HESI EXIT EXAM 2024/2025 QUESTIONS AND ANSWERS
1. A nurse is providing teaching to a client who will undergo a magnetic resonance
imaging (MRI) scan. Which of the following statements is appropriate to include in the
teaching?
a. “You should not have this procedure if you are allergic to iodine.”
b. “You should not have this procedure if you have a tattoo.”
c. “The nurse will ask you to wear protective eyewear during this procedure.”
d. “The nurse will ask you to remove any transdermal patches prior to the procedure.”
2. A nurse in a provider’s office is reviewing a female client’s medical record during a routine visit.
The nurse should recommend increasing dietary intake of which of the following vitamins?
(Exhibit)
--only tab shown is Tab 3:
H&P: postmenopausal, hx DVT and iron deficiency anemia, works indoors, consumes 1-2
alcoholic beverages per week
a. Vitamin D
b. Vitamin K
c. Vitamin A
d. Vitamin B12
3. A nurse is teaching who has chronic pain about avoiding constipation from opioid
medications. Which of the following should the nurse include in the teaching?
a. Drink 1.5L fluids each day.
b. Take mineral oil at bedtime.
c. Increase exercise activity
d. Decrease insoluble fiber.
4. A nurse is teaching about preventative measures to a female client who has chronic
urinary tract infections. Which of the following interventions should the nurse
include in the teaching?
a. “Drink 2 liters of warm water per day”.
b. “Empty your bladder every 6 weeks.”.
c. “Soak in a warm bath everyday”.
d. “Take an oral estrogen tablet”.
5. A nurse is receiving change-of-shift report for a group of clients. Which of the following
clients should the nurse plan to assess first?
A. A client who has sinus arrhythmia and is receiving monitoring B. A
client who has a hip fracture and a new onset of tachypnea
C. A client who has epidural analgesia and weakness in the lower
extremities
D. A client who has diabetes and a hemoglobin A1C of 6.8%
6. A nurse is providing dietary teaching to a client who has a new diagnosis of irritable
bowel syndrome. Which of the following recommendations should the nurse include?
, a. Consume food high in bran fiber
b. Increase intake of milkproducts
c. Sweeten foods with fructose corn syrup
d. Increase foods high in gluten
7. A nurse is caring for a 1-day-old newborns who has jaundice and is receiving
phototherapy. Which of the following actions should the nurse take?
a. the infant 30 ml (1 oz) glucose water every 2 hr.
b. Keep the infants head covered with a cap.
c. Ensure that the newborn wears adiaper.
d. Apply lotion to the newborn every 4 hr.
8. A nurse is teaching a group of newly licensed nurses about client advocacy.
Which of the following statements by a newly licensed nurse indicates an
understanding of the teaching?
a. “(Unable to read) I feel to be in his best health care decision”
b. “I will intervene if there is conflict between a client and his provider”
c. “I should not advocate for a client unless he is able to ask me himself”
d. “I will inform a client that his family should help make his health care
decisions.”
9. A nurse is preparing to reposition a client who had a stroke. Which of the following
actions should the nurse take?
a. Raise the side rails on both sides of the client’s bed during
repositioning.
b. Reposition the client without assistive devices.
c. Discuss the client’s preferences for determining a reposition schedule.
d. Evaluate the client’s ability to help with repositioning.
10. A nurse is caring for an infant who has coaction of the aorta. Which of the following
should the nurse identify as an expected finding?
a. Weak femoral pulses
b. Frequent nosebleeds
c. Upper extremity hypotension
d. Increased intracranial pressure
11. A nurse is auscultating for crackles on a client who has pneumonia. Which of the
following anterior chest wall locations should the nurse auscultate?
,12.
13. A nurse is assisting with the development of an informed document for participation in
a research study. Which of the following information should the nurse include?
A. A statement that participants can leave the study at will.
B. An assignment of the participant to either the experimental or control group.
C. A list of the clients participating in the study.
D. A description of the framework the researchers will use to evaluate the data.
14. A nurse is providing teaching to a client about the adverse effects of sertraline. Which
of the following adverse effects should the nurse include?
a. Excessive sweating
b. Increased urinary frequency
c. Dry cough
d. Metallic taste in mouth
15. A nurse is caring for a client who has a new temporary synchronous pacemaker.
Which of the following should the nurse report to the provider?
a. The client’s pulse oximetry level is 96%.
b. (Unable to read)
c. The client develops hiccups.
d. The ECG shows pacing spikes after the QRS complex.
