RN HESI Exit Exam 2025/2026 – Comprehensive Practice Questions
with Correct answers
Redirect the client's acting out behavior by asking him to perform a unit task. - correct answer
A group of nursing students is touring an in-patient psychiatric unit when a male client who is in
a manic state shouts, "Want to see a crazy person?" and begins
to jump up and down, flap his arms, and cluck like a chicken. Which action is best for the nurse
to take?
A Direct the students to continue the tour without responding to the client's behavior.
B Medicate the client with a PRN prescription for an antianxiety agent.
C Restrict the client to his room until he can control his behaviors.
D Redirect the client's acting out behavior by asking him to perform a unit task.
Nausea with projectile vomiting. - correct answer An adult male client is brought to the
emergency department (ED) by ambulance following a motorcycle collision. He was not wearing
a helmet and presents with periorbital bruising and bloody drainage from both ears. Which
assessment finding warrants immediate intervention by the nurse?
A Rebound abdominal tenderness.
B Diminished bilateral breath sounds.
C Nausea with projectile vomiting.
D Rib pain with deep inspiration.
C. A change in urine color to dark red often occurs while taking this drug.
D. An upset stomach may occur as a side effect of this medication. - correct answer A client
diagnosed with Parkinson's disease receives a prescription for carbidopa-levodopa, controlled
release (CR) 25/100 mg PO daily each morning. Which information should the nurse include in
the client's teaching plan? Select all that apply.
A Parkinson symptoms should diminish within one week.
B Avoid sunlight and wear sunglasses while outdoors.
C A change in urine color to dark red often occurs while taking this drug.
,D An upset stomach may occur as a side effect of this medication.
E The medication should only be taken during a meal.
25 gtt/min - correct answer The healthcare provider (HCP) prescribes 500 mL of 0.45% normal
saline with 100 units regular insulin to infuse at 15 units/hour. The drop factor is 20 gtt/mL.
The nurse should regulate the IV to deliver how many gtt/minute? (Enter numerical value only.)
Focus on small achievable tasks, not taxing problems. - correct answer A client with generalized
anxiety disorder does not want to communicate with friends, smokes 2 to 3 packages of
cigarettes a day, and describes difficulty concentrating at work. Which coping strategy should
the nurse include in the plan of care (POC)?
A Focus on small achievable tasks, not taxing problems.
B Concentrate on and ventilate emotions when distressed.
C Relax and reduce the amount of effort to solve the problem.
D Analyze past hurts and resentments to identify the source.
A. Raise the head of the bed to 30° keeping head and neck in neutral alignment. - correct
answer The nurse is caring for a client who reports sudden right sided numbness and weakness
of the arm and leg. The nurse also observes a distinct right sided facial droop. After reporting
the findings to the healthcare provider (HCP), the nurse receives several prescriptions for the
client, including a STAT computerized tomography (CT) scan of the head. Which action should
the nurse take first?
• A Raise the head of the bed to 30° keeping head and neck in neutral alignment.
• B Start two large bore peripheral IV (PIV) catheters and review inclusion criteria for IV
fibrinolytic therapy.
• C Administer aspirin to prevent further clot formation and platelet clumping.
• D Begin continuous observation for transient episodes of neurologic dysfunction.
Daily use of spironolactone for hypertension. - correct answer An older adult client is admitted
with pneumonia, and the healthcare provider (HCP) prescribes penicillinG potassium IV. Which
assessment finding increases the risk of adverse reactions in this client?
A Previous treatment with penicillin for pneumonia.
B Daily use of spironolactone for hypertension.
C Documented allergy to sulfonamides.
D Sputum culture results of Streptococcus pneumoniae.
,Divide the medication into two injections with volumes under 1 mL. - correct answer The nurse
is preparing to administer 1.6 mL of medication IM to a 4-month-old infant. Which action
should the nurse include?
A Select a 22 gauge 1 1/2 inch (3.8 cm) needle for the intramuscular injection.
B Administer into the deltoid muscle while the parent holds the infant securely.
C Use a quick dart like motion to inject into the dorsogluteal site
D Divide the medication into two injections with volumes under 1 mL.
1.3 mL - correct answer An infant who weighs 22 Ibs. receives a prescription for amoxicillin 20
mg/kg/day PO in divided doses every 8 hours. The bottle is labeled, "Amoxicillin for Oral
Suspension, USP 250 mg per 5 mL." How many mL should the nurse administer with each dose?
