HESI EXIT REAL EXAMS YEAR AFTER YEAR 2025
Frequently Asked QUESTIONS WITH COMPLETE
SOLUTIONS
16 weeks gestation Correct Answers report urinary urgency to
the provider
20 weeks gestation Correct Answers the baby will be moving
6 week infant Correct Answers should demonstrate a startle
reflex by a loud noise (Moro reflex)
A charge nurse in a long term care facility notices an assistive
personnel's repeated failure to provide oral care for clients.
Which of the following actions should the nurse take? Correct
Answers Discuss the unacceptable behavior with the AP while
reinforcing expectations
A charge nurse in a long-term care facility is developing a
performance improvement plan for an assistive personnel (AP).
Which of the following actions should the nurse take when
developing the plans? (Select all that apply.)
A. Set a specific time frame for meeting performance goals
B. Ask the nurse supervisor to review the plan
C. Base performance goals on peer comments
D. Request clients complete an evaluation about the AP's quality
of care
E. Include the performance standard that the AP should meet
Correct Answers A. Set a specific time frame for meeting
performance goals
,B. Ask the nurse supervisor to review the plan
E. Include the performance standard that the AP should meet
A charge nurse in a long-term care facility is discussing ethical
theories with a group of newly licensed nurses. Which of the
following should the charge nurse identify as an indication that a
newly licensed nurse understands utilitarianism?
A. "I will respect the decision of a client who has a chronic
illness to stop treatment."
B. "I will place a higher emphasis on human dignity than on the
needs of a group."
C. "I will withhold a terminal diagnosis from a client who has
cancer."
D. "I will consider what is going to benefit the most people
when making decisions." Correct Answers D. "I will consider
what is going to benefit the most people when making
decisions."
Utilitarianism focuses on what will benefit the majority of a
group
A charge nurse in a long-term care facility is preparing to
administer noon insulin to a client. The nurse observed that the
assistive personnel has not documented the client's blood
glucose level. Which of the following actions should the charge
nurse take first? Correct Answers Determine if the AP has
completed the assignment
A charge nurse in a long-term care facility is reinforcing
teaching with a group of nurses about fall precautions. Which of
,the following statements made by the nurse indicates an
understanding of the teaching?
A. "I will instruct the client to sit when putting on a pair of
pants."
B. "I will instruct the client to sit in a low-rise chair."
C. "I will instruct the client to wear socks when ambulating to
the bathroom at night."
D. "I will instruct the client to bend at the waist when picking up
an object." Correct Answers A. "I will instruct the client to sit
when putting on a pair of pants."
A charge nurse in a long-term care facility observes an assistive
personnel (AP) who appears to be under the influence of
alcohol. Which of the following actions should the nurse take
first? Correct Answers Confront the AP about the suspected
impairment
A charge nurse is discussing confidentiality requirements with a
newly licensed nurse when sharing a client's medical
information. Which of the following individuals should the
charge nurse identify as appropriate with whom to share client
information?
A. A nurse from another unit after a client commits suicide
B. A social worker is assigned to an involuntary committed
school-age client
C. A client's partner after the client reports intimate partner
abuse
, D. A client's employer who is concerned about safety due to
substance use Correct Answers B. A social worker is assigned
to an involuntary committed school-age client
A charge nurse is observing a newly licensed nurse apply sterile
gloves. Which of the following actions by the newly licensed
nurse demonstrates sterile technique? Correct Answers Putting
a glove on their dominant hand first
A charge nurse is observing a newly licensed nurse perform
suctioning for a client who has a tracheostomy. For which of the
following actions by the newly licensed nurse should the charge
nurse intervene?
A. Preoxygenates with 100% oxygen
B. Suctions for 30 seconds
C. Auscultates breath sounds
D. Applies suction during catheter removal Correct Answers B.
Suctions for 30 seconds
A charge nurse is reinforcing teaching with a newly licensed
nurse about floating to a different unit. Which of the following
statements by the newly licensed nurse indicates an
understanding of the teaching?
A. "I will delegate any tasks I do not have the skill to perform to
an assistive personnel."
B. "I will be protected from liability if I am appointed with a
resource nurse when I float."
