Exit Hesi RN,Exit HESI RN & HESI RN Practice Exam COMBINATION
EXAMINATION 2025 - 2026 QUESTIONS WITH CORRECT ANSWERS VERIFIED
100% GRADED A+
Exit HESI RN
An older male client with a history of type 1 diabetes has not felt well the past
few days and arrives at the clinic with abdominal cramping and vomiting. He is
lethargic, moderately confuses, and cannot remember when he took his last
dose of insulin or ate last. What action should the nurse implement first?
A- Obtain a serum potassium level
B- B- Administer the client's usual dose of insulin
C- C- Start an intravenous infusion of normal saline
D- D- Assess pupillary response to light.
Start an intravenous infusion of normal saline
A client with a history of heart failure and type 1 diabetes mellitus is admitted
with unstable angina. Which problem requires the most immediate intervention
by the nurse?A. Fatigue B. Fluid volume excess C.Activity intolerance D. Acute
anginal pain
Acute anginal pain
Several employees who have a 10 year or longer smoking history ask the
occupational health nurse for assistance with smoking cessation the nurse
develops a 2 month program that includes weekly group sessions on lifestyle
changes and use of over-the-counter (OTC) nicotine substitute products which
measurement provides the best indication of the program's effectiveness A-
Survey employees to determine how many are smoking 2 months after the end
of the program B- Design a questionnaire that identities lifestyle changes that
contribute to smoking cessation C- At the end of the program test the
employees knowledge of OTC nicotine substitute products D- Ask the
employees to inform the group if they stop smoking and if they start smoking
again
Survey employees to determine how many are smoking
A female client is hospitalized for treatment of a myasthenic crisis and is
concerned about what might cause this illness. She states "i just had a little
case of the sniffles and a bit of a sore throat and wham! Suddenly i couldn't
get out of bed or do anything " which response is best for the nurse to provide
this client? A- "The crisis may have been triggered by your cold. i bet it can
feel pretty scary ." B- "It was probably an overdose of your medication. Did
you take a double dose?" C- "You probably just did too much at one time. You
need to pace your activities" D- Muscle weakness is an early sign of crisis and
means that you need more rest"
Muscle weakness is an early sign of crisis and means that you need more rest
The nurse notes that the influenza immunization rates are much lower for
certain demographic groups than for others. Which intervention is likely to be
most useful in increasing the rates of immunization in these lower
immunization group A- Reports describing influenza rates during times of
,greatest prevalence B- Radio announcements about the availability of the
influenza vaccine C- Legislative proposals that mandate influenza vaccination
for all D- Designation of clinics conveniently located in target neighborhood
Designation of clinics conveniently located in target neighborhood
The nursing staff expresses concern about a new policy that increases the
nurses to patient ratio by 25% on all shift. Which action is best for the nurse
manager take? A- Encourage the nursing staff to organize a group meeting to
voice their complaints. B- Provide a virtual forum or chat room to discuss the
increase nurse ratio. C- Disseminate factual information to all nursing staff to
avoid misinformation and rumors. D- Request a judgment from the state board
of nursing regarding safety of the new policy
Encourage the nursing staff to organize a group meeting to voice their complaints
An experienced female practical nurse is hired to work on the surgical unit of a
tertiary hospital the first day she is working on the unit the PN tells the charge
nurse that she has excellent wound care skills. it is a busy day and a
postoperative client needs to have a sterile dressing change. what action is
best for the charge nurse to take. A- Review the PN skill checklist to assess for
wound care competency B- Tell the PN experience does not indicate ability to
perform skills C- Watch the PN perform sterile wound care to validate her skill
level D- Ask the PN to change the sterile dressing while the nurse is busy
Watch the PN perform sterile wound care to validate her skill level
The home health nurse is reviewing the personal care needs of an elderly
client who lives alone. Which assessment findings indicate the need to assign
an unlicensed assistive personnel (UAP) to provide routine foot care and file
the client's toenails? (Select all that apply) A- Hand tremors B- Syncope when
bending C- Urinary incontinence D- Diminished visual acuity E- Shuffling gait
Hand tremors Syncope when bending & Diminished visual acuity
A nurse is assessing a 6- month -old infant. Which response requires further
evaluation by the nurse? A- Play peek-a boo B- Has doubled birth weight C-
Turn heads to locate sound D- Demonstrates startle reflex
Demonstrates startle reflex
The charge nurse is making assignment on an in-patient psychiatric unit. The
staff consists of two psychiatric technicians and one practical nurse (PN).
