RN HESI EXIT 2025 EXAM QUESTIONS

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RN HESI EXIT 2025 EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -100 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: The client's daily blood pressure will be less than 140 / 80 mm Hg this month.

Answer:

The nurse is developing a plan of care (POC) for a client who reports chest pain on exertion and who is newly diagnosed with cardiovascular cisease. Which outcome should the nurse include in the POC for this cleent?A The client's daily blood pressure will be less than 140 / 80 mm Hg this month.B The client will monitor blood glucose and blood pressure after each meal.C The clients blood pressure readings will be less than 16090 mm Hg .D The nurse will encourage the client to walk thirty minutes every day.Question 2: Collapsed lung after a fall 8 hours ago with 100 mL blood in the chest tube collection container.

Answer:

The nurse who is working on a surgical unit receives change of shift report on a group of clients for the upcoming shift. A client with which condition requires immediate attention by the nurse?A Mastectomy 2 days ago with 50 mL bloody drainage noted in the bulb drainage system.B Abdominal perineal resection 2 days ago with no drainage on dressing who has fever and chills.C Collapsed lung after a fall 8 hours ago with 100 mL blood in the chest tube collection container.D Gunshot wound three hours ago with dark drainage of 2 cm noted on the dressing.

Question 3: A ventilator dependent client with chronic obstructive pulmonary disease (COPD).

Answer:

A nurse who usually works on a step-down unit is moved to work a 12 -hour shift in the critical care unit.Which client is best for the charge nurse to assign to t nurse?

• A ventilated client admitted today with respiratory failure and respiratory acidosis.

• A ventilator dependent client with chronic obstructive pulmonary disease (COPD).

• A client admitted for a narcotic overdose who is ventilated and has respiratory alkalosis.

• A client who has a new onset diabetic ketoacidosis (DKA) and is on an insulin drip.

Question 4: ?C Both the sun and radiation can damage the skin because it has a rapid renewal rate.?D Shielding helps to localize the entrance of RT and protects other sensitive areas.?E Special gels can be prescribed for local application to promote healing and comfort.

Answer:

A female client with breast cancer is scheduled to receive a series of radiotherapy (RT). She has red hair, fair skin, and freckles. She tells the nurse that her skin is particularly sensitive to the sun, so she is worried that the radiation will adversely affect her skin. Which information should the nurse provide this client about RT? Select all that apply.? A lionizing energy of RT penetrates to the target tumor and does not affect the skin like sun rays.? B Application of cold compresses after treatment decreases the skin's sensitivity.? C Both the sun and radiation can damage the skin because it has a rapid renewal rate.? D Shielding helps to localize the entrance of RT and protects other sensitive areas.? E Special gels can be prescribed for local application to promote healing and comfort.

Question 5: 1.3 mL

Answer:

An infant who weighs 22 Ibs. receives a prescription for amoxicillin 20 mg/kg/day PO in divided doses every 8 hours. The bottle is labeled, "Amoxicillin for Oral Suspension, USP 250 mg per 5 mL." How many mL should the nurse administer with each dose? (Enter numerical value only. If rounding is necessary, round to the nearest tenth.)

Question 6: Withhold the preoperative medication.

Answer:

A client who is scheduled for an elective inguinal hernia repair today in day surgery is seen eating in the waiting area. Which action should be taken by the nurse who is preparing to administer the preoperative medications?

? A Review the surgical consent with the client.? B Withhold the preoperative medication.? C Remove the food from the client.? D Explain that vomiting can occur during surgery.

Question 7: Neutrophil count

Answer:

While changing a client's postoperative dressing, the nurse observes a red and swollen wound with a moderate amount of yellow and green drainage and a foul odor. Before reporting this finding to the healthcare provider (HCP), the nurse should evaluate which of the clients laboratory values?

• Serum albumin.

• C-reactive protein level.

C.Creatinine level.

• Neutrophil count

Question 8: 25 gtt/min

Answer:

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.)

Question 9: 2 tablespoons

Answer:

A client receives a prescription for acetaminophen 1,000 mg PO every 8 hours PRN for pain. The bottle is labeled "Acetaminophen for Oral Suspension, USP 500 mg per 15 mL." How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)

Question 10: Decrease the rate at which the feeding is given

Answer:

A client who is homebound and is receiving continuous feedings through a gastrostomy tube reports experiencing frequent diarrhea. Which instructions should the nurse provide

• Decrease the rate at which the feeding is given.

• Do not allow the feeding to sit at room temperature.

• Increase the concentration of the teedings.

• Elevate the head of the bed to ninety degrees.

Question 11: Inhaled short-acting beta-2 agonists.

Answer:

A client with acute asthma exacerbation is manifesting inspiratory and expiratory wheezes and a decreased forced expiratory volume. Which prescribed drug class should the nurse administer first to the client?? A Anticholinergics.? B Leukotriene modifiers.? C Inhaled short-acting beta-2 agonists.? D Inhaled corticosteroids.

Question 12: ? C Remove resuscitation equipment from the room.

? D Place a small pillow under the head.? E Gently close the eyes.

Answer:

After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The family wish to see the body before it is taken to the funeral home. Which intervention(s) should the nurse take to prepare the body before the family enters the room? Select all that apply.? A Take out dentures and place in a labeled cup.? B Apply a body shroud.? C Remove resuscitation equipment from the room.? D Place a small pillow under the head.? E Gently close the eyes.

Question 13: Complete blood count

Answer:

A client who is receiving zidovudine reports the appearance of pinpoint, red, round spots on the skin.Which result should the nurse report to the healthcare provider (HCP)?? A Complete blood count.? B Skin biopsy.? C Electromyography.? D Allergy test.Question 14: Assess the level of consciousness and vital signs for both clients.

Answer:

The nurse working in a critical care unit (CCU) is assigned the care of two clients, one with pneumonia who is being mechanically ventilated and the other who had a thoracotomy yesterday and is reporting incisional pain. Which action(s) should the nurse perform first?? A Change the surgical dressing to observe the appearance of the incision.