HESI RN EXIT ACTUAL Exam LATEST 2025
FULLY SOLVED GRADED A+ 100% ACCURATE
A client was just taken off the ventilator after surgery and has a nasogastric tube draining bile colored
liquids. Which nursing measure will provide the most comfort to the client?A) Allow the client to melt ice
chips in the mouth
B) Provide mints to freshen the breath
C) Perform frequent oral care with a tooth sponge
D) Swab the mouth with glycerin swabs
C) Perform frequent oral care with a tooth sponge
.
The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most important
instruction regarding exercise would be to
A) Exercise doing weight bearing activities
B) Exercise to reduce weight
C) Avoid exercise activities that increase the risk of fracture D) Exercise to strengthen muscles and
thereby protect bones
A) Exercise doing weight bearing activities
.
The nurse has been teaching a client with congestive heart failure about proper nutrition. The selection of
which lunch indicates the client has learned about sodium restriction?
A) Cheese sandwich with a glass of 2% milk
B) Sliced turkey sandwich and canned pineapple
C) Cheeseburger and baked potato
D) Mushroom pizza and ice cream
B) Sliced turkey sandwich and canned pineapple
.
Which bed position is preferred for use with a client in an extended care facility on falls risk prevention
protocol?
A) All 4 side rails up, wheels locked, bed closest to door
,B) Lower side rails up, bed facing doorway
C) Knees bent, head slightly elevated, bed in lowest position
D) Bed in lowest position, wheels locked, place bed against wall
D) Bed in lowest position, wheels locked, place bed against wall
.
The nurse is talking to parents about nutrition in school aged children. Which of the following is the most
common nutritional disorder in this age group?
A) Bulimia
B) Anorexia
C) Obesity
D) Malnutrition
C) Obesity
At the geriatric day care program a client is crying and repeating "I want to go home. Call my daddy to
come for me." The nurse should
A) Invite the client to join the exercise group
B) Tell the client you will call someone to come for her
C) Give the client simple information about what she will be doing
D) Firmly direct the client to her assigned group activity
C) Give the client simple information about what she will be doing
A victim of domestic violence states to the nurse, "If only I could change and be how my companion wants
me to be, I know things would be different." Which would be the best response by the nurse?
A) "The violence is temporarily caused by unusual circumstances, don't stop hoping for a change.
"B) "Perhaps, if you understood the need to abuse, you could stop the violence.
"C) "No one deserves to be beaten. Are you doing anything to provoke your spouse into beating you?"
D) "Batterers lose self-control because of their own internal reasons, not because of what their
partner did or did not do."
D) "Batterers lose self-control because of their own internal reasons, not because of what their
partner did or did not do."
,A 38 year-old female client is admitted to the hospital with an acute exacerbation of asthma. This is her
third admission for asthma in 7 months. She describes how she doesn't really like having to use her
medications all the time. Which explanation by the nurse best describes the long-term consequence of
uncontrolled airway inflammation?
A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
D) Frequent pneumonia
C) Lung remodeling and permanent changes in lung function
A mother wants to switch her 9 month-old infant from an iron fortified formula to whole milk because of
the expense. Upon further assessment, the nurse finds that the baby eats table foods well, but drinks less
milk than before. What is the best advice by the nurse?
A) Change the baby to whole milk
B) Add chocolate syrup to the bottle
C) Continue with the present formula
D) Offer fruit juice frequently
C) Continue with the present formula
Privacy and confidentiality of all client information is legally protected. In which of
these situations would the nurse make an exception to this practice?
A) When a family member offers information about their loved one
B) When the client threatens self-harm and harm to others
C) When the health care provider decides the family has a right to know the client's diagnosis
D) When a visitor insists that the visitor has been given permission by the client
B) When the client threatens self-harm and harm to others
The nurse is caring for a client who is in the late stage of multiple myeloma. Which of
the following should be included in the plan of care?
A) Monitor for hyperkalemia
B) Place in protective isolation
, C) Precautions with position changes
D) Administer diuretics as ordered
C) Precautions with position changes
The nurse is making a home visit to a client with chronic obstructive pulmonary disease (COPD). The
client tells the nurse that he used to be able to walk from the house to the mailbox without difficulty.
Now, he has to pause to catch his breath halfway through the trip. Which diagnosis would be most
appropriate for this client based on this assessment?
A) Activity intolerance caused by fatigue related to chronic tissue hypoxia
B) Impaired mobility related to chronic obstructive pulmonary disease
C) Self-care deficit caused by fatigue related to dyspnea
D) Ineffective airway clearance related to increased bronchial secretions
A) Activity intolerance caused by fatigue related to chronic tissue hypoxia
The nurse admits a client newly diagnosed with hypertension. What is the best
method for assessing the blood pressure?
A) Standing and sitting
B) In both arms
C) After exercising
D) Supine position
B) In both arms
The nurse is caring for residents in a long term care setting for the elderly. Which of the following
activities will be most effective in meeting the growth and development needs for persons in this age
group?
