7/26/25, 2:41 PM HESI RN 2024 EXIT EXAM
HESI RN 2025 EXIT EXAM LATEST
VERSION WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS
\LATEST UPDATE 2025-2026
When preparing to administer a prescribed
medication to a homeless client at a community
psychiatric clinic. The client tells the nurse that
the usual dosage taken is different from the
dose the nurse is giving. Which action should
the nurse take?
A) Inform the client that he may refuse the
medication and document whether or not the
B) Withhold the medication until the dosage can
client takes it.
be confirmed.
B) Withhold the medication until the dosage can
be confirmed.
C) Explain to the client that the dosage has been
changed.
D) Tell the client to take the medication then
verify the dosage at the next healthcare team
meeting.
The charge nurse is making assignments for one
practical nurse and three registered nurses who
are caring for neurologically compromised
clients. Which client with which change in status
is best to assign to the PN?
A) Subdural hematoma whose blood pressure
changed from 150/80 to 170/60. B) Viral meningitis whose temperature change
from 101 S to 102F.
B) Viral meningitis whose temperature change
from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma
scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change
from 80/50 to 70/40.
1/40
,7/26/25, 2:41 PM HESI RN 2024 EXIT EXAM
The nurse is caring for a client with pneumonia A) Maintain strict intake and output.
who now develops initial signs of septic shock
and multi organ failure. The healthcare provider
prescribes a sepsis protocol. Which intervention
is most important for the nurse to include in the
plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
And adolescent client is admitted to the hospital
because of writing a suicide note to a teacher at
school. On the second day of hospitalization, the
nurse asked the client to meet with the
treatment team. After the team meeting, the
client leaves in tears and goes to their room.
Which nursing intervention is best?
A) Let the client rest quietly in their room for a D) Go to the clients room and ask what
while. happened.
B) Explore the clients goals and desire for
treatment.
C) Ask the treatment team about the clients
behavior.
D) Go to the clients room and ask what
happened.
The healthcare provider prescribes dalteparin
200 units per kilogram subcutaneous once a day
for a client who weighs 154 pounds. The
medication is available and 25,000 units per 0.6
milliliter vial. How many milliliters should the
nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.)
2/40
,7/26/25, 2:41 PM HESI RN 2024 EXIT EXAM
NGN: The client is a 49-year-old male who B) Start oxygen 3 L per minute via nasal cannula.
reports flu like symptoms including fever and C) Place the client on a cardio respiratory
chest congestion for four days. He came to the
monitor.
emergency department last night when he was
having more difficulty breathing he has a history
of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
Which two orders should the nurse complete
first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory
monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours
for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150
mL per hour.
G) Start peripheral IV.
H) NPO.
NGN: 0330: place the client on a cardio
respiratory monitor, NPO, sputum culture, start a
peripheral IV infusion, start oxygen 3 L per
minute via nasal cannula, begin 0.9% sodium
chloride IV infusion at 150 mL per hour,
acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which
items should the nurse collects from the supply
D) Nasal cannula.
room? SATA
E) Flow meter.
A) humidifier bottle.
B) Suction canister.
C) Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.
3/40
, 7/26/25, 2:41 PM HESI RN 2024 EXIT EXAM
NGN: states, I am feeling extremely anxious right
now. The client has decreased breath sounds in
the left lower low. His mucus membranes are
dry. He has a productive cough with thick,
yellow secretions. His capillary refill is four
seconds. Vital signs, temperature 100.2. Heart
rate 101 bpm, respiratory rate 28 breaths per Cardiovascular: capillary refill for seconds, blood
minute, blood pressure 145/89, oxygen pressure 145/89.
saturation 90% on room air. Neurological: anxious, restless.
(for each body system click to specify the Respiratory: oxygen saturation 90% on room air,
assessment findings that indicates hypoxia) respiratory rate 28 bpm.
Cardiovascular: heart rate 100 bpm, capillary
refill for seconds, blood pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air,
respiratory rate 28 bpm, productive cough.
NGN: The client is a 49-year-old male who
reports flu like symptoms including fever and
chest congestion for four days. He came to the
emergency department last night when he was
having more difficulty breathing he has a history Semi-Fowler , lung expansion.
of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
The nurse should place the client in a
position to promote .
