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RN HESI EXIT EXAM VERSION 3 (V3)
QUESTIONS AND ANSWERS 2025
1. A 64 year-old client scheduled for surgery with a general
anesthetic refuses to remove a set of dentures prior to leaving
the unit for the operating room. What would be the most
appropriate intervention by the nurse?
A) Explain to the client that the dentures must come out as they
may get lost or broken in the operating room
B) Ask the client if there are second thoughts about having the
procedure
C) Notify the anesthesia department and the surgeon of the
client's refusal
D) Ask the client if the preference would be to remove the
dentures in the operating room receiving area - correct answer-
D: Ask the client if the preference would be to remove the
dentures in the operating room receiving area
2. The nurse has been teaching adult clients about cardiac
risks when they visit the hypertension clinic. Which form of
evaluation would best measure learning?
A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
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D) Reported behavioral changes - correct answer- D: Reported
behavioral changes
3. The nurse is planning care for an 18 month-old child. Which
action should be included in the child's care?
A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children - correct
answer- B: Encourage the child to feed himself finger food
4. A partner is concerned because the client frequently
daydreams about moving to Arizona to get away from the
pollution and crowding in southern California. The nurse
explains that
A) Such fantasies can gratify unconscious wishes or prepare
for anticipated future events
B) Detaching or dissociating in this way postpones painful
feelings
C) This conversion or transferring of a mental conflict to a
physical symptom can lead to marital conflict
D) To isolate the feelings in this way reduces conflict within the
client and with others - correct answer- A: Such fantasies can
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gratify unconscious wishes or prepare for anticipated future
events
5. An appropriate goal for a client with anxiety would be to
A) Ventilate anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma - correct answer- C:
Learn self-help techniques
6. While the nurse is administering medications to a client, the
client states "I do not want to take that medicine today." Which
of the following responses by the nurse would be best?
A) "That's OK, its all right to skip your medication now and
then."
B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your
medicine?"
D) "Do you understand the consequences of refusing your
prescribed treatment?" - correct answer- C: "Is there a reason
why you don't want to take your medicine?"
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7. While caring for a client, the nurse notes a pulsating mass in
the client's peri umbilical area. Which of the following
assessments is appropriate for the nurse to perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass - correct answer- B: Auscultate the mass
8. A client is admitted to the hospital with a history of confusion.
The client has difficulty remembering recent events and
becomes disoriented when away from home. Which statement
would provide the best reality orientation for this client?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for
today."
C) "How are you today? Remember, you're in the hospital."
D) "Good morning. You're in the hospital. I am your nurse
Elaine Jones." - correct answer- D: "Good morning. You're in
the hospital. I am your nurse Elaine Jones."
9. The nurse is teaching the parents of a 3 month-old infant
about nutrition. What is the main source of fluids for an infant
until about 12 months of age?
A) Formula or breast milk
RN HESI EXIT EXAM VERSION 3 (V3)
QUESTIONS AND ANSWERS 2025
1. A 64 year-old client scheduled for surgery with a general
anesthetic refuses to remove a set of dentures prior to leaving
the unit for the operating room. What would be the most
appropriate intervention by the nurse?
A) Explain to the client that the dentures must come out as they
may get lost or broken in the operating room
B) Ask the client if there are second thoughts about having the
procedure
C) Notify the anesthesia department and the surgeon of the
client's refusal
D) Ask the client if the preference would be to remove the
dentures in the operating room receiving area - correct answer-
D: Ask the client if the preference would be to remove the
dentures in the operating room receiving area
2. The nurse has been teaching adult clients about cardiac
risks when they visit the hypertension clinic. Which form of
evaluation would best measure learning?
A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
,2 | Page
D) Reported behavioral changes - correct answer- D: Reported
behavioral changes
3. The nurse is planning care for an 18 month-old child. Which
action should be included in the child's care?
A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children - correct
answer- B: Encourage the child to feed himself finger food
4. A partner is concerned because the client frequently
daydreams about moving to Arizona to get away from the
pollution and crowding in southern California. The nurse
explains that
A) Such fantasies can gratify unconscious wishes or prepare
for anticipated future events
B) Detaching or dissociating in this way postpones painful
feelings
C) This conversion or transferring of a mental conflict to a
physical symptom can lead to marital conflict
D) To isolate the feelings in this way reduces conflict within the
client and with others - correct answer- A: Such fantasies can
,3 | Page
gratify unconscious wishes or prepare for anticipated future
events
5. An appropriate goal for a client with anxiety would be to
A) Ventilate anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma - correct answer- C:
Learn self-help techniques
6. While the nurse is administering medications to a client, the
client states "I do not want to take that medicine today." Which
of the following responses by the nurse would be best?
A) "That's OK, its all right to skip your medication now and
then."
B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your
medicine?"
D) "Do you understand the consequences of refusing your
prescribed treatment?" - correct answer- C: "Is there a reason
why you don't want to take your medicine?"
, 4 | Page
7. While caring for a client, the nurse notes a pulsating mass in
the client's peri umbilical area. Which of the following
assessments is appropriate for the nurse to perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass - correct answer- B: Auscultate the mass
8. A client is admitted to the hospital with a history of confusion.
The client has difficulty remembering recent events and
becomes disoriented when away from home. Which statement
would provide the best reality orientation for this client?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for
today."
C) "How are you today? Remember, you're in the hospital."
D) "Good morning. You're in the hospital. I am your nurse
Elaine Jones." - correct answer- D: "Good morning. You're in
the hospital. I am your nurse Elaine Jones."
9. The nurse is teaching the parents of a 3 month-old infant
about nutrition. What is the main source of fluids for an infant
until about 12 months of age?
A) Formula or breast milk
