1A|AP a g e
HESI RN EXIT EXAM (VERSION 1) || ACTUAL
EXAM ALL 160 + QUESTIONS AND CORRECT
ANSWERS|| LATEST AND COMPLETE UPDATE
2025 WITH VERIFIED SOLUTIONS || ASSURED
PASS!!
1. TheAnurseAisAreviewingAmedicalAprescriptionsAforAnewlyAadmittedAclients.A ItAwoul
dAbeAaApriorityAforAtheAnurseAtoAfollowAupAwithAtheAphysicianAifAaAclientAwith
(a) aApotassiumAlevelAofA4.5mEq/LAhasAKayexalateA(sodiumApolystyrene)Aprescribed
(b) aADilantinA(phenytoin)AlevelAofA8Amcg/mlAisAplacedAonAseizureAprecautions(c)Asen
sitivityAtoAAspirinA(acetylsalicylicAacid)AisAprescribedATylenolA(acetaminophen)
(d)AsensitivityAtoAPenicillinAisAprescribedAZithromaxA(azithromycin)
2. TheAnurseAshouldAinterveneAifAtheAnurseAnotesAaAstaffAmember
(a) obtainingAaAclientsAconsentApriorAtoAtheirAoperativeAprocedureAafterAreceivingAAtiva
nA(lorazepam)
(b) placingAaAclientAonAtheAaffectedAsideAfollowingAsurgicalArepairAofAaAretin
alAdetachment
(c) handlingAaAwetAcastAwithAtheApalmsAofAtheAhands
(d) usingAaAbroadAbaseAofAsupportAwhileAtransferringAaAclient
3. TheAcommunityAhealthAnurseAisAcaringAforAtheAfollowingAclients.A ItAwouldAbeAa
priorityAforAtheAnurseAtoAinitiateAaAmultidisciplinaryAconferenceAforAtheAclientAwhoAis
(a) 12AyearsAoldAwithAAutismAwhoAisAstartingAaAnewAschoolAandArecentlyAhad
AaA
URIA(upperArespiratoryAtractAinfection)
(b) 16AyearsAold,AhasAtypeA1ADiabetesAMellitus,AisAunemployedAandAhadAaArece
ntAHemoglobinAA1cAofA13%
(c) 52AyearsAold,AwithAMyastheniaAGravis,ArecentlyAprescribedAMestino
nA(pyridostigmine)AandAemployedAasAaAmailAcarrier
(d) 70AyearsAold,AhasAschizophrenia,AlivesAaloneAandAreportsAhearingAnonAthreatenin
gAvoices.
4. TheAnurseAfromAtheApostpartumAunitAhasAbeenAtemporarilyAassignedAtoAtheAmedic
alAsurgicalAunit.A ItAwouldAbeAmostAappropriateAtoAassignAthisAnurseAtoAtheAclientAwho
*
(a) hasAreturnedAfromArightAtotalAhipAreplacementAsurgeryAfourAhoursAago
,2A|AP a g e
(b) isAbeingAobservedAforAincreasedAintracranialApressure
(c) hadAsurgeryAtwoAhoursAagoAtoAremoveAtheAappendix
(d) isAtwoAweeksApostApartumAbeingAmaintainedAonAaAmechanicalAventilatorAf
orArespiratoryAfailure
5. TheAnurseAinAaAwellAbabyAclinicAhasAassessedAseveralAchildrenAtoday.AItAwouldAbeA
aApriorityAforAtheAnurseAtoAsuggestAfollowAupAforAtheAchildAwhoAisA(a)A2AmonthsAoldAw
ithAaApositiveAbabinskiAreflAex
(b) 5AmonthsAoldAandAdoesAnotAholdAtheirAownAbottle
(c) 10AmonthsAoldAwhoAcriesAaroundAstrangers
(d) 18AmonthsAoldAwhoAneedsAsupportAwhileAambulating
6. TheAnurseAisAcaringAforAaAmechanicallyAventilatedAclientAwhoAwasAdeclaredAbra
inAdead.AAnAAdvanceADirectiveAisAnotAdocumentedAonAtheAmedicalArecord.AItAwoul
dAbeAmostAappropriateAtoAobtainAconsentAforAorganAdonationAfromAthe
(a) client‘sAprimaryAcareAprovider
(b) client‘sAnurseAmanager
(c) closestAlivingAfamilyAmember
(d) hospital‘sAethicsAcommittee
7. TheAnurseAhasAreceivedAreportAonAfourAclients.A TheAnurseAshouldAfiArstAassessAt
heAclientAwhoAhas*
(a) ChronicAObstructiveAPulmonaryADiseaseA(COPD)AwithAaApulseAoximetryAreadingA
ofA90%
(b) Parkinson‘sADiseaseAandAisAdemandingAtoAleaveAtheAhospitalAagainstAmedicalAadvi
ceA(AMA)
(c) beenAadmittedAwithAsuspectedAGuillian-
Barre´ASyndromeAandAhasAbegunAplasmapheresisAtherapy
(d) CongestiveAHeartAFailureA(CHF)AwhoseApittingAedemaAhasAincreasedAtoA2(+)
