2025 HESI Exit Exam with correct answers
A |female |client |presents |in |the |emergency |department |and |tells |the |nurse |that |she |was |raped |last
|night. |Which |question |is |most |important |for |the |nurse |to |ask?
A. |Has |she |taken |a |bath |since |the |rape |occurred? |
B. |Is |the |place |where |she |lives |a |safe |place? |
C. |Does |she |know |the |person |who |raped |her?
D. |Did |she |report |the |rape |to |the |police |department? |- |answersA. |Has |she |taken |a |bath |since |the
|rape |occurred?
The |nurse |is |completing |the |admission |assessment |of |a |3-year |old |who |is |admitted |with |bacterial
|meningitis |and |hydrocephalus. |Which |assessment |finding |is |evidence |that |the |child |is |experiencing
|increased |intracranial |pressure |(ICP)?
A. |Tachycardia |and |tachypnea
B. |Sluggish |and |unequal |pupillary |responses
C. |Increased |head |circumference |and |bulging |fontanels
D. |Blood |pressure |fluctuations |and |syncope |- |answersB. |Sluggish |and |unequal |pupillary |responses
A |client |with |acute |pancreatitis |is |admitted |with |severe, |piercing |abdominal |pain |and |an |elevated
|serum |amylase. |Which |additional |information |is |the |client |most |likely |to |report |to |the |nurse?
A. |Abdominal |pain |decreases |when |lying |supine
B. |Pain |lasts |an |hour |and |leaves |the |abdomen |tender
C. |Right |upper |quadrant |pain |refers |to |right |scapula
D. |Drinks |alcohol |until |intoxicated |at |least |twice |weekly. |- |answersA. |Abdominal |pain |decreases |when
|lying |supine
A |child |newly |diagnosed |with |sickle |cell |anemia |(SCA) |is |being |discharged |from |the |hospital. |Which
|information |is |most |important |for |the |nurse |to |provide |the |parents |prior |to |discharge?
A. |Instructions |about |how |much |fluid |the |child |should |drink |daily.
B. |Signs |of |addiction |to |opioid |pain |medications
C. |Information |about |non-pharmaceutical |pain |relief |measures
D. |Referral |for |social |services |for |the |child |and |family |- |answersA. |Instructions |about |how |much |fluid
|the |child |should |drink |daily
,To |auscultate |for |a |carotid |bruit, |the |nurse |places |the |stethoscope |at |what |location. |(Select |the
|location |on |the |image |with |a |red |dot). |- |answersI |placed |the |red |dot |on |the |base |of |the |neck |on |the
|right |side
After |receiving |report |on |an |inpatient |acute |care |unit, |which |client |should |the |nurse |assess |first?
A. |The |client |with |an |obstruction |of |the |large |intestine |who |is |experiencing |abdominal |distention
B. |The |client |who |had |surgery |yesterday |and |is |experiencing |a |paralytic |ileus |with |absent |bowel
|sounds
C. |The |client |with |a |small |bowel |obstruction |who |has |a |nasogastric |tube |that |is |draining |greenish |fluid
D. |The |client |with |a |bowel |obstruction |due |to |a |volvulus |who |is |experiencing |abdominal |rigidity |-
|answersD. |The |client |with |a |bowel |obstruction |due |to |a |volvulus |who |is |experiencing |abdominal
|rigidity
A |teenager |presents |to |the |emergency |department |with |palpitations |after |vaping |at |a |party. |The
|client |is |anxious, |fearful, |and |hyperventilating. |The |nurse |anticipates |the |client |developing |which |acid
|base |imbalance?
A. |Respiratory |acidosis
B. |Metabolic |alkalosis
C. |Metabolic |acidosis
D. |Respiratory |alkalosis |- |answersD. |Respiratory |alkalosis
A |client |with |dyspnea |is |being |admitted |to |the |medical |unit. |To |best |prepare |for |the |client's |arrival,
|the |nurse |should |ensure |that |the |client's |bed |is |in |which |position?
