HESI RN Exit Exam (V2) 2025 Actual exam
HESI RN EXIT EXAM (V2) 2025 ACTUAL EXAM VERIFIED
QUESTIONS AND ANSWERS 100% CORRECT – LATEST 2025
/2026- GRADE A+ GUARANTEED PASS
An older client is admitted with fluid volume deficit and dehydration. Which assessment finding
is the best indicator of hydration that the nurse should report to the healthcare provider?
A. Urine specific gravity is 1.040
B. Systolic blood pressure decreases 10 points when standing
C. The client denies being thirsty
D. Skin tenting occurs when the client's forearm is pinched - ANSWER-D. Skin tenting occurs
when the client's forearm is pinched
The healthcare provider prescribes methylergonovine maleate for a postpartum client with
uterine atony. What finding should indicate to the nurse to withhold the next dose of the
medication?
A. Difficulty locating the uterine fundus
B. Excessive lochia
C. Saturation of more than one pad per hour
D. Hypertension - ANSWER-D. Hypertension
After an inservice about electronic health record (EHR) security and safeguarding client
information, the nurse observes a colleague going home with printed copies of client
information in a uniform pocket. Which action should the nurse take?
A. File a detailed incident report with the specific hiring facility
B. Warn the colleague that their actions are unprofessional
C. Comment anonymously about the action on a staff discussion board
D. Communicate the colleague's actions to the unit charge nurse - ANSWER-A. File a detailed
incident report with the specific hiring facility
1|Page
, HESI RN Exit Exam (V2) 2025 Actual exam
The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease
implemented in a rural health clinic. Which outcome indicates the program is effective?
A. At-risk clients received an increased number of routine health screenings
B. Clients reported having new confidence in making healthy food choices
C. Clients who incurred disease complications promptly received rehabilitation
D. Client relapse of 30% in a 5-year community-wide anti-smoking campaign - ANSWER-C.
Clients who incurred disease complications promptly received rehabilitation
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?
A. Culture for sensitive organisms
B. Serum blood glucose (BG) level
C. Creatinine level
D. Serum albumin - ANSWER-A. Culture for sensitive organisms
A client is admitted with acute pancreatitis. The client admits to drinking a pint of bourbon daily.
The nurse medicates the client for pain and monitors vital signs every 2 hours. Which finding
should the nurse report immediately to the healthcare provider?
A. Anorexia and abdominal distention
B. Abdominal pain and vomiting
C. Confusion and tremors
D. Yellowing and itching of skin - ANSWER-C. Confusion and tremors
A client with leukemia who is receiving a myleosuppressive chemotherapy has a platelet count
of 25,000/mm3. Which intervention is most important for the nurse to include in this client's
plan of care?
2|Page
, HESI RN Exit Exam (V2) 2025 Actual exam
A. Assess urine and stool for occult blood
B. Monitor for signs of activity intolerance
C. Require visitors to wear respiratory masks
D. Obtain client's temperature q4 hours - ANSWER-A. Assess urine and stool for occult blood
When assessing a 6-month-old infant, the nurse determines that the anterior fontanel is
bulging. In which situation would this findings be most significant?
A. Crying
B. Sitting upright
C. Vomiting
D. Straining on stool - ANSWER-B. Sitting upright
A client who is admitted to the intensive care unit with syndrome of inappropriate antidiuretic
hormone (SIADH) has developed osmotic demyelination. Which intervention should the nurse
implement first?
A. Patch one eye
B. Evaluate swallow
C. Reorient often
D. Range of motion - ANSWER-B. Evaluate swallow
The nurse is caring for a client with chronic obstructive disease (COPD) who uses oxygen at
2L/minute per nasal cannula continuously. The nurse observes that the client is having
increased shortness of breath with respirations at 23 breaths/minute. Which action should the
nurse implement first?
A. Determine if the client is experiencing any anxiety
B. Auscultate the client's bilateral lung sounds and oxygen saturation
C. Notify the healthcare provider about the client's distress
3|Page
, HESI RN Exit Exam (V2) 2025 Actual exam
D. Assess the delivery mechanism of the oxygen tank, tubing, and cannula - ANSWER-D. Assess
the delivery mechanism of the oxygen tank, tubing, and cannula
A client with a history of using illicit drugs intravenously is admitted with Kaposi's sarcoma.
Which intervention should the nurse include in this client's admission plan of care?
A. Assess for symptoms of AIDS dementia
B. Monitor for secondary infections
C. Identify local HIV support groups
D. Observe for adverse drug reactions - ANSWER-B. Monitor for secondary infections
An older woman who has difficulty hearing is being discharged from day surgery following a
cataract extraction and lens implantation. Which intervention is most important for the nurse to
implement to help ensure the client's compliance with self care?
A. Have the client vocalize the instructions provided
B. Ensure that someone will stay with the client for 24 hours
C. Speak clearly and face the client for lip reading
D. Provide written instructions for eye drop administration - ANSWER-A. Have the client vocalize
the instructions provided
An older woman with history of atrial fibrillation fell at home and fractured her left hip. She is
currently taking warfarin 5 mg daily and has an international normalized ratio (INR) value of 5.0.
Upon admission, which prescription should the nurse expect to implement?
