Hesi Exit Exam RN V2 2025 Screenshots and Review Questions (160 Q&A) Best Exam Solution Guaranteed Success Graded A+

HESI EXIT V2 2025 160 Questions • After receiving IV fluids in the emergency department, an elderly client is admitted to the acute care unit with a medical diagnosis of dehydration. The client is receiving 0.9% normal saline at 125 ml/hour via saline lock and has a bounding pulse, tachycardia, and pedal edema. When contacting the healthcare provider, the nurse anticipates a prescription what intervention? A) Remove the saline lock from the client’s arm. B) Increase the rate of the normal saline infusion. C) Decrease the rate of the normal saline infusion. D) Change the IV solution to 0.45% saline solution. • A client who is admitted to the care unit with syndrome of inappropriate antidiuretic hormone (SIADH) has developed osmotic demyelination. Which intervention should the nurse implement first? A) Patch one eye. B) Evaluate swallow. C) Reorient often. D) Range of motion. • The nurse is preparing a client who had a below-the- knee (BKA) amputation for discharge to home. Which recommendations should the nurse provide this client? (Select all that apply) A) Wash the stump with soap and water. B) Avoid range of motion exercise. C) Apply alcohol to the stump after bathing. D) Inspect skin for redness. E) Use a residual limb shrinker. • After 2 days treatment for dehydration, a child continues to vomit and have diarrhea. Normal saline is infusing and the child’s urine output is 50ml/hour. During morning assessment, the nurse determines that the child is lethargic and difficult to arouse. Which should the nurse implement? A) Increase the IV fluid flow rate. B) Review 24-hour intake and output. C) Obtain arterial blood gases. D) Perform a finger stick glucose test. • A client with bleeding esophageal varices receives vasopressin IV. What should the nurse monitor for during the IV infusion of this medication? A) Vasodilatation of the extremities. B) Chest pain and dysrhythmia. C) Hypotension and tachycardia. D) Decreasing GI cramping and nausea. • A male client with an antisocial personality disorder is admitted to an inpatient mental health unit for multiple substance dependency. When providing a history, the client justifies to the nurse his use of illicit drugs. Based on this pattern of behavior, this client’s history is most likely to include which finding? A) Multiple convictions for misdemeanors and Class B felonies. B) Delusions of grandiosity and persecution. C) Suicidal ideations and multiple attempts. D) Photos and panic attacks when confronted by authority figures. • An older client is admitted for repair of a broken hip. To reduce the risk for infection postoperative period., which nursing care intervention should the nurse include the client’s plan of care? (Select all that apply) A) Administer low molecular weight heparin as prescribed. B) Teach client to use incentive spirometer every 2 hours while awake. C) Remove urinary catheter as soon as possible and encourage voiding. D) Maintain sequential compression devices while in bed. E) Assess pain level and medicate PRN as prescribed. • The nurse is preparing a 50 ml dose of 50% Dextrose IV for a client with insulin shock. How should the nurse administer the medication? A. Dilute the dextrose in one liter of 0.9% Normal Saline solution. B. Push undiluted slowly though the currently infusing IV. C. Mix the dextrose in a 50 ml piggyback for a total volume of 100 ml. D. Ask the pharmacist to add the Dextrose to a TPN solution. • A client with arthritis has been receiving treatment with naproxen and now reports ongoing stomach pain, increasing weakness, and fatigue. Which laboratory test should the nurse monitor? A) Serum Calcium. B) Erythrocyte sedimentation rate. C) Osmol ality. D) Hemog lobin. • A client with bacterial meningitis is receiving phenytoin. Which assessment finding indication to the nurse that the client is experiencing a therapeutic response to the phenytoin? A) Increased time of ambulation between periods of rest. B) Decrease in intracranial pressure and cerebral edema. C) Absence of seizure activity for the duration of treatment. D) Normal electroencephalogram after drug administration. • A client peptic ulcer disease receives a prescription for intermittent suction via a SalemSump nasogastric tube (NGT). After inserting the NGT and obtaining coffee- ground gastric contents, the nurse clamps the NGT because the client must leave the unit for diagnostic studies. Upon return to the unit, the client complains of nausea. What action should the nurse implement first? A) Administering a prescribed antiemetic agent. B) Provide oral suction using a Yankauer tip. C) Connect the NGT to low intermittent suction. D) Irrigate the NGT with sterile normal saline. • The healthcare provider prescribes a fluid challenge of 0.9% sodium chloride 1,000 ml to be influenced over 4 hours. The IV administration set delivers 10 gtt/ml. How many gtt/minute should the nurse regulate the infusion? ( round the nearest whole number.) Flow rate(gtt/min) = volume(ml)/ time(min) × drop factor(gtt/mL). Flow rate=1000ml/240min×10gtt/ml. Flow rate = 41.667gtt/min. 42 • A family member reports that the client who is bedridden has not been turned or repositioned all night and is sleeping on a special air mattress with no sheets. What information should the nurse provide to the family member? A) Clarify that an aerated support surface does not use sheets that often cause skin breakdown. B) Described the night staff’s plan of care to ensure the client’s sleep is not disturbed. C) Explained that turning is only necessary to reposition the client during waking hours. D) Suggest that a family member turn the client during the night when someone is there. