HESI EXIT NGN, HESI RN Exit Exam (2025) comprehensive questions
and verified Answers (detailed & elaborated) ACTUAL EXAM 2025
TEST!!
1. A client in the third trimester of pregnancy reports that she fells some "lumpy
places" in her breasts and that her nipples sometimes leak a yellowish fluid. She
has an appointment with her healthcare provider in two weeks. What action
should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere
Answer: “C - Explain that this normal secretion can be assessed at the next visit.”
2. An older client is brought to the ED with a sudden onset of confusion that
occurred after experiencing a fall at home. The client's daughter, who has power
of attorney, has brought the client's prescriptions. Which information should the
nurse provide first when reporting to the healthcare provider using SBAR
communication?
A. currently prescribed medications
B. Client's healthcare power of attorney
C. Increasing confusion of the client
D. Fall at home as reason for admission
Answer: “C - Increasing confusion of the client.”
3. After a spider bite on the lower extremity, a client is admitted for treatment of
an infection that is spreading up the leg. Which admission assessment findings
should the nurse report to the healthcare provider? (Select all that apply)
A. Location of the initial IV site
B. Red blood cell count (RBC)
C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
E. Core body temperature
Answer: “C – Swollen lymph nodes in the groin
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, D – White blood cell count (WBC)
E – Core body temperature.”
4. The psychiatric nurse is caring for clients on an adolescent unit. Which client
requires the nurse's immediate attention?
A. A 14yo client with anorexia nervosa who is refusing to eat the evening snack
B. A 16yo client diagnosed with major depression who refuses to participate in
group
C. A 17yo client diagnosed with bipolar disorder who is pacing around the
lobby
D. An 18yo client with antisocial behavior who is being yelled at by other
clients
Answer: “D - An 18yo client with antisocial behavior who is being yelled at by
other clients.”
5. An older male reporting abd pain is admitted from a facility. It has been 7 days
since his last BM and his abd is distended, and he just vomited 150ml of dark
brown emesis. In what order should the nurse implement these interventions?
Answer: “Sends emesis to Lab Elevate HOB complete focused assessment offers
PRN pain meds.”
6. A client with postpartum depression, who is admitted to the behavioral health
unit, refuses to leave her room or eat meals. In addition to maintaining physical
safety, which short-term goal should the nurse include in the plan of care?
A. Sleeps at least 6 hours per night
B. Consumes 3 meals and 1500 mL of fluid per day
C. Engages in one client to client interaction daily
D. Attends one group activity per day
Answer: “D - Attends one group activity per day.”
7. When taking a health history, which information collected by the nurse
correlates most directly to a diagnosis of chronic peripheral arterial
insufficiency?
Answer: “History of intermittent claudication.”
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and verified Answers (detailed & elaborated) ACTUAL EXAM 2025
TEST!!
1. A client in the third trimester of pregnancy reports that she fells some "lumpy
places" in her breasts and that her nipples sometimes leak a yellowish fluid. She
has an appointment with her healthcare provider in two weeks. What action
should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere
Answer: “C - Explain that this normal secretion can be assessed at the next visit.”
2. An older client is brought to the ED with a sudden onset of confusion that
occurred after experiencing a fall at home. The client's daughter, who has power
of attorney, has brought the client's prescriptions. Which information should the
nurse provide first when reporting to the healthcare provider using SBAR
communication?
A. currently prescribed medications
B. Client's healthcare power of attorney
C. Increasing confusion of the client
D. Fall at home as reason for admission
Answer: “C - Increasing confusion of the client.”
3. After a spider bite on the lower extremity, a client is admitted for treatment of
an infection that is spreading up the leg. Which admission assessment findings
should the nurse report to the healthcare provider? (Select all that apply)
A. Location of the initial IV site
B. Red blood cell count (RBC)
C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
E. Core body temperature
Answer: “C – Swollen lymph nodes in the groin
Page | 1
, D – White blood cell count (WBC)
E – Core body temperature.”
4. The psychiatric nurse is caring for clients on an adolescent unit. Which client
requires the nurse's immediate attention?
A. A 14yo client with anorexia nervosa who is refusing to eat the evening snack
B. A 16yo client diagnosed with major depression who refuses to participate in
group
C. A 17yo client diagnosed with bipolar disorder who is pacing around the
lobby
D. An 18yo client with antisocial behavior who is being yelled at by other
clients
Answer: “D - An 18yo client with antisocial behavior who is being yelled at by
other clients.”
5. An older male reporting abd pain is admitted from a facility. It has been 7 days
since his last BM and his abd is distended, and he just vomited 150ml of dark
brown emesis. In what order should the nurse implement these interventions?
Answer: “Sends emesis to Lab Elevate HOB complete focused assessment offers
PRN pain meds.”
6. A client with postpartum depression, who is admitted to the behavioral health
unit, refuses to leave her room or eat meals. In addition to maintaining physical
safety, which short-term goal should the nurse include in the plan of care?
A. Sleeps at least 6 hours per night
B. Consumes 3 meals and 1500 mL of fluid per day
C. Engages in one client to client interaction daily
D. Attends one group activity per day
Answer: “D - Attends one group activity per day.”
7. When taking a health history, which information collected by the nurse
correlates most directly to a diagnosis of chronic peripheral arterial
insufficiency?
Answer: “History of intermittent claudication.”
Page | 2
