1
HESI RN EXIT EXAM/ HESI EXIT EXAM RN
HESI REAL EXAM QUESTIONS A COMPLETE
STUDY GUIDE EXAM NEWEST 2025/2026
LATEST UPDATE WITH 100% CORRECT
ANSWERS BEST GRADED EXAM
A client with pneumococcal pneumonia had been started on antibiotics 16 hours ago. During
the nurse's initial evening rounds the nurse notices a foul smell in the room. The client makes
all of these statements during their conversation. Which statement would alert the nurse to a
complication?
A) "I have a sharp pain in my chest when I take a breath.
"B) "I have been coughing up foul-tasting, brown, thick sputum.
" C) "I have been sweating all day.
"D) "I feel hot off and on." -- ANSWER--"B) "I have been coughing up foul-tasting, brown,
thick sputum.
The nurse is performing an assessment on a client in congestive heart failure. Auscultation of
the heart is most likely to reveal
A) S3 ventricular gallop
B) Apical click
C) Systolic murmur
D) Split S2 -- ANSWER--A) S3 ventricular gallop
, 2
Which of these observations made by the nurse during an excretory urogram indicate a
complicaton?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client's entire body turns a bright red color
C) The client states "I have a feeling of getting warm."
D) The client gags and complains " I am getting sick." -- ANSWER--B) The client's entire
body turns a bright red color
A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest
tube. What is the best explanation for the nurse to provide this client?
A) "The tube will drain fluid from your chest.
"B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest.
" D) "The tube will seal the hole in your lung." -- ANSWER--"B) "The tube will remove
excess air from your chest."
The nurse is reviewing laboratory results on a client with acute renal failure. Which one of
the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L -- ANSWER--D) Serum potassium 6 mEq/L
The nurse is caring for a client undergoing the placement of a central venous catheter line.
Which of the following would require the nurse's immediate attention?
A) Pallor
, 3
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms -- ANSWER--C) Dyspnea
The nurse is performing a physical assessment on a client who just had an endotracheal tube
inserted. Which finding would call for immediate action by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak -- ANSWER--C) Pulse oximetry of 88
A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that
the client may need suctioning?A) Drowsiness
B) Complaint of nausea
C) Pulse rate of 92
D) Restlessness -- ANSWER--D) Restlessness
During the evaluation phase for a client, the nurse should focus on
A) All finding of physical and psychosocial stressors of the client and in the family
B) The client's status, progress toward goal achievement, and ongoing re-evaluation
C) Setting short and long-term goals to insure continuity of care from hospital to home
D) Select interventions that are measurable and achievable within selected timeframes --
ANSWER--B) The client's status, progress toward goal achievement, and ongoing re-
evaluation
, 4
The school nurse suspects that a third grade child might have Attention Deficit Hyperactivity
Disorder. Prior to referring the child for further evaluation, the nurse should
A) Observe the child's behavior on at least 2 occasions
B) Consult with the teacher about how to control impulsivity
C) Compile a history of behavior patterns and developmental accomplishments
D) Compare the child's behavior with classic signs and symptoms -- ANSWER--C) Compile
a history of behavior patterns and developmental accomplishments
Which of the actions suggested to the RN by the PN during a planning conference for a 10
month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to add
to the plan of care?
A) Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top -- ANSWER--A) Measure head circumference
A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory
results, the nurse would expect to find elevation in which of the following values?
A) Blood urea nitrogen
B) Acid phosphatase
C) Bilirubin
D) Sedimentation Rate -- ANSWER--C) Bilirubin
The nurse is discussing nutritional requirements with the parents of an 18 month-old
child. Which of these statements about milk consumption is correct?
HESI RN EXIT EXAM/ HESI EXIT EXAM RN
HESI REAL EXAM QUESTIONS A COMPLETE
STUDY GUIDE EXAM NEWEST 2025/2026
LATEST UPDATE WITH 100% CORRECT
ANSWERS BEST GRADED EXAM
A client with pneumococcal pneumonia had been started on antibiotics 16 hours ago. During
the nurse's initial evening rounds the nurse notices a foul smell in the room. The client makes
all of these statements during their conversation. Which statement would alert the nurse to a
complication?
A) "I have a sharp pain in my chest when I take a breath.
"B) "I have been coughing up foul-tasting, brown, thick sputum.
" C) "I have been sweating all day.
"D) "I feel hot off and on." -- ANSWER--"B) "I have been coughing up foul-tasting, brown,
thick sputum.
The nurse is performing an assessment on a client in congestive heart failure. Auscultation of
the heart is most likely to reveal
A) S3 ventricular gallop
B) Apical click
C) Systolic murmur
D) Split S2 -- ANSWER--A) S3 ventricular gallop
, 2
Which of these observations made by the nurse during an excretory urogram indicate a
complicaton?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client's entire body turns a bright red color
C) The client states "I have a feeling of getting warm."
D) The client gags and complains " I am getting sick." -- ANSWER--B) The client's entire
body turns a bright red color
A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest
tube. What is the best explanation for the nurse to provide this client?
A) "The tube will drain fluid from your chest.
"B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest.
" D) "The tube will seal the hole in your lung." -- ANSWER--"B) "The tube will remove
excess air from your chest."
The nurse is reviewing laboratory results on a client with acute renal failure. Which one of
the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L -- ANSWER--D) Serum potassium 6 mEq/L
The nurse is caring for a client undergoing the placement of a central venous catheter line.
Which of the following would require the nurse's immediate attention?
A) Pallor
, 3
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms -- ANSWER--C) Dyspnea
The nurse is performing a physical assessment on a client who just had an endotracheal tube
inserted. Which finding would call for immediate action by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak -- ANSWER--C) Pulse oximetry of 88
A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that
the client may need suctioning?A) Drowsiness
B) Complaint of nausea
C) Pulse rate of 92
D) Restlessness -- ANSWER--D) Restlessness
During the evaluation phase for a client, the nurse should focus on
A) All finding of physical and psychosocial stressors of the client and in the family
B) The client's status, progress toward goal achievement, and ongoing re-evaluation
C) Setting short and long-term goals to insure continuity of care from hospital to home
D) Select interventions that are measurable and achievable within selected timeframes --
ANSWER--B) The client's status, progress toward goal achievement, and ongoing re-
evaluation
, 4
The school nurse suspects that a third grade child might have Attention Deficit Hyperactivity
Disorder. Prior to referring the child for further evaluation, the nurse should
A) Observe the child's behavior on at least 2 occasions
B) Consult with the teacher about how to control impulsivity
C) Compile a history of behavior patterns and developmental accomplishments
D) Compare the child's behavior with classic signs and symptoms -- ANSWER--C) Compile
a history of behavior patterns and developmental accomplishments
Which of the actions suggested to the RN by the PN during a planning conference for a 10
month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to add
to the plan of care?
A) Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top -- ANSWER--A) Measure head circumference
A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory
results, the nurse would expect to find elevation in which of the following values?
A) Blood urea nitrogen
B) Acid phosphatase
C) Bilirubin
D) Sedimentation Rate -- ANSWER--C) Bilirubin
The nurse is discussing nutritional requirements with the parents of an 18 month-old
child. Which of these statements about milk consumption is correct?