A. |Supine
B. |supine; |feet |elevated |higher |than |head
C. |supine; |head |elevated |higher |than |feet
D. |Fowlers |- |answersFowlers
The |nurse |is |taking |the |blood |pressure |measurement |of |a |client |with |Parkinson's |disease. |Which
|information |in |the |client's |admission |assessment |is |relevant |to |the |nurse's |plan |for |taking |the |blood
|pressure |reading? |(Select |all |the |apply)
A. |Frequent |syncope
B. |Occasional |nocturia
C. |Flat |affect
D. |Blurred |vision
E. |Frequent |drooling |- |answersA. |Frequent |syncope
,C. |Flat |affect
D. |Blurred |vision
While |caring |for |a |client's |postoperative |dressing, |the |nurse |observes |purulent |drainage |at |the
|wound. |Before |reporting |this |finding |to |the |healthcare |provider, |the |nurse |should |review |which |of
|the |client's |laboratory |values?
A. |Serum |albumin
B. |Culture |for |sensitive |organisms
C. |Serum |blood |glucose |level
D. |Creatinine |level |- |answersB. |Culture |for |sensitive |organisms
A |preschool-aged |boy |is |admitted |to |the |pediatric |unit |following |successful |resuscitation |from |a |near-
drowning |incident. |While |providing |care |to |the |child, |the |nurse |begins |talking |with |his |preadolescent
|brother |who |rescued |the |child |from |the |swimming |pool |and |initiated |resuscitation. |The |nurse |notices
|the |older |boy |becomes |withdrawn |when |asked |about |what |happened. |Which |action |should |the |nurse
|take?
A. |Develop |a |water |safety |teaching |plan |for |the |family
B. |Ask |the |older |brother |how |he |felt |during |the |incident
C. |Tell |the |older |brother |that |he |seems |depressed
D. |Commend |the |older |brother |for |his |heroic |actions |- |answersB. |Ask |the |older |brother |how |he |felt
|during |the |incident
A |male |client |with |cirrhosis |has |jaundice |and |pruritus. |He |tells |the |nurse |that |he |has |been |soaking |in
|hot |baths |at |night |with |no |relief |of |his |discomfort. |Which |action |should |the |nurse |take?
A. |Encourage |the |client |to |use |cooler |water |and |apply |calamine |lotion |after |soaking
B. |Obtain |a |PRN |prescription |for |an |analgesic |that |the |client |can |use |for |symptom |relief
C. |Suggest |that |the |client |take |brief |showers |and |apply |oil-based |lotion |after |showering
D. |Explain |that |the |symptoms |are |caused |by |liver |damage |and |cannot |be |relieved |- |answersA.
|Encourage |the |client |to |use |cooler |water |and |apply |calamine |lotion |after |soaking
An |older |client |with |a |long |history |of |coronary |artery |disease |(CAD), |hypertension |(HTN), |and |heart
|failure |(HF) |arrives |in |the |Emergency |Department |(ED) |in |respiratory |distress. |The |healthcare |provider
|prescribes |furosemide |IV. |Which |therapeutic |response |to |furosemide |should |the |nurse |expected |in
|the |client |with |acute |HF?
A. |Increased |cardiac |contractility
B. |Reduced |preload
C. |Relaxed |vascular |tone
, D. |Decreased |afterload |- |answersB. |Reduced |preload
Which |intervention |should |the |nurse |include |in |the |plan |of |care |for |a |child |with |tetanus?
A. |Encourage |coughing |and |deep |breathing
B. |Minimize |the |amount |of |stimuli |in |the |room
C. |Reposition |from |side |to |side |every |hour
D. |Open |window |shades |to |provide |natural |light |- |answersB. |Minimize |the |amount |of |stimuli |in |the
|room
An |adolescent |who |was |diagnosed |with |diabetes |mellitus |Type |1 |at |the |age |of |9, |is |admitted |to |the
|hospital |in |diabetic |ketoacidosis. |Which |occurrence |is |the |most |likely |cause |of |the |ketoacidosis?
