2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
2025 HESI RN Exit Exam | Actual
Questions &
Verified Answers | PDF Format |
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Confidence
The nurse assumes care of a postoperative adult client with type
2 diabetes mellitus and learns that the client has a current blood
glucose level of 720 mg/dL. When assessing the client, what is the
priority?
A.Assess for signs of fluid volume deficit
B.Observe wound drainage characteristics
C.Measure the level of acute pain
D. Determine when the client last ate
- Answer- A. Assess for signs of fluid volume deficit
A male client tells the nurse that he is concerned that he may
have a stomach ulcer, because he is experiencing heartburn and
dull gnawing pain that is relieved when he eats. Which is the best
response by the nurse?
A.Encourage the client to obtain a complete physical exam, since
these symptoms are consistent with an ulcer
B.Assure the client that his symptoms may only reflect reflux,
since ulcer pain is not relieved with food
C.Instruct the client that these mild symptoms can generally be
co
- Answer- A. Encourage the client to obtain a complete physical
exam, since these symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following a
total gastrectomy.
1|Page
2025 HESI RN Exit Exam | Actual Questions & Verified Answers |
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, 2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
He has a nasogastric tube to suction and is receiving Lactated
Ringer's solution at 75 mL/hr IV. One hour after admission to the
unit, the nurse notes 300mL of blood in the suction canister, the
client's heart rate is 155 beats/minute, and his blood pressure is
78/48 mmHg. In addition to reporting the findings to the surgeon,
which action should the nurse implement first?
A. Measure and document the client's uri
- Answer- D. Increase the infusion rate of Lactated Ringer's
solution
A heparin infusion is prescribed for a client who weighs 220
pounds. After administering a bolus dose of 80 units/kg, the
nurse calculates the infusion rate for the heparin solution as 18
units/kg/hour. The available solution is Heparin Sodium 25,000
Units in 5% Dextrose Injection 250 mL. The nurse should program
the infusion pump to deliver how many mL/hour?
- Answer- -1st: calculate the weight = 220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/
hr
- 25000 units - in 250 1800 units ---in X ml x = 1800 x 250/25000
=18 mL/hr
An adult male who fell 20 feet from the roof of his home has
multiple injuries, including a right pneumothorax. Chest tubes
were inserted in the emergency department prior to his transfer
to the intensive care unit (ICU). The nurse notes that the suction
control chamber is bubbling at the -10cm H2O mark, which
fluctuation in the water seal, and over the past hour 75 mL of
bright red blood is measured in the collection chamber. Which
intervention should the nurse implement?
- Answer- A. Add sterile water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three
weeks ago. His wife approaches the nurse and asks how she will
know that her husband's death is imminent because their two
2|Page
2025 HESI RN Exit Exam | Actual Questions & Verified Answers |
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, 2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
adult children want to be there when he dies. Which is the best
response by the nurse?
A.Gather information regarding how long it will take for the
children to arrive
B.Explain that the client will start to lose consciousness and the
body systems will slow down
C.Reassure the spouse that the healthcare provider
- Answer- B. Explain that the client will start to lose
consciousness and the body systems will slow down
The charge nurse of a critical care unit is informed at the
beginning of the shift that less than the optimal number of
registered nurses will be working that shift. In planning
assignments, which client should receive the most care hours by
a registered nurse (RN)?
A. A 48-year-old marathon runner with a central venous
catheter who is experiencing nausea and vomiting due to
electrolyte disturbance following a race
B. A 34-year-old admitted today after an emergency
appendectomy who has a periphe
- Answer- D. An 82-year-old client with Alzheimer's disease and a
newly-fractured femur who has a Foley catheter and soft wrist
restraints applied
The nurse is preparing a dose of 60 mcg of teriparatide. The
medication is labeled "750 mcg/2.4mL". How many mL should the
nurse administer? Round to nearest tenth. - Answer- 0.2 mL
In caring for a client with Cushing's Syndrome, which serum
laboratory value is most important for the nurse to monitor?
A.Creatinine
B.Lactate
C.Glucose
D. Hemoglobin
3|Page
2025 HESI RN Exit Exam | Actual Questions & Verified Answers |
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, 2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
- Answer- C. Glucose
A client who received hemodialysis yesterday is experiencing a
blood pressure of
200/100 mmHg, heart rate 110 beats/minute, and respiratory rate
36 breaths/minute. The client is manifesting shortness of breath,
bilateral 2+ pedal edema, and an oxygen saturation on room air
of 89%. Which action should the nurse take first?
A.Elevate the foot of the bed
B.Restrict the client's fluids
C.Begin supplemental oxygen
D. Prepare client for hemodialysis
- Answer- C. Begin supplemental oxygen
When caring for a client with full thickness burns to both lower
extremities, which assessment findings warrant immediate
intervention? Select all that apply
A.Sloughing tissue around wound edges
B.Complaint of increased pain and pressure
C.Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
E. Weeping serosanguineous fluid from wounds
- Answer- B. Complaint of increased pain and pressure
C.Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
An older client is admitted with fluid volume deficit and
dehydration. Which assessment finding is the best indicator of
hydration that the nurse should report to the healthcare
provider?
A.Urine specific gravity is 1.040
B.Systolic blood pressure decreases 10 points when standing
4|Page
2025 HESI RN Exit Exam | Actual Questions & Verified Answers |
PDF Format | Guaranteed Pass – Ace Your Exams with Confidence
2025 HESI RN Exit Exam | Actual
Questions &
Verified Answers | PDF Format |
Guaranteed Pass – Ace Your Exams with
Confidence
The nurse assumes care of a postoperative adult client with type
2 diabetes mellitus and learns that the client has a current blood
glucose level of 720 mg/dL. When assessing the client, what is the
priority?
