RN HESI EXIT EXAM Vl LATEST update 2025\2026
1 of 160
The nurse is 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 intracraniat pressure (ICP)?
Tachycardia and tachypnea.
Sluggish and unequal pupillary resonses.
Increased head circumference and bulging fontanels .
Blood pressure fluctuations and syncope.
2 of 160
A client with acute pancreatilis 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?
Abdominal pain decreases when lying supine.
Pain lasts an hour and leaves the abdomen tender.
Right upper quadrant pain refers to right scapula.
Drinks alcohol until intoxicated at least twice weekly.
3 of 160
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which information is most important for the nurse to provide the
parents prior to discharge?
Instructions about how much fluid the child should drink daily.
Signs of addiction to opioid pain medications.
Information about non-pharmaceutical pain relief measures.
' •J
Referral for social services for the child and family.
.•·
i
i
, 4 of 160
To auscultate for a carotid bruit, the nurse places the stethoscope at what location (Select the correct locat1'on on the · "" h
1·
c 1ck on a new
location.) image. 10 c ange,
#4: I placed the Red dot on the base of the neck on the right side.
5 of 160
After receiving report on an inpatient acute care unit, which client should the nurse assess first?
The client with an obstruction of the large intestine who is experiencing abdominal distention.
The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds.
The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid.
The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity.
6 of 160
A teenager presents to the emergency department with palpitations after vaping at a party. The client is anxious, fearful , and hyperventilating. The nurse
anticipates the client developing which acid base imbalance?
Respiratory acidosis.
Metabolic alkalosis.
Metabolic acidosis.
Respiratory alkalosis .
, 7 of 160
A client with dyspnea is being admitted lo lhe medical unit. To best prepare for the client's arrival, the nurse should ensure that the client's bed is in which position?
8 of 160
The nurse is taking the blood pressure measurement of a client with Parkinson's disease
to the nu • 1 t k" · Which information in the client's admission assessment is relevant
rse s P an or a mg the blood pressure reading? (Select all that apply.)
Frequent syncope.
Occasional nocturia.
Flat affect.
Blurred vision.
Frequent drooling.
9 of 160
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the wound . Before reporting this finding to the healthcare provider,
the nurse should review which of the client's laboratory values?
Serum albumin.
Culture for sensitive organisms .
Serum blood glucose (BG) level.
Creatinine level.
, 10 of 160
A preschool-aged boy is admitted to the pediatric unit following successful resuscitation from a near-drowning incident. While providing care to the child, the nurse begins taldng
his preadolescent brother who rescued lhe child from lhe swimming pool and initiated resuscitation. The nurse notices the older boy becomes withdrawn when asked about what
happened. Which action should lhe nurse take?
Develop a water safety teaching plan for the family.
Ask the older brother how he felt during the incident.
Tell the older brother that he seems depressed.
Commend the older brother for his heroic actions.
11 of 160
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot baths at night with no relief of his discomfort. Which action should the nurse
take?
Encourage the client to use coolerlwater and apply calamine lotion after soaking.
Obtain a PAN prescription for an analgesic that the client can use for symptom relief.
Suggest that the client take brief showers and apply oil-based lotion after showering .
Explain that the symptoms are caused by liver damage and cannot be relieved.
12 of 160
· (HTN) d heart failure (HF) arrives in the Emergency Department (ED) in
An older client with a long history of coronary artery disease (CAD), hypertension ' _an t f m·de should the nurse expected in the client
0 1
respiratory distress. The healthcare provider prescribes furosemide IV. Which therapeutic response urose
with acute HF?
Increased cardiac contractility.
Reduced pre14.ad.
Relaxed vascular tone.
Decreased aftertoad.
1 of 160
The nurse is 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 intracraniat pressure (ICP)?
Tachycardia and tachypnea.
Sluggish and unequal pupillary resonses.
Increased head circumference and bulging fontanels .
Blood pressure fluctuations and syncope.
2 of 160
A client with acute pancreatilis 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?
Abdominal pain decreases when lying supine.
Pain lasts an hour and leaves the abdomen tender.
Right upper quadrant pain refers to right scapula.
Drinks alcohol until intoxicated at least twice weekly.
3 of 160
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which information is most important for the nurse to provide the
parents prior to discharge?
Instructions about how much fluid the child should drink daily.
Signs of addiction to opioid pain medications.
Information about non-pharmaceutical pain relief measures.
' •J
Referral for social services for the child and family.
.•·
i
i
, 4 of 160
To auscultate for a carotid bruit, the nurse places the stethoscope at what location (Select the correct locat1'on on the · "" h
1·
c 1ck on a new
location.) image. 10 c ange,
#4: I placed the Red dot on the base of the neck on the right side.
5 of 160
After receiving report on an inpatient acute care unit, which client should the nurse assess first?
The client with an obstruction of the large intestine who is experiencing abdominal distention.
The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds.
The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid.
The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity.
6 of 160
A teenager presents to the emergency department with palpitations after vaping at a party. The client is anxious, fearful , and hyperventilating. The nurse
anticipates the client developing which acid base imbalance?
Respiratory acidosis.
Metabolic alkalosis.
Metabolic acidosis.
Respiratory alkalosis .
, 7 of 160
A client with dyspnea is being admitted lo lhe medical unit. To best prepare for the client's arrival, the nurse should ensure that the client's bed is in which position?
8 of 160
The nurse is taking the blood pressure measurement of a client with Parkinson's disease
to the nu • 1 t k" · Which information in the client's admission assessment is relevant
rse s P an or a mg the blood pressure reading? (Select all that apply.)
Frequent syncope.
Occasional nocturia.
Flat affect.
Blurred vision.
Frequent drooling.
9 of 160
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the wound . Before reporting this finding to the healthcare provider,
the nurse should review which of the client's laboratory values?
Serum albumin.
Culture for sensitive organisms .
Serum blood glucose (BG) level.
Creatinine level.
, 10 of 160
A preschool-aged boy is admitted to the pediatric unit following successful resuscitation from a near-drowning incident. While providing care to the child, the nurse begins taldng
his preadolescent brother who rescued lhe child from lhe swimming pool and initiated resuscitation. The nurse notices the older boy becomes withdrawn when asked about what
happened. Which action should lhe nurse take?
Develop a water safety teaching plan for the family.
Ask the older brother how he felt during the incident.
Tell the older brother that he seems depressed.
Commend the older brother for his heroic actions.
11 of 160
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot baths at night with no relief of his discomfort. Which action should the nurse
take?
Encourage the client to use coolerlwater and apply calamine lotion after soaking.
Obtain a PAN prescription for an analgesic that the client can use for symptom relief.
Suggest that the client take brief showers and apply oil-based lotion after showering .
Explain that the symptoms are caused by liver damage and cannot be relieved.
12 of 160
· (HTN) d heart failure (HF) arrives in the Emergency Department (ED) in
An older client with a long history of coronary artery disease (CAD), hypertension ' _an t f m·de should the nurse expected in the client
0 1
respiratory distress. The healthcare provider prescribes furosemide IV. Which therapeutic response urose
with acute HF?
Increased cardiac contractility.
Reduced pre14.ad.
Relaxed vascular tone.
Decreased aftertoad.
