HESI EXIT EXAM QUESTIONS AND ANSWERS 2025 v1
While .assessing .a .radial .artery .catheter, .the .client .complains .of
.numbness .and .pain .distal .to .the .insertion .site. .What .interventions
.should .the .nurse .implement? .-- .CORRECT .ANSWER-Promptly .remove .the
.arterial .catheter .from .the .radial .artery.
A .client .is .admitted .with .an .epidural .hematoma .that .resulted .from .a
.skateboarding .accident. .To .differentiate .the .vascular .source .of .the
.intracranial .bleeding, .which .finding .should .the .nurse .monitor? .--
.CORRECT .ANSWER-Rapid .onset .of .decreased .level .of . consciousness.
When .preparing .a .client .for .discharge .from .the .hospital .following .a
.cystectomy .and .a .urinary .diversion .to .treat .bladder .cancer, .which
.instruction .is .most .important .for .the .nurse .to .include .in .the .client's
.discharge .teaching .plan? .-- .CORRECT .ANSWER-Report . any .signs .of . cloudy
. urine . output.
After .repositioning .an .immobile .client, .the .nurse .observes .an .area .of
.hyperemia. .To .assess .for .blanching, .what .action .should .the .nurse .take?
.-- .CORRECT .ANSWER-Apply .light .pressure .over .the .area.
The .nurse .enters .a .client's .room .and .observes .the .client's .wrist
.restraint .secured .as .seen .in .the .picture. .What .action .should .the .nurse
.take? .-- .CORRECT .ANSWER- .Reposition .the .restraint .tie .onto .the
.bedframe.
A .female .client .with .acute .respiratory . distress .syndrome .(ARDS) .is
. chemically .paralyzed .and .sedated .while .she .is .on .as .assist-control
.ventilator .using . 50% . FIO2. . Which . assessment . finding . warrants
immediate .intervention .by .the .nurse? .-- .CORRECT .ANSWER-Diminished .left
.lower .lobe .sounds
Rationale: .Diminished .lobe .sounds .indicate .collapsed .alveoli .or .tension
.pneumothorax, .which .required
immediate .chest .tube .insertion .to .re-inflate .the .lung.
The .development .of .atherosclerosis .is .a .process .of .sequential .events.
.Arrange .the .pathophysiological .events .in .orders .of .occurrence. .(Place
.the .first .event .on .top .and .the .last .on .the .bottom) .-- .CORRECT .ANSWER-
Arterial .endothelium .injury .causes .inflammation
Macrophages .consume .low .density .lipoprotein .(LDL), .creating
.foam .cells .Foam .cells .release .growth .factors .for .smooth
.muscle .cells
,Smooth .muscle .grows .over .fatty .streaks .creating
.fibrous .plaques .Vessel .narrowing .results .in .ischemia
Following .a .motor .vehicle .collision, .an .adult .female .with .a .ruptured
.spleen .and . a . blood . pressure . of . 70/44, . had . an . emergency
. splenectomy. . Twelve .hours .after .the .surgery, .her .urine .output .is .25
.ml/hour .for .the .last .two .hours. .What .pathophysiological .reason .supports
.the .nurse's .decision .to .report .this .finding .to .the .healthcare .provider? .--
.CORRECT .ANSWER-Oliguria .signals .tubular .necrosis .related .to .hypoperfusion
A .nurse-manager .is .preparing .the .curricula .for .a .class .for .charge .nurses.
.A .staffing .formula .based .on .what .data .ensures .quality .client .care .and .is
.most .cost-effective? .-- .CORRECT .ANSWER-Skills .of .staf .f .and .client
.acuity
When .performing .postural .drainage .on .a .client .with .Chronic .Obstructive
.Pulmonary .Disease .(COPD), .which .approach .should .the .nurse .use? .--
.CORRECT .ANSWER- .Explain .that .the .client .may .be .placed .in .five
.positions
A .client .presents .in .the .emergency .room .with .right-sided .facial
.asymmetry. .The .nurse .asks .the .client .to .perform .a .series .of .movements
.that .require .use .of .the .facial .muscles. .What .symptoms .suggest .that .the
.client .has .most .likely .experience .a .Bell's .palsy .rather .than .a .stroke? .--
.CORRECT .ANSWER-Inability .to .close .the .affected .eye, .raise .brow, .or
.smile
The .nurse .is .teaching .a .client .how .to .perform .colostomy .irrigations. .When
.observing .the .client's .return .demonstration, .which .action .indicated .that
.the .client .understood .the .teaching? .-- .CORRECT .ANSWER-Keeps .the
.irrigating .container .less .than .18 .inches .above .the .stoma
The .nurse .should .teach .the .client .to .observe .which .precaution .while
.taking .dronedarone? .-- .CORRECT .ANSWER-Avoid .grapefruits .and .its .juice
A .client .who .sustained .a .head .injury .following .an .automobile .collision
.is .admitted .to .the .hospital. .The .nurse .include .the .client's .risk .for
.developing .increased .intracranial .pressure .(ICP) .in .the .plan .of .care.
