VERSION B /HESI EXIT RN NEXT
GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A + 2026-
2027.
The nurse assesses a client who has bilateral total knee replacements (TKR)
four hours ago. The nurse notes that the dressing on the client's right knee is
saturated with serosanguineous drainage. What action should the nurse
implement?
A. Monitor the client's current WBC
B. Withhold next scheduled dose of low molecular weight heparin
C. Confirm that the continuous passive motion device is intact
D. Determine if the wound drainage device is functioning correctly - ANSWER-
D. Determine if the wound drainage device is functioning correctly
,The healthcare provider prescribes cephalexin 125mg/5mL oral suspension
for a client who weighs 77 pounds. The recommended safe dose 25mg/kg/24
hours in 4 divided doses. Based on the client's weight, how many mL should
the nurse administer? - ANSWER-9
A middle-aged client, admitted to a critical care unit several weeks ago
because of serious injuries sustained in a motor vehicle accident, is currently
in stable condition. Based on the client's age and recent life-threatening crisis,
which intervention should the nurse implement?
A. Encourage the client to reflect on personal goals and priorities
B. Allow long periods of uninterrupted rest in order to reduce fatigue
C. Discuss the cause of the accident with the client and his family
D. Provide a routine schedule of activities to facilitate trust - ANSWER-A.
Encourage the client to reflect on personal goals and priorities
,A young adult male who is being seen at the employee health care clinic for an
annual assessment tells the nurse that his mother was diagnosed with
schizophrenia when she was his age and that life with a schizophrenic mother
was difficult indeed. Which response is best for the nurse to provide?
A. Encourage the client to seek genetic counseling to determine his risk for
mental illness
B. Inform the client that his mother's schizophrenia has affected his
psychological development
C. Tell the client that mental illness has a familial predisposition so he should
see a psychiatrist
D. Ask the client if he is worried about becoming schizophrenic at the age his
mother was diagnosed - ANSWER-D. Ask the client if he is worried about
becoming schizophrenic at the age his mother was diagnosed
, Which laboratory finding for an adult client is most critical for the nurse to
report to the healthcare provider?
A. Serum sodium 142mEq/L
B. Serum potassium 3.9mEq/L
C. Serum glucose 62 mg/dL
D. Blood urea nitrogen 18 mg/dL - ANSWER-C. Serum glucose 62 mg/dL
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)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels