ACTUAL HESI RN EXIT EXAM 2025 COMPLETE TEST QUESTIONS AND CORRECT DETAILED ANSWERS 2025

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QUESTION BANK | 2025 CURRENTLY TESTING ACCU u u u u u u




RATE REAL EXAM TEST BANK QUESTIONS WITH DET
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AILED VERIFIED ANSWERS GRADED A+ | GUARANT
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EED EXCELLENCE PASS u u




A 13 years-old client with non-
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union of a comminuted fracture of the tibia is admitted with osteomyelitis. The he
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althcare provider collects home aspirate specimens for culture and sensitivity and
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applies a cast to the adolescent's lower leg. What action should the nurse impleme
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nt next?
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a. Administer antiemetic agents u u




b. Bivalve the cast for distal compromise
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c. Provide high- calorie, high-protein diet
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d. Begin parenteral antibiotic therapy
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d. Begin parenteral antibiotic therapy
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Rationale: The standard of treatment for osteomyelitis is antibiotic therapy and i
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mmobilization. After bond and blood aspirate specimens are obtained for cultur
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e and sensitivity, the nurse should initiate parenteral antibiotics as prescribed.
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,The nurse who works in labor and delivery is reassigned to the cardiac care unit f
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or the day because of a low census in labor and delivery. Which assignments is b
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est for the nurse to give this nurse?
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a. Transfer a client to another unit u u u u u




b. Monitor the central telemetry u u u




c. Perform the admission u u




d. Assist cardiac nurses with their assignments
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d. Assist cardiac nurses with their assignments
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At 1615, prior to ambulating a postoperative client for the first time, the nurse revi
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ews the client's medical record. Based on date contained in the record, what actio
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n should the nurse take before assisting the client with ambulation:
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a. Remove sequential compression devices.
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b. Apply PRN oxygen per nasal cannula.
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c. Administer a PRN dose of an antipyretic. u u u u u u




d. Reinforce the surgical wound dressing.u u u u




Remove sequential compression devices.
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Rationale: Sequential compression devices should be removed prior to ambulati
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on and there is no indication that this action is contraindicated. The client's oxyg
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en saturation levels have been within normal limits for the previous four hours, s
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o supplemental oxygen is not warranted.
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,After a routine physical examination, the healthcare admits a woman with a histor
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y of Systemic Lupus Erythematous (SLE) to the hospital because she has 3+ pitting a
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nkle edema and blood in her urine. Which assessment finding warrants immediate
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intervention by the nurse?
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a. Dark, rust-colored urine u u




b. Urine output 300 ml/hr u u u




c. Joint and muscle aches u u u




d. Blood pressure 170/98 u u




d. Blood pressure 170/98
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Rationale: SLE can result in renal complication such as glomerulonephritis, which
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can cause a critically high blood pressure that necessitates immediate interventi
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on. A, B and C are symptoms of glomerulonephritis and should be treated once t
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he blood pressure is under control
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A client who had an emergency appendectomy is being mechanically ventilated, a
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nd soft wrist restraints are in place to prevent self extubation. Which outcome is m
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ost important for the nurse to include in the client's plan of care?
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a. Understand pain management scale u u u




b. Maintain effective breathing patterns u u u




c. Absence of ventilator associated pneumonia u u u u




d. No injuries refer to soft restrains occur
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b. Maintain effective breathing patterns
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, Rationale: Basic airway management (B) is the priority. Pain management (A),
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risk of infection (C), and prevention of injury (D) do not have the same priority
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as (C)
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The nurse is explaining the need to reduce salt intake to a client with primary hyper
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tension. What explanation should the nurse provide?
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a. High salt can damage the lining of the blood vessels
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b. Too much salt can cause the kidneys to retain fluid
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c. Excessive salt can cause blood vessels to constrict
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d. Salt can cause information inside the blood vessels
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b. Too much salt can cause the kidneys to retain fluid
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Rationale: Excessive salt intake can contribute to primary hypertension by causi
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ng renal salt retention which influence water retention that expands blood volu
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me and pressure (ACD) are not believed to contribute to primary hypertension.
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The nurse is preparing a community education program on osteoporosis. Which in
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struction is helpful in preventing bone loss and promoting bone formation?
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a. Recommend weigh bearing physical activity u u u u




b. Reduce intake of foods high in vitamin D
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