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2025 HESI RN Exit Exam (V7) Actual Qs & Ans to Pass the Exam, 100% Verified – PDF
Question 1:
A group of nursing students is touring an in-patient psychiatric unit when a male client who is in a manic state shouts, "Want to see a crazy person?" and begins to jump up and down, flap his arms, and cluck like a chicken. Which action is best for the nurse to take?A Direct the students to continue the tour without responding to the client's behavior.B Medicate the client with a PRN prescription for an antianxiety agent.C Restrict the client to his room until he can control his behaviors.D Redirect the client's acting out behavior by asking him to perform a unit task.
Correct answer: D
Question 2:
An adult male client is brought to the emergency department (ED) by ambulance following a motorcycle collision. He was
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not wearing a helmet and presents with periorbital bruising and bloody drainage from both ears. Which assessment finding warrants immediate intervention by the nurse?A Rebound abdominal tenderness.B Diminished bilateral breath sounds.C Nausea with projectile vomiting.D Rib pain with deep inspiration.
Correct answer: C
Question 3:
A client diagnosed with Parkinson's disease receives a prescription for carbidopa-levodopa, controlled release (CR) 25/100 mg PO daily each morning. Which information should the nurse include in the client's teaching plan? Select all that apply.A Parkinson symptoms should diminish within one week.B Avoid sunlight and wear sunglasses while outdoors.C A change in urine color to dark red often occurs while taking this drug.
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D An upset stomach may occur as a side effect of this medication.E The medication should only be taken during a meal.
Correct answer: C, D
Question 4:
The healthcare provider (HCP) prescribes 500 mL of 0.45% normal saline with 100 units regular insulin to infuse at 15 units/hour. The drop factor is 20 gtt/mL. The nurse should regulate the IV to deliver how many gtt/minute? (Enter numerical value only.)
Correct answer: 25
Question 5:
A client with generalized anxiety disorder does not want to communicate with friends, smokes 2 to 3 packages of cigarettes a day, and describes difficulty concentrating at work. Which coping strategy should the nurse include in the plan of care
(POC)?
A Focus on small achievable tasks, not taxing problems.
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B Concentrate on and ventilate emotions when distressed.C Relax and reduce the amount of effort to solve the problem.D Analyze past hurts and resentments to identify the source.
Correct answer: A
Question 6:
The nurse is caring for a client who reports sudden right sided numbness and weakness of the arm and leg. The nurse also observes a distinct right sided facial droop. After reporting the findings to the healthcare provider (HCP), the nurse receives several prescriptions for the client, including a STAT computerized tomography (CT) scan of the head. Which action should the nurse take first?A Raise the head of the bed to 30° keeping head and neck in neutral alignment.B Start two large bore peripheral IV (PIV) catheters and review inclusion criteria for IV fibrinolytic therapy.C Administer aspirin to prevent further clot formation and platelet clumping.D Begin continuous observation for transient episodes of neurologic dysfunction.