A. |Ate |an |extra |peanut |butter |sandwich |before |gym |class
B. |incorrectly |administered |too |much |insulin |
C. |Had |a |cold |and |ear |infection |for |the |past |two |days |
D. |Skipped |eating |lunch |- |answersC. |Had |a |cold |and |ear |infection |for |the |past |two |days
A |client |with |a |prescription |for |"do |not |resuscitate" |(DNR) |begins |to |manifest |signs |of |impending
|death. |After |notifying |the |family |of |the |client's |status, |what |priority |action |should |the |nurse
|implement?
A. |The |impending |signs |of |death |should |be |documented
B. |The |client's |status |should |be |conveyed |to |the |chaplain
C. |The |client's |need |for |pain |medication |should |be |determined |
D. |The |nurse |manager |should |be |updated |on |the |client's |status |- |answersC. |The |client's |need |for |pain
|medication |should |be |determined
Which |self |care |measure |is |most |important |for |the |nurse |to |include |in |the |plan |of |care |of |a |client
|recently |diagnosed |with |type |2 |diabetes |mellitus?
A. |Self-injection |techniques
B. |Blood |glucose |monitoring
C. |Diabetic |diet |meal |planning
D. |A |realistic |exercise |plan |- |answersB. |Blood |glucose |monitoring
A |client |who |gave |birth |48 |hours |ago |has |decided |to |bottle |feed |the |infant. |During |the |assessment,
|the |nurse |observes |that |both |breasts |are |swollen, |warm, |and |tender |on |palpation. |Which |instruction
|should |the |nurse |provide?
A. |Apply |ice |to |the |breasts |for |comfort
B. |Wear |a |loose-fitting |bra |during |the |day |to |prevent |nipple |irritation
A |female |client |presents |in |the |emergency |department |and |tells |the |nurse |that |she |was |raped |last
|night. |Which |question |is |most |important |for |the |nurse |to |ask?
A. |Has |she |taken |a |bath |since |the |rape |occurred? |
B. |Is |the |place |where |she |lives |a |safe |place? |
C. |Does |she |know |the |person |who |raped |her?
D. |Did |she |report |the |rape |to |the |police |department? |- |answersA. |Has |she |taken |a |bath |since |the
|rape |occurred?
The |nurse |is |completing |the |admission |assessment |of |a |3-year |old |who |is |admitted |with |bacterial
|meningitis |and |hydrocephalus. |Which |assessment |finding |is |evidence |that |the |child |is |experiencing
|increased |intracranial |pressure |(ICP)?
A. |Tachycardia |and |tachypnea
B. |Sluggish |and |unequal |pupillary |responses
C. |Increased |head |circumference |and |bulging |fontanels
D. |Blood |pressure |fluctuations |and |syncope |- |answersB. |Sluggish |and |unequal |pupillary |responses
A |client |with |acute |pancreatitis |is |admitted |with |severe, |piercing |abdominal |pain |and |an |elevated
|serum |amylase. |Which |additional |information |is |the |client |most |likely |to |report |to |the |nurse?
A. |Abdominal |pain |decreases |when |lying |supine
B. |Pain |lasts |an |hour |and |leaves |the |abdomen |tender
C. |Right |upper |quadrant |pain |refers |to |right |scapula
D. |Drinks |alcohol |until |intoxicated |at |least |twice |weekly. |- |answersA. |Abdominal |pain |decreases |when
|lying |supine
A |child |newly |diagnosed |with |sickle |cell |anemia |(SCA) |is |being |discharged |from |the |hospital. |Which
|information |is |most |important |for |the |nurse |to |provide |the |parents |prior |to |discharge?
