the patient's obstetrician.
Inform the anesthesia care provider
ELABORATION: Surgical preoperative instruction includes NPO after midnight the day of
surgery to decrease the risk of aspiration should vomiting occur during anesthesia. While it
is possible the C-section will be done on schedule or rescheduled for later in the day, the
anesthesia provider should be notified first.
After placing a stethoscope as seen in the picture, the nursing practitioner auscultates S1 and S2
heart sounds.
To determine if an S3 heart sound is present, what action should the nursing practitioner take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
Listen with the bell at the same location
, ELABORATION: The nursing practitioner uses the bell of the stethoscope to hear low-pitched
sounds such as S3 and S4. The nursing practitioner listens at the same site using the
diaphragm the diaphragm and bell before moving systematically to the next sites.
A 66-YO woman is retiring and will no longer have a health insurance through her place of
employment. Which agency should the patient be referred to by the employee health nursing
practitioner for health insurance needs?
a. Woman, Infant, and Children program
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision.
Medicare
ELABORATION: Title XVII of the social security Act of 1965 created Medicare Program to
provide medical insurance for person more than 65 years or older, disable or with permeant
kidney failure, WIC provides supplemental nutrition to meet the needs of pregnant of
breastfeeding woman, infants and children up to age of 6. Medicaid provides financial
assistance to pay for medical services for poor older adults, blind, disable and families with
dependent children.
COBRA(D) health benefit provisions is a limited insurance plan for those who has been laid off
or become unemployed.
A patient who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What
snack should the nursing practitioner instruct the patient to take with the tetracycline?
a. Fruit-flavored yogurt.
b. Cheese and crackers.
c. Cold cereal with skim milk.
d. Toasted wheat bread and jelly
Toasted wheat bread and jelly
ACCURATE AND VERIFIED| 500+ REAL EXAM
QUESTIONS AND ANSWERS WITH RATIONALES |
2025 LATEST UPDATE
A 60-YO female patient with a positive family history of ovarian cancer has developed an
abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear
results are negative. What information should the nursing practitioner include in the patient's
teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
Further evaluation involving surgery may be needed
ELABORATION: An abdominal mass in a patient with a family history for ovarian cancer
should be evaluated carefully
A patient who recently underwent a tracheostomy is being prepared for discharge to home.
Which instructions is most important for the nursing practitioner to include in the discharge
plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
Teach tracheal suctioning techniques
ELABORATION: Suctioning helps to clear secretions and maintain an open airway, which is
critical.
,In assessing an adult patient with a partial rebreather mask, the nursing practitioner notes that
the oxygen reservoir bag does not deflate completely during inspiration and the patient's
respiratory rate is 14 breaths / minute. What action should the nursing practitioner implement
a. Encourage the patient to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and the patient's
respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which
patient alarm should the nursing practitioner investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
Respiratory apnea of 30 seconds
ELABORATION: The priority is the patient whose alarm indicating respiratory apnea that
should be assessed first.
During a home visit, the nursing practitioner observed an elderly patient with diabetes slip and fall.
What action should the nursing practitioner take first?
a. Give the patient 4 ounces of orange juice
b. Call 911 to summon emergency assistance
,c. Check the patient for lacerations or fractures
d. Asses patients blood sugar level
Check the patient for lacerations or fractures
ELABORATION: After the patient falls, the nursing practitioner should immediately assess for
the possibility of injuries and provide first aid as needed
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the patient
tells the nursing practitioner that she drank a cup a coffee at 0400 because she wanted to
avoid getting a headache. Which action should the nursing practitioner take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the patient's obstetrician.
Inform the anesthesia care provider
ELABORATION: Surgical preoperative instruction includes NPO after midnight the day of
surgery to decrease the risk of aspiration should vomiting occur during anesthesia. While it
is possible the C-section will be done on schedule or rescheduled for later in the day, the
anesthesia provider should be notified first.
After placing a stethoscope as seen in the picture, the nursing practitioner auscultates S1 and S2
heart sounds.
To determine if an S3 heart sound is present, what action should the nursing practitioner take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
Listen with the bell at the same location
, ELABORATION: The nursing practitioner uses the bell of the stethoscope to hear low-pitched
sounds such as S3 and S4. The nursing practitioner listens at the same site using the
diaphragm the diaphragm and bell before moving systematically to the next sites.
A 66-YO woman is retiring and will no longer have a health insurance through her place of
employment. Which agency should the patient be referred to by the employee health nursing
practitioner for health insurance needs?
a. Woman, Infant, and Children program
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision.
Medicare
ELABORATION: Title XVII of the social security Act of 1965 created Medicare Program to
provide medical insurance for person more than 65 years or older, disable or with permeant
kidney failure, WIC provides supplemental nutrition to meet the needs of pregnant of
breastfeeding woman, infants and children up to age of 6. Medicaid provides financial
assistance to pay for medical services for poor older adults, blind, disable and families with
dependent children.
COBRA(D) health benefit provisions is a limited insurance plan for those who has been laid off
or become unemployed.
A patient who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What
snack should the nursing practitioner instruct the patient to take with the tetracycline?
a. Fruit-flavored yogurt.
b. Cheese and crackers.
c. Cold cereal with skim milk.
d. Toasted wheat bread and jelly
Toasted wheat bread and jelly