.Which .signs .indicate .to .the .nurse .that .ICP .has .increased? .-- .CORRECT
.ANSWER- .Increased .Glasgow .coma .scale .score.
Nuchal .rigidity .and
.papilledema. .Confusion
.and .papilledema
.Periorbital .ecchymosis.
Rationale: .papilledema .is .always .an .indicator .of .increased .ICP, .and
.confusion .is .usually .the .first .sign .of
,increased .ICP. .Other .options .do .not .necessarily .reflect .increased .ICP.
, The .nurse .is .caring .for .a .client .receiving .continuous .IV .fluids .through .a
. single .lumen .central .venous .catheter .(CVC). .Based .on .the .CVC .care
.bundle, .which .action .should .be .completed .daily .to .reduce .the
risk .for .infection? .-- .CORRECT .ANSWER-Confirm .the .necessity .for
.continued .use .of .the .CVC.
During .an .annual .physical .examination, .an .older .woman's .fasting .blood
.sugar .(FBS) .is .determined .to .be .140 .mg/dl .or .7.8 .mmol/L .(SI). .Which
.additional .finding .obtained .during .a .follow-up .visit .2 .weeks .later .is
.most .indicative .that .the .client .has .diabetes .mellitus .(DM)? .-- .CORRECT
.ANSWER- .Repeated .fasting .blood .sugar .(FBS) .is .132 .mg/dl .or .7.4
.mmol/L .(SI).
A .client .who .was .admitted .yesterday .with .severe .dehydration .is
. complaining .of .pain .a .24 .gauge .IV .with .normal .saline .is .infusing .at .a
.rate .of .150 .ml/hour. .Which .intervention .should .the .nurse .implement
.first? .-- .CORRECT .ANSWER-Stop .the .normal .saline .infusion.
An .elderly .female .is .admitted .because .of .a .change .in .her .level .of
.sensorium. .During .the .evening .shift, .the .client .attempts .to .get .out .bed
.and .falls, .breaking .her .left .hip. .Buck's .skin .traction .is .applied .to .the .left
.leg .while .waiting .for .surgery. .Which .intervention .is .most .important .for
.the .nurse .to .include .in .this .client's .plan .care? .-- .CORRECT .ANSWER-Ensure
.proper .alignment .of .the .leg .in .traction.
A .client .who .had .a .right .hip .replacement .3 .day .ago .is .pale .has
.diminished .breath .sound .over .the .left .lower .lung .fields, .a .temperature .of
.100.2 . F, .and .an . oxygen . saturation . rate . of .90%. . The .client . is .scheduled
. to .be .transferred .to .a .skilled .nursing .facility .(SNF) .tomorrow .for
.rehabilitative .critical .pathway. .Based . on . the . client's . symptoms, . what
. recommendation . should . the . nurse .give . the . healthcare . provider? . --
. CORRECT . ANSWER-Reassess . readiness . for .SNF .transfer.
A .client .who .is .newly .diagnosed .with .type .2 .diabetes .mellitus .(DM)
.receives .a .prescription .for .metformin .(Glucophage) .500 .mg .PO .twice
.daily. .What .information .should .the .nurse .include .in .this .client's .teaching
.plan? .(Select . all .that .apply.) .-- .CORRECT .ANSWER-Recognize .signs .and
.symptoms .of .hypoglycemia.
Report .persist .polyuria .to . the . healthcare
.provider. .Take .Glucophage .with .the .morning
.and .evening .meal.
