HESI RN VERSION-1 EXIT EXAM (ACTUAL 2025/2026)| HESI
RN VERSION-1 EXIT EXAM 160 QUESTIONS WITH 100%
VERIFIED CORRECT ANSWERS. GUARANTEED SUCCESS
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 pressure
(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
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
We have an expert-written solution to this problem!
Which self care measure is most important for the nurse to include in the plan of
care of a client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
,C. Diabetic diet meal planning
D. A realistic exercise plan
B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant.
During the assessment, the nurse observes that both breasts are swollen, warm,
and tender on palpation. Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
A. Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for
discharge to home. Which recommendations should the nurse provide this
client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water
B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
We have an expert-written solution to this problem!
,A toddler presenting with a history of intermittent skin rashes, hives, abdominal
pain, and vomiting that occurs after ingesting of milk products arrives to the
clinic accompanied by the parents. Which type of testing should the nurse
provide education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge
A. Serum immunoglobulin E (IgE)
A client who is scheduled for a bronchoscopy in the morning is anxious and
asking the nurse numerous questions about the procedure. In preparing the
client for the procedure, which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack
C. Instruct client to write down the questions
We have an expert-written solution to this problem!
The nurse assesses a client one hour after starting a transfusion of packed red
blood cells and determines that there are no indications of a transfusion
reaction. What instruction should the nurse provide the unlicensed assistive
personnel (UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client
assessment can be done
B. Continue to measure the client's vital signs every thirty minutes until the
transfusion is complete
, C. Monitor the client carefully for the next three hours and report the onset of a
reaction immediately
D. Since a reaction did not occur, the priority is to maintain client comfort
during the transfusion
B. Continue to measure the client's vital signs every thirty minutes until the
transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with multi-
organ failure caused by a ruptured appendix. Which intervention is most
important for the nurse to include in the plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output
D. Maintain strict intake and output
A client presses the call bell and requests pain medication for a severe
headache. To assess the quality of the client's pain, which approach should the
nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale
A. Ask the client to describe the pain
A client presents to the labor and delivery unit with a report of leaking fluid that
is greenish-brown vaginal discharge. Which action should the nurse take first?
RN VERSION-1 EXIT EXAM 160 QUESTIONS WITH 100%
VERIFIED CORRECT ANSWERS. GUARANTEED SUCCESS
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 pressure
(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
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
We have an expert-written solution to this problem!
Which self care measure is most important for the nurse to include in the plan of
care of a client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
,C. Diabetic diet meal planning
D. A realistic exercise plan
B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant.
During the assessment, the nurse observes that both breasts are swollen, warm,
and tender on palpation. Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
A. Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for
discharge to home. Which recommendations should the nurse provide this
client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water
B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
We have an expert-written solution to this problem!
,A toddler presenting with a history of intermittent skin rashes, hives, abdominal
pain, and vomiting that occurs after ingesting of milk products arrives to the
clinic accompanied by the parents. Which type of testing should the nurse
provide education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge
A. Serum immunoglobulin E (IgE)
A client who is scheduled for a bronchoscopy in the morning is anxious and
asking the nurse numerous questions about the procedure. In preparing the
client for the procedure, which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack
C. Instruct client to write down the questions
We have an expert-written solution to this problem!
The nurse assesses a client one hour after starting a transfusion of packed red
blood cells and determines that there are no indications of a transfusion
reaction. What instruction should the nurse provide the unlicensed assistive
personnel (UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client
assessment can be done
B. Continue to measure the client's vital signs every thirty minutes until the
transfusion is complete
, C. Monitor the client carefully for the next three hours and report the onset of a
reaction immediately
D. Since a reaction did not occur, the priority is to maintain client comfort
during the transfusion
B. Continue to measure the client's vital signs every thirty minutes until the
transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with multi-
organ failure caused by a ruptured appendix. Which intervention is most
important for the nurse to include in the plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output
D. Maintain strict intake and output
A client presses the call bell and requests pain medication for a severe
headache. To assess the quality of the client's pain, which approach should the
nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale
A. Ask the client to describe the pain
A client presents to the labor and delivery unit with a report of leaking fluid that
is greenish-brown vaginal discharge. Which action should the nurse take first?
