HESI RN EXIT EXAM VERSION 2 NEWEST 2025/2026
ACTUAL EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS ALREADY GRADED A+ | RN
HESI EXIT EXAM V2 (BRAND NEW)
A 3-year-old boy was successfully toilet trained prior to his admission to the
hospital for injuries sustained from a fall. His parents are very concerned that the
child has regressed in his toileting behaviors. Which information should the nurse
provide to the parents?
A. Diapering will be provided since hospitalization is stressful to preschoolers
B. Children usually resume their toileting behaviors when they leave the hospital
C. A potty chair should be brought from home so he can maintain his toileting
skills
D. A retraining program will need to be initiated when the child returns home
B. Children usually resume their toileting behaviors when they leave the
hospital
The charge nurse of a critical care unit is informed at the beginning of the shift
that less than the optimal number of registered nurses will be working that shift.
In planning assignments, which client should receive the most care hours by a
registered nurse (RN)?
A. A 48-year-old marathon runner with a central venous catheter who is
experiencing nausea and vomiting due to electrolyte disturbance following a race
B. A 34-year-old admitted today after an emergency appendectomy who has a
peripheral intravenous catheter and a Foley catheter
,C. A 63-year-old chain smoker admitted with chronic bronchitis who is receiving
oxygen via nasal cannula and has a saline-locked peripheral intravenous catheter
D. An 82-year-old client with Alzheimer's disease and a newly-fractured femur
who has a Foley catheter and soft wrist restraints applied D. An 82-year-old
client with Alzheimer's disease and a newly-fractured femur who has a Foley
catheter and soft wrist restraints applied
The nurse assumes care of a postoperative adult client with type 2 diabetes
mellitus and learns that the client has a current blood glucose level of 720 mg/dL.
When assessing the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate A. Assess for signs of fluid volume deficit
When caring for a client with full thickness burns to both lower extremities, which
assessment findings warrant immediate intervention? Select all that apply
A. Sloughing tissue around wound edges
B. Complaint of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
E. Weeping serosanguineous fluid from wounds B. Complaint of increased pain
and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
,A male client tells the nurse that he is concerned that he may have a stomach
ulcer, because he is experiencing heartburn and dull gnawing pain that is relieved
when he eats. Which is the best response by the nurse?
A. Encourage the client to obtain a complete physical exam, since these
symptoms are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since ulcer pain is
not relieved with food
C. Instruct the client that these mild symptoms can generally be controlled with
changes in his diet
D. Advise the client that he needs to seek immediate medical evaluation and
treatment of these symptoms A. Encourage the client to obtain a complete
physical exam, since these symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following a total
gastrectomy. He has a nasogastric tube to suction and is receiving Lactated
Ringer's solution at 75 mL/hr IV. One hour after admission to the unit, the nurse
notes 300mL of blood in the suction canister, the client's heart rate is 155
beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the
findings to the surgeon, which action should the nurse implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's solution D. Increase the
infusion rate of Lactated Ringer's solution
A heparin infusion is prescribed for a client who weighs 220 pounds. After
administering a bolus dose of 80 units/kg, the nurse calculates the infusion rate
for the heparin solution as 18 units/kg/hour. The available solution is Heparin
Sodium 25,000 Units in 5% Dextrose Injection 250 mL. The nurse should program
, the infusion pump to deliver how many mL/hour? -1st: calculate the weight =
220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/hr
- 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18 mL/hr
An adult male who fell 20 feet from the roof of his home has multiple injuries,
including a right pneumothorax. Chest tubes were inserted in the emergency
department prior to his transfer to the intensive care unit (ICU). The nurse notes
that the suction control chamber is bubbling at the -10cm H2O mark, which
fluctuation in the water seal, and over the past hour 75 mL of bright red blood is
measured in the collection chamber. Which intervention should the nurse
implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusion
C. Manipulate blood in tubing to drain into chamber
D. Increase wall suction to eliminate fluctuation in water seal A. Add sterile
water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife
approaches the nurse and asks how she will know that her husband's death is
imminent because their two adult children want to be there when he dies. Which
is the best response by the nurse?
