RN HESI EXIT EXAM VERSIONS V1-
V10 (2025/2026) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!
1. Themnursemismcompletingmthemadmissionmassessmentmofmam3-
yearmoldmwhomismadmittedmwithmbacterialmmeningitismandmhydrocephalus.mWhichmassessm
entmfindingmismevidencemthatmthemchildmismexperiencingmincreasedmintracranialmpressurem(I
CP)?
A. Tachycardiamandmtachypnea
B. Sluggishmandmunequalmpupillarymresponses
C. Increasedmheadmcircumferencemandmbulgingmfontanels
D. Bloodmpressuremfluctuationsmandmsyncopem-
mCORRECTmANSWERmB.mSluggishmandmunequalmpupillarymresponses
2. Amclientmwithmacutempancreatitismismadmittedmwithmsevere,mpiercingmabdominalmpainmandm
anmelevatedmserummamylase.mWhichmadditionalminformationmismthemclientmmostmlikelymtomr
eportmtomthemnurse?
A. Abdominalmpainmdecreasesmwhenmlyingmsupine
B. Painmlastsmanmhourmandmleavesmthemabdomenmtender
C. Rightmuppermquadrantmpainmrefersmtomrightmscapula
D. Drinksmalcoholmuntilmintoxicatedmatmleastmtwicemweekly.m-
mCORRECTmANSWERmA.mAbdominalmpainmdecreasesmwhenmlyingmsupine
3. Amchildmnewlymdiagnosedmwithmsicklemcellmanemiam(SCA)mismbeingmdischargedmfrommthemho
spital.mWhichminformationmismmostmimportantmformthemnursemtomprovidemthemparentsmprio
rmtomdischarge?
A. Instructionsmaboutmhowmmuchmfluidmthemchildmshouldmdrinkmdaily.
B. Signsmofmaddictionmtomopioidmpainmmedications
C. Informationmaboutmnon-pharmaceuticalmpainmreliefmmeasures
D. Referralmformsocialmservicesmformthemchildmandmfamilym-
mCORRECTmANSWERmA.mInstructionsmaboutmhowmmuchmfluidmthemchildmshouldmdri
nkmdaily
,4. Tomauscultatemformamcarotidmbruit,mthemnursemplacesmthemstethoscopematmwhatmlocation.m(
Selectmthemlocationmonmthemimagemwithmamredmdot).m-
mCORRECTmANSWERmImplacedmthemredmdotmonmthembasemofmthemneckmonmthemrightmside
5. Aftermreceivingmreportmonmanminpatientmacutemcaremunit,mwhichmclientmshouldmthemnursema
ssessmfirst?
A. Themclientmwithmanmobstructionmofmthemlargemintestinemwhomismexperiencingmabdo
minalmdistention
B. Themclientmwhomhadmsurgerymyesterdaymandmismexperiencingmamparalyticmileusmwith
mabsentmbowelmsounds
C. Themclientmwithmamsmallmbowelmobstructionmwhomhasmamnasogastricmtubemthatmismd
rainingmgreenishmfluid
D. Themclientmwithmambowelmobstructionmduemtomamvolvulusmwhomismexperiencingmabd
ominalmrigiditym-
mCORRECTmANSWERmD.mThemclientmwithmambowelmobstructionmduemtomamvolvulusm
whomismexperiencingmabdominalmrigidity
6. Amteenagermpresentsmtomthememergencymdepartmentmwithmpalpitationsmaftermvapingmatma
mparty.mThemclientmismanxious,mfearful,mandmhyperventilating.mThemnursemanticipatesmthemcl
ientmdevelopingmwhichmacidmbasemimbalance?
A. Respiratorymacidosis
B. Metabolicmalkalosis
C. Metabolicmacidosis
D. Respiratorymalkalosism-mCORRECTmANSWERmD.mRespiratorymalkalosis
7. Amclientmwithmdyspneamismbeingmadmittedmtomthemmedicalmunit.mTombestmpreparemformthemc
lient'smarrival,mthemnursemshouldmensuremthatmthemclient'smbedmisminmwhichmposition?