Which team assignment is best to assign to the PN? A- Administration of
routine medication B- Routine morning vital signs and weights C-
Detoxification precaution check lists D- One -on-one observation of a suicidal
client
One -on-one observation of a suicidal client
An older client with cirrhosis of the liver and hepatic failure is placed on a low
sodium diet and is receiving periodic albumin infusions. Which assessment
finding indicates progression toward the desired effect of this treatment plan?
A- Improved level of consciousness B- Clear, dark amber colored urine C-
Prothrombin time within normal limits D- Decreased abdominal girth
Decreased abdominal girth
The home health nurse observes an older female client with unilateral
weakness place the walker in front of the chair for support while rising to a
standing position. What action should the nurse take? A- Instruct the client to
use the arms of the chair for support B- Apply a gait belt to assist the client as
she rises out of the chair C- Hold the walker securely to prevent slipping when
,the client rises D- Encourage client to use the weaker leg with the walker when
rising
Hold the walker securely to prevent slipping when the client rises
A client tumor measures 2 cm before and after receiving a course of
radiotherapy. What physiological mechanism renders this response to
radiation therapy of cancer? A- Reduction of contact inhibition results in cell
death by phagocytosis. B- Production of ionizing energy damages DNA, hence
stop replication C- Cellular anchorage that is necessary for cancer cell growth
is removed D- Cell growth is disrupted during the resting phase of the cell
cycle
Production of ionizing energy damages DNA, hence stop replication
The nurse prepares a teaching plan for an adult male with metabolic
syndrome. Which findings should the nurse address to help the client reduce
his risk for diabetes mellitus and vascular disease? (Select all that apply) A-
Abdominal obesity B- Hyperglycemia C- Hypothyroidism D- Elevated high
density lipoproteins E- Increased triglyceride levels F- Blood pressure of
150/96
Abdominal obesity, Hyperglycemia, Increased triglyceride levels, & Blood pressure of
150/96
Recognizing the role of the kidney in the production of erythropoietin, the
nurse assesses a client with chronic kidney disease (CKD) for what
manifestation? A- Pruritus B- Jaundice C- Petechiae D- Pallor
Pallor
A client with C-7 spinal cord injury is experiencing autonomic dysreflexia. The
nurse should first assess the client for which precipitating factor? A- An
acutely distended bladder B- Profuse forehead diaphoresis C- A severe
pounding headache D- Skeletal traction misalignment.
An acutely distended bladder
A successful businessman presents to the community mental health center
complaining of sleeplessness and anxiety over his financial status. Which
action should the nurse take to assist this client in diminishing his anxiety? A-
Teach him to limit sugar and caffeine intake B- Reinforce the reality of his
financial situation C- Direct him to drink a glass of red wine at bedtime D-
Encourage him to initiate daily rituals
Teach him to limit sugar and caffeine intake
The nurse is evaluating teaching about drug therapy to treat gout. Which
statement by the client demonstrates an understanding of the use of
allopurinol (Zyloprim) to treat gout? A- "I need to take the prescribed amount
of the drug to get rid of my gout" B- "I need to take this drug every day to keep
from having any flare-up" C- "The pain and swelling can be controlled by
taking this drug every day" D- "I should take this drug when i have gout
attacks to reduce symptoms"
I need to take this drug every day to keep from having any flare-up
When assessing an infant with severe diarrhea, the nurse should observe for
which potential change in breathing pattern? A- Kussmaul respirations B-
Expiratory wheezing C- Audible rhonchi D- Cheyne-Stokes respirations
Kussmaul respiration
The nurse plans to administer a low dose prescription for dopamine (Intropin)
to a client who is in septic shock. Which physiologic parameter should the
, nurse use to evaluate a therapeutic response to dopamine? A- Heart sounds.