A.Assess for signs of fluid volume deficit
B.Observe wound drainage characteristics
C.Measure the level of acute pain
D. Determine when the client last ate
- Answer- A. Assess for signs of fluid volume deficit
A male client tells the nurse that he is concerned that he may
have a stomach ulcer, because he is experiencing heartburn and
dull gnawing pain that is relieved when he eats. Which is the best
response by the nurse?
A.Encourage the client to obtain a complete physical exam, since
these symptoms are consistent with an ulcer
B.Assure the client that his symptoms may only reflect reflux,
since ulcer pain is not relieved with food
C.Instruct the client that these mild symptoms can generally be
co
- Answer- A. Encourage the client to obtain a complete physical
exam, since these symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following a
total gastrectomy.
1|Page
2025 HESI RN Exit Exam | Actual Questions & Verified Answers |
PDF Format | Guaranteed Pass – Ace Your Exams with Confidence
, 2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
He has a nasogastric tube to suction and is receiving Lactated
Ringer's solution at 75 mL/hr IV. One hour after admission to the
unit, the nurse notes 300mL of blood in the suction canister, the
client's heart rate is 155 beats/minute, and his blood pressure is
78/48 mmHg. In addition to reporting the findings to the surgeon,
which action should the nurse implement first?
A. Measure and document the client's uri
- Answer- D. Increase the infusion rate of Lactated Ringer's
solution
A heparin infusion is prescribed for a client who weighs 220
pounds. After administering a bolus dose of 80 units/kg, the
nurse calculates the infusion rate for the heparin solution as 18
units/kg/hour. The available solution is Heparin Sodium 25,000
Units in 5% Dextrose Injection 250 mL. The nurse should program
the infusion pump to deliver how many mL/hour?
- Answer- -1st: calculate the weight = 220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/
hr
- 25000 units - in 250 1800 units ---in X ml x = 1800 x 250/25000
=18 mL/hr
An adult male who fell 20 feet from the roof of his home has
multiple injuries, including a right pneumothorax. Chest tubes
were inserted in the emergency department prior to his transfer
to the intensive care unit (ICU). The nurse notes that the suction
control chamber is bubbling at the -10cm H2O mark, which
fluctuation in the water seal, and over the past hour 75 mL of
bright red blood is measured in the collection chamber. Which
intervention should the nurse implement?
- Answer- A. Add sterile water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three
weeks ago. His wife approaches the nurse and asks how she will
know that her husband's death is imminent because their two
2|Page
2025 HESI RN Exit Exam | Actual Questions & Verified Answers |
PDF Format | Guaranteed Pass – Ace Your Exams with Confidence
, 2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
adult children want to be there when he dies. Which is the best
response by the nurse?
A.Gather information regarding how long it will take for the
children to arrive
B.Explain that the client will start to lose consciousness and the
body systems will slow down
C.Reassure the spouse that the healthcare provider
- Answer- B. Explain that the client will start to lose
consciousness and the body systems will slow down
The charge nurse of a critical care unit is informed at the
beginning of the shift that less than the optimal number of
registered nurses will be working that shift. In planning
assignments, which client should receive the most care hours by
a registered nurse (RN)?
A. A 48-year-old marathon runner with a central venous
catheter who is experiencing nausea and vomiting due to
electrolyte disturbance following a race
B. A 34-year-old admitted today after an emergency
appendectomy who has a periphe
- Answer- D. An 82-year-old client with Alzheimer's disease and a
newly-fractured femur who has a Foley catheter and soft wrist
restraints applied
The nurse is preparing a dose of 60 mcg of teriparatide. The
medication is labeled "750 mcg/2.4mL". How many mL should the
nurse administer? Round to nearest tenth. - Answer- 0.2 mL
In caring for a client with Cushing's Syndrome, which serum
laboratory value is most important for the nurse to monitor?
A.Creatinine
B.Lactate
C.Glucose
D. Hemoglobin
3|Page
2025 HESI RN Exit Exam | Actual Questions & Verified Answers |
PDF Format | Guaranteed Pass – Ace Your Exams with Confidence
, 2025 HESI RN EXIT EXAM ACTUAL QS & ANS TO PASS THE EXAM,
- Answer- C. Glucose
A client who received hemodialysis yesterday is experiencing a
blood pressure of
200/100 mmHg, heart rate 110 beats/minute, and respiratory rate
36 breaths/minute. The client is manifesting shortness of breath,
bilateral 2+ pedal edema, and an oxygen saturation on room air
of 89%. Which action should the nurse take first?
A.Elevate the foot of the bed
B.Restrict the client's fluids
C.Begin supplemental oxygen
D. Prepare client for hemodialysis
- Answer- C. Begin supplemental oxygen
When caring for a client with full thickness burns to both lower
extremities, which assessment findings warrant immediate
intervention? Select all that apply
A.Sloughing tissue around wound edges
B.Complaint of increased pain and pressure
C.Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
E. Weeping serosanguineous fluid from wounds
- Answer- B. Complaint of increased pain and pressure
C.Change in the quality of the peripheral pulses
D. Loss of sensation to the left lower extremity
An older client is admitted with fluid volume deficit and
dehydration. Which assessment finding is the best indicator of
hydration that the nurse should report to the healthcare
provider?
A.Urine specific gravity is 1.040
B.Systolic blood pressure decreases 10 points when standing
4|Page
2025 HESI RN Exit Exam | Actual Questions & Verified Answers |
PDF Format | Guaranteed Pass – Ace Your Exams with Confidence