A. Supine
B. supine;mfeetmelevatedmhighermthanmhead
C. supine;mheadmelevatedmhighermthanmfeet
D. Fowlersm-mCORRECTmANSWERmFowlers
,8. ThemnursemismtakingmthembloodmpressuremmeasurementmofmamclientmwithmParkinson'smdise
ase.mWhichminformationminmthemclient'smadmissionmassessmentmismrelevantmtomthemnurse's
mplanmformtakingmthembloodmpressuremreading?m(Selectmallmthemapply)
A. Frequentmsyncope
B. Occasionalmnocturia
C. Flatmaffect
D. Blurredmvision
E. Frequentmdroolingm-mCORRECTmANSWERmA.mFrequentmsyncope
9. C.mFlatmaffect
10. D.mBlurredmvision
11. Whilemcaringmformamclient'smpostoperativemdressing,mthemnursemobservesmpurulentmdraina
gematmthemwound.mBeforemreportingmthismfindingmtomthemhealthcaremprovider,mthemnursems
houldmreviewmwhichmofmthemclient'smlaboratorymvalues?
A. Serummalbumin
B. Culturemformsensitivemorganisms
C. Serummbloodmglucosemlevel
D. Creatininemlevelm-mCORRECTmANSWERmB.mCulturemformsensitivemorganisms
12. Ampreschool-
agedmboymismadmittedmtomthempediatricmunitmfollowingmsuccessfulmresuscitationmfrommamne
ar-
drowningmincident.mWhilemprovidingmcaremtomthemchild,mthemnursembeginsmtalkingmwithmhis
mpreadolescentmbrothermwhomrescuedmthemchildmfrommthemswimmingmpoolmandminitiatedmr
esuscitation.mThemnursemnoticesmthemoldermboymbecomesmwithdrawnmwhenmaskedmaboutm
whatmhappened.mWhichmactionmshouldmthemnursemtake?
A. Developmamwatermsafetymteachingmplanmformthemfamily
B. Askmthemoldermbrothermhowmhemfeltmduringmthemincident
C. Tellmthemoldermbrothermthatmhemseemsmdepressed
D. Commendmthemoldermbrothermformhismheroicmactionsm-
mCORRECTmANSWERmB.mAskmthemoldermbrothermhowmhemfeltmduringmthemincident
13. Ammalemclientmwithmcirrhosismhasmjaundicemandmpruritus.mHemtellsmthemnursemthatmhemhasm
beenmsoakingminmhotmbathsmatmnightmwithmnomreliefmofmhismdiscomfort.mWhichmactionmsho
uldmthemnursemtake?
, A. Encouragemthemclientmtomusemcoolermwatermandmapplymcalaminemlotionmaftermsoaki
ng
B. ObtainmamPRNmprescriptionmformanmanalgesicmthatmthemclientmcanmusemformsympto
mmrelief
C. Suggestmthatmthemclientmtakembriefmshowersmandmapplymoil-
basedmlotionmaftermshowering
D. Explainmthatmthemsymptomsmaremcausedmbymlivermdamagemandmcannotmbemrelieved
m-
mCORRECTmANSWERmA.mEncouragemthemclientmtomusemcoolermwatermandmapplymcal
aminemlotionmaftermsoaking
14. Anmoldermclientmwithmamlongmhistorymofmcoronarymarterymdiseasem(CAD),mhypertensionm(HT
N),mandmheartmfailurem(HF)marrivesminmthemEmergencymDepartmentm(ED)minmrespiratorymdis
tress.mThemhealthcaremprovidermprescribesmfurosemidemIV.mWhichmtherapeuticmresponsemt
omfurosemidemshouldmthemnursemexpectedminmthemclientmwithmacutemHF?
A. Increasedmcardiacmcontractility
B. Reducedmpreload
C. Relaxedmvascularmtone
D. Decreasedmafterloadm-mCORRECTmANSWERmB.mReducedmpreload
15. Whichminterventionmshouldmthemnursemincludeminmthemplanmofmcaremformamchildmwithmtetan
us?
A. Encouragemcoughingmandmdeepmbreathing
B. Minimizemthemamountmofmstimuliminmthemroom
C. Repositionmfrommsidemtomsidemeverymhour
D. Openmwindowmshadesmtomprovidemnaturalmlightm-
mCORRECTmANSWERmB.mMinimizemthemamountmofmstimuliminmthemroom
16. AnmadolescentmwhomwasmdiagnosedmwithmdiabetesmmellitusmTypem1matmthemagemofm9,misma
dmittedmtomthemhospitalminmdiabeticmketoacidosis.mWhichmoccurrencemismthemmostmlikelymc
ausemofmthemketoacidosis?
A. Atemanmextrampeanutmbuttermsandwichmbeforemgymmclass
B. incorrectlymadministeredmtoommuchminsulinm
C. Hadmamcoldmandmearminfectionmformthempastmtwomdaysm
V10 (2025/2026) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!
