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HESI RN EXIT NGN 2025 NEWEST| COMPLETE 250
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| HESI RN EXIT EXAM PREP
2025|| BRAND NEW!!
A pediatric client is taking the beta-adrenergic blocking agent
propranolol. In developing a teaching plan, the nurse should teach the
parents to report which sign of overdose?
A. Bradycardia
B. Tachypnea
C. Hypertension
D. Coughing - Correct Answer - A. Bradycardia
Prior to obtaining a trapeze bar for a client with limited mobility, which
client assessment is most important for the nurse to obtain?
A. Upper body muscle strength
B. Balance and posture
C. Risk for disuse syndrome
D. Pressure sore risk - Correct Answer - A. Upper body muscle strength
Then nurse identifies several nursing problems for client who is
immobile and who has been experiencing fecal incontinence and
diarrhea for several days. The client's spouse is the primary caregiver. In
planning care, which problem has the highest priority?
A. Impaired bed mobility
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B. Caregiver role strain
C. Fluid volume deficit
D. Bowel incontinence - Correct Answer - D. Bowel incontinence
The nurse is feeding an older adult who was admitted with aspiration
pneumonia. The client is weak and begins coughing while attempting to
drink through a straw. Which intervention should the nurse implement?
A. Teach coughing and deep breathing exercises
B. Assess the client's oral cavity for ulcerations
C. Request thick nectar liquids for the client
D. Monitor the client when using a straw for liquids - Correct Answer -
A. Teach coughing and deep breathing exercises
An adult client is admitted to the emergency department after falling
from the ladder. While waiting to have a computed tomography (CT)
scan, the client requests something for a severe headache. When the
nurse offers a prescribed dose of acetaminophen, the client asks for
something stronger. Which intervention should the nurse implement?
A. Review client's history for use of illicit drugs
B. Explain the reason for using only non-narcotics
C. Assess client's pupils for their reaction to light
D. Request that the CT scan be done immediately - Correct Answer - B.
Explain the reason for using only non-narcotics
The nurse is caring for a client who has chronic obstructive pulmonary
disease (COPD) and chest pain related to a recent fall. What nursing
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intervention requires the greatest caution when caring for a client with
COPD?
A. Monitoring telemetry and cardiac rhythm
B. Assisting client to cough and deep breath
C. Administering narcotics for pain relief
D. Increasing the client's fluid intake - Correct Answer - C.
Administering narcotics for pain relief
The nurse is providing care for a client with schizophrenia who receives
haloperidol decanoate 75mg IM every 4 weeks. The client begins
developing a puckering and smacking of the lips and facial grimacing.
Which intervention should the nurse implement?
A. Monitor lying, sitting, and standing blood pressures
B. Provide coaching in relaxation techniques
C. Complete abnormal involuntary movement scale (AIMS)
D. Discontinue all medications immediately - Correct Answer - C.
Complete abnormal involuntary movement scale (AIMS)
Prolonged exposure to high concentrations of supplemental oxygen over
several days can cause which pathophysiological effect?
A. Disrupted surfactant production
B. Metabolic acidosis
C. Aphasia and memory loss
D. Deep sleep or coma - Correct Answer - A. Disrupted surfactant
production
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A client who recently received a prescription for ramelteon to treat sleep
deprivation reports experiencing several side effects since taking the
drug. Which side effect should the nurse report to the healthcare
provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism - Correct Answer - D. Somnambulism
In assessing a client with type 1 diabetes mellitus, the nurse notes that
the client's respirations have changed from 16 breaths/min with a normal
depth to 32 breaths/min and deep, and the client become lethargic.
Which assessment data should the nurse obtain next?
A. Temperature
B. Breath sounds
C. Blood glucose
D. White blood cell count - Correct Answer - C. Blood glucose
A nurse receives report on a client who is four hours post-total
abdominal hysterectomy. The previous nurse reports that it was
necessary to change the client's perineal pad hourly and that it is again
saturated. The previous nurse also reports that the client's urinary output
has decreased. Which action should the nurse implement first?
A. Evaluate the skin turgor
B. Assess for weakness or dizziness
C. Change the perineal pad
pg. 4
HESI RN EXIT NGN 2025 NEWEST| COMPLETE 250
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| HESI RN EXIT EXAM PREP
2025|| BRAND NEW!!
