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Newest 2025 HESI Exit Exam (Next Generation NCLEX Format) Featuring Accurate And Verified Questions Designed To Assess Clinical Judgment, Critical Thinking, And Nursing Competencies Across All Major Content Areas Including Medical-Surgical, Pharmacology, Maternal-Child, Pediatrics, Mental Health, And Leadership. Aligned With The NGN (Next Generation NCLEX) Style And Question Types.
The psychiatric nurse is caring for clients on an adolescent unit.Which client requires the nurse's immediate attention?
- A 14yo client with anorexia nervosa who is refusing to eat the
- A 16yo client diagnosed with major depression who refuses
- A 17yo client diagnosed with bipolar disorder who is pacing
- An 18yo client with antisocial behavior who is being yelled at
- / 4
evening snack
to participate in group
around the lobby
by other clients - ANSWER-D. An 18yo client with antisocial behavior who is being yelled at by other clients
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A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of hyperemesis gravidarum. Which action is most important for the nurse to implement?
- Obtain the client's 24-hour dietary recall
- Document mucosal membrane status
- Schedule a consult with a nutritionist
- Initiate prescribed intravenous fluids - ANSWER-D. Initiate
prescribed intravenous fluids
A pediatric client is taking the beta-adrenergic blocking agent propranolol. In developing a teaching plan, the nurse should teach the parents to report which sign of overdose?
- Bradycardia
- Tachypnea
- Hypertension
- Coughing - ANSWER-A. Bradycardia
Prior to obtaining a trapeze bar for a client with limited mobility, which client assessment is most important for the nurse to obtain?
- Upper body muscle strength
- Balance and posture 2 / 4
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- Risk for disuse syndrome
- Pressure sore risk - ANSWER-A. Upper body muscle
strength
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries sustained from a fall. His parents are very concerned that the child has regressed in his toileting behaviors. Which information should the nurse provide to the parents?
- A retraining program will need to be initiated when the child
- Diapering will be provided since hospitalization is stressful to
- A potty chair should be brought from home so he can
- Children usually resume their toileting behaviors when they
returns home.
preschoolers
maintain his toileting skills
leave the hospital - ANSWER-D. Children usually resume their toileting behaviors when they leave the hospital
The nurse is managing the care of a client with Cushing's syndrome. Which interventions should the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply)
- Report any client complaint of pain or discomfort 3 / 4
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- Evaluate the client for sleep disturbances
- Assess the client for weakness and fatigue
- Weigh the client and report any weight gain
- Note and report the client's food and liquid intake during
- Weigh the client and report any weight gain
- Note and report the client's food and liquid intake during
meals and snacks - ANSWER-A. Report any client complaint of pain or discomfort
meals and snacks
A young adult visits the client reporting symptoms associated with gastritis. Which information in the client's history is most important for the nurse to address in the teaching plan?
- Consumes 10 or more drinks of alcohol every weekend
- Snacks on foods with very high salt content on a daily basis
- Exercises vigorously every evening right before going to bed
- Recently became a vegetarian and eats a lot of high fiber
- / 4
foods - ANSWER-A. Consumes 10 or more drinks of alcohol every weekend