8. ItAwouldAbeAappropriateAtoAassignAwhichAofAtheseAtasksAtoAtheACNA?
(a) FeedingAaAclientAwhoAisAexperiencingAdysphagia
(b) One-on-oneAclientAobservationAforAsafety
(c) RemovalAofAanAindwellingAcatheter
(d) PerformingAaAsimpleAdressingAchange
9. TheAnurseAshouldAinterveneAifAaAstaffAmemberAisAobserved
,3A|AP a g e
(a) discussingAaAclient‘sAdiagnosisAwithAvisitingAfamilyAmembers
(b) collaboratingAwithAanotherAnurseAtoAreviewAaAprescriptionAforAbloodAtransfusion
(c) interruptingAotherAstaffAmembersAdiscussingAaAclientAinAtheAcafeteria
(d) reviewingAaAclientsAlabAvaluesAwithAtheAnutritionist
, 10. TheAnurseAisApreparingAaAstaffApresentationAonAlegalAandAethicalAissuesAinAnursin
g.ATheAnurseAwouldAbeAcorrectAtoAincludeAwhichAofAtheAfollowingAexamples?
(a) PuttingAaAclientAinAaAgeriatricAchairAwithAtheAlapAtrayAinAfrontAofAtheAclientAinAtheAd
ayAroomAtoAwatchAtelevisionAisAfalseAimprisonment
(b) TellingAaAclientAthatAyouAwillAputAinAaAfeedingAtubeAifAtheAclientAdoesAnotAeatAisA
anAexampleAofAbattery
(c) TellingAaAclientAwithAbipolarAdisorderAwhoAisAsuicidalAthatAtheyAhaveAaArightAtoArefu
seAtoAtakeAtheirAmedicationsAisAanAexampleAofAmalpractice
(d) PlacingAhandsAonAaAclientAwhoAsaysA―doAnotAtouchAme‖AisAanAexampleAofAassault
11. TheAnurseAfromAtheApediatricAunitAhasAbeenAtemporarilyAassignedAtoAtheAEmergen
cyADepartment.AItAwouldAbeAmostAappropriateAtoAassignAthatAnurseAtoAtheAclientAwho*
(a) reportsAepigastricApainAthatA―feelsAlikeAindigestion‖
(b) hasAbackApainAandAaApulsatingAabdominalAmass
(c) isAHIV+AreportingAvomitingAandAdiarrhea
(d) presentsAwithAlowerAabdominalApainAandAisAsixAweeksApregnant
12. FourAclientsArecentlyAreturnedAtoAtheAunitAfollowingAinvasiveAdiagnosticAtesting.A T
heAnurseAshouldAimmediatelyAinterveneAifAoneAofAtheAclients
(a) reportsAbloodAtingedAsputumAfollowingAaAbronchoscopy
(b) hasAdecreasedAabdominalAgirthAfollowingAparacentesis
(c) reportsAaAheadacheAfollowingAaAlumbarApuncture
(d) isAobservedAflexingAandAextendingAtheAlegsAtwoAhoursAafterAcardiacAcatheterization
13. TheAnurseAisAmadeAawareAofAtheAfollowingAsituations.A TheAnurseAshouldAfiArstAche
ckAtheAclientAwho
(a) hadAaAtransurethralAprostatectomyA(TURP)AandAisAreportingAurinaryAdribblingAtw
oAhoursAafterAtheAindwellingAcatheterAisAremoved
(b) hasAcervicalAtractionAandAisAmovingAtheAlegsAbyAflAexingAandAextendingAtheAfeet
(c) hasAAlzheimer‘sAdiseaseA(stageA1)AandAwasAreturnedAtoAtheAroomAafterAbeingAfou
ndAwanderingAinAtheAhallway
(d) hasAaAhistoryAofApartialAseizuresAandAisAsittingAinAtheAbedApickingAatAtheAclothingAa
ndAsmackingAtheAlips
14. TheAnurseAinAaAcommunityAhealthAclinicAisAtalkingAwithAtheAparentAofAaAchildAwi
thACeliacADisease.A WhichAofAtheAfollowingAstatementsAwouldArequireAfollow-
upAbyAthe
3
HESI RN EXIT EXAM (VERSION 1) || ACTUAL
EXAM ALL 160 + QUESTIONS AND CORRECT
ANSWERS|| LATEST AND COMPLETE UPDATE
2025 WITH VERIFIED SOLUTIONS || ASSURED
PASS!!