A. |Instructions |about |how |much |fluid |the |child |should |drink |daily.
B. |Signs |of |addiction |to |opioid |pain |medications
C. |Information |about |non-pharmaceutical |pain |relief |measures
D. |Referral |for |social |services |for |the |child |and |family |- |answersA. |Instructions |about |how |much |fluid
|the |child |should |drink |daily
,To |auscultate |for |a |carotid |bruit, |the |nurse |places |the |stethoscope |at |what |location. |(Select |the
|location |on |the |image |with |a |red |dot). |- |answersI |placed |the |red |dot |on |the |base |of |the |neck |on |the
|right |side
After |receiving |report |on |an |inpatient |acute |care |unit, |which |client |should |the |nurse |assess |first?
A. |The |client |with |an |obstruction |of |the |large |intestine |who |is |experiencing |abdominal |distention
B. |The |client |who |had |surgery |yesterday |and |is |experiencing |a |paralytic |ileus |with |absent |bowel
|sounds
C. |The |client |with |a |small |bowel |obstruction |who |has |a |nasogastric |tube |that |is |draining |greenish |fluid
D. |The |client |with |a |bowel |obstruction |due |to |a |volvulus |who |is |experiencing |abdominal |rigidity |-
|answersD. |The |client |with |a |bowel |obstruction |due |to |a |volvulus |who |is |experiencing |abdominal
|rigidity
A |teenager |presents |to |the |emergency |department |with |palpitations |after |vaping |at |a |party. |The
|client |is |anxious, |fearful, |and |hyperventilating. |The |nurse |anticipates |the |client |developing |which |acid
|base |imbalance?
A. |Respiratory |acidosis
B. |Metabolic |alkalosis
C. |Metabolic |acidosis
D. |Respiratory |alkalosis |- |answersD. |Respiratory |alkalosis
A |client |with |dyspnea |is |being |admitted |to |the |medical |unit. |To |best |prepare |for |the |client's |arrival,
|the |nurse |should |ensure |that |the |client's |bed |is |in |which |position?
A. |Supine
B. |supine; |feet |elevated |higher |than |head
C. |supine; |head |elevated |higher |than |feet
D. |Fowlers |- |answersFowlers
The |nurse |is |taking |the |blood |pressure |measurement |of |a |client |with |Parkinson's |disease. |Which
|information |in |the |client's |admission |assessment |is |relevant |to |the |nurse's |plan |for |taking |the |blood
|pressure |reading? |(Select |all |the |apply)
A. |Frequent |syncope
B. |Occasional |nocturia
C. |Flat |affect
D. |Blurred |vision
E. |Frequent |drooling |- |answersA. |Frequent |syncope
,C. |Flat |affect
D. |Blurred |vision
While |caring |for |a |client's |postoperative |dressing, |the |nurse |observes |purulent |drainage |at |the
|wound. |Before |reporting |this |finding |to |the |healthcare |provider, |the |nurse |should |review |which |of
|the |client's |laboratory |values?
A. |Serum |albumin
B. |Culture |for |sensitive |organisms
C. |Serum |blood |glucose |level
D. |Creatinine |level |- |answersB. |Culture |for |sensitive |organisms
A |preschool-aged |boy |is |admitted |to |the |pediatric |unit |following |successful |resuscitation |from |a |near-
drowning |incident. |While |providing |care |to |the |child, |the |nurse |begins |talking |with |his |preadolescent
|brother |who |rescued |the |child |from |the |swimming |pool |and |initiated |resuscitation. |The |nurse |notices
|the |older |boy |becomes |withdrawn |when |asked |about |what |happened. |Which |action |should |the |nurse
|take?
