HESI EXIT NGN, HESI RN Exit Exam
(2025) comprehensive questions
and verified answers ( detailed &
elaborated) ACTUAL EXAM 2025
TEST!!With 200+QUESTIONS WITH
CORRECT ANSWERS GRADED A+
The nurse is providing care for a client with severe peripheral arterial disease
(PAD). The client reports a history of rest ischemia, with leg pain that occurs
during the night. Which action should the nurse take in response to this
finding?
A. Elevate the legs to assess for color changes
B. Provide a heating pad for PRN use
C. Offer cold packs when the pain occurs
D. Suggest dangling the legs when pain occurs
C. Offer cold packs when the pain occurs
The nurse assess a client being treated for Herpes zoster (shingles). Which
assessments should the nurse include when evaluating the effectiveness of
the the treatment? (Select all that apply)
A. Functional ability
B. Skin integrity
C. Pain scale
D. Bowel sounds
E. heart sounds
A. Functional ability
B. Skin integrity
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 at 18 units/kg/hr. The available solution is Heparin
Sodium 25,000 units in 5% Dextrose injection 250mL. The nurse should
program the infusion pump to deliver how many mL/hour?
18
When providing client care the nurse identifies a problem and develops a
related clinical question. Next, the nurse intends to gather evidence so that the
decision-making process in response to the problem and clinical question is
evidence-based. When gathering evidence, which consideration is most
important?
A. Past experience with similar problems
B. Relevance to the situation
C. Related personal values
D. Frequency that the problem occurs
B. Relevance to the situation
A client diagnosed with calcium kidney stones has a history of gout. A new
prescription for aluminum hydroxide is scheduled to begin at 0730. Which
client medication should the nurse bring to the healthcare provider's
attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose
B. Allopurinol
A client with urge incontinence was treated with onabotuilinumtoxinA
injections and is now experiencing urinary retention. Which action should the
nurse include in the client's plan of care?
A. Provide a bedside commode for immediate use in the client's room
B. Teach the client techniques for performing intermittent catheterization
C. Explain the need to limit intake of oral fluids to reduce client discomfort
D. Remind the client to practice pelvic floor (Kegel) exercises regularly
D. Remind the client to practice pelvic floor (Kegel) exercises regularly
After a spider bite on the lower extremity, a client is admitted for treatment of
an infection that is spreading up the leg. Which admission assessment
findings should the nurse report to the healthcare provider? (Select all that
,apply)
A. Location of the initial IV site
B. Red blood cell count (RBC)
C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
E. Core body temperature
C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
E. Core body temperature
A pt presses the call bell and requests pain medication for a severe headache.
To assess the quality of the pt. Pain, which approach should the nurse use?
Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt.
When exiting the room, which PPE should be removed first?
Gloves
An older pt is brought to the ED with a sudden onset of confusion that
occurred after experiencing a fall at home. The daughter, who has power of
attorney, has brought the client's prescriptions. Which information should the
nurse provide first when reporting to the healthcare provider using SBAR
communication?
Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming
three times a week in an effort to lose weight and sleep better. The pt states
that it still is taking hours to fall asleep at night. Which action should the nurse
implement?
Ask the pt for a description of the exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who
is recovering from Guillain-Barre syndrome about home. Which actions should
the nurse include when providing discharge teaching to the pt and spouse?
SATA
-review safe transfer strategies
-develop a nutritional plan
-help identify community support
, The nurse implements a tertiary prevention program for type 2 diabetes in a
rural health clinic. Which outcome indicates that the program was effective?
pt who develop disease complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for
African American women who are at risk for developing breast cancer. Which
resource is most important in designing this program?
participation of community leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours
after the injuries occurred. The healthcare provider instructs the nurse to
avoid auto contamination when performing dressing changes. Which
intervention is most important for the nurse to implement?
use gown, mask, and gloves with dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and
heparin are infusing. The pt is sedated but responds to instructions. After
changing positions, the pt complains of pain at the right groin insertion site.
What action should the nurse implement?
Stimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt
assessment is most important for the nurse to obtain?
upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at home
alone and never falling. Which action should the nurse take?
Continue to obtain pt data needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration
pneumonia. The pt is weak and begins coughing while attempting to drink
through a straw. Which intervention should the nurse implement?
Teach coughing and deep breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
recognize as needing additional education?
Empty the pouch when it is half full.
A 12 week gestation is admitted to the antepartum unit with a dx of
hyperemesis gravidarum. Which action is most important for the nurse to
implement?
