Comprehensive Exit Exam Preparation
Material
Introduction:
This document contains a comprehensive collection of
frequently tested questions and verified answers for the HESI
RN 2025/2026 Exit Exam. It covers major nursing content
areas including medical-surgical, pediatrics, maternity, mental
health, pharmacology, leadership, prioritization, delegation,
and NGN-style case studies.
The material includes multiple-choice questions, SATA items,
dosage calculations, clinical judgment scenarios, and case-
based NGN formats aligned with current exam standards. It is
designed to support final exam review and NCLEX-style critical
thinking preparation for registered nursing students.
Exam Questions and Answers:
The nurse caring for a 3-month-old boy one day after a
pylorotomy notices that the infant is restless, is exhibiting
facial grimaces, and is drawing his knees to his chest. What
action should the nurse take?
a. Administer a prescribed analgesia for pain.
b. Increase IV infusion rate for rehydration
,c. Provide additional blankets to increase body temperature
d. Feed one ounce of formula to correct hypoglycemia. ---
Correct precise answer---a. Administer a prescribed analgesia
for pain.
The rapid response team's detects return of spontaneous
circulation (ROSC) after 2 min of continuous chest
compressions. The client has a weak, fast pulse and no
respiratory effort, so the healthcare provider performs a
successful oral, intubation. What action should the nurse
implement?
a. Perform bilateral chest auscultation.
b. Resume compression for 2 minutes
c. Administer a dose of epinephrine
d. Program the monitor for cardioversion. ---Correct precise
answer---a. Perform bilateral chest auscultation.
A client with hyperthyroidism is being treated with radioactive
iodine (I-131). Which explanation should be included in
preparing this client for this treatment?
a. Explain the need for using lead shields for 2 to 3 weeks after
the treatment
,b. Describe the signs of goiter because this is a common side
effect of radioactive iodine
c. Explain that relief of the signs/symptoms of
hyperthyroidism will occur immediately
d. Describe radioactive iodine as a tasteless, colorless
medication administered by the healthcare provider ---Correct
precise answer---d. Describe radioactive iodine as a tasteless,
colorless medication administered by the healthcare provider
After a colon resection for colon cancer, a male client is
moaning while being transferred to the Postanesthesia Care
Unit (PACU). Which intervention should the nurse implement
first?
a. Assess the client's dressing for bleeding
b. Determine client's pulse, blood pressure, and respirations
c. Administer a PRN dose of IV Morphine
d. Check the client's orientation to time and place. ---Correct
precise answer---b. Determine client's pulse, blood pressure,
and respirations
A male client with cirrhosis has ascites and reports feeling
short of breath. The client is in semi Fowler position with his
arms at his side. What action should the nurse implement?
, a. Reposition the client in a side-lying position and support his
abdomen with pillows.
b. Elevate the client's feet on a pillow while keeping the head
of the bed elevated.
c. Raise the head of the bed to a Fowler's position and support
his arms with a pillow
Place the client in a shock position and monitor his vital signs
at frequent intervals ---Correct precise answer---c. Raise the
head of the bed to a Fowler's position and support his arms
with a pillow
A client with a chronic health problem has difficulty
ambulating short distance due to generalized weakness but can
bear weight on both legs. To assist with ambulation and
provide the greatest stability, what assistive device is best for
this client?
a. A quad cane
b. Crutches with 2-point gait.
c. Crutches with 3-point gait.
d. Crutches with 4-point gait. ---Correct precise answer---d.
Crutches with 4-point gait.