B- Urinary output C- Temperature D- Pupil respond
Urinary output
The nurse applies an automatic external defibrillator (AED) to a client who
collapsed in an exam room at a community client. What action should the
nurse take next? A- Bring a crash cart to the exam room B- Measure the
client's blood pressure C- Assess the client's oxygen saturation D- Determine
the defibrillator reading
Determine the defibrillator reading
When teaching a client with Parkinson's disease, which rationale for the
prescription of carbidopa -levodopa (Sinemet) should the nurse include? A-
Acts as an antiseizure medication reducing the tremors caused by the disease
B- Increases the amount of dopamine available for muscle to function
correctly. C- Reduces the inflammatory process improving nerve transmission
and function D- Slows the scarring in the myelin sheath improving
Increases the amount of dopamine available for muscle to function correctly
In conducting a pain assessment of a client with osteoarthritis, what action
should the nurse include? A- Collect dietary history of calcium-rich food intake
B- Observe client during movement of affected joints C- Ask if pain lessens
with elevation of the extremity D- Measure vital sign changes after physical
activity
Observe client during movement of affected joints
An adult male is admitted to the ED with sanguineous draining from the scalp
wound and blood from both ears following a fall from a tree that he was
trimming what action is most important for the nurse to take? A-Determine his
response on the Glasgow coma scale B-Assess for periorbital swelling C-
Provide sterile wound care and sterile nonstick dressing D-Ask the family if he
has an advance directive
Determine his response on the Glasgow coma scale
The charge nurse in an emergency center is planning client care assignment
for the staff. Which action may be safety delegated to the Practical nurse (PN).
A-Remove a peripheral IV cath B-Evaluate client teaching return demo C-
Establish blood pressure parameters D-Provide client with resources
discharge teaching
Provide client with resources discharge teaching
A client has a new prescription for the maximum recommend dose of
piperacillin/tab -obactam (zosyn) for hosomial pneumonia. The nurse should
report which lab finding to the HCP before administering the prescribe doses
A-Elevated cholesterol and lipo protein B- Elevated WBC C-Presence of gram +
bacteria in sputum D-Decreased creatinine clearance
Decreased creatinine clearance
A new nurse preparing to irrigate an intravenous cath is attaching a 24-gauge
action should the charge nurse implement A-Suggest the nurse use a 20-
gauge B-Direct the nurse to change IV tubing C-Instruct the nurse to remove
the needle D-Prompt the nurse to apply pressure to the site
Instruct the nurse to remove the needle
A male client with chronic pain report minimal pain relief despite attempts to
adhere to the pain relief measure he was taught he appears withdrawn and
refuses to be involved with planning his café. The nurse should identify which
EXAMINATION 2025 - 2026 QUESTIONS WITH CORRECT ANSWERS VERIFIED
100% GRADED A+
Exit HESI RN
An older male client with a history of type 1 diabetes has not felt well the past
few days and arrives at the clinic with abdominal cramping and vomiting. He is
lethargic, moderately confuses, and cannot remember when he took his last
dose of insulin or ate last. What action should the nurse implement first?
A- Obtain a serum potassium level
B- B- Administer the client's usual dose of insulin
C- C- Start an intravenous infusion of normal saline
D- D- Assess pupillary response to light.
Start an intravenous infusion of normal saline
A client with a history of heart failure and type 1 diabetes mellitus is admitted
with unstable angina. Which problem requires the most immediate intervention
by the nurse?A. Fatigue B. Fluid volume excess C.Activity intolerance D. Acute
anginal pain
Acute anginal pain
Several employees who have a 10 year or longer smoking history ask the
occupational health nurse for assistance with smoking cessation the nurse
develops a 2 month program that includes weekly group sessions on lifestyle
changes and use of over-the-counter (OTC) nicotine substitute products which
measurement provides the best indication of the program's effectiveness A-
Survey employees to determine how many are smoking 2 months after the end
of the program B- Design a questionnaire that identities lifestyle changes that
contribute to smoking cessation C- At the end of the program test the
employees knowledge of OTC nicotine substitute products D- Ask the
employees to inform the group if they stop smoking and if they start smoking
again
Survey employees to determine how many are smoking
A female client is hospitalized for treatment of a myasthenic crisis and is
concerned about what might cause this illness. She states "i just had a little
case of the sniffles and a bit of a sore throat and wham! Suddenly i couldn't
get out of bed or do anything " which response is best for the nurse to provide
this client? A- "The crisis may have been triggered by your cold. i bet it can
feel pretty scary ." B- "It was probably an overdose of your medication. Did
you take a double dose?" C- "You probably just did too much at one time. You
need to pace your activities" D- Muscle weakness is an early sign of crisis and
means that you need more rest"