A. |Develop |a |water |safety |teaching |plan |for |the |family
B. |Ask |the |older |brother |how |he |felt |during |the |incident
C. |Tell |the |older |brother |that |he |seems |depressed
D. |Commend |the |older |brother |for |his |heroic |actions |- |answersB. |Ask |the |older |brother |how |he |felt
|during |the |incident
A |male |client |with |cirrhosis |has |jaundice |and |pruritus. |He |tells |the |nurse |that |he |has |been |soaking |in
|hot |baths |at |night |with |no |relief |of |his |discomfort. |Which |action |should |the |nurse |take?
A. |Encourage |the |client |to |use |cooler |water |and |apply |calamine |lotion |after |soaking
B. |Obtain |a |PRN |prescription |for |an |analgesic |that |the |client |can |use |for |symptom |relief
C. |Suggest |that |the |client |take |brief |showers |and |apply |oil-based |lotion |after |showering
D. |Explain |that |the |symptoms |are |caused |by |liver |damage |and |cannot |be |relieved |- |answersA.
|Encourage |the |client |to |use |cooler |water |and |apply |calamine |lotion |after |soaking
An |older |client |with |a |long |history |of |coronary |artery |disease |(CAD), |hypertension |(HTN), |and |heart
|failure |(HF) |arrives |in |the |Emergency |Department |(ED) |in |respiratory |distress. |The |healthcare |provider
|prescribes |furosemide |IV. |Which |therapeutic |response |to |furosemide |should |the |nurse |expected |in
|the |client |with |acute |HF?
A. |Increased |cardiac |contractility
B. |Reduced |preload
C. |Relaxed |vascular |tone
, D. |Decreased |afterload |- |answersB. |Reduced |preload
Which |intervention |should |the |nurse |include |in |the |plan |of |care |for |a |child |with |tetanus?
A. |Encourage |coughing |and |deep |breathing
B. |Minimize |the |amount |of |stimuli |in |the |room
C. |Reposition |from |side |to |side |every |hour
D. |Open |window |shades |to |provide |natural |light |- |answersB. |Minimize |the |amount |of |stimuli |in |the
|room
An |adolescent |who |was |diagnosed |with |diabetes |mellitus |Type |1 |at |the |age |of |9, |is |admitted |to |the
|hospital |in |diabetic |ketoacidosis. |Which |occurrence |is |the |most |likely |cause |of |the |ketoacidosis?
A. |Ate |an |extra |peanut |butter |sandwich |before |gym |class
B. |incorrectly |administered |too |much |insulin |
C. |Had |a |cold |and |ear |infection |for |the |past |two |days |
D. |Skipped |eating |lunch |- |answersC. |Had |a |cold |and |ear |infection |for |the |past |two |days
A |client |with |a |prescription |for |"do |not |resuscitate" |(DNR) |begins |to |manifest |signs |of |impending
|death. |After |notifying |the |family |of |the |client's |status, |what |priority |action |should |the |nurse
|implement?
A. |The |impending |signs |of |death |should |be |documented
B. |The |client's |status |should |be |conveyed |to |the |chaplain
C. |The |client's |need |for |pain |medication |should |be |determined |
D. |The |nurse |manager |should |be |updated |on |the |client's |status |- |answersC. |The |client's |need |for |pain
|medication |should |be |determined
Which |self |care |measure |is |most |important |for |the |nurse |to |include |in |the |plan |of |care |of |a |client
|recently |diagnosed |with |type |2 |diabetes |mellitus?
A. |Self-injection |techniques
B. |Blood |glucose |monitoring
C. |Diabetic |diet |meal |planning
D. |A |realistic |exercise |plan |- |answersB. |Blood |glucose |monitoring
A |client |who |gave |birth |48 |hours |ago |has |decided |to |bottle |feed |the |infant. |During |the |assessment,
|the |nurse |observes |that |both |breasts |are |swollen, |warm, |and |tender |on |palpation. |Which |instruction
|should |the |nurse |provide?
A. |Apply |ice |to |the |breasts |for |comfort
B. |Wear |a |loose-fitting |bra |during |the |day |to |prevent |nipple |irritation
