1
2025 HESI EXIT FINAL ACTUAL EXAM
NEWLY FORMATTED DOCUMENT
A female client presents A. Has she taken a bath since the rape occurred?
in the
emergency
department and tells
the nurse that she was
raped last night.
Which question is
most
important for the nurse
to ask?
A. Has she taken a
bath since the rape
occurred?
B. Is the place where
she lives a safe
place?
C. Does she know the
person who raped
her?
D. Did she report the
rape to the
police department?
See an expert-written answer
,2
The nurse is B. Sluggish and unequal pupillary responses
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
,3
A client with acute A. Abdominal pain decreases when lying supine
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.
, 4
A child newly A. Instructions about how much fluid the child should
diagnosed with sickle drink daily
cell anemia (SCA) is
being discharged from
the hospital.
Which information is
most important for
the nurse to
provide the parents
prior to discharge?
A. Instructions about
how much fluid the
child should drink
daily.
B. Signs of addiction
to opioid pain
medications
C. Information
about non-
pharmaceutical
pain relief
measures
D. Referral for social
services for
the child and family
See an expert-written answer
To auscultate for a I placed the red dot on the base of the neck on the
carotid bruit, the right side
nurse places the
stethoscope at what
2025 HESI EXIT FINAL ACTUAL EXAM
NEWLY FORMATTED DOCUMENT
A female client presents A. Has she taken a bath since the rape occurred?
in the
emergency
department and tells
the nurse that she was
raped last night.
Which question is
most
important for the nurse
to ask?
A. Has she taken a
bath since the rape
occurred?
B. Is the place where
she lives a safe
place?
C. Does she know the
person who raped
her?
D. Did she report the
rape to the
police department?
See an expert-written answer
,2
The nurse is B. Sluggish and unequal pupillary responses
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
,3
A client with acute A. Abdominal pain decreases when lying supine
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.
, 4
A child newly A. Instructions about how much fluid the child should
diagnosed with sickle drink daily
cell anemia (SCA) is
being discharged from
the hospital.
Which information is
most important for
the nurse to
provide the parents
prior to discharge?
A. Instructions about
how much fluid the
child should drink
daily.
B. Signs of addiction
to opioid pain
medications
C. Information
about non-
pharmaceutical
pain relief
measures
D. Referral for social
services for
the child and family
See an expert-written answer
To auscultate for a I placed the red dot on the base of the neck on the
carotid bruit, the right side
nurse places the
stethoscope at what