(Enter numerical value only. If rounding is necessary, round to the nearest tenth.)
A Decrease the rate at which the feeding is given. - correct answer A client who is homebound
and is receiving continuous feedings through a gastrostomy tube reports experiencing frequent
diarrhea. Which instructions should the nurse provide
A Decrease the rate at which the feeding is given.
B Do not allow the feeding to sit at room temperature.
C Increase the concentration of the teedings.
D Elevate the head of the bed to ninety degrees.
B. Wash the residual limb with soap and water
C. Use a residual limb shrinker
D. Inspect skin for redness. - correct answer 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 Wash the residual limb with soap and water
C Use a residual limb shrinker
D Inspect skin for redness.
E Apply alcohol to the residual limb after bathing
Report the eye pain to the surgeon. - correct answer Following laser trabeculoplasty surgery for
open-angle glaucoma, the client reports acute pain deep within the eye. Which action should
the nurse take?
, • A Report the eye pain to the surgeon.
• B Administer an antiemetic to prevent vomiting.
• C Apply bilateral eye shields to reduce photosensitivity.
• D Begin postoperative prophylactic antibiotics.
4. Note date and time of the behavior.
2. Discuss the issue privately with the UAP
3. Plan for scheduled break times
1. Evaluate the UAP for signs of improvement. - correct answer an unlicensed assistive
personnel (UAP) leaves the unit without notifying staff . In which order should the unit manager
Implement these Interventions address the UAP's behavior? (Place the actions in order from
first on top to last on bottom.
1. Evaluate the UAP for signs of improvement.
2.Discuss the issue privately with the UAP
3.Plan for scheduled break times.
4.Note date and time of the behavior.
Auscultate lung and heart sounds - correct answer A female client with a history of heart failure
(HF) arrives at the clinic after what she describes as a very long trip. Following the initial
physical assessment and chart review, which priority action should the nurse implement?
• A Reteach medication regimen.
• B Give a potassium supplement.
• C Administer the prescribed diuretic.
• D Auscultate lung and heart sounds
Complete blood count - correct answer A client who is receiving zidovudine reports the
appearance of pinpoint, red, round spots on the skin. Which result should the nurse report to
the healthcare provider (HCP)?
• A Complete blood count.
• B Skin biopsy.
with Correct answers
Redirect the client's acting out behavior by asking him to perform a unit task. - correct answer
A group of nursing students is touring an in-patient psychiatric unit when a male client who is in
a manic state shouts, "Want to see a crazy person?" and begins
to jump up and down, flap his arms, and cluck like a chicken. Which action is best for the nurse
to take?
A Direct the students to continue the tour without responding to the client's behavior.
B Medicate the client with a PRN prescription for an antianxiety agent.
C Restrict the client to his room until he can control his behaviors.
D Redirect the client's acting out behavior by asking him to perform a unit task.
Nausea with projectile vomiting. - correct answer An adult male client is brought to the
emergency department (ED) by ambulance following a motorcycle collision. He was not wearing
a helmet and presents with periorbital bruising and bloody drainage from both ears. Which
assessment finding warrants immediate intervention by the nurse?
A Rebound abdominal tenderness.
B Diminished bilateral breath sounds.
C Nausea with projectile vomiting.
D Rib pain with deep inspiration.
C. A change in urine color to dark red often occurs while taking this drug.
D. An upset stomach may occur as a side effect of this medication. - correct answer A client
diagnosed with Parkinson's disease receives a prescription for carbidopa-levodopa, controlled
release (CR) 25/100 mg PO daily each morning. Which information should the nurse include in
the client's teaching plan? Select all that apply.
A Parkinson symptoms should diminish within one week.
B Avoid sunlight and wear sunglasses while outdoors.
C A change in urine color to dark red often occurs while taking this drug.
,D An upset stomach may occur as a side effect of this medication.
E The medication should only be taken during a meal.
25 gtt/min - correct answer The healthcare provider (HCP) prescribes 500 mL of 0.45% normal
saline with 100 units regular insulin to infuse at 15 units/hour. The drop factor is 20 gtt/mL.
The nurse should regulate the IV to deliver how many gtt/minute? (Enter numerical value only.)
Focus on small achievable tasks, not taxing problems. - correct answer A client with generalized
anxiety disorder does not want to communicate with friends, smokes 2 to 3 packages of
cigarettes a day, and describes difficulty concentrating at work. Which coping strategy should
the nurse include in the plan of care (POC)?