A. Administer Vitamin K injection
B. Start continuous heparin infusion
C. Continue warfarin at same dose
D. Transfuse unit of packed red blood cells - ANSWER-A. Administer Vitamin K injection
4|Page
HESI RN EXIT EXAM (V2) 2025 ACTUAL EXAM VERIFIED
QUESTIONS AND ANSWERS 100% CORRECT – LATEST 2025
/2026- GRADE A+ GUARANTEED PASS
An older client is admitted with fluid volume deficit and dehydration. Which assessment finding
is the best indicator of hydration that the nurse should report to the healthcare provider?
A. Urine specific gravity is 1.040
B. Systolic blood pressure decreases 10 points when standing
C. The client denies being thirsty
D. Skin tenting occurs when the client's forearm is pinched - ANSWER-D. Skin tenting occurs
when the client's forearm is pinched
The healthcare provider prescribes methylergonovine maleate for a postpartum client with
uterine atony. What finding should indicate to the nurse to withhold the next dose of the
medication?
A. Difficulty locating the uterine fundus
B. Excessive lochia
C. Saturation of more than one pad per hour
D. Hypertension - ANSWER-D. Hypertension
After an inservice about electronic health record (EHR) security and safeguarding client
information, the nurse observes a colleague going home with printed copies of client
information in a uniform pocket. Which action should the nurse take?
A. File a detailed incident report with the specific hiring facility
B. Warn the colleague that their actions are unprofessional
C. Comment anonymously about the action on a staff discussion board
D. Communicate the colleague's actions to the unit charge nurse - ANSWER-A. File a detailed
incident report with the specific hiring facility
1|Page
, HESI RN Exit Exam (V2) 2025 Actual exam
The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease
implemented in a rural health clinic. Which outcome indicates the program is effective?
A. At-risk clients received an increased number of routine health screenings
B. Clients reported having new confidence in making healthy food choices
C. Clients who incurred disease complications promptly received rehabilitation
D. Client relapse of 30% in a 5-year community-wide anti-smoking campaign - ANSWER-C.
Clients who incurred disease complications promptly received rehabilitation
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?
A. Culture for sensitive organisms
B. Serum blood glucose (BG) level
C. Creatinine level
D. Serum albumin - ANSWER-A. Culture for sensitive organisms
A client is admitted with acute pancreatitis. The client admits to drinking a pint of bourbon daily.
The nurse medicates the client for pain and monitors vital signs every 2 hours. Which finding
should the nurse report immediately to the healthcare provider?
A. Anorexia and abdominal distention
B. Abdominal pain and vomiting
C. Confusion and tremors
D. Yellowing and itching of skin - ANSWER-C. Confusion and tremors
A client with leukemia who is receiving a myleosuppressive chemotherapy has a platelet count
of 25,000/mm3. Which intervention is most important for the nurse to include in this client's
plan of care?
2|Page
, HESI RN Exit Exam (V2) 2025 Actual exam
A. Assess urine and stool for occult blood
B. Monitor for signs of activity intolerance
C. Require visitors to wear respiratory masks
D. Obtain client's temperature q4 hours - ANSWER-A. Assess urine and stool for occult blood
When assessing a 6-month-old infant, the nurse determines that the anterior fontanel is
bulging. In which situation would this findings be most significant?
A. Crying
B. Sitting upright
C. Vomiting
D. Straining on stool - ANSWER-B. Sitting upright
A client who is admitted to the intensive care unit with syndrome of inappropriate antidiuretic
hormone (SIADH) has developed osmotic demyelination. Which intervention should the nurse
implement first?
A. Patch one eye
B. Evaluate swallow
C. Reorient often
D. Range of motion - ANSWER-B. Evaluate swallow
The nurse is caring for a client with chronic obstructive disease (COPD) who uses oxygen at
2L/minute per nasal cannula continuously. The nurse observes that the client is having
increased shortness of breath with respirations at 23 breaths/minute. Which action should the
nurse implement first?
A. Determine if the client is experiencing any anxiety
B. Auscultate the client's bilateral lung sounds and oxygen saturation
C. Notify the healthcare provider about the client's distress
3|Page
, HESI RN Exit Exam (V2) 2025 Actual exam
D. Assess the delivery mechanism of the oxygen tank, tubing, and cannula - ANSWER-D. Assess
the delivery mechanism of the oxygen tank, tubing, and cannula
A client with a history of using illicit drugs intravenously is admitted with Kaposi's sarcoma.
Which intervention should the nurse include in this client's admission plan of care?
A. Assess for symptoms of AIDS dementia
B. Monitor for secondary infections
C. Identify local HIV support groups
D. Observe for adverse drug reactions - ANSWER-B. Monitor for secondary infections
An older woman who has difficulty hearing is being discharged from day surgery following a
cataract extraction and lens implantation. Which intervention is most important for the nurse to
implement to help ensure the client's compliance with self care?
A. Have the client vocalize the instructions provided
B. Ensure that someone will stay with the client for 24 hours
C. Speak clearly and face the client for lip reading
D. Provide written instructions for eye drop administration - ANSWER-A. Have the client vocalize
the instructions provided
An older woman with history of atrial fibrillation fell at home and fractured her left hip. She is
currently taking warfarin 5 mg daily and has an international normalized ratio (INR) value of 5.0.
Upon admission, which prescription should the nurse expect to implement?
A. Administer Vitamin K injection
B. Start continuous heparin infusion
C. Continue warfarin at same dose
D. Transfuse unit of packed red blood cells - ANSWER-A. Administer Vitamin K injection
4|Page
