HESI RN EXIT
HESI RN EXIT
EXAM QUESTIONS
AND VERIFIED
ANSWERS 2025-
2026
,DOCUMENT TITLE
HESI RN EXIT EXAM QUESTIONS AND VERIFIED ANSWERS
2025-2026
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 ANSWER - 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 ANSWER - 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 ANSWER - 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?
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,DOCUMENT TITLE
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball - CORRECT ANSWER - 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 ANSWER - 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 ANSWER - 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 ANSWER - C) Assist him to stand by the side
of the bed to void
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, DOCUMENT TITLE
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 ANSWER - 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 ANSWER - 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 ANSWER - 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 ANSWER - 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
PAGE 4
HESI RN EXIT
EXAM QUESTIONS
AND VERIFIED
ANSWERS 2025-
2026
,DOCUMENT TITLE
HESI RN EXIT EXAM QUESTIONS AND VERIFIED ANSWERS
2025-2026
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 ANSWER - 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 ANSWER - 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 ANSWER - 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?
PAGE 2
,DOCUMENT TITLE
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball - CORRECT ANSWER - 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 ANSWER - 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 ANSWER - 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 ANSWER - C) Assist him to stand by the side
of the bed to void
PAGE 3
, DOCUMENT TITLE
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 ANSWER - 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 ANSWER - 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 ANSWER - 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 ANSWER - 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
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