The .nurse .is .developing .an .educational .program .for .older .clients .who
.are .being .discharged .with .new .antihypertensive .medications. .The .nurse
.should .ensure .that .the .educational .materials .include .which
While .assessing .a .radial .artery .catheter, .the .client .complains .of
.numbness .and .pain .distal .to .the .insertion .site. .What .interventions
.should .the .nurse .implement? .-- .CORRECT .ANSWER-Promptly .remove .the
.arterial .catheter .from .the .radial .artery.
A .client .is .admitted .with .an .epidural .hematoma .that .resulted .from .a
.skateboarding .accident. .To .differentiate .the .vascular .source .of .the
.intracranial .bleeding, .which .finding .should .the .nurse .monitor? .--
.CORRECT .ANSWER-Rapid .onset .of .decreased .level .of . consciousness.
When .preparing .a .client .for .discharge .from .the .hospital .following .a
.cystectomy .and .a .urinary .diversion .to .treat .bladder .cancer, .which
.instruction .is .most .important .for .the .nurse .to .include .in .the .client's
.discharge .teaching .plan? .-- .CORRECT .ANSWER-Report . any .signs .of . cloudy
. urine . output.
After .repositioning .an .immobile .client, .the .nurse .observes .an .area .of
.hyperemia. .To .assess .for .blanching, .what .action .should .the .nurse .take?
.-- .CORRECT .ANSWER-Apply .light .pressure .over .the .area.
The .nurse .enters .a .client's .room .and .observes .the .client's .wrist
.restraint .secured .as .seen .in .the .picture. .What .action .should .the .nurse
.take? .-- .CORRECT .ANSWER- .Reposition .the .restraint .tie .onto .the
.bedframe.
A .female .client .with .acute .respiratory . distress .syndrome .(ARDS) .is
. chemically .paralyzed .and .sedated .while .she .is .on .as .assist-control
.ventilator .using . 50% . FIO2. . Which . assessment . finding . warrants
immediate .intervention .by .the .nurse? .-- .CORRECT .ANSWER-Diminished .left
.lower .lobe .sounds
Rationale: .Diminished .lobe .sounds .indicate .collapsed .alveoli .or .tension
.pneumothorax, .which .required
immediate .chest .tube .insertion .to .re-inflate .the .lung.
The .development .of .atherosclerosis .is .a .process .of .sequential .events.
.Arrange .the .pathophysiological .events .in .orders .of .occurrence. .(Place
.the .first .event .on .top .and .the .last .on .the .bottom) .-- .CORRECT .ANSWER-
Arterial .endothelium .injury .causes .inflammation
Macrophages .consume .low .density .lipoprotein .(LDL), .creating
.foam .cells .Foam .cells .release .growth .factors .for .smooth
.muscle .cells
,Smooth .muscle .grows .over .fatty .streaks .creating
.fibrous .plaques .Vessel .narrowing .results .in .ischemia
Following .a .motor .vehicle .collision, .an .adult .female .with .a .ruptured
.spleen .and . a . blood . pressure . of . 70/44, . had . an . emergency
. splenectomy. . Twelve .hours .after .the .surgery, .her .urine .output .is .25
.ml/hour .for .the .last .two .hours. .What .pathophysiological .reason .supports
.the .nurse's .decision .to .report .this .finding .to .the .healthcare .provider? .--
.CORRECT .ANSWER-Oliguria .signals .tubular .necrosis .related .to .hypoperfusion
A .nurse-manager .is .preparing .the .curricula .for .a .class .for .charge .nurses.
.A .staffing .formula .based .on .what .data .ensures .quality .client .care .and .is
.most .cost-effective? .-- .CORRECT .ANSWER-Skills .of .staf .f .and .client
.acuity
When .performing .postural .drainage .on .a .client .with .Chronic .Obstructive
.Pulmonary .Disease .(COPD), .which .approach .should .the .nurse .use? .--
.CORRECT .ANSWER- .Explain .that .the .client .may .be .placed .in .five
.positions
A .client .presents .in .the .emergency .room .with .right-sided .facial
.asymmetry. .The .nurse .asks .the .client .to .perform .a .series .of .movements
.that .require .use .of .the .facial .muscles. .What .symptoms .suggest .that .the
.client .has .most .likely .experience .a .Bell's .palsy .rather .than .a .stroke? .--
.CORRECT .ANSWER-Inability .to .close .the .affected .eye, .raise .brow, .or
.smile
The .nurse .is .teaching .a .client .how .to .perform .colostomy .irrigations. .When
.observing .the .client's .return .demonstration, .which .action .indicated .that
.the .client .understood .the .teaching? .-- .CORRECT .ANSWER-Keeps .the
.irrigating .container .less .than .18 .inches .above .the .stoma
The .nurse .should .teach .the .client .to .observe .which .precaution .while
.taking .dronedarone? .-- .CORRECT .ANSWER-Avoid .grapefruits .and .its .juice
A .client .who .sustained .a .head .injury .following .an .automobile .collision
.is .admitted .to .the .hospital. .The .nurse .include .the .client's .risk .for
.developing .increased .intracranial .pressure .(ICP) .in .the .plan .of .care.
