VERSION 1 AND VERSION 2 LATEST 2025 COMPLETE
ACCURATE QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) NEWEST UPDATED VERSIONS
2025 GUARANTEED PASS A+ (BRAND NEW!) FULL
REVISED RN HESI EXIT
The healthcare provider prescribes a sepsis protocol for a client
with multi-organ failure caused by a ruptured appendix. Which
intervention is most important for the nurse to include in the
plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output
Answer- D. Maintain strict intake and output
A client presses the call bell and requests pain medication for a
severe headache. To assess the quality of the client's pain, which
approach should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
,D. Provide a numeric pain scale
Answer- A. Ask the client to describe the pain
A client presents to the labor and delivery unit with a report of
leaking fluid that is greenish-brown vaginal discharge. Which
action should the nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring
Answer- D. Begin continuous fetal monitoring
A client asks the nurse for information about how to reduce risk
factors for benign prostatic hyperplasia (BPH). Which
information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test
Answer- B. Increase physical activity
,The healthcare provider prescribes a fluid challenge of 0.9%
sodium chloride 1,000 mL to be infused intravenously over 4
hours. The IV administration set delivers 10gtt/milk How many
gtt/minute should the nurse regulate the infusion? (Round to the
nearest whole number)
Answer- 42 got/min
Following a cardiac catheterization and placement of a stent in
the right coronary artery, the nurse administers prasugrel, a
platelet inhibitor, to the client. To monitor for adverse effects
from the medication, which assessment is most important for the
nurse to include in this client's plan of care?
A. observe color of urine
B. Measure body temperature
C. Assess skin turgor
D. Check for pedal edema
Answer- A. Observe color of urine
, A client fell in the bathroom when left unattended by the
unlicensed assistive personnel (UAP). Which information
should the nurse include in the client's health record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the left hip
Answer- D. The client fell sustaining a fracture to the left hip
The nurse is reviewing the diagnostic tests prescribed for a client
with a positive skin test. Which subjective findings reported by
the client supports the diagnosis of tuberculosis?
A. Barking cough and vomiting
B. Mucopurulent cough and night sweats
C. Dry cough and chest tightness
D. Chronic cough and fatty stools
Answer- B. Mucopurulent cough and night sweats
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,