2025 LATEST HESI RN Exit V2 EXAM |
COMPLETE EXAM ACTUAL
QUESTIONS AND CORRECT VERIFIED
ANSWERS.
A male client with right-sided weakness calls for assistance
with ambulating to the bathroom. What action should the
nurse implement?
A. Bring a bedside commode to the client
B. Stand on the client's right side as he walks
C. Walk directly behind the client to prevent a fall
D. Give the client a cane to hold in his right hand - ✔
ANSWER ✔ B. Stand on the client's right side as he walks
The nurse observes a practical nurse (PN) pouring warm
water over the perineal area of a female client who has
frequent urinary incontinence while the client is positioned
on a bedpan. Which action should the nurse take?
A. Instruct the PN that this technique promotes infection in
elderly females
B. Recommend a complete bath to cleanse the perineal area
more fully
C. Evaluate the effectiveness of this measure to stimulate
client voiding
,D. Suggest contacting the healthcare provider for a
prescription for catheter insertion - ✔ ANSWER ✔ C.
Evaluate the effectiveness of this measure to stimulate
client voiding
An older client is admitted to the psychiatric unit for
assessment of a recent onset of dementia. the nurse notes
that in the evening this client often becomes restless,
confused, and agitated. Which intervention is most
important for the nurse to implement?
A. Ask family members to remain with the client in the
evenings from 1700 to 2100pm
B. Ensure that the client is assigned to the room close to the
nurses' station
C. Postpone administration of nighttime medications until
after 2300pm
D. Administer a prescribed PRN benzodiazepine at the
onset of a confused state - ✔ ANSWER ✔ B. Ensure that
the client is assigned to a room close to the nurses' station
A female child is brought to the emergency department after
awakening with a bark-like cough and stridor. upon arrival
to the hospital, her respirations are labored, and she is
drooling. What action should the nurse implement?
A. Prepare for emergency tracheotomy
B. Assess the child for dehydration
C. Examine oropharyngeal area for foreign body
,D. Collect midstream urine specimen - ✔ ANSWER ✔ A.
Prepare for emergency tracheotomy
An adolescent receives a prescription for an injection of S-
matriptan succinate 4mg subcutaneously for a migraine
headache. Using a vial labeled, 6mg/0.5mL, how many mL
should the nurse administer? - ✔ ANSWER ✔ 6mg -- 0.5
mL
4mg -- X mL
X = 4 x 0.5/6 = 0.33
0.33 mL
The nurse provides sliding scale insulin administration
instructions to an adult who was recently diagnosed with
diabetes mellitus. The client demonstrates an
understanding of the instructions provided by performing
the procedure in which order? - ✔ ANSWER ✔ 1. Obtain
blood glucose level
2. Verify the insulin prescription
3. Draw insulin into insulin syringe
4. Clean the selected site
The nurse is caring for a client who is having a sickle cell
crisis. What intervention should the nurse include in this
client's plan of care?
, A. Ensure adequate IV and oral fluid intake
B. Provide ice packs to major joint areas
C. Space analgesics to prevent addiction to narcotics
D. Re-enforce the importance of nutritional balance - ✔
ANSWER ✔ A. Ensure adequate IV and oral fluid intake
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. Urine culture positive for MRSA
B. Serum creatinine of 4.5 mg/dL
C. Serum sodium of 145 mEq/L
D. White blood cell count of 12,000mm3 - ✔ ANSWER ✔ B.
Serum creatinine of 4.5mg/dL
A client with atrial fibrillation receives a new prescription for
dabigatran etexilate. Which instruction is important for the
nurse to emphasize when teaching the client about this
medication?
A. Monitor your blood pressure regularly
B. Report unusual bruising or bleeding
C. Elevate your feet if swelling occurs
D. Check your pulse rate every day - ✔ ANSWER ✔ B.
Report unusual bruising or bleeding
COMPLETE EXAM ACTUAL
QUESTIONS AND CORRECT VERIFIED
ANSWERS.
A male client with right-sided weakness calls for assistance
with ambulating to the bathroom. What action should the
nurse implement?
A. Bring a bedside commode to the client
B. Stand on the client's right side as he walks
C. Walk directly behind the client to prevent a fall
D. Give the client a cane to hold in his right hand - ✔
ANSWER ✔ B. Stand on the client's right side as he walks
The nurse observes a practical nurse (PN) pouring warm
water over the perineal area of a female client who has
frequent urinary incontinence while the client is positioned
on a bedpan. Which action should the nurse take?
A. Instruct the PN that this technique promotes infection in
elderly females
B. Recommend a complete bath to cleanse the perineal area
more fully
C. Evaluate the effectiveness of this measure to stimulate
client voiding
,D. Suggest contacting the healthcare provider for a
prescription for catheter insertion - ✔ ANSWER ✔ C.
Evaluate the effectiveness of this measure to stimulate
client voiding
An older client is admitted to the psychiatric unit for
assessment of a recent onset of dementia. the nurse notes
that in the evening this client often becomes restless,
confused, and agitated. Which intervention is most
important for the nurse to implement?
A. Ask family members to remain with the client in the
evenings from 1700 to 2100pm
B. Ensure that the client is assigned to the room close to the
nurses' station
C. Postpone administration of nighttime medications until
after 2300pm
D. Administer a prescribed PRN benzodiazepine at the
onset of a confused state - ✔ ANSWER ✔ B. Ensure that
the client is assigned to a room close to the nurses' station
A female child is brought to the emergency department after
awakening with a bark-like cough and stridor. upon arrival
to the hospital, her respirations are labored, and she is
drooling. What action should the nurse implement?
A. Prepare for emergency tracheotomy
B. Assess the child for dehydration
C. Examine oropharyngeal area for foreign body
,D. Collect midstream urine specimen - ✔ ANSWER ✔ A.
Prepare for emergency tracheotomy
An adolescent receives a prescription for an injection of S-
matriptan succinate 4mg subcutaneously for a migraine
headache. Using a vial labeled, 6mg/0.5mL, how many mL
should the nurse administer? - ✔ ANSWER ✔ 6mg -- 0.5
mL
4mg -- X mL
X = 4 x 0.5/6 = 0.33
0.33 mL
The nurse provides sliding scale insulin administration
instructions to an adult who was recently diagnosed with
diabetes mellitus. The client demonstrates an
understanding of the instructions provided by performing
the procedure in which order? - ✔ ANSWER ✔ 1. Obtain
blood glucose level
2. Verify the insulin prescription
3. Draw insulin into insulin syringe
4. Clean the selected site
The nurse is caring for a client who is having a sickle cell
crisis. What intervention should the nurse include in this
client's plan of care?
, A. Ensure adequate IV and oral fluid intake
B. Provide ice packs to major joint areas
C. Space analgesics to prevent addiction to narcotics
D. Re-enforce the importance of nutritional balance - ✔
ANSWER ✔ A. Ensure adequate IV and oral fluid intake
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. Urine culture positive for MRSA
B. Serum creatinine of 4.5 mg/dL
C. Serum sodium of 145 mEq/L
D. White blood cell count of 12,000mm3 - ✔ ANSWER ✔ B.
Serum creatinine of 4.5mg/dL
A client with atrial fibrillation receives a new prescription for
dabigatran etexilate. Which instruction is important for the
nurse to emphasize when teaching the client about this
medication?
A. Monitor your blood pressure regularly
B. Report unusual bruising or bleeding
C. Elevate your feet if swelling occurs
D. Check your pulse rate every day - ✔ ANSWER ✔ B.
Report unusual bruising or bleeding