1. Themnursemismcompletingmthemadmissionmassessmentmofmam3-
yearmoldmwhomismadmittedmwithmbacterialmmeningitismandmhydrocephalus.mWhichmassessm
entmfindingmismevidencemthatmthemchildmismexperiencingmincreasedmintracranialmpressurem(I
CP)?
A. Tachycardiamandmtachypnea
B. Sluggishmandmunequalmpupillarymresponses
C. Increasedmheadmcircumferencemandmbulgingmfontanels
D. Bloodmpressuremfluctuationsmandmsyncopem-
mCORRECTmANSWERmB.mSluggishmandmunequalmpupillarymresponses
2. Amclientmwithmacutempancreatitismismadmittedmwithmsevere,mpiercingmabdominalmpainmandm
anmelevatedmserummamylase.mWhichmadditionalminformationmismthemclientmmostmlikelymtomr
eportmtomthemnurse?
A. Abdominalmpainmdecreasesmwhenmlyingmsupine
B. Painmlastsmanmhourmandmleavesmthemabdomenmtender
C. Rightmuppermquadrantmpainmrefersmtomrightmscapula
D. Drinksmalcoholmuntilmintoxicatedmatmleastmtwicemweekly.m-
mCORRECTmANSWERmA.mAbdominalmpainmdecreasesmwhenmlyingmsupine
3. Amchildmnewlymdiagnosedmwithmsicklemcellmanemiam(SCA)mismbeingmdischargedmfrommthemho
spital.mWhichminformationmismmostmimportantmformthemnursemtomprovidemthemparentsmprio
rmtomdischarge?
A. Instructionsmaboutmhowmmuchmfluidmthemchildmshouldmdrinkmdaily.
B. Signsmofmaddictionmtomopioidmpainmmedications
C. Informationmaboutmnon-pharmaceuticalmpainmreliefmmeasures
D. Referralmformsocialmservicesmformthemchildmandmfamilym-
mCORRECTmANSWERmA.mInstructionsmaboutmhowmmuchmfluidmthemchildmshouldmdri
nkmdaily
,4. Tomauscultatemformamcarotidmbruit,mthemnursemplacesmthemstethoscopematmwhatmlocation.m(
Selectmthemlocationmonmthemimagemwithmamredmdot).m-
mCORRECTmANSWERmImplacedmthemredmdotmonmthembasemofmthemneckmonmthemrightmside
5. Aftermreceivingmreportmonmanminpatientmacutemcaremunit,mwhichmclientmshouldmthemnursema
ssessmfirst?
A. Themclientmwithmanmobstructionmofmthemlargemintestinemwhomismexperiencingmabdo
minalmdistention
B. Themclientmwhomhadmsurgerymyesterdaymandmismexperiencingmamparalyticmileusmwith
mabsentmbowelmsounds
C. Themclientmwithmamsmallmbowelmobstructionmwhomhasmamnasogastricmtubemthatmismd
rainingmgreenishmfluid
D. Themclientmwithmambowelmobstructionmduemtomamvolvulusmwhomismexperiencingmabd
ominalmrigiditym-
mCORRECTmANSWERmD.mThemclientmwithmambowelmobstructionmduemtomamvolvulusm
whomismexperiencingmabdominalmrigidity
6. Amteenagermpresentsmtomthememergencymdepartmentmwithmpalpitationsmaftermvapingmatma
mparty.mThemclientmismanxious,mfearful,mandmhyperventilating.mThemnursemanticipatesmthemcl
ientmdevelopingmwhichmacidmbasemimbalance?
A. Respiratorymacidosis
B. Metabolicmalkalosis
C. Metabolicmacidosis
D. Respiratorymalkalosism-mCORRECTmANSWERmD.mRespiratorymalkalosis
7. Amclientmwithmdyspneamismbeingmadmittedmtomthemmedicalmunit.mTombestmpreparemformthemc
lient'smarrival,mthemnursemshouldmensuremthatmthemclient'smbedmisminmwhichmposition?