Muscle weakness is an early sign of crisis and means that you need more rest
The nurse notes that the influenza immunization rates are much lower for
certain demographic groups than for others. Which intervention is likely to be
most useful in increasing the rates of immunization in these lower
immunization group A- Reports describing influenza rates during times of
,greatest prevalence B- Radio announcements about the availability of the
influenza vaccine C- Legislative proposals that mandate influenza vaccination
for all D- Designation of clinics conveniently located in target neighborhood
Designation of clinics conveniently located in target neighborhood
The nursing staff expresses concern about a new policy that increases the
nurses to patient ratio by 25% on all shift. Which action is best for the nurse
manager take? A- Encourage the nursing staff to organize a group meeting to
voice their complaints. B- Provide a virtual forum or chat room to discuss the
increase nurse ratio. C- Disseminate factual information to all nursing staff to
avoid misinformation and rumors. D- Request a judgment from the state board
of nursing regarding safety of the new policy
Encourage the nursing staff to organize a group meeting to voice their complaints
An experienced female practical nurse is hired to work on the surgical unit of a
tertiary hospital the first day she is working on the unit the PN tells the charge
nurse that she has excellent wound care skills. it is a busy day and a
postoperative client needs to have a sterile dressing change. what action is
best for the charge nurse to take. A- Review the PN skill checklist to assess for
wound care competency B- Tell the PN experience does not indicate ability to
perform skills C- Watch the PN perform sterile wound care to validate her skill
level D- Ask the PN to change the sterile dressing while the nurse is busy
Watch the PN perform sterile wound care to validate her skill level
The home health nurse is reviewing the personal care needs of an elderly
client who lives alone. Which assessment findings indicate the need to assign
an unlicensed assistive personnel (UAP) to provide routine foot care and file
the client's toenails? (Select all that apply) A- Hand tremors B- Syncope when
bending C- Urinary incontinence D- Diminished visual acuity E- Shuffling gait
Hand tremors Syncope when bending & Diminished visual acuity
A nurse is assessing a 6- month -old infant. Which response requires further
evaluation by the nurse? A- Play peek-a boo B- Has doubled birth weight C-
Turn heads to locate sound D- Demonstrates startle reflex
Demonstrates startle reflex
The charge nurse is making assignment on an in-patient psychiatric unit. The
staff consists of two psychiatric technicians and one practical nurse (PN).
Which team assignment is best to assign to the PN? A- Administration of
routine medication B- Routine morning vital signs and weights C-
Detoxification precaution check lists D- One -on-one observation of a suicidal
client
One -on-one observation of a suicidal client
An older client with cirrhosis of the liver and hepatic failure is placed on a low
sodium diet and is receiving periodic albumin infusions. Which assessment
finding indicates progression toward the desired effect of this treatment plan?
A- Improved level of consciousness B- Clear, dark amber colored urine C-
Prothrombin time within normal limits D- Decreased abdominal girth
Decreased abdominal girth
The home health nurse observes an older female client with unilateral
weakness place the walker in front of the chair for support while rising to a
standing position. What action should the nurse take? A- Instruct the client to
use the arms of the chair for support B- Apply a gait belt to assist the client as
she rises out of the chair C- Hold the walker securely to prevent slipping when
,the client rises D- Encourage client to use the weaker leg with the walker when
rising
Hold the walker securely to prevent slipping when the client rises
A client tumor measures 2 cm before and after receiving a course of
radiotherapy. What physiological mechanism renders this response to
radiation therapy of cancer? A- Reduction of contact inhibition results in cell
death by phagocytosis. B- Production of ionizing energy damages DNA, hence
stop replication C- Cellular anchorage that is necessary for cancer cell growth
is removed D- Cell growth is disrupted during the resting phase of the cell
cycle
Production of ionizing energy damages DNA, hence stop replication
The nurse prepares a teaching plan for an adult male with metabolic
syndrome. Which findings should the nurse address to help the client reduce
his risk for diabetes mellitus and vascular disease? (Select all that apply) A-
Abdominal obesity B- Hyperglycemia C- Hypothyroidism D- Elevated high
density lipoproteins E- Increased triglyceride levels F- Blood pressure of
150/96
Abdominal obesity, Hyperglycemia, Increased triglyceride levels, & Blood pressure of
150/96
Recognizing the role of the kidney in the production of erythropoietin, the
nurse assesses a client with chronic kidney disease (CKD) for what
manifestation? A- Pruritus B- Jaundice C- Petechiae D- Pallor
Pallor
A client with C-7 spinal cord injury is experiencing autonomic dysreflexia. The
nurse should first assess the client for which precipitating factor? A- An
acutely distended bladder B- Profuse forehead diaphoresis C- A severe
pounding headache D- Skeletal traction misalignment.
