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HESI RN Exit Exam (V2) 2025 Actual Qs & Ans to Pass the Exam, 100% Verified – PDF
Question 1: The nurse is completing the admission assessment
of a 3-year old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)?
- Tachycardia and tachypnea
- Sluggish and unequal pupillary responses
- Increased head circumference and bulging fontanels
- Blood pressure fluctuations and syncope
CORRECT ANSWER : B. Sluggish and unequal pupillary
responses
Question 2: A client with acute pancreatitis is admitted with
severe, piercing abdominal pain and an elevated serum amylase.Which additional information is the client most likely to report to the nurse?
- Abdominal pain decreases when lying supine
- Pain lasts an hour and leaves the abdomen tender
- Right upper quadrant pain refers to right scapula
- Drinks alcohol until intoxicated at least twice weekly
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CORRECT ANSWER : A. Abdominal pain decreases when
lying supine
Question 3: A child newly diagnosed with sickle cell anemia
(SCA) is being discharged from the hospital. Which information is most important for the nurse to provide the parents prior to discharge?
- Instructions about how much fluid the child should drink
- Signs of addiction to opioid pain medications
- Information about non-pharmaceutical pain relief measures
- Referral for social services for the child and family
daily
CORRECT ANSWER : A. Instructions about how much fluid
the child should drink daily
Question 4: To auscultate for a carotid bruit, the nurse places the
stethoscope at what location. (Select the location on the image with a red dot).
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CORRECT ANSWER : I placed the red dot on the base of the
neck on the right side
Question 5: After receiving report on an inpatient acute care
unit, which client should the nurse assess first?
- The client with an obstruction of the large intestine who is
- The client who had surgery yesterday and is experiencing a
- The client with a small bowel obstruction who has a
- The client with a bowel obstruction due to a volvulus who is
experiencing abdominal distention
paralytic ileus with absent bowel sounds
nasogastric tube that is draining greenish fluid
experiencing abdominal rigidity
CORRECT ANSWER : D. The client with a bowel obstruction
due to a volvulus who is experiencing abdominal rigidity
Question 6: A teenager presents to the emergency department
with palpitations after vaping at a party. The client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing which acid base imbalance?
- Respiratory acidosis
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- Metabolic alkalosis
- Metabolic acidosis
- Respiratory alkalosis
CORRECT ANSWER : D. Respiratory alkalosis
Question 7: A client with dyspnea is being admitted to the
medical unit. To best prepare for the client's arrival, the nurse should ensure that the client's bed is in which position?
- Supine
- supine; feet elevated higher than head
- supine; head elevated higher than feet
- Fowlers
CORRECT ANSWER : D. Fowlers
Question 8: The nurse is taking the blood pressure measurement
of a client with Parkinson's disease. Which information in the client's admission assessment is relevant to the nurse's plan for taking the blood pressure reading? (Select all that apply)
- Frequent syncope