A) Aerobic exercise classes
B) Transportation for shopping trips
C) Reminiscence groups
D) Regularly scheduled social activities
C) Reminiscence groups
FULLY SOLVED GRADED A+ 100% ACCURATE
A client was just taken off the ventilator after surgery and has a nasogastric tube draining bile colored
liquids. Which nursing measure will provide the most comfort to the client?A) Allow the client to melt ice
chips in the mouth
B) Provide mints to freshen the breath
C) Perform frequent oral care with a tooth sponge
D) Swab the mouth with glycerin swabs
C) Perform frequent oral care with a tooth sponge
.
The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most important
instruction regarding exercise would be to
A) Exercise doing weight bearing activities
B) Exercise to reduce weight
C) Avoid exercise activities that increase the risk of fracture D) Exercise to strengthen muscles and
thereby protect bones
A) Exercise doing weight bearing activities
.
The nurse has been teaching a client with congestive heart failure about proper nutrition. The selection of
which lunch indicates the client has learned about sodium restriction?
A) Cheese sandwich with a glass of 2% milk
B) Sliced turkey sandwich and canned pineapple
C) Cheeseburger and baked potato
D) Mushroom pizza and ice cream
B) Sliced turkey sandwich and canned pineapple
.
Which bed position is preferred for use with a client in an extended care facility on falls risk prevention
protocol?
A) All 4 side rails up, wheels locked, bed closest to door
,B) Lower side rails up, bed facing doorway
C) Knees bent, head slightly elevated, bed in lowest position
D) Bed in lowest position, wheels locked, place bed against wall
D) Bed in lowest position, wheels locked, place bed against wall
.
The nurse is talking to parents about nutrition in school aged children. Which of the following is the most
common nutritional disorder in this age group?
A) Bulimia
B) Anorexia
C) Obesity
D) Malnutrition
C) Obesity
At the geriatric day care program a client is crying and repeating "I want to go home. Call my daddy to
come for me." The nurse should
A) Invite the client to join the exercise group
B) Tell the client you will call someone to come for her
C) Give the client simple information about what she will be doing
D) Firmly direct the client to her assigned group activity
C) Give the client simple information about what she will be doing
A victim of domestic violence states to the nurse, "If only I could change and be how my companion wants
me to be, I know things would be different." Which would be the best response by the nurse?
A) "The violence is temporarily caused by unusual circumstances, don't stop hoping for a change.
"B) "Perhaps, if you understood the need to abuse, you could stop the violence.
"C) "No one deserves to be beaten. Are you doing anything to provoke your spouse into beating you?"
D) "Batterers lose self-control because of their own internal reasons, not because of what their
partner did or did not do."
D) "Batterers lose self-control because of their own internal reasons, not because of what their
partner did or did not do."
,A 38 year-old female client is admitted to the hospital with an acute exacerbation of asthma. This is her
third admission for asthma in 7 months. She describes how she doesn't really like having to use her
medications all the time. Which explanation by the nurse best describes the long-term consequence of
uncontrolled airway inflammation?
A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
D) Frequent pneumonia
C) Lung remodeling and permanent changes in lung function
A mother wants to switch her 9 month-old infant from an iron fortified formula to whole milk because of
the expense. Upon further assessment, the nurse finds that the baby eats table foods well, but drinks less
milk than before. What is the best advice by the nurse?
A) Change the baby to whole milk
B) Add chocolate syrup to the bottle
C) Continue with the present formula
D) Offer fruit juice frequently
C) Continue with the present formula
Privacy and confidentiality of all client information is legally protected. In which of
these situations would the nurse make an exception to this practice?
A) When a family member offers information about their loved one
B) When the client threatens self-harm and harm to others
C) When the health care provider decides the family has a right to know the client's diagnosis
D) When a visitor insists that the visitor has been given permission by the client
B) When the client threatens self-harm and harm to others
The nurse is caring for a client who is in the late stage of multiple myeloma. Which of
the following should be included in the plan of care?
A) Monitor for hyperkalemia
B) Place in protective isolation
, C) Precautions with position changes
D) Administer diuretics as ordered
C) Precautions with position changes
The nurse is making a home visit to a client with chronic obstructive pulmonary disease (COPD). The
client tells the nurse that he used to be able to walk from the house to the mailbox without difficulty.
Now, he has to pause to catch his breath halfway through the trip. Which diagnosis would be most
appropriate for this client based on this assessment?
A) Activity intolerance caused by fatigue related to chronic tissue hypoxia
B) Impaired mobility related to chronic obstructive pulmonary disease
C) Self-care deficit caused by fatigue related to dyspnea
D) Ineffective airway clearance related to increased bronchial secretions
A) Activity intolerance caused by fatigue related to chronic tissue hypoxia
The nurse admits a client newly diagnosed with hypertension. What is the best
method for assessing the blood pressure?
A) Standing and sitting
B) In both arms
C) After exercising
D) Supine position
B) In both arms
The nurse is caring for residents in a long term care setting for the elderly. Which of the following
activities will be most effective in meeting the growth and development needs for persons in this age
group?
A) Aerobic exercise classes
B) Transportation for shopping trips
C) Reminiscence groups
D) Regularly scheduled social activities
C) Reminiscence groups
