HESI EXIT EXAM 2025
HESI EXIT EXAM 2025 VERIFIED QUESTIONS
AND ANSWERS GRADED A+
1. The practical nurse enters a male client's room to administer routine morning
medications and the client is on the phone. What action is best for the PN to take?
A. Leave the medication with the client and tell him to take it when he finishes the
conversation
B. Wait for the client to excuse himself from the telephone conversation and
observe the client taking the medication
C. Return the medication to the client's drawer on the car and documented the
client refused the dose
D. Ask another nurse to go back with the medication when the client hangs up the
phone
B. Wait for the client to excuse himself from the telephone conversation and
observe the client taking the medication
2. A client is admitted to the postoperative surgical unit with two chest tubes after
a left lobectomy. The practical nurse observes that the Chambers are set at the
prescribed suction of 20 cm water pressure and tubing occurs with respirations
And bubbling. What action should the PN implement?
A. Apply a partially occlusive dressing to chest
B. notify the registered nurse of the malfunction
C. clamp the chest tube to see if the activity stops
D. maintain system integrity to promote lung reexpansion
,HESI EXIT EXAM 2025
D. maintain system integrity to promote lung reexpansion
3. The mother of a 9 month old child who was diagnosed with respiratory syncytial
virus (RSV) yesterday calls the clinic to inquire if it will be alright to take her
infant to the 1st birthday party of her friend's child the following day. Which
response should the practical nurse provide the mother?
A. The child can be around other children but should wear a mask at all times
B. make sure there are no children under the age of six months around the infected
child
C. do not expose other children as a virus is very contagious even without direct
oral contact
D. the child will no longer be contagious no need to take any further precautions
C. do not expose other children as a virus is very contagious even without direct
oral contact
4. The practical nurse is assisting the nurse with the admission of a young adult
female Korean exchange student with acute abdominal pain. Although the client
has been able to easily answer questions, when asked about sexual activity, she
looks away. Which action should the PN take?
A. Omit completing this section of the assessment form
B. Reword the question in case the client did not understand
C. Ask her if she would like an interpreter to ask the question
D. Watch the client's response when asked a different question
D. Watch the client's response when asked a different question
,HESI EXIT EXAM 2025
5. During the immediate postoperative period following a total hip replacement,
which intervention is most important to the Practical Nurse to implement?
A. Encourage the client to use walker or cane when ambulating
B. Teach client to say on the side of the bed before standing
C. Monitor urinary flow via indwelling catheter
D. Keep clients hip aligned with knees abducted
D. Keep clients hip aligned with knees abducted
6. A client confides to the PN that the client has been substituting herbal
supplements for high blood pressure instead of the prescribed medication. How
should the PN respond first?
A. Ask the client reason for choosing to take herbs instead of prescribed drugs
B. Reinforce that the healthcare provider prescribed the medication for a reason
C. Have client use own words to describe complications of high blood pressure
D. Point out the risk of not taking the herbal medications rather than prescribed
A. Ask the client reason for choosing to take herbs instead of prescribed drugs
7. The practical nurse is assigned to administer medication in a long-term care
facility. A disoriented resident has no identification band or picture. What is the
best nursing action for the PN to take prior to administering the medication to this
resident?
, HESI EXIT EXAM 2025
A. Ask a regular staff member to confirm the residents identity
B. Hold the medication until a family member arrives
C. Reorient the resident to name, place, and situation
D. Confirm the room and bed numbers with those on the medication record
D. Confirm the room and bed numbers with those on the medication record
8. An adult client who weighs 150 pounds has partial thickness and full-thickness
burns over 40% of the body from a house fire. After admission, which observation
is most important for the PN to report immediately?
A. Poor appetite and refusing to eat
B. Systolic blood pressure of 102
C. Painful moaning and crying
D. Urine output of 20 mL/HR
D. Urine output of 20 mL/HR
9. A 12 year old child is receiving a blood transfusion per infusion pump and
begins to complain of "Itching" skin 15 minutes after the unit of blood is started.
The child appears flushed. What action should the Practical Nurse take first?