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A client with deep vein thrombosis (DVT) is receiving a continuous intravenous heparin infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which action should the nurse implement? (Select all that apply.) A) Monitor stools for presence of blood. B) Auscultate bowel sounds in all quadrants. C) Assess characteristics of pain. D) Review last partial thromboplastin time results. E) Prepare to administer warfarin. • The healthcare provider prescribes potassium chloride 25 mEq in 500ml D5W to infuse over 6 hours. Hesi Exit Exam RN V2 2022/2023 Screenshots Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ The available 20ml vial of potassium chloride is labeled, “How many ml of potassium chloride should the nurse add to the IV fluid? (Round to the nearest tenth.) Using the formula D / H X Q: 25 mEq / 10 mEq x 5ml ꞊12.5ml • A male client reports to the on-call clinic nurse that he took Tadalafil 10 mg PO two hours age and his skin now feels flushed. He reports a history of stable angina, but denies experiencing any current or recent chest pain. What action should the nurse take? A) Tell the client to have someone bring him to an emergency department immediately. B) Advise the client to place one nitroglycerin tablet under his tongue as a precaution. C) Reassure the client that skin flushing is a common side effect of the medication. D) Instruct the client to increase his intake of oral until the skin flushing is relieved. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • An S3 heart sound is auscultated in a client in her third trimester of pregnancy. What intervention should the Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • The nurse is assessing a client with a closed head injury sustained in a motor vehicle collision. Which finding indicates the lowest neurologic functioning? A) Decerebrate posturing during position changes. B) Withdrawal from painful stimuli. C) Decorticate posturing during tracheal suctioning. D) Localization of a tactile stimulus. • Prior to obtaining a trapeze bar for a client with limited mobility, which client assessment is most important for the nurse to obtain? A) Balance and posture. B) Pressure sore risk. C) Risk for disuse syndrome. D) Upper Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ body muscle strength. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A mother runs into the emergency department with a toddler in her arms and tells the nurse that her child got into some cleaning products. The child smells of chemicals on hands, face and on the front of the child’s clothes. After ensuring the airway is patent, what action should the nurse implement first? A) Obtain equipment for gastric lavage. B) Determine type of chemical exposure. C) Assess child for altered sensorium. D) Call poison control emergency number. • The nurse enters room of a client with Parkinson’s disease who is taking Carbidopa- Levodopa. The client is arising slowly from the chair while the unlicensed assistive personnel (UAP) stands next to the chair. What action should the nurse take? A) Demonstrate how to help the client move more efficiently. B) Affirm that the client should arise slowly from the chair. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ C) Tell the UAP to assist the client in moving more quickly. D) Offer a PRN analgesic to reduce painful movement. • When should the nurse conduct an Allen’s test? A) When pulmonary artery pressures are obtained. B) Just before arterial blood gasses are drawn peripherally. C) Prior to attempting a cardiac output calculation. D) To assess for presence of a deep vein thrombus in the leg. • A middle aged female client tells the clinic nurse that she has lost an inch of height in the last year. What is the priority nursing intervention? A) Assist the client to schedule a bone density exam. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ B) Observe for the presence of a dowager’s Hump. C) Advice the client to begin stretching exercises. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • An adult female tells the nurse that her grandmother was diagnosed with colorectal cancer at age 75 and the client is implementing measures to reduce her own risk. Which of the client’s plans indicates the need for additional information? A) Annual sigmoidoscopy screening. B) Increased intake of fresh fruits, vegetables, and whole grains. C) Reduced dietary intake of animal fat and protein. D) Yearly fecal occult blood testing. • In early septic shock states, what is the primary cause of hypotension? A) Peripheral vasodilation. B) Cardiac failure. C) A vagal response. D) Peripheral vasoconstriction. • Four clients arrive on the labor and delivery unit at the same time. Which client should the nurse assess first? Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ A) A 3-week multigravida with a prescription for serial blood pressures. B) A 39-week primigravida with biophysical profile score of 5 out of 8. C) A 38- week primigravida who reports contractions occurring every 10 minutes. D) A 41-week multigravida who is scheduled induction of labor today. • A male client with cirrhosis has jaundice and pruritis. He tells the nurse that he has been soak in hot baths at night with no relief of his discomfort. What action should the nurse take? A) Suggest that the client take brief showers and apply oil- based lotion after showering. B) Explain that the symptoms are caused by liver damaged and cannot be relieved. C) Encourage the client to use cooler water and apply calamine lotion after soaking. D) Obtain a PRN prescription for an analgesic that the client can use for symptom relief. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with full thickness burns to all surfaces of both lower extremities. What percentage of body surface area should the nurse document in the electronic medical record (EMR)? A) 36% B) 9% C) 45% D) 15% • The nurse is teaching a mother of a newborn with a cleft lip how to bottle feed her baby using a Medela Haberman feeder, which has a valve to control the release of milk and a slit nipple opening. The nurse discusses placing the nipple’s elongated tip in the back of the oral cavity. What instruction should the nurse provide the mother about feedings? A) Alternate milk with water during the feedings. B) Squeeze the nipple base to introduce milk into the mouth.