4/40
HESI RN 2025 EXIT EXAM LATEST
VERSION WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS
\LATEST UPDATE 2025-2026
When preparing to administer a prescribed
medication to a homeless client at a community
psychiatric clinic. The client tells the nurse that
the usual dosage taken is different from the
dose the nurse is giving. Which action should
the nurse take?
A) Inform the client that he may refuse the
medication and document whether or not the
B) Withhold the medication until the dosage can
client takes it.
be confirmed.
B) Withhold the medication until the dosage can
be confirmed.
C) Explain to the client that the dosage has been
changed.
D) Tell the client to take the medication then
verify the dosage at the next healthcare team
meeting.
The charge nurse is making assignments for one
practical nurse and three registered nurses who
are caring for neurologically compromised
clients. Which client with which change in status
is best to assign to the PN?
A) Subdural hematoma whose blood pressure
changed from 150/80 to 170/60. B) Viral meningitis whose temperature change
from 101 S to 102F.
B) Viral meningitis whose temperature change
from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma
scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change
from 80/50 to 70/40.
1/40
,7/26/25, 2:41 PM HESI RN 2024 EXIT EXAM
The nurse is caring for a client with pneumonia A) Maintain strict intake and output.
who now develops initial signs of septic shock
and multi organ failure. The healthcare provider
prescribes a sepsis protocol. Which intervention
is most important for the nurse to include in the
plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
And adolescent client is admitted to the hospital
because of writing a suicide note to a teacher at
school. On the second day of hospitalization, the
nurse asked the client to meet with the
treatment team. After the team meeting, the
client leaves in tears and goes to their room.
Which nursing intervention is best?
A) Let the client rest quietly in their room for a D) Go to the clients room and ask what
while. happened.
B) Explore the clients goals and desire for
treatment.
C) Ask the treatment team about the clients
behavior.
D) Go to the clients room and ask what
happened.
The healthcare provider prescribes dalteparin
200 units per kilogram subcutaneous once a day
for a client who weighs 154 pounds. The
medication is available and 25,000 units per 0.6
milliliter vial. How many milliliters should the
nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.)
2/40
,7/26/25, 2:41 PM HESI RN 2024 EXIT EXAM
NGN: The client is a 49-year-old male who B) Start oxygen 3 L per minute via nasal cannula.
reports flu like symptoms including fever and C) Place the client on a cardio respiratory
chest congestion for four days. He came to the
monitor.
emergency department last night when he was
having more difficulty breathing he has a history
of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
Which two orders should the nurse complete
first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory
monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours
for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150
mL per hour.
G) Start peripheral IV.
H) NPO.
NGN: 0330: place the client on a cardio
respiratory monitor, NPO, sputum culture, start a
peripheral IV infusion, start oxygen 3 L per
minute via nasal cannula, begin 0.9% sodium
chloride IV infusion at 150 mL per hour,
acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which
items should the nurse collects from the supply
D) Nasal cannula.
room? SATA
E) Flow meter.
A) humidifier bottle.
B) Suction canister.
C) Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.
3/40
, 7/26/25, 2:41 PM HESI RN 2024 EXIT EXAM
NGN: states, I am feeling extremely anxious right
now. The client has decreased breath sounds in
the left lower low. His mucus membranes are
dry. He has a productive cough with thick,
yellow secretions. His capillary refill is four
seconds. Vital signs, temperature 100.2. Heart
rate 101 bpm, respiratory rate 28 breaths per Cardiovascular: capillary refill for seconds, blood
minute, blood pressure 145/89, oxygen pressure 145/89.
saturation 90% on room air. Neurological: anxious, restless.
(for each body system click to specify the Respiratory: oxygen saturation 90% on room air,
assessment findings that indicates hypoxia) respiratory rate 28 bpm.
Cardiovascular: heart rate 100 bpm, capillary
refill for seconds, blood pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air,
respiratory rate 28 bpm, productive cough.
NGN: The client is a 49-year-old male who
reports flu like symptoms including fever and
chest congestion for four days. He came to the
emergency department last night when he was
having more difficulty breathing he has a history Semi-Fowler , lung expansion.
of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
The nurse should place the client in a
position to promote .
4/40