16. A nurse is preparing discharge information for a client who has type 2 diabetes
mellitus. Which of the following resources should the nurse provide to the client?
a. Personal blogs about managing the adverse effects of diabetes
, medications
b. Food label recommendations from the Institute of Medicine
c. Diabetes medication information from the Physicians’ Desk Reference
d. Food exchange lists for meal planning from the American Diabetes
Association
17. A nurse is providing teaching about patient-controlled analgesia (PCA) to a client.
Which of the following statements should the nurse include in the teaching?
a. “The PCA will deliver a double dose of medication when you push the button
twice.”
b. “You can adjust the amount of pain medication you receive by pushing on the
keypad.”
c. “Continuous PCA infusion is designed to allow fluctuating plasma
medication levels.”
d. “You should push the button before physical activity to allow maximum pain
control.”
18. A nurse is caring for a client who has diabetes mellitus and is receiving long-acting
insulin for blood glucose management. The nurse should anticipate administering
which of the following types of insulin?
a. Glargine insulin.
b. Regular insulin.
c. NPH insulin.
d. Insulin aspart.
19. A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the
following should the toddler participate?
a. Looking at alphabet flashcards.
b. Playing with a large plastic truck.
c. Use scissors cut out paper shapes.
d. Watching a cartoon in the dayroom.
20. A nurse is caring for a client who is receiving intermittent feedings via a feeding via a
feeding pump and is experiencing dumping syndrome. Which of the following actions
should the nurse take?
a. Administer a refrigerated feeding.
b. Increased the amount of water use to flush the tubing.
c. (Unable to read) rate of the client’s feedings.
d. Instruct the client to move onto their right side.
21. A nurse in an emergency department is caring for a client who received a dose of
penicillin and is now anxious, flushing, tachycardic and has difficulty swallowing.
Which of the following actions is the nurse’s priority?
a. Monitor the client’s ECG
b. Take the client’s vital signs.
c. Administer oxygen
1. A nurse is providing teaching to a client who will undergo a magnetic resonance
imaging (MRI) scan. Which of the following statements is appropriate to include in the
teaching?
a. “You should not have this procedure if you are allergic to iodine.”
b. “You should not have this procedure if you have a tattoo.”
c. “The nurse will ask you to wear protective eyewear during this procedure.”
d. “The nurse will ask you to remove any transdermal patches prior to the procedure.”
2. A nurse in a provider’s office is reviewing a female client’s medical record during a routine visit.
The nurse should recommend increasing dietary intake of which of the following vitamins?
(Exhibit)
--only tab shown is Tab 3:
H&P: postmenopausal, hx DVT and iron deficiency anemia, works indoors, consumes 1-2
alcoholic beverages per week
a. Vitamin D
b. Vitamin K
c. Vitamin A
d. Vitamin B12
3. A nurse is teaching who has chronic pain about avoiding constipation from opioid
medications. Which of the following should the nurse include in the teaching?
a. Drink 1.5L fluids each day.
b. Take mineral oil at bedtime.
c. Increase exercise activity
d. Decrease insoluble fiber.
4. A nurse is teaching about preventative measures to a female client who has chronic
urinary tract infections. Which of the following interventions should the nurse
include in the teaching?
a. “Drink 2 liters of warm water per day”.
b. “Empty your bladder every 6 weeks.”.
c. “Soak in a warm bath everyday”.
d. “Take an oral estrogen tablet”.
5. A nurse is receiving change-of-shift report for a group of clients. Which of the following
clients should the nurse plan to assess first?
A. A client who has sinus arrhythmia and is receiving monitoring B. A
client who has a hip fracture and a new onset of tachypnea
C. A client who has epidural analgesia and weakness in the lower
extremities
D. A client who has diabetes and a hemoglobin A1C of 6.8%
6. A nurse is providing dietary teaching to a client who has a new diagnosis of irritable
bowel syndrome. Which of the following recommendations should the nurse include?