A Focus on small achievable tasks, not taxing problems.
B Concentrate on and ventilate emotions when distressed.
C Relax and reduce the amount of effort to solve the problem.
D Analyze past hurts and resentments to identify the source.
A. Raise the head of the bed to 30° keeping head and neck in neutral alignment. - correct
answer The nurse is caring for a client who reports sudden right sided numbness and weakness
of the arm and leg. The nurse also observes a distinct right sided facial droop. After reporting
the findings to the healthcare provider (HCP), the nurse receives several prescriptions for the
client, including a STAT computerized tomography (CT) scan of the head. Which action should
the nurse take first?
• A Raise the head of the bed to 30° keeping head and neck in neutral alignment.
• B Start two large bore peripheral IV (PIV) catheters and review inclusion criteria for IV
fibrinolytic therapy.
• C Administer aspirin to prevent further clot formation and platelet clumping.
• D Begin continuous observation for transient episodes of neurologic dysfunction.
Daily use of spironolactone for hypertension. - correct answer An older adult client is admitted
with pneumonia, and the healthcare provider (HCP) prescribes penicillinG potassium IV. Which
assessment finding increases the risk of adverse reactions in this client?
A Previous treatment with penicillin for pneumonia.
B Daily use of spironolactone for hypertension.
C Documented allergy to sulfonamides.
D Sputum culture results of Streptococcus pneumoniae.
,Divide the medication into two injections with volumes under 1 mL. - correct answer The nurse
is preparing to administer 1.6 mL of medication IM to a 4-month-old infant. Which action
should the nurse include?
A Select a 22 gauge 1 1/2 inch (3.8 cm) needle for the intramuscular injection.
B Administer into the deltoid muscle while the parent holds the infant securely.
C Use a quick dart like motion to inject into the dorsogluteal site
D Divide the medication into two injections with volumes under 1 mL.
1.3 mL - correct answer An infant who weighs 22 Ibs. receives a prescription for amoxicillin 20
mg/kg/day PO in divided doses every 8 hours. The bottle is labeled, "Amoxicillin for Oral
Suspension, USP 250 mg per 5 mL." How many mL should the nurse administer with each dose?
(Enter numerical value only. If rounding is necessary, round to the nearest tenth.)
A Decrease the rate at which the feeding is given. - correct answer A client who is homebound
and is receiving continuous feedings through a gastrostomy tube reports experiencing frequent
diarrhea. Which instructions should the nurse provide
A Decrease the rate at which the feeding is given.
B Do not allow the feeding to sit at room temperature.
C Increase the concentration of the teedings.
D Elevate the head of the bed to ninety degrees.
B. Wash the residual limb with soap and water
C. Use a residual limb shrinker
D. Inspect skin for redness. - correct answer 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 Wash the residual limb with soap and water
C Use a residual limb shrinker
D Inspect skin for redness.
E Apply alcohol to the residual limb after bathing
Report the eye pain to the surgeon. - correct answer Following laser trabeculoplasty surgery for
open-angle glaucoma, the client reports acute pain deep within the eye. Which action should
the nurse take?
, • A Report the eye pain to the surgeon.
• B Administer an antiemetic to prevent vomiting.
• C Apply bilateral eye shields to reduce photosensitivity.
• D Begin postoperative prophylactic antibiotics.
4. Note date and time of the behavior.
2. Discuss the issue privately with the UAP
3. Plan for scheduled break times
1. Evaluate the UAP for signs of improvement. - correct answer an unlicensed assistive
personnel (UAP) leaves the unit without notifying staff . In which order should the unit manager
Implement these Interventions address the UAP's behavior? (Place the actions in order from
first on top to last on bottom.
1. Evaluate the UAP for signs of improvement.
2.Discuss the issue privately with the UAP
3.Plan for scheduled break times.
4.Note date and time of the behavior.
Auscultate lung and heart sounds - correct answer A female client with a history of heart failure
(HF) arrives at the clinic after what she describes as a very long trip. Following the initial
physical assessment and chart review, which priority action should the nurse implement?
• A Reteach medication regimen.
• B Give a potassium supplement.
• C Administer the prescribed diuretic.
• D Auscultate lung and heart sounds
Complete blood count - correct answer A client who is receiving zidovudine reports the
appearance of pinpoint, red, round spots on the skin. Which result should the nurse report to
the healthcare provider (HCP)?
• A Complete blood count.
• B Skin biopsy.