A. Gather information regarding how long it will take for the children to arrive
B. Explain that the client will start to lose consciousness and the body systems will
slow down
ACTUAL EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS ALREADY GRADED A+ | RN
HESI EXIT EXAM V2 (BRAND NEW)
A 3-year-old boy was successfully toilet trained prior to his admission to the
hospital for injuries sustained from a fall. His parents are very concerned that the
child has regressed in his toileting behaviors. Which information should the nurse
provide to the parents?
A. Diapering will be provided since hospitalization is stressful to preschoolers
B. Children usually resume their toileting behaviors when they leave the hospital
C. A potty chair should be brought from home so he can maintain his toileting
skills
D. A retraining program will need to be initiated when the child returns home
B. Children usually resume their toileting behaviors when they leave the
hospital
The charge nurse of a critical care unit is informed at the beginning of the shift
that less than the optimal number of registered nurses will be working that shift.
In planning assignments, which client should receive the most care hours by a
registered nurse (RN)?
A. A 48-year-old marathon runner with a central venous catheter who is
experiencing nausea and vomiting due to electrolyte disturbance following a race
B. A 34-year-old admitted today after an emergency appendectomy who has a
peripheral intravenous catheter and a Foley catheter
,C. A 63-year-old chain smoker admitted with chronic bronchitis who is receiving
oxygen via nasal cannula and has a saline-locked peripheral intravenous catheter
D. An 82-year-old client with Alzheimer's disease and a newly-fractured femur
who has a Foley catheter and soft wrist restraints applied D. An 82-year-old
client with Alzheimer's disease and a newly-fractured femur who has a Foley
catheter and soft wrist restraints applied
The nurse assumes care of a postoperative adult client with type 2 diabetes
mellitus and learns that the client has a current blood glucose level of 720 mg/dL.
When assessing the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate A. Assess for signs of fluid volume deficit
When caring for a client with full thickness burns to both lower extremities, which
assessment findings warrant immediate intervention? Select all that apply
A. Sloughing tissue around wound edges
B. Complaint of increased pain and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
E. Weeping serosanguineous fluid from wounds B. Complaint of increased pain
and pressure
C. Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
,A male client tells the nurse that he is concerned that he may have a stomach
ulcer, because he is experiencing heartburn and dull gnawing pain that is relieved
when he eats. Which is the best response by the nurse?
A. Encourage the client to obtain a complete physical exam, since these
symptoms are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since ulcer pain is
not relieved with food
C. Instruct the client that these mild symptoms can generally be controlled with
changes in his diet
D. Advise the client that he needs to seek immediate medical evaluation and
treatment of these symptoms A. Encourage the client to obtain a complete
physical exam, since these symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following a total
gastrectomy. He has a nasogastric tube to suction and is receiving Lactated
Ringer's solution at 75 mL/hr IV. One hour after admission to the unit, the nurse
notes 300mL of blood in the suction canister, the client's heart rate is 155
beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the
findings to the surgeon, which action should the nurse implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's solution D. Increase the
infusion rate of Lactated Ringer's solution
A heparin infusion is prescribed for a client who weighs 220 pounds. After
administering a bolus dose of 80 units/kg, the nurse calculates the infusion rate
for the heparin solution as 18 units/kg/hour. The available solution is Heparin
Sodium 25,000 Units in 5% Dextrose Injection 250 mL. The nurse should program
, the infusion pump to deliver how many mL/hour? -1st: calculate the weight =
220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/hr
- 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18 mL/hr
An adult male who fell 20 feet from the roof of his home has multiple injuries,
including a right pneumothorax. Chest tubes were inserted in the emergency
department prior to his transfer to the intensive care unit (ICU). The nurse notes
that the suction control chamber is bubbling at the -10cm H2O mark, which
fluctuation in the water seal, and over the past hour 75 mL of bright red blood is
measured in the collection chamber. Which intervention should the nurse
implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusion
C. Manipulate blood in tubing to drain into chamber
D. Increase wall suction to eliminate fluctuation in water seal A. Add sterile
water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife
approaches the nurse and asks how she will know that her husband's death is
imminent because their two adult children want to be there when he dies. Which
is the best response by the nurse?
A. Gather information regarding how long it will take for the children to arrive
B. Explain that the client will start to lose consciousness and the body systems will
slow down