, a. Consume food high in bran fiber
b. Increase intake of milkproducts
c. Sweeten foods with fructose corn syrup
d. Increase foods high in gluten
7. A nurse is caring for a 1-day-old newborns who has jaundice and is receiving
phototherapy. Which of the following actions should the nurse take?
a. the infant 30 ml (1 oz) glucose water every 2 hr.
b. Keep the infants head covered with a cap.
c. Ensure that the newborn wears adiaper.
d. Apply lotion to the newborn every 4 hr.
8. A nurse is teaching a group of newly licensed nurses about client advocacy.
Which of the following statements by a newly licensed nurse indicates an
understanding of the teaching?
a. “(Unable to read) I feel to be in his best health care decision”
b. “I will intervene if there is conflict between a client and his provider”
c. “I should not advocate for a client unless he is able to ask me himself”
d. “I will inform a client that his family should help make his health care
decisions.”
9. A nurse is preparing to reposition a client who had a stroke. Which of the following
actions should the nurse take?
a. Raise the side rails on both sides of the client’s bed during
repositioning.
b. Reposition the client without assistive devices.
c. Discuss the client’s preferences for determining a reposition schedule.
d. Evaluate the client’s ability to help with repositioning.
10. A nurse is caring for an infant who has coaction of the aorta. Which of the following
should the nurse identify as an expected finding?
a. Weak femoral pulses
b. Frequent nosebleeds
c. Upper extremity hypotension
d. Increased intracranial pressure
11. A nurse is auscultating for crackles on a client who has pneumonia. Which of the
following anterior chest wall locations should the nurse auscultate?
,12.
13. A nurse is assisting with the development of an informed document for participation in
a research study. Which of the following information should the nurse include?
A. A statement that participants can leave the study at will.
B. An assignment of the participant to either the experimental or control group.
C. A list of the clients participating in the study.
D. A description of the framework the researchers will use to evaluate the data.
14. A nurse is providing teaching to a client about the adverse effects of sertraline. Which
of the following adverse effects should the nurse include?
a. Excessive sweating
b. Increased urinary frequency
c. Dry cough
d. Metallic taste in mouth
15. A nurse is caring for a client who has a new temporary synchronous pacemaker.
Which of the following should the nurse report to the provider?
a. The client’s pulse oximetry level is 96%.
b. (Unable to read)
c. The client develops hiccups.
d. The ECG shows pacing spikes after the QRS complex.
16. A nurse is preparing discharge information for a client who has type 2 diabetes
mellitus. Which of the following resources should the nurse provide to the client?
a. Personal blogs about managing the adverse effects of diabetes
, medications
b. Food label recommendations from the Institute of Medicine
c. Diabetes medication information from the Physicians’ Desk Reference
d. Food exchange lists for meal planning from the American Diabetes
Association
17. A nurse is providing teaching about patient-controlled analgesia (PCA) to a client.
Which of the following statements should the nurse include in the teaching?
a. “The PCA will deliver a double dose of medication when you push the button
twice.”
b. “You can adjust the amount of pain medication you receive by pushing on the
keypad.”
c. “Continuous PCA infusion is designed to allow fluctuating plasma
medication levels.”
d. “You should push the button before physical activity to allow maximum pain
control.”
18. A nurse is caring for a client who has diabetes mellitus and is receiving long-acting
insulin for blood glucose management. The nurse should anticipate administering
which of the following types of insulin?
a. Glargine insulin.
b. Regular insulin.
c. NPH insulin.
d. Insulin aspart.
19. A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the
following should the toddler participate?
a. Looking at alphabet flashcards.
b. Playing with a large plastic truck.
c. Use scissors cut out paper shapes.
d. Watching a cartoon in the dayroom.
20. A nurse is caring for a client who is receiving intermittent feedings via a feeding via a
feeding pump and is experiencing dumping syndrome. Which of the following actions
should the nurse take?
a. Administer a refrigerated feeding.
b. Increased the amount of water use to flush the tubing.
c. (Unable to read) rate of the client’s feedings.
d. Instruct the client to move onto their right side.
21. A nurse in an emergency department is caring for a client who received a dose of
penicillin and is now anxious, flushing, tachycardic and has difficulty swallowing.
Which of the following actions is the nurse’s priority?
a. Monitor the client’s ECG
b. Take the client’s vital signs.
c. Administer oxygen
