1|Page
HESI RN EXIT EXAM 2025 |Comprehensive
Questions And Answers
The nurse is giving preop instructions to a 14 yr old scheduled to correct a spinal
curvature. Which statement best demonstrates that learning has taken place? -
correct-answer-I understand I will be in a body cast and I will show you hoy you
taught me to turn
To take the vital signs of a 4 month old child which order will give the most
accurate results? -correct-answer-Respiratory rate, heart rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is pearly
gray, slightly bulging and not movable. What action should the nurse take next? -
correct-answer-Ask the child if he has has a cold, runny nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? -correct-
answer-elbow
What preoperative nursing intervention should be included in the plan of care for
an infant with pyloric stenosis? -correct-answer-Observe for projectile vomiting
,2|Page
A six month old returns from surgery with elbow restraints in place. What nursing
intervention should be included when caring for any restrained child? -correct-
answer-remove restraints one at a time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for his regular physical
exam. The nurse knows which problem is frequently associated with Down
Syndrome? -correct-answer-Congenital Heart Disease
When assessing a child with asthma the nurse should expect intercostal
retractions during -correct-answer-inspiration
When planning the care for a child who has had a cleft lip repair, the nurse knows
that crying should be minimized because it -correct-answer-stresses the suture
line
A client with a productive cough has obtained a sputum specimen for culture as
instructed. What action is the best initial nursing action? -correct-answer-
Administer the first dose of prescribed antibiotic therapy
,3|Page
A client is brought to the Emergency Department by ambulance in cardiac arrest
with CPR in progress. The client is intubated and receiving 100% O2 per ambu bag.
The nurse determines the client is cyanotic, cold, and diaphoretic. Which
assessment is most important to obtain? -correct-answer-deep tendon reflexes
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone
(SIADH), a client develops pontine myselinolysis. Which intervention should the
nurse implement first? -correct-answer-Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports he cannot put his
shoes on because they are too tight. Which additional information should the
nurse obtain? -correct-answer-Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with progressive shortness of
breath and a persistent cough. She is anxious and is complaining of a dry mouth.
Which intervention should the nurse implement? -correct-answer-Apply a high
flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with SOB,
productive cough with thickened tenacious mucous and the inability to walk up a
flight of stairs without experiencing breathlessness. Which action is important for
the nurse to instruct the client about self care? -correct-answer-Increase the daily
intake of oral fluids to to liquefy secretions
, 4|Page
A cardiac catherization of a client with heart disease indicates the following
blockages 95% LAD 99% proximal circumflex and 95% proximal RCA. The client
later asks the nurse "what does all that mean for me" -correct-answer-3 main
arteries have major blockages with only 1 to 5% of blood flow getting through to
the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess which position
should the nurse instruct the client to maintain -correct-answer-left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is
unable to eat or drink without nausea and vomiting. Which finding should the
nurse report to the healthcare provider -correct-answer-yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neuro assessment every 4 hours. which assessment finding warrants
immediate intervention by the nurse? -correct-answer-Increasing Anxiety
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft to promote burn healing. Which info should the nurse provide
this client? -correct-answer-The xenograft is taken from nonhuman sources
HESI RN EXIT EXAM 2025 |Comprehensive
Questions And Answers
The nurse is giving preop instructions to a 14 yr old scheduled to correct a spinal
curvature. Which statement best demonstrates that learning has taken place? -
correct-answer-I understand I will be in a body cast and I will show you hoy you
taught me to turn
To take the vital signs of a 4 month old child which order will give the most
accurate results? -correct-answer-Respiratory rate, heart rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is pearly
gray, slightly bulging and not movable. What action should the nurse take next? -
correct-answer-Ask the child if he has has a cold, runny nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? -correct-
answer-elbow
What preoperative nursing intervention should be included in the plan of care for
an infant with pyloric stenosis? -correct-answer-Observe for projectile vomiting
,2|Page
A six month old returns from surgery with elbow restraints in place. What nursing
intervention should be included when caring for any restrained child? -correct-
answer-remove restraints one at a time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for his regular physical
exam. The nurse knows which problem is frequently associated with Down
Syndrome? -correct-answer-Congenital Heart Disease
When assessing a child with asthma the nurse should expect intercostal
retractions during -correct-answer-inspiration
When planning the care for a child who has had a cleft lip repair, the nurse knows
that crying should be minimized because it -correct-answer-stresses the suture
line
A client with a productive cough has obtained a sputum specimen for culture as
instructed. What action is the best initial nursing action? -correct-answer-
Administer the first dose of prescribed antibiotic therapy
,3|Page
A client is brought to the Emergency Department by ambulance in cardiac arrest
with CPR in progress. The client is intubated and receiving 100% O2 per ambu bag.
The nurse determines the client is cyanotic, cold, and diaphoretic. Which
assessment is most important to obtain? -correct-answer-deep tendon reflexes
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone
(SIADH), a client develops pontine myselinolysis. Which intervention should the
nurse implement first? -correct-answer-Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports he cannot put his
shoes on because they are too tight. Which additional information should the
nurse obtain? -correct-answer-Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with progressive shortness of
breath and a persistent cough. She is anxious and is complaining of a dry mouth.
Which intervention should the nurse implement? -correct-answer-Apply a high
flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with SOB,
productive cough with thickened tenacious mucous and the inability to walk up a
flight of stairs without experiencing breathlessness. Which action is important for
the nurse to instruct the client about self care? -correct-answer-Increase the daily
intake of oral fluids to to liquefy secretions
, 4|Page
A cardiac catherization of a client with heart disease indicates the following
blockages 95% LAD 99% proximal circumflex and 95% proximal RCA. The client
later asks the nurse "what does all that mean for me" -correct-answer-3 main
arteries have major blockages with only 1 to 5% of blood flow getting through to
the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess which position
should the nurse instruct the client to maintain -correct-answer-left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is
unable to eat or drink without nausea and vomiting. Which finding should the
nurse report to the healthcare provider -correct-answer-yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neuro assessment every 4 hours. which assessment finding warrants
immediate intervention by the nurse? -correct-answer-Increasing Anxiety
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft to promote burn healing. Which info should the nurse provide
this client? -correct-answer-The xenograft is taken from nonhuman sources