1. TheAnurseAisAreviewingAmedicalAprescriptionsAforAnewlyAadmittedAclients.A ItAwoul
dAbeAaApriorityAforAtheAnurseAtoAfollowAupAwithAtheAphysicianAifAaAclientAwith
(a) aApotassiumAlevelAofA4.5mEq/LAhasAKayexalateA(sodiumApolystyrene)Aprescribed
(b) aADilantinA(phenytoin)AlevelAofA8Amcg/mlAisAplacedAonAseizureAprecautions(c)Asen
sitivityAtoAAspirinA(acetylsalicylicAacid)AisAprescribedATylenolA(acetaminophen)
(d)AsensitivityAtoAPenicillinAisAprescribedAZithromaxA(azithromycin)
2. TheAnurseAshouldAinterveneAifAtheAnurseAnotesAaAstaffAmember
(a) obtainingAaAclientsAconsentApriorAtoAtheirAoperativeAprocedureAafterAreceivingAAtiva
nA(lorazepam)
(b) placingAaAclientAonAtheAaffectedAsideAfollowingAsurgicalArepairAofAaAretin
alAdetachment
(c) handlingAaAwetAcastAwithAtheApalmsAofAtheAhands
(d) usingAaAbroadAbaseAofAsupportAwhileAtransferringAaAclient
3. TheAcommunityAhealthAnurseAisAcaringAforAtheAfollowingAclients.A ItAwouldAbeAa
priorityAforAtheAnurseAtoAinitiateAaAmultidisciplinaryAconferenceAforAtheAclientAwhoAis
(a) 12AyearsAoldAwithAAutismAwhoAisAstartingAaAnewAschoolAandArecentlyAhad
AaA
URIA(upperArespiratoryAtractAinfection)
(b) 16AyearsAold,AhasAtypeA1ADiabetesAMellitus,AisAunemployedAandAhadAaArece
ntAHemoglobinAA1cAofA13%
(c) 52AyearsAold,AwithAMyastheniaAGravis,ArecentlyAprescribedAMestino
nA(pyridostigmine)AandAemployedAasAaAmailAcarrier
(d) 70AyearsAold,AhasAschizophrenia,AlivesAaloneAandAreportsAhearingAnonAthreatenin
gAvoices.
4. TheAnurseAfromAtheApostpartumAunitAhasAbeenAtemporarilyAassignedAtoAtheAmedic
alAsurgicalAunit.A ItAwouldAbeAmostAappropriateAtoAassignAthisAnurseAtoAtheAclientAwho
*
(a) hasAreturnedAfromArightAtotalAhipAreplacementAsurgeryAfourAhoursAago
,2A|AP a g e
(b) isAbeingAobservedAforAincreasedAintracranialApressure
(c) hadAsurgeryAtwoAhoursAagoAtoAremoveAtheAappendix
(d) isAtwoAweeksApostApartumAbeingAmaintainedAonAaAmechanicalAventilatorAf
orArespiratoryAfailure
5. TheAnurseAinAaAwellAbabyAclinicAhasAassessedAseveralAchildrenAtoday.AItAwouldAbeA
aApriorityAforAtheAnurseAtoAsuggestAfollowAupAforAtheAchildAwhoAisA(a)A2AmonthsAoldAw
ithAaApositiveAbabinskiAreflAex
(b) 5AmonthsAoldAandAdoesAnotAholdAtheirAownAbottle
(c) 10AmonthsAoldAwhoAcriesAaroundAstrangers
(d) 18AmonthsAoldAwhoAneedsAsupportAwhileAambulating
6. TheAnurseAisAcaringAforAaAmechanicallyAventilatedAclientAwhoAwasAdeclaredAbra
inAdead.AAnAAdvanceADirectiveAisAnotAdocumentedAonAtheAmedicalArecord.AItAwoul
dAbeAmostAappropriateAtoAobtainAconsentAforAorganAdonationAfromAthe
(a) client‘sAprimaryAcareAprovider
(b) client‘sAnurseAmanager
(c) closestAlivingAfamilyAmember
(d) hospital‘sAethicsAcommittee
7. TheAnurseAhasAreceivedAreportAonAfourAclients.A TheAnurseAshouldAfiArstAassessAt
heAclientAwhoAhas*
(a) ChronicAObstructiveAPulmonaryADiseaseA(COPD)AwithAaApulseAoximetryAreadingA
ofA90%
(b) Parkinson‘sADiseaseAandAisAdemandingAtoAleaveAtheAhospitalAagainstAmedicalAadvi
ceA(AMA)
(c) beenAadmittedAwithAsuspectedAGuillian-
Barre´ASyndromeAandAhasAbegunAplasmapheresisAtherapy
(d) CongestiveAHeartAFailureA(CHF)AwhoseApittingAedemaAhasAincreasedAtoA2(+)