.Which .signs .indicate .to .the .nurse .that .ICP .has .increased? .-- .CORRECT
.ANSWER- .Increased .Glasgow .coma .scale .score.
Nuchal .rigidity .and
.papilledema. .Confusion
.and .papilledema
.Periorbital .ecchymosis.
Rationale: .papilledema .is .always .an .indicator .of .increased .ICP, .and
.confusion .is .usually .the .first .sign .of
,increased .ICP. .Other .options .do .not .necessarily .reflect .increased .ICP.
, The .nurse .is .caring .for .a .client .receiving .continuous .IV .fluids .through .a
. single .lumen .central .venous .catheter .(CVC). .Based .on .the .CVC .care
.bundle, .which .action .should .be .completed .daily .to .reduce .the
risk .for .infection? .-- .CORRECT .ANSWER-Confirm .the .necessity .for
.continued .use .of .the .CVC.
During .an .annual .physical .examination, .an .older .woman's .fasting .blood
.sugar .(FBS) .is .determined .to .be .140 .mg/dl .or .7.8 .mmol/L .(SI). .Which
.additional .finding .obtained .during .a .follow-up .visit .2 .weeks .later .is
.most .indicative .that .the .client .has .diabetes .mellitus .(DM)? .-- .CORRECT
.ANSWER- .Repeated .fasting .blood .sugar .(FBS) .is .132 .mg/dl .or .7.4
.mmol/L .(SI).
A .client .who .was .admitted .yesterday .with .severe .dehydration .is
. complaining .of .pain .a .24 .gauge .IV .with .normal .saline .is .infusing .at .a
.rate .of .150 .ml/hour. .Which .intervention .should .the .nurse .implement
.first? .-- .CORRECT .ANSWER-Stop .the .normal .saline .infusion.
An .elderly .female .is .admitted .because .of .a .change .in .her .level .of
.sensorium. .During .the .evening .shift, .the .client .attempts .to .get .out .bed
.and .falls, .breaking .her .left .hip. .Buck's .skin .traction .is .applied .to .the .left
.leg .while .waiting .for .surgery. .Which .intervention .is .most .important .for
.the .nurse .to .include .in .this .client's .plan .care? .-- .CORRECT .ANSWER-Ensure
.proper .alignment .of .the .leg .in .traction.
A .client .who .had .a .right .hip .replacement .3 .day .ago .is .pale .has
.diminished .breath .sound .over .the .left .lower .lung .fields, .a .temperature .of
.100.2 . F, .and .an . oxygen . saturation . rate . of .90%. . The .client . is .scheduled
. to .be .transferred .to .a .skilled .nursing .facility .(SNF) .tomorrow .for
.rehabilitative .critical .pathway. .Based . on . the . client's . symptoms, . what
. recommendation . should . the . nurse .give . the . healthcare . provider? . --
. CORRECT . ANSWER-Reassess . readiness . for .SNF .transfer.
A .client .who .is .newly .diagnosed .with .type .2 .diabetes .mellitus .(DM)
.receives .a .prescription .for .metformin .(Glucophage) .500 .mg .PO .twice
.daily. .What .information .should .the .nurse .include .in .this .client's .teaching
.plan? .(Select . all .that .apply.) .-- .CORRECT .ANSWER-Recognize .signs .and
.symptoms .of .hypoglycemia.
Report .persist .polyuria .to . the . healthcare
.provider. .Take .Glucophage .with .the .morning
.and .evening .meal.
The .nurse .is .developing .an .educational .program .for .older .clients .who
.are .being .discharged .with .new .antihypertensive .medications. .The .nurse
.should .ensure .that .the .educational .materials .include .which
