HESI RN 2025 Exit Exam – Most Tested
Questions and Answers, Graded A+
(Comprehensive Exam Preparation Material)
Introduction:
This document provides a complete collection of the most
frequently tested HESI RN Exit Exam questions for 2025,
including correct answers and detailed scenario-based items.
It covers a wide range of nursing topics such as medical-
surgical, maternal-newborn, pediatrics, mental health,
pharmacology, and NGN-style clinical judgment questions.
It serves as a comprehensive study resource for exam
preparation and includes high-yield, graded A+ content
designed to mirror the structure of the actual HESI exam.
Exam Questions and Answers:
After receiving report on an inpatient acute care unit which
client should the nurse assess first?
A) The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds.
B) The client with a small bowel obstruction who has a
nasogastric tube that is draining greenish fluid.
,C) The client with an obstruction of the large intestine who is
experiencing abdominal distention.
D) The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity. -Answers:-D) The client with
a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity.
Client presents at the emergency department reporting a raspy
voice, cold intolerance, and fatigue. Laboratory tests indicate
an elevated thyroid stimulating hormone and a low T3 and T4
levels. After the client is admitted to the telemetary unit,
which intervention is most appropriate for the nurse to
implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema. -Answers:-A)
administer prescribed dose of level thyroxine.
While caring for a client post operative dressing, the nurse
observes purulent wound drainage. Previously, the wound was
,inflamed and tender but without drainage. Which is the most
important action for the nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
C) Monitor the clients white blood cell count.
D) Request a culture and sensitivity of the wound. -Answers:-
D) Request a culture and sensitivity of the wound.
The school nurse is screening students for scoliosis and notes
that one student has lordosis. Which finding should the nurse
document in the student screening record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
C) Excessive concave curvature of the lumbar spine.
D) Rounded spine from head to hips without concave curbs. -
Answers:-C) Excessive concave curvature of the lumbar spine.
The nurse is assigned to care for for surgical clients. After
receiving report, which client should the nurse see first?
, A) An older client who is receiving packed red blood cells on
the third day post operative for colon resection.
B) An older client with continuous bladder irrigation who is
two days post operative for bladder surgery.
C) An adult who is in bucks traction, and scheduled for hip
arthroplasty within the just 12 hours.
D) An adult one day post operative laparoscopic
cholecystectomy requesting pain medication. -Answers:-A) An
older client who is receiving packed red blood cells on the
third day post operative for colon resection.
The nurse is providing education to a client who experiences
recurrent levels of moderate anxiety to situation and perceived
stress. In addition to information about prescribe medication
and administration, which instruction should the nurse include
in the teaching?
A) Think about reasons the episodes occur.
B) Center attention on positive upbeat music.
C) Practice using muscle relaxation techniques.
D) Find outlets for more social interaction. -Answers:-C)
Practice using muscle relaxation techniques.
Questions and Answers, Graded A+
(Comprehensive Exam Preparation Material)
Introduction:
This document provides a complete collection of the most
frequently tested HESI RN Exit Exam questions for 2025,
including correct answers and detailed scenario-based items.
It covers a wide range of nursing topics such as medical-
surgical, maternal-newborn, pediatrics, mental health,
pharmacology, and NGN-style clinical judgment questions.
It serves as a comprehensive study resource for exam
preparation and includes high-yield, graded A+ content
designed to mirror the structure of the actual HESI exam.
Exam Questions and Answers:
After receiving report on an inpatient acute care unit which
client should the nurse assess first?
A) The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds.
B) The client with a small bowel obstruction who has a
nasogastric tube that is draining greenish fluid.
,C) The client with an obstruction of the large intestine who is
experiencing abdominal distention.
D) The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity. -Answers:-D) The client with
a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity.
Client presents at the emergency department reporting a raspy
voice, cold intolerance, and fatigue. Laboratory tests indicate
an elevated thyroid stimulating hormone and a low T3 and T4
levels. After the client is admitted to the telemetary unit,
which intervention is most appropriate for the nurse to
implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema. -Answers:-A)
administer prescribed dose of level thyroxine.
While caring for a client post operative dressing, the nurse
observes purulent wound drainage. Previously, the wound was
,inflamed and tender but without drainage. Which is the most
important action for the nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
C) Monitor the clients white blood cell count.
D) Request a culture and sensitivity of the wound. -Answers:-
D) Request a culture and sensitivity of the wound.
The school nurse is screening students for scoliosis and notes
that one student has lordosis. Which finding should the nurse
document in the student screening record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
C) Excessive concave curvature of the lumbar spine.
D) Rounded spine from head to hips without concave curbs. -
Answers:-C) Excessive concave curvature of the lumbar spine.
The nurse is assigned to care for for surgical clients. After
receiving report, which client should the nurse see first?
, A) An older client who is receiving packed red blood cells on
the third day post operative for colon resection.
B) An older client with continuous bladder irrigation who is
two days post operative for bladder surgery.
C) An adult who is in bucks traction, and scheduled for hip
arthroplasty within the just 12 hours.
D) An adult one day post operative laparoscopic
cholecystectomy requesting pain medication. -Answers:-A) An
older client who is receiving packed red blood cells on the
third day post operative for colon resection.
The nurse is providing education to a client who experiences
recurrent levels of moderate anxiety to situation and perceived
stress. In addition to information about prescribe medication
and administration, which instruction should the nurse include
in the teaching?
A) Think about reasons the episodes occur.
B) Center attention on positive upbeat music.
C) Practice using muscle relaxation techniques.
D) Find outlets for more social interaction. -Answers:-C)
Practice using muscle relaxation techniques.