A. Supine
B. supine;mfeetmelevatedmhighermthanmhead
C. supine;mheadmelevatedmhighermthanmfeet
D. Fowlersm-mCORRECTmANSWERmFowlers
,8. ThemnursemismtakingmthembloodmpressuremmeasurementmofmamclientmwithmParkinson'smdise
ase.mWhichminformationminmthemclient'smadmissionmassessmentmismrelevantmtomthemnurse's
mplanmformtakingmthembloodmpressuremreading?m(Selectmallmthemapply)
A. Frequentmsyncope
B. Occasionalmnocturia
C. Flatmaffect
D. Blurredmvision
E. Frequentmdroolingm-mCORRECTmANSWERmA.mFrequentmsyncope
9. C.mFlatmaffect
10. D.mBlurredmvision
11. Whilemcaringmformamclient'smpostoperativemdressing,mthemnursemobservesmpurulentmdraina
gematmthemwound.mBeforemreportingmthismfindingmtomthemhealthcaremprovider,mthemnursems
houldmreviewmwhichmofmthemclient'smlaboratorymvalues?
A. Serummalbumin
B. Culturemformsensitivemorganisms
C. Serummbloodmglucosemlevel
D. Creatininemlevelm-mCORRECTmANSWERmB.mCulturemformsensitivemorganisms
12. Ampreschool-
agedmboymismadmittedmtomthempediatricmunitmfollowingmsuccessfulmresuscitationmfrommamne
ar-
drowningmincident.mWhilemprovidingmcaremtomthemchild,mthemnursembeginsmtalkingmwithmhis
mpreadolescentmbrothermwhomrescuedmthemchildmfrommthemswimmingmpoolmandminitiatedmr
esuscitation.mThemnursemnoticesmthemoldermboymbecomesmwithdrawnmwhenmaskedmaboutm
whatmhappened.mWhichmactionmshouldmthemnursemtake?
A. Developmamwatermsafetymteachingmplanmformthemfamily
B. Askmthemoldermbrothermhowmhemfeltmduringmthemincident
C. Tellmthemoldermbrothermthatmhemseemsmdepressed
D. Commendmthemoldermbrothermformhismheroicmactionsm-
mCORRECTmANSWERmB.mAskmthemoldermbrothermhowmhemfeltmduringmthemincident
13. Ammalemclientmwithmcirrhosismhasmjaundicemandmpruritus.mHemtellsmthemnursemthatmhemhasm
beenmsoakingminmhotmbathsmatmnightmwithmnomreliefmofmhismdiscomfort.mWhichmactionmsho
uldmthemnursemtake?
, A. Encouragemthemclientmtomusemcoolermwatermandmapplymcalaminemlotionmaftermsoaki
ng
B. ObtainmamPRNmprescriptionmformanmanalgesicmthatmthemclientmcanmusemformsympto
mmrelief
C. Suggestmthatmthemclientmtakembriefmshowersmandmapplymoil-
basedmlotionmaftermshowering
D. Explainmthatmthemsymptomsmaremcausedmbymlivermdamagemandmcannotmbemrelieved
m-
mCORRECTmANSWERmA.mEncouragemthemclientmtomusemcoolermwatermandmapplymcal
aminemlotionmaftermsoaking
14. Anmoldermclientmwithmamlongmhistorymofmcoronarymarterymdiseasem(CAD),mhypertensionm(HT
N),mandmheartmfailurem(HF)marrivesminmthemEmergencymDepartmentm(ED)minmrespiratorymdis
tress.mThemhealthcaremprovidermprescribesmfurosemidemIV.mWhichmtherapeuticmresponsemt
omfurosemidemshouldmthemnursemexpectedminmthemclientmwithmacutemHF?
A. Increasedmcardiacmcontractility
B. Reducedmpreload
C. Relaxedmvascularmtone
D. Decreasedmafterloadm-mCORRECTmANSWERmB.mReducedmpreload
15. Whichminterventionmshouldmthemnursemincludeminmthemplanmofmcaremformamchildmwithmtetan
us?
A. Encouragemcoughingmandmdeepmbreathing
B. Minimizemthemamountmofmstimuliminmthemroom
C. Repositionmfrommsidemtomsidemeverymhour
D. Openmwindowmshadesmtomprovidemnaturalmlightm-
mCORRECTmANSWERmB.mMinimizemthemamountmofmstimuliminmthemroom
16. AnmadolescentmwhomwasmdiagnosedmwithmdiabetesmmellitusmTypem1matmthemagemofm9,misma
dmittedmtomthemhospitalminmdiabeticmketoacidosis.mWhichmoccurrencemismthemmostmlikelymc
ausemofmthemketoacidosis?
A. Atemanmextrampeanutmbuttermsandwichmbeforemgymmclass
B. incorrectlymadministeredmtoommuchminsulinm
C. Hadmamcoldmandmearminfectionmformthempastmtwomdaysm