C. "I will document in the medical record the support nurse who
assists with planning care for my clients."
Frequently Asked QUESTIONS WITH COMPLETE
SOLUTIONS
16 weeks gestation Correct Answers report urinary urgency to
the provider
20 weeks gestation Correct Answers the baby will be moving
6 week infant Correct Answers should demonstrate a startle
reflex by a loud noise (Moro reflex)
A charge nurse in a long term care facility notices an assistive
personnel's repeated failure to provide oral care for clients.
Which of the following actions should the nurse take? Correct
Answers Discuss the unacceptable behavior with the AP while
reinforcing expectations
A charge nurse in a long-term care facility is developing a
performance improvement plan for an assistive personnel (AP).
Which of the following actions should the nurse take when
developing the plans? (Select all that apply.)
A. Set a specific time frame for meeting performance goals
B. Ask the nurse supervisor to review the plan
C. Base performance goals on peer comments
D. Request clients complete an evaluation about the AP's quality
of care
E. Include the performance standard that the AP should meet
Correct Answers A. Set a specific time frame for meeting
performance goals
,B. Ask the nurse supervisor to review the plan
E. Include the performance standard that the AP should meet
A charge nurse in a long-term care facility is discussing ethical
theories with a group of newly licensed nurses. Which of the
following should the charge nurse identify as an indication that a
newly licensed nurse understands utilitarianism?
A. "I will respect the decision of a client who has a chronic
illness to stop treatment."
B. "I will place a higher emphasis on human dignity than on the
needs of a group."
C. "I will withhold a terminal diagnosis from a client who has
cancer."
D. "I will consider what is going to benefit the most people
when making decisions." Correct Answers D. "I will consider
what is going to benefit the most people when making
decisions."
Utilitarianism focuses on what will benefit the majority of a
group
A charge nurse in a long-term care facility is preparing to
administer noon insulin to a client. The nurse observed that the
assistive personnel has not documented the client's blood
glucose level. Which of the following actions should the charge
nurse take first? Correct Answers Determine if the AP has
completed the assignment
A charge nurse in a long-term care facility is reinforcing
teaching with a group of nurses about fall precautions. Which of
,the following statements made by the nurse indicates an
understanding of the teaching?
A. "I will instruct the client to sit when putting on a pair of
pants."
B. "I will instruct the client to sit in a low-rise chair."
C. "I will instruct the client to wear socks when ambulating to
the bathroom at night."
D. "I will instruct the client to bend at the waist when picking up
an object." Correct Answers A. "I will instruct the client to sit
when putting on a pair of pants."
A charge nurse in a long-term care facility observes an assistive
personnel (AP) who appears to be under the influence of
alcohol. Which of the following actions should the nurse take
first? Correct Answers Confront the AP about the suspected
impairment
A charge nurse is discussing confidentiality requirements with a
newly licensed nurse when sharing a client's medical
information. Which of the following individuals should the
charge nurse identify as appropriate with whom to share client
information?
A. A nurse from another unit after a client commits suicide
B. A social worker is assigned to an involuntary committed
school-age client
C. A client's partner after the client reports intimate partner
abuse
, D. A client's employer who is concerned about safety due to
substance use Correct Answers B. A social worker is assigned
to an involuntary committed school-age client
A charge nurse is observing a newly licensed nurse apply sterile
gloves. Which of the following actions by the newly licensed
nurse demonstrates sterile technique? Correct Answers Putting
a glove on their dominant hand first
A charge nurse is observing a newly licensed nurse perform
suctioning for a client who has a tracheostomy. For which of the
following actions by the newly licensed nurse should the charge
nurse intervene?
A. Preoxygenates with 100% oxygen
B. Suctions for 30 seconds
C. Auscultates breath sounds
D. Applies suction during catheter removal Correct Answers B.
Suctions for 30 seconds
A charge nurse is reinforcing teaching with a newly licensed
nurse about floating to a different unit. Which of the following
statements by the newly licensed nurse indicates an
understanding of the teaching?
A. "I will delegate any tasks I do not have the skill to perform to
an assistive personnel."
B. "I will be protected from liability if I am appointed with a
resource nurse when I float."
C. "I will document in the medical record the support nurse who
assists with planning care for my clients."
