HESI RN EXIT EXAM 2025 QUESTIONS AND VERIFIED
ANSWERS WITH COMPLETE SOLUTIONS
A 2 year-old child has just been diagnosed with cystic fibrosis.
The child's father asks the nurse "What is our major concern
now, and what will we have to deal with in the future?" Which
of the following is the best response?
A) "There is a probability of life-long complications."
B) "Cystic fibrosis results in nutritional concerns that can be
dealt with."
C) "Thin, tenacious secretions from the lungs are a constant
struggle in cystic fibrosis."
D) "You will work with a team of experts and also have access
to a support group that the family can attend." Correct Answers
C) "Thin, tenacious secretions from the lungs are a constant
struggle in cystic fibrosis."
A 20 year-old client has an infected leg wound from a
motorcycle accident, and the client has returned home from the
hospital. The client is to keep the affected leg elevated and is on
contact precautions. The client wants to know if visitors can
come. The appropriate response from the home health nurse is
that:
A) Visitors must wear a mask and a gown
B) There are no special requirements for visitors of clients on
contact precautions
C) Visitors should wash their hands before and after touching
the client
D) Visitors Correct Answers C) Visitors should wash their
hands before and after touching the client
,A 26-year-old female client is admitted to the hospital for
treatment of a simple goiter, and levothyroxine sodium
(Synthroid) is prescribed. Which symptoms indicate to the nurse
that the prescribed dosage is too high for this client? The client
experiences:
A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath Correct Answers D.
Palpitations and shortness of breath
A 30 month-old child is admitted to the hospital unit. Which of
the following toys would be appropriate for the nurse to select
from the toy room for this child?
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball Correct Answers B) Large wooden puzzle
A 35 year-old client with sickle cell crisis is talking on the
telephone but stops as the nurse enters the room to request
something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control Correct
Answers C) Administer the prescribed analgesia
A 38 year-old female client is admitted to the hospital with an
acute exacerbation of asthma. This is her third admission for
asthma in 7 months. She describes how she doesn't really like
,having to use her medications all the time. Which explanation
by the nurse best describes the long-term consequence of
uncontrolled airway inflammation?
A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
D) Frequent pneumonia Correct Answers C) Lung remodeling
and permanent changes in lung function
A 60 year-old male client had a hernia repair in an outpatient
surgery clinic. He is awake and alert, but has not been able to
void since he returned from surgery 6 hours ago.He received
1000 mL of IV fluid. Which action would be most likely to help
him void?
A) Have him drink several glasses of water
B) Crede' the bladder from the bottom to the top
C) Assist him to stand by the side of the bed to void
D) Wait 2 hours and have him try to void again Correct
Answers C) Assist him to stand by the side of the bed to void
A 65-year-old Hispanic-Latino client with prostate cancer rates
his pain as a 6 on a 0- to-10 scale. The client refuses all pain
medication other than Motrin, which does not relieve his pain.
The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes Correct Answers A)
Ask the client about the refusal of certain pain medications
, A child is admitted to the pediatric unit with a diagnosis of
suspected meningococcal meningitis. Which admission orders
should the nurse do first?
A) Institute seizure precautions
B) Monitor neurologic status every hour
C) Place in respiratory/secretion precautions
D) Cefotaxime IV 50 mg/kg/day divided q6h Correct Answers
C) Place in respiratory/secretion precautions
A client asks the nurse to call the police and states: "I need to
report that I am being abused by a nurse." The nurse should first
A) Focus on reality orientation to place and person
B) Assist with the report of the client's complaint to the police
C) Obtain more details of the client's claim of abuse
D) Document the statement on the client's chart with a report to
the manager Correct Answers C) Obtain more details of the
client's claim of abuse
A client develops volume overload from an IV that has infused
too rapidly. What assessment would the nurse expect to find?
A) S3 heart sound
B) Thready pulse
C) Flattened neck veins
D) Hypoventilation Correct Answers A) S3 heart sound
A client frequently admitted to the locked psychiatric unit
repeatedly compliments and invites one of the nurses to go out
on a date. The nurse's response should be to
A) Ask to not be assigned to this client or to work on another
unit
B) Tell the client that such behavior is inappropriate
ANSWERS WITH COMPLETE SOLUTIONS
A 2 year-old child has just been diagnosed with cystic fibrosis.