A pediatric client is taking the beta-adrenergic blocking agent
propranolol. In developing a teaching plan, the nurse should teach the
parents to report which sign of overdose?
A. Bradycardia
B. Tachypnea
C. Hypertension
D. Coughing - Correct Answer - A. Bradycardia
Prior to obtaining a trapeze bar for a client with limited mobility, which
client assessment is most important for the nurse to obtain?
A. Upper body muscle strength
B. Balance and posture
C. Risk for disuse syndrome
D. Pressure sore risk - Correct Answer - A. Upper body muscle strength
Then nurse identifies several nursing problems for client who is
immobile and who has been experiencing fecal incontinence and
diarrhea for several days. The client's spouse is the primary caregiver. In
planning care, which problem has the highest priority?
A. Impaired bed mobility
pg. 1
,2|Page
B. Caregiver role strain
C. Fluid volume deficit
D. Bowel incontinence - Correct Answer - D. Bowel incontinence
The nurse is feeding an older adult who was admitted with aspiration
pneumonia. The client is weak and begins coughing while attempting to
drink through a straw. Which intervention should the nurse implement?
A. Teach coughing and deep breathing exercises
B. Assess the client's oral cavity for ulcerations
C. Request thick nectar liquids for the client
D. Monitor the client when using a straw for liquids - Correct Answer -
A. Teach coughing and deep breathing exercises
An adult client is admitted to the emergency department after falling
from the ladder. While waiting to have a computed tomography (CT)
scan, the client requests something for a severe headache. When the
nurse offers a prescribed dose of acetaminophen, the client asks for
something stronger. Which intervention should the nurse implement?
A. Review client's history for use of illicit drugs
B. Explain the reason for using only non-narcotics
C. Assess client's pupils for their reaction to light
D. Request that the CT scan be done immediately - Correct Answer - B.
Explain the reason for using only non-narcotics
The nurse is caring for a client who has chronic obstructive pulmonary
disease (COPD) and chest pain related to a recent fall. What nursing
pg. 2
,3|Page
intervention requires the greatest caution when caring for a client with
COPD?
A. Monitoring telemetry and cardiac rhythm
B. Assisting client to cough and deep breath
C. Administering narcotics for pain relief
D. Increasing the client's fluid intake - Correct Answer - C.
Administering narcotics for pain relief
The nurse is providing care for a client with schizophrenia who receives
haloperidol decanoate 75mg IM every 4 weeks. The client begins
developing a puckering and smacking of the lips and facial grimacing.
Which intervention should the nurse implement?
A. Monitor lying, sitting, and standing blood pressures
B. Provide coaching in relaxation techniques
C. Complete abnormal involuntary movement scale (AIMS)
D. Discontinue all medications immediately - Correct Answer - C.
Complete abnormal involuntary movement scale (AIMS)
Prolonged exposure to high concentrations of supplemental oxygen over
several days can cause which pathophysiological effect?
A. Disrupted surfactant production
B. Metabolic acidosis
C. Aphasia and memory loss
D. Deep sleep or coma - Correct Answer - A. Disrupted surfactant
production
pg. 3
, 4|Page
A client who recently received a prescription for ramelteon to treat sleep
deprivation reports experiencing several side effects since taking the
drug. Which side effect should the nurse report to the healthcare
provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism - Correct Answer - D. Somnambulism
In assessing a client with type 1 diabetes mellitus, the nurse notes that
the client's respirations have changed from 16 breaths/min with a normal
depth to 32 breaths/min and deep, and the client become lethargic.
Which assessment data should the nurse obtain next?
A. Temperature
B. Breath sounds
C. Blood glucose
D. White blood cell count - Correct Answer - C. Blood glucose
A nurse receives report on a client who is four hours post-total
abdominal hysterectomy. The previous nurse reports that it was
necessary to change the client's perineal pad hourly and that it is again
saturated. The previous nurse also reports that the client's urinary output
has decreased. Which action should the nurse implement first?
A. Evaluate the skin turgor
B. Assess for weakness or dizziness
C. Change the perineal pad
pg. 4