A. Stop the transfusion
B. Apply lotion to the skin
C. Inspect the infusion site
D. Obtain the vital signs
HESI EXIT EXAM 2025 VERIFIED QUESTIONS
AND ANSWERS GRADED A+
1. The practical nurse enters a male client's room to administer routine morning
medications and the client is on the phone. What action is best for the PN to take?
A. Leave the medication with the client and tell him to take it when he finishes the
conversation
B. Wait for the client to excuse himself from the telephone conversation and
observe the client taking the medication
C. Return the medication to the client's drawer on the car and documented the
client refused the dose
D. Ask another nurse to go back with the medication when the client hangs up the
phone
B. Wait for the client to excuse himself from the telephone conversation and
observe the client taking the medication
2. A client is admitted to the postoperative surgical unit with two chest tubes after
a left lobectomy. The practical nurse observes that the Chambers are set at the
prescribed suction of 20 cm water pressure and tubing occurs with respirations
And bubbling. What action should the PN implement?
A. Apply a partially occlusive dressing to chest
B. notify the registered nurse of the malfunction
C. clamp the chest tube to see if the activity stops
D. maintain system integrity to promote lung reexpansion
,HESI EXIT EXAM 2025
D. maintain system integrity to promote lung reexpansion
3. The mother of a 9 month old child who was diagnosed with respiratory syncytial
virus (RSV) yesterday calls the clinic to inquire if it will be alright to take her
infant to the 1st birthday party of her friend's child the following day. Which
response should the practical nurse provide the mother?
A. The child can be around other children but should wear a mask at all times
B. make sure there are no children under the age of six months around the infected
child
C. do not expose other children as a virus is very contagious even without direct
oral contact
D. the child will no longer be contagious no need to take any further precautions
C. do not expose other children as a virus is very contagious even without direct
oral contact
4. The practical nurse is assisting the nurse with the admission of a young adult
female Korean exchange student with acute abdominal pain. Although the client
has been able to easily answer questions, when asked about sexual activity, she
looks away. Which action should the PN take?
A. Omit completing this section of the assessment form
B. Reword the question in case the client did not understand
C. Ask her if she would like an interpreter to ask the question
D. Watch the client's response when asked a different question
D. Watch the client's response when asked a different question
,HESI EXIT EXAM 2025
5. During the immediate postoperative period following a total hip replacement,
which intervention is most important to the Practical Nurse to implement?
A. Encourage the client to use walker or cane when ambulating
B. Teach client to say on the side of the bed before standing
C. Monitor urinary flow via indwelling catheter
D. Keep clients hip aligned with knees abducted
D. Keep clients hip aligned with knees abducted
6. A client confides to the PN that the client has been substituting herbal
supplements for high blood pressure instead of the prescribed medication. How
should the PN respond first?
A. Ask the client reason for choosing to take herbs instead of prescribed drugs
B. Reinforce that the healthcare provider prescribed the medication for a reason
C. Have client use own words to describe complications of high blood pressure
D. Point out the risk of not taking the herbal medications rather than prescribed
A. Ask the client reason for choosing to take herbs instead of prescribed drugs
7. The practical nurse is assigned to administer medication in a long-term care
facility. A disoriented resident has no identification band or picture. What is the
best nursing action for the PN to take prior to administering the medication to this
resident?
, HESI EXIT EXAM 2025
A. Ask a regular staff member to confirm the residents identity
B. Hold the medication until a family member arrives
C. Reorient the resident to name, place, and situation
D. Confirm the room and bed numbers with those on the medication record
D. Confirm the room and bed numbers with those on the medication record
8. An adult client who weighs 150 pounds has partial thickness and full-thickness
burns over 40% of the body from a house fire. After admission, which observation
is most important for the PN to report immediately?
A. Poor appetite and refusing to eat
B. Systolic blood pressure of 102
C. Painful moaning and crying
D. Urine output of 20 mL/HR
D. Urine output of 20 mL/HR
9. A 12 year old child is receiving a blood transfusion per infusion pump and
begins to complain of "Itching" skin 15 minutes after the unit of blood is started.
The child appears flushed. What action should the Practical Nurse take first?
A. Stop the transfusion
B. Apply lotion to the skin
C. Inspect the infusion site
D. Obtain the vital signs