(2025) comprehensive questions
and verified answers ( detailed &
elaborated) ACTUAL EXAM 2025
TEST!!With 200+QUESTIONS WITH
CORRECT ANSWERS GRADED A+
The nurse is providing care for a client with severe peripheral arterial disease
(PAD). The client reports a history of rest ischemia, with leg pain that occurs
during the night. Which action should the nurse take in response to this
finding?
A. Elevate the legs to assess for color changes
B. Provide a heating pad for PRN use
C. Offer cold packs when the pain occurs
D. Suggest dangling the legs when pain occurs
C. Offer cold packs when the pain occurs
The nurse assess a client being treated for Herpes zoster (shingles). Which
assessments should the nurse include when evaluating the effectiveness of
the the treatment? (Select all that apply)
A. Functional ability
B. Skin integrity
C. Pain scale
D. Bowel sounds
E. heart sounds
A. Functional ability
B. Skin integrity
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 at 18 units/kg/hr. The available solution is Heparin
Sodium 25,000 units in 5% Dextrose injection 250mL. The nurse should
program the infusion pump to deliver how many mL/hour?
18
When providing client care the nurse identifies a problem and develops a
related clinical question. Next, the nurse intends to gather evidence so that the
decision-making process in response to the problem and clinical question is
evidence-based. When gathering evidence, which consideration is most
important?
A. Past experience with similar problems
B. Relevance to the situation
C. Related personal values
D. Frequency that the problem occurs
B. Relevance to the situation
A client diagnosed with calcium kidney stones has a history of gout. A new
prescription for aluminum hydroxide is scheduled to begin at 0730. Which
client medication should the nurse bring to the healthcare provider's
attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose
B. Allopurinol
A client with urge incontinence was treated with onabotuilinumtoxinA
injections and is now experiencing urinary retention. Which action should the
nurse include in the client's plan of care?
A. Provide a bedside commode for immediate use in the client's room
B. Teach the client techniques for performing intermittent catheterization
C. Explain the need to limit intake of oral fluids to reduce client discomfort
D. Remind the client to practice pelvic floor (Kegel) exercises regularly
D. Remind the client to practice pelvic floor (Kegel) exercises regularly
After a spider bite on the lower extremity, a client is admitted for treatment of
an infection that is spreading up the leg. Which admission assessment
findings should the nurse report to the healthcare provider? (Select all that
,apply)
A. Location of the initial IV site
B. Red blood cell count (RBC)
C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
E. Core body temperature
C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
E. Core body temperature
A pt presses the call bell and requests pain medication for a severe headache.
To assess the quality of the pt. Pain, which approach should the nurse use?
Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt.
When exiting the room, which PPE should be removed first?
Gloves
An older pt is brought to the ED with a sudden onset of confusion that
occurred after experiencing a fall at home. The daughter, who has power of
attorney, has brought the client's prescriptions. Which information should the
nurse provide first when reporting to the healthcare provider using SBAR
communication?
Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming
three times a week in an effort to lose weight and sleep better. The pt states
that it still is taking hours to fall asleep at night. Which action should the nurse
implement?
Ask the pt for a description of the exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who
is recovering from Guillain-Barre syndrome about home. Which actions should
the nurse include when providing discharge teaching to the pt and spouse?
SATA
-review safe transfer strategies
-develop a nutritional plan
-help identify community support
, The nurse implements a tertiary prevention program for type 2 diabetes in a
rural health clinic. Which outcome indicates that the program was effective?
pt who develop disease complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for
African American women who are at risk for developing breast cancer. Which
resource is most important in designing this program?
participation of community leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours
after the injuries occurred. The healthcare provider instructs the nurse to
avoid auto contamination when performing dressing changes. Which
intervention is most important for the nurse to implement?
use gown, mask, and gloves with dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and
heparin are infusing. The pt is sedated but responds to instructions. After
changing positions, the pt complains of pain at the right groin insertion site.
What action should the nurse implement?
Stimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt
assessment is most important for the nurse to obtain?
upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at home
alone and never falling. Which action should the nurse take?
Continue to obtain pt data needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration
pneumonia. The pt is weak and begins coughing while attempting to drink
through a straw. Which intervention should the nurse implement?
Teach coughing and deep breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
recognize as needing additional education?
Empty the pouch when it is half full.
A 12 week gestation is admitted to the antepartum unit with a dx of
hyperemesis gravidarum. Which action is most important for the nurse to
implement?
