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Final HESI Exam 2025: Comprehensive Study Guide & Practice Questions with Verified Answers

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Pass your 2025 Final HESI Exit Exam. Get a complete review for nursing school with practice questions, rationales, and study tips for all sections: Fundamentals, Med-Surg, Maternity, Pediatrics, and Pharmacology.

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1|Page



Final HESI - Nsg123 |2025 UPDATE |ACTUAL
EXAM QUESTIONS AND VERIFIED
ANSWERS/ACCURATE SOLUTIONS |GET IT
100% CORRECT!! ALREADY GRADED A+




A client with a productive cough has obtained a sputum
specimen for culture as instructed. What is the best initial
nursing action?


A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum
C. Encourage the client to consume plenty of warm
liquids
D. Send the specimen to the lab fo - .....ANSWER
...✔✔ B. Observe the color, consistency, and amount
of sputum


A client is brought to the ED by ambulance in cardiac
arrest with cardiopulmonary resuscitation (CPR) in
progress. The client is intubated and is receiving 100%
oxygen per self-inflating (ambu) bag. The nurse
determines that the client is cyanotic, cold, and

,2|Page



diaphoretic. Which assessment is most important for the
nurse to obtain?


A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature - .....ANSWER ...✔✔ A.
Breath sounds over bilateral lung fields.


After a hospitalization for Syndrome of Inappropriate
Antidiuretic Hormone (SIADH), a client develops pontine
myselinolysis. Which intervention should the nurse
implement first?


A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises - .....ANSWER
...✔✔ A. Reorient client to his room


A male client with heart failure (HF) calls the clinic and
reports that he cannot put his shoes on because they are
too tight. Which additional information should the nurse
obtain?

,3|Page




A. What time did he take his last medications?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? -
.....ANSWER ...✔✔ B. Has his weight changed in the
last several days?


An older adult woman with a long history of chronic
obstructive pulmonary disease (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?


A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position - .....ANSWER
...✔✔ D. Assist her to an upright position


A client with a history of asthma and bronchitis arrives at
the clinic with shortness of breath, productive cough with
thickened tenacious mucous, and the inability to walk up
a flight of stairs without experiencing breathlessness.

, 4|Page



Which action is most important for the nurse to instruct
the client about self-care?


A. Increase the daily intake of oral fluids to liquefy
secretions
B. Avoid crowded enclosed areas to reduce pathogen
exposure
C. Call the clinic if undesirable side effects of mediations
occur
D. Teach anxiety reduction methods for feelings of
suffocation - .....ANSWER ...✔✔ A. Increase the daily
intake of oral fluids to liquefy secretions


A cardiac catherterization of a client with heart disease
indicates the following blockages: 95% proximal left
anterior descending (LAD), 99% proximal circumflex,
and ? % proximal right coronary artery (RCA). The client
later asks the nurse "what does all this mean for me?"
What information should the nurse provide?


A. Blood supply to the heart is diminished by
artherosclerotic lesions, which necessitate lifestyle
changes.
B. Blood vessels supplying the pumping chamber have
blockages indicating a past heart attack.

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