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HESI EXIT EXAM RN V2 2024 -2025
QUESTIONS AND REVIEW ANSWERD
GRADED A+
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• A 17-year-old adolescent is brought to the Emergency Department by
both parents because the adolescent has been coughing and running a
fever with flu-like symptoms for the past 24 hours. Which intervention
should the nurse implement first?
A) Assess the client’s
temperature. B) Place a mask
on the client’s face.
C) Determine the client’s blood pressure.
D) Obtain a chest x-ray per protocol.
• The nurse is preparing to administer an IV dose of ciprofloxacin to a
client with a urinary tract infection. Which client data requires the most
immediate intervention by the nurse?
A) White blood cell count of 12,000 mm^3 (12 x 10^9/L SI)
B) Serum sodium of 145 men/L (145 mm/L SI)
C) Urine culture positive for MRSA.
D) Serum creatinine of 4.5mg/dl (398 mom/L SI)
• A young adult female presents at the emergency center with acute
lower abdominal pain. Which assessment finding is most important for the
nurse to report to the healthcare provider?
A) History of irritable bowel syndrome (IBS)
B) Pain scale rating of a “9” on a 0-10
scale. C) Last menstrual period 7
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weeks ago.
D) Reports white, curly vaginal discharge.
• A client is admitted to the intensive care unit with diabetes insidious
due to a pituitary gland tumor. Which potential complication should the
nurse monitor closely?
A) Ketonuria.
B) Peripheral
edema. C)
Hypokalemia.
D) Elevated blood pressure.
• A male client is returned to the surgical unit following a left
nephrectomy and is medicated with morphine sulfate 4 mg IV. His
dressing has a small amount of bloody drainage, and a Jackson-Pratt
bulb surgical drainage device is in place. Which intervention is most
important for the nurse to include in this client’s plan of care?
A) Assess for back muscle aches.
B) Obtain body weight daily.
C) Monitor urinary output hourly.
D) Record drainage from drain.
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HESI EXIT EXAM RN V2 2024 -2025
QUESTIONS AND REVIEW ANSWERD
GRADED A+
,2|Page
• A 17-year-old adolescent is brought to the Emergency Department by
both parents because the adolescent has been coughing and running a
fever with flu-like symptoms for the past 24 hours. Which intervention
should the nurse implement first?
A) Assess the client’s
temperature. B) Place a mask
on the client’s face.
C) Determine the client’s blood pressure.
D) Obtain a chest x-ray per protocol.
• The nurse is preparing to administer an IV dose of ciprofloxacin to a
client with a urinary tract infection. Which client data requires the most
immediate intervention by the nurse?
A) White blood cell count of 12,000 mm^3 (12 x 10^9/L SI)
B) Serum sodium of 145 men/L (145 mm/L SI)
C) Urine culture positive for MRSA.
D) Serum creatinine of 4.5mg/dl (398 mom/L SI)
• A young adult female presents at the emergency center with acute
lower abdominal pain. Which assessment finding is most important for the
nurse to report to the healthcare provider?
A) History of irritable bowel syndrome (IBS)
B) Pain scale rating of a “9” on a 0-10
scale. C) Last menstrual period 7
,3|Page
weeks ago.
D) Reports white, curly vaginal discharge.
• A client is admitted to the intensive care unit with diabetes insidious
due to a pituitary gland tumor. Which potential complication should the
nurse monitor closely?
A) Ketonuria.
B) Peripheral
edema. C)
Hypokalemia.
D) Elevated blood pressure.
• A male client is returned to the surgical unit following a left
nephrectomy and is medicated with morphine sulfate 4 mg IV. His
dressing has a small amount of bloody drainage, and a Jackson-Pratt
bulb surgical drainage device is in place. Which intervention is most
important for the nurse to include in this client’s plan of care?
A) Assess for back muscle aches.
B) Obtain body weight daily.
C) Monitor urinary output hourly.
D) Record drainage from drain.
, 2|Page
