HESI EXIT RN EXAM/ RN EXIT HESI EXAM
COMPLETE VERSION ALL QUESTIONS AND
CORRECT ANSWERS LATEST UPDATED
2025/2026
After placing a 36- week- gestation newborn in an isolette and drying the infant
with several blankets, what should the nurse implement next?
Remove the wet blankets and linen from the isolette
A client in the third trimester of pregnancy complains of frequent nasal stiffness
and occasional nosebleeds. Her chest circumference has increased by 5 cm during
the pregnancy, and she uses thoracic breathing. Her diaphragm is elevated and she
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has an increased costal angle. Which intervention should the nurse implement?
Record the respiratory finding in the clients chart as normal
A terminally ill male hospice client who is at home is showing decreased
awareness of his surroundings. His appetite is poor and he often refuses oral intake
of solids and liquids. For the past several days he has been unable to get out of
bed. Which action should the hospice nurse implement?
Instruct family to offer client only soft bland foods
A woman was admitted yesterday afternoon with severe abdominal pain. Her
pregnancy test and ultrasound were negative, so an exploratory laparotomy was
completed during the night. When coffee ground materials is observed in the
drainage from the nasogastric tube (NGT), which intervention should the nurse
implement?
Verify correct placement of the nasogastric tube
The nurse is reviewing the laboratory values for a client with acute pancreatitis
who reports of the abdominal pain is not as severe as it was on admission. Which
laboratory test should the nurse review to evaluate the clients clinical recovery?
Lipase
While assessing a client who had a laparotomy the previous day, the nurse notices
that 300 mL of dark red fluid has drained from the nasogastric tube in the last
hour. Which action should the nurse take first? take vital signs
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The nurse is reviewing the recommended preventative care for clients with asthma,
chronic bronchitis, and emphysema. Which health care measure is most important
for the nurse to recommend to these clients?
Avoid large crowded areas during the colder months of the year
The mother of a one-moth-old infant calls the clinic to report that the back of her
infant's head is flat. How should the nurse respond?
Position the infant on the stomach occasionally when awake and active
A woman is brought to the labor and delivery unti after delivering a term infant
and the placenta in the hospital parking lot 10 minutes ago. Which action
should the nurse perform first? Perform a fundal massage
A client has a new prescription for the maximum recommended dosage of
pipercillin/tazobactam for nosocomial pneumonia. The nurse should report which
laboratory finding to the healthcare provider before administering the prescribed
dose?
Decrease serum creatine
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A client who is admitted with diabetic ketoacidosis (DKA) is demonstrating
Kussmaul breathing and has a severe headache along with nausea. Her arterial
blood gases (ABG) are: pH 7.50; PaCO2 30 mmHg; HCO3 24 mEq/L
(24mmol/L). Which assessment finding warrants immediate intervention by
the nurse? Fruity breath
When performing postural drainage on a client with Chronic Obstructive
Pulmonary disease (COPD), which approach should the nurse use? Explain
that the client may be placed in five positions
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A young male client with testicular cancer has a living will that describes his
desire that no extraordinary measures be taken to save his life. The healthcare
provider knows the client has a good prognosis and refuses to write a "do not
resuscitate" (DNR) prescription. Which action should the nurse take?
Initiate an ethics committee review
In observing a clients face, which assessment finding requires the most immediate
intervention by the nurse? Oral mucosa is cyanotic Blue lips
The nurse is assessing a client with cirrhosis and notes that the client has a positive
Babinski reflex. Which action should the nurse take in response to the finding?
Complete a thorough neurological assessment