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RN HESI Exit Exam V7 Flashcards | 50 Key Concepts | 2025/2026 NCLEX-RN Prep Introduction This set of 50 digital flashcards covers high-yield topics from Version 7 (V7) of the RN HESI Exit Exam, updated for 2025/2026. Organized into medical-surgical nursing, pharmacology, maternal-newborn, mental health, and pediatrics, each card includes a question or term (front) and an answer with rationale (back). Use these in digital apps like Anki or Quizlet for NCLEX-RN preparation.Flashcards Table Front (Question/Term) Back (Answer & Rationale) Medical-Surgical Nursing
What is the first action for a client with chest pain prescribed nitroglycerin?
Answer: Assess pain characteristics.
Rationale: Pain assessment determines if
chest pain is cardiac-related, guiding nitroglycerin use.What is the priority action for a client with sepsis and a temperature of 103°F?
Answer: Obtain blood cultures.
Rationale: Blood cultures identify the
infection source in sepsis, guiding antibiotic therapy.What is the first action for a client post-hip replacement with leg swelling?
Answer: Assess for DVT.
Rationale: Swelling may indicate deep vein
thrombosis, a post-surgical risk requiring urgent evaluation.What is the first action for a client with a tibia fracture and persistent pain despite analgesics?
Answer: Assess neurovascular status.
Rationale: Persistent pain may indicate
compartment syndrome, requiring immediate assessment.What is the priority action for a client with a stage 4 pressure ulcer?
Answer: Consult wound care specialist.
Rationale: Stage 4 ulcers require specialized
intervention for healing.What is the first action for a client with a tracheostomy reporting mucus plugging?
Answer: Assess respiratory status.
Rationale: Mucus plugging may cause
distress; assessment guides suctioning.What is the first action for a client with heart failure reporting dyspnea on exertion?
Answer: Assess oxygen saturation.
Rationale: Dyspnea may indicate
hypoxemia; saturation guides intervention.What is the priority action for a client with burns requiring fluid resuscitation?
Answer: Monitor urine output.
Rationale: Urine output assesses adequacy
of fluid resuscitation in burns. 1 / 2
Front (Question/Term) Back (Answer & Rationale) What is the first action for a client with a PICC line reporting redness at the site?
Answer: Assess for infection.
Rationale: Redness may indicate infection,
requiring prompt evaluation.What is the first action for a client with a stroke reporting headache?
Answer: Assess neurological status.
Rationale: Headache may indicate increased
intracranial pressure; neurological assessment is priority.Pharmacology
What should a client monitor when taking phenytoin for epilepsy?
Answer: Gingival hyperplasia.
Rationale: Phenytoin commonly causes
gingival hyperplasia as a side effect.What should a client monitor when taking methimazole for hyperthyroidism?
Answer: Sore throat.
Rationale: Methimazole can cause
agranulocytosis, indicated by sore throat.What should a client avoid when taking isoniazid for tuberculosis?
Answer: Alcohol.
Rationale: Isoniazid increases
hepatotoxicity risk with alcohol.What should a client monitor when taking insulin glargine?
Answer: Hypoglycemia.
Rationale: Long-acting insulin like glargine
increases hypoglycemia risk.What should a client monitor when taking warfarin with an INR of 4.5?
Answer: Notify the provider.
Rationale: An INR of 4.5 indicates over-
anticoagulation, requiring provider intervention.What should a client do after using fluticasone for COPD?
Answer: Rinse mouth.
Rationale: Rinsing prevents oral thrush from
inhaled corticosteroids.What should a client monitor when taking lithium for bipolar disorder?
Answer: Thyroid function.
Rationale: Lithium can cause
hypothyroidism, requiring monitoring.What should a client monitor when taking methotrexate for rheumatoid arthritis?
Answer: Mouth sores.
Rationale: Methotrexate can cause
mucositis, indicated by mouth sores.What should a client expect when taking nitrofurantoin for a UTI?
Answer: Urine discoloration.
Rationale: Nitrofurantoin causes harmless
brownish urine discoloration.What should a client monitor when taking ramipril for hypertension?
Answer: Hyperkalemia.
Rationale: Ramipril, an ACE inhibitor, can
cause potassium retention.Maternal-Newborn
What is the first action for a pregnant client at 35 weeks with contractions every 10 minutes?
Answer: Assess cervical dilation.
Rationale: Cervical dilation confirms
preterm labor progress.
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