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HESI RN EXIT EXAM QUESTIONS AND
ANSWERS 2025
The nurse is giving preop instructions to a 14 yr old scheduled
to correct a spinal curvature. Which statement best
demonstrates that learning has taken place? - correct answer- I
understand I will be in a body cast and I will show you hoy you
taught me to turn
To take the vital signs of a 4 month old child which order will
give the most accurate results? - correct answer- Respiratory
rate, heart rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic
membrane that is pearly gray, slightly bulging and not movable.
What action should the nurse take next? - correct answer- Ask
the child if he has has a cold, runny nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate
repair? - correct answer- elbow
What preoperative nursing intervention should be included in
the plan of care for an infant with pyloric stenosis? - correct
answer- Observe for projectile vomiting
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A six month old returns from surgery with elbow restraints in
place. What nursing intervention should be included when
caring for any restrained child? - correct answer- remove
restraints one at a time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for
his regular physical exam. The nurse knows which problem is
frequently associated with Down Syndrome? - correct answer-
Congenital Heart Disease
When assessing a child with asthma the nurse should expect
intercostal retractions during - correct answer- inspiration
When planning the care for a child who has had a cleft lip
repair, the nurse knows that crying should be minimized
because it - correct answer- stresses the suture line
A client with a productive cough has obtained a sputum
specimen for culture as instructed. What action is the best initial
nursing action? - correct answer- Administer the first dose of
prescribed antibiotic therapy
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A client is brought to the Emergency Department by ambulance
in cardiac arrest with CPR in progress. The client is intubated
and receiving 100% O2 per ambu bag. The nurse determines
the client is cyanotic, cold, and diaphoretic. Which assessment
is most important to obtain? - correct answer- deep tendon
reflexes
After a hospitalization for Syndrome of Inappropriate
Antidiuretic Hormone (SIADH), a client develops pontine
myselinolysis. Which intervention should the nurse implement
first? - correct answer- Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports
he cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain? - correct
answer- Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with
progressive shortness of breath and a persistent cough. She is
anxious and is complaining of a dry mouth. Which intervention
should the nurse implement? - correct answer- Apply a high
flow venturi mask
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A client with a hx of asthma and bronchitis arrives at the clinic
with SOB, productive cough with thickened tenacious mucous
and the inability to walk up a flight of stairs without experiencing
breathlessness. Which action is important for the nurse to
instruct the client about self care? - correct answer- Increase
the daily intake of oral fluids to to liquefy secretions
A cardiac catherization of a client with heart disease indicates
the following blockages 95% LAD 99% proximal circumflex and
95% proximal RCA. The client later asks the nurse "what does
all that mean for me" - correct answer- 3 main arteries have
major blockages with only 1 to 5% of blood flow getting through
to the heart muscle
The nurse is caring for a client with a lower left pulmonary
abscess which position should the nurse instruct the client to
maintain - correct answer- left lateral
A client with cholelithiasis has a gallstone lodged in the
common bile duct and is unable to eat or drink without nausea
and vomiting. Which finding should the nurse report to the
healthcare provider - correct answer- yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis
(ALS), the nurse performs a neuro assessment every 4 hours.
HESI RN EXIT EXAM QUESTIONS AND
ANSWERS 2025
The nurse is giving preop instructions to a 14 yr old scheduled
to correct a spinal curvature. Which statement best
demonstrates that learning has taken place? - correct answer- I
understand I will be in a body cast and I will show you hoy you
taught me to turn
To take the vital signs of a 4 month old child which order will
give the most accurate results? - correct answer- Respiratory
rate, heart rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic
membrane that is pearly gray, slightly bulging and not movable.
What action should the nurse take next? - correct answer- Ask
the child if he has has a cold, runny nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate
repair? - correct answer- elbow
What preoperative nursing intervention should be included in
the plan of care for an infant with pyloric stenosis? - correct
answer- Observe for projectile vomiting
,2 | Page
A six month old returns from surgery with elbow restraints in
place. What nursing intervention should be included when
caring for any restrained child? - correct answer- remove
restraints one at a time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for
his regular physical exam. The nurse knows which problem is
frequently associated with Down Syndrome? - correct answer-
Congenital Heart Disease
When assessing a child with asthma the nurse should expect
intercostal retractions during - correct answer- inspiration
When planning the care for a child who has had a cleft lip
repair, the nurse knows that crying should be minimized
because it - correct answer- stresses the suture line
A client with a productive cough has obtained a sputum
specimen for culture as instructed. What action is the best initial
nursing action? - correct answer- Administer the first dose of
prescribed antibiotic therapy
,3 | Page
A client is brought to the Emergency Department by ambulance
in cardiac arrest with CPR in progress. The client is intubated
and receiving 100% O2 per ambu bag. The nurse determines
the client is cyanotic, cold, and diaphoretic. Which assessment
is most important to obtain? - correct answer- deep tendon
reflexes
After a hospitalization for Syndrome of Inappropriate
Antidiuretic Hormone (SIADH), a client develops pontine
myselinolysis. Which intervention should the nurse implement
first? - correct answer- Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports
he cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain? - correct
answer- Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with
progressive shortness of breath and a persistent cough. She is
anxious and is complaining of a dry mouth. Which intervention
should the nurse implement? - correct answer- Apply a high
flow venturi mask
, 4 | Page
A client with a hx of asthma and bronchitis arrives at the clinic
with SOB, productive cough with thickened tenacious mucous
and the inability to walk up a flight of stairs without experiencing
breathlessness. Which action is important for the nurse to
instruct the client about self care? - correct answer- Increase
the daily intake of oral fluids to to liquefy secretions
A cardiac catherization of a client with heart disease indicates
the following blockages 95% LAD 99% proximal circumflex and
95% proximal RCA. The client later asks the nurse "what does
all that mean for me" - correct answer- 3 main arteries have
major blockages with only 1 to 5% of blood flow getting through
to the heart muscle
The nurse is caring for a client with a lower left pulmonary
abscess which position should the nurse instruct the client to
maintain - correct answer- left lateral
A client with cholelithiasis has a gallstone lodged in the
common bile duct and is unable to eat or drink without nausea
and vomiting. Which finding should the nurse report to the
healthcare provider - correct answer- yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis
(ALS), the nurse performs a neuro assessment every 4 hours.