The child's father asks the nurse "What is our major concern
now, and what will we have to deal with in the future?" Which
of the following is the best response?
A) "There is a probability of life-long complications."
B) "Cystic fibrosis results in nutritional concerns that can be
dealt with."
C) "Thin, tenacious secretions from the lungs are a constant
struggle in cystic fibrosis."
D) "You will work with a team of experts and also have access
to a support group that the family can attend." Correct Answers
C) "Thin, tenacious secretions from the lungs are a constant
struggle in cystic fibrosis."
A 20 year-old client has an infected leg wound from a
motorcycle accident, and the client has returned home from the
hospital. The client is to keep the affected leg elevated and is on
contact precautions. The client wants to know if visitors can
come. The appropriate response from the home health nurse is
that:
A) Visitors must wear a mask and a gown
B) There are no special requirements for visitors of clients on
contact precautions
C) Visitors should wash their hands before and after touching
the client
D) Visitors Correct Answers C) Visitors should wash their
hands before and after touching the client
,A 26-year-old female client is admitted to the hospital for
treatment of a simple goiter, and levothyroxine sodium
(Synthroid) is prescribed. Which symptoms indicate to the nurse
that the prescribed dosage is too high for this client? The client
experiences:
A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath Correct Answers D.
Palpitations and shortness of breath
A 30 month-old child is admitted to the hospital unit. Which of
the following toys would be appropriate for the nurse to select
from the toy room for this child?
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball Correct Answers B) Large wooden puzzle
A 35 year-old client with sickle cell crisis is talking on the
telephone but stops as the nurse enters the room to request
something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control Correct
Answers C) Administer the prescribed analgesia
A 38 year-old female client is admitted to the hospital with an
acute exacerbation of asthma. This is her third admission for
asthma in 7 months. She describes how she doesn't really like
,having to use her medications all the time. Which explanation
by the nurse best describes the long-term consequence of
uncontrolled airway inflammation?
A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
D) Frequent pneumonia Correct Answers C) Lung remodeling
and permanent changes in lung function
A 60 year-old male client had a hernia repair in an outpatient
surgery clinic. He is awake and alert, but has not been able to
void since he returned from surgery 6 hours ago.He received
1000 mL of IV fluid. Which action would be most likely to help
him void?
A) Have him drink several glasses of water
B) Crede' the bladder from the bottom to the top
C) Assist him to stand by the side of the bed to void
D) Wait 2 hours and have him try to void again Correct
Answers C) Assist him to stand by the side of the bed to void
A 65-year-old Hispanic-Latino client with prostate cancer rates
his pain as a 6 on a 0- to-10 scale. The client refuses all pain
medication other than Motrin, which does not relieve his pain.
The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes Correct Answers A)
Ask the client about the refusal of certain pain medications
, A child is admitted to the pediatric unit with a diagnosis of
suspected meningococcal meningitis. Which admission orders
should the nurse do first?
A) Institute seizure precautions
B) Monitor neurologic status every hour
C) Place in respiratory/secretion precautions
D) Cefotaxime IV 50 mg/kg/day divided q6h Correct Answers
C) Place in respiratory/secretion precautions
A client asks the nurse to call the police and states: "I need to
report that I am being abused by a nurse." The nurse should first
A) Focus on reality orientation to place and person
B) Assist with the report of the client's complaint to the police
C) Obtain more details of the client's claim of abuse
D) Document the statement on the client's chart with a report to
the manager Correct Answers C) Obtain more details of the
client's claim of abuse
A client develops volume overload from an IV that has infused
too rapidly. What assessment would the nurse expect to find?
A) S3 heart sound
B) Thready pulse
C) Flattened neck veins
D) Hypoventilation Correct Answers A) S3 heart sound
A client frequently admitted to the locked psychiatric unit
repeatedly compliments and invites one of the nurses to go out
on a date. The nurse's response should be to
A) Ask to not be assigned to this client or to work on another
unit
B) Tell the client that such behavior is inappropriate