An acutely distended bladder
A successful businessman presents to the community mental health center
complaining of sleeplessness and anxiety over his financial status. Which
action should the nurse take to assist this client in diminishing his anxiety? A-
Teach him to limit sugar and caffeine intake B- Reinforce the reality of his
financial situation C- Direct him to drink a glass of red wine at bedtime D-
Encourage him to initiate daily rituals
Teach him to limit sugar and caffeine intake
The nurse is evaluating teaching about drug therapy to treat gout. Which
statement by the client demonstrates an understanding of the use of
allopurinol (Zyloprim) to treat gout? A- "I need to take the prescribed amount
of the drug to get rid of my gout" B- "I need to take this drug every day to keep
from having any flare-up" C- "The pain and swelling can be controlled by
taking this drug every day" D- "I should take this drug when i have gout
attacks to reduce symptoms"
I need to take this drug every day to keep from having any flare-up
When assessing an infant with severe diarrhea, the nurse should observe for
which potential change in breathing pattern? A- Kussmaul respirations B-
Expiratory wheezing C- Audible rhonchi D- Cheyne-Stokes respirations
Kussmaul respiration
The nurse plans to administer a low dose prescription for dopamine (Intropin)
to a client who is in septic shock. Which physiologic parameter should the
, nurse use to evaluate a therapeutic response to dopamine? A- Heart sounds.
B- Urinary output C- Temperature D- Pupil respond
Urinary output
The nurse applies an automatic external defibrillator (AED) to a client who
collapsed in an exam room at a community client. What action should the
nurse take next? A- Bring a crash cart to the exam room B- Measure the
client's blood pressure C- Assess the client's oxygen saturation D- Determine
the defibrillator reading
Determine the defibrillator reading
When teaching a client with Parkinson's disease, which rationale for the
prescription of carbidopa -levodopa (Sinemet) should the nurse include? A-
Acts as an antiseizure medication reducing the tremors caused by the disease
B- Increases the amount of dopamine available for muscle to function
correctly. C- Reduces the inflammatory process improving nerve transmission
and function D- Slows the scarring in the myelin sheath improving
Increases the amount of dopamine available for muscle to function correctly
In conducting a pain assessment of a client with osteoarthritis, what action
should the nurse include? A- Collect dietary history of calcium-rich food intake
B- Observe client during movement of affected joints C- Ask if pain lessens
with elevation of the extremity D- Measure vital sign changes after physical
activity
Observe client during movement of affected joints
An adult male is admitted to the ED with sanguineous draining from the scalp
wound and blood from both ears following a fall from a tree that he was
trimming what action is most important for the nurse to take? A-Determine his
response on the Glasgow coma scale B-Assess for periorbital swelling C-
Provide sterile wound care and sterile nonstick dressing D-Ask the family if he
has an advance directive
Determine his response on the Glasgow coma scale
The charge nurse in an emergency center is planning client care assignment
for the staff. Which action may be safety delegated to the Practical nurse (PN).
A-Remove a peripheral IV cath B-Evaluate client teaching return demo C-
Establish blood pressure parameters D-Provide client with resources
discharge teaching
Provide client with resources discharge teaching
A client has a new prescription for the maximum recommend dose of
piperacillin/tab -obactam (zosyn) for hosomial pneumonia. The nurse should
report which lab finding to the HCP before administering the prescribe doses
A-Elevated cholesterol and lipo protein B- Elevated WBC C-Presence of gram +
bacteria in sputum D-Decreased creatinine clearance
Decreased creatinine clearance
A new nurse preparing to irrigate an intravenous cath is attaching a 24-gauge
action should the charge nurse implement A-Suggest the nurse use a 20-
gauge B-Direct the nurse to change IV tubing C-Instruct the nurse to remove
the needle D-Prompt the nurse to apply pressure to the site
Instruct the nurse to remove the needle
A male client with chronic pain report minimal pain relief despite attempts to
adhere to the pain relief measure he was taught he appears withdrawn and
refuses to be involved with planning his café. The nurse should identify which