8. ItAwouldAbeAappropriateAtoAassignAwhichAofAtheseAtasksAtoAtheACNA?
(a) FeedingAaAclientAwhoAisAexperiencingAdysphagia
(b) One-on-oneAclientAobservationAforAsafety
(c) RemovalAofAanAindwellingAcatheter
(d) PerformingAaAsimpleAdressingAchange
9. TheAnurseAshouldAinterveneAifAaAstaffAmemberAisAobserved
,3A|AP a g e
(a) discussingAaAclient‘sAdiagnosisAwithAvisitingAfamilyAmembers
(b) collaboratingAwithAanotherAnurseAtoAreviewAaAprescriptionAforAbloodAtransfusion
(c) interruptingAotherAstaffAmembersAdiscussingAaAclientAinAtheAcafeteria
(d) reviewingAaAclientsAlabAvaluesAwithAtheAnutritionist
, 10. TheAnurseAisApreparingAaAstaffApresentationAonAlegalAandAethicalAissuesAinAnursin
g.ATheAnurseAwouldAbeAcorrectAtoAincludeAwhichAofAtheAfollowingAexamples?
(a) PuttingAaAclientAinAaAgeriatricAchairAwithAtheAlapAtrayAinAfrontAofAtheAclientAinAtheAd
ayAroomAtoAwatchAtelevisionAisAfalseAimprisonment
(b) TellingAaAclientAthatAyouAwillAputAinAaAfeedingAtubeAifAtheAclientAdoesAnotAeatAisA
anAexampleAofAbattery
(c) TellingAaAclientAwithAbipolarAdisorderAwhoAisAsuicidalAthatAtheyAhaveAaArightAtoArefu
seAtoAtakeAtheirAmedicationsAisAanAexampleAofAmalpractice
(d) PlacingAhandsAonAaAclientAwhoAsaysA―doAnotAtouchAme‖AisAanAexampleAofAassault
11. TheAnurseAfromAtheApediatricAunitAhasAbeenAtemporarilyAassignedAtoAtheAEmergen
cyADepartment.AItAwouldAbeAmostAappropriateAtoAassignAthatAnurseAtoAtheAclientAwho*
(a) reportsAepigastricApainAthatA―feelsAlikeAindigestion‖
(b) hasAbackApainAandAaApulsatingAabdominalAmass
(c) isAHIV+AreportingAvomitingAandAdiarrhea
(d) presentsAwithAlowerAabdominalApainAandAisAsixAweeksApregnant
12. FourAclientsArecentlyAreturnedAtoAtheAunitAfollowingAinvasiveAdiagnosticAtesting.A T
heAnurseAshouldAimmediatelyAinterveneAifAoneAofAtheAclients
(a) reportsAbloodAtingedAsputumAfollowingAaAbronchoscopy
(b) hasAdecreasedAabdominalAgirthAfollowingAparacentesis
(c) reportsAaAheadacheAfollowingAaAlumbarApuncture
(d) isAobservedAflexingAandAextendingAtheAlegsAtwoAhoursAafterAcardiacAcatheterization
13. TheAnurseAisAmadeAawareAofAtheAfollowingAsituations.A TheAnurseAshouldAfiArstAche
ckAtheAclientAwho
(a) hadAaAtransurethralAprostatectomyA(TURP)AandAisAreportingAurinaryAdribblingAtw
oAhoursAafterAtheAindwellingAcatheterAisAremoved
(b) hasAcervicalAtractionAandAisAmovingAtheAlegsAbyAflAexingAandAextendingAtheAfeet
(c) hasAAlzheimer‘sAdiseaseA(stageA1)AandAwasAreturnedAtoAtheAroomAafterAbeingAfou
ndAwanderingAinAtheAhallway
(d) hasAaAhistoryAofApartialAseizuresAandAisAsittingAinAtheAbedApickingAatAtheAclothingAa
ndAsmackingAtheAlips
14. TheAnurseAinAaAcommunityAhealthAclinicAisAtalkingAwithAtheAparentAofAaAchildAwi
thACeliacADisease.A WhichAofAtheAfollowingAstatementsAwouldArequireAfollow-
upAbyAthe
3
