2025 HESI EXIT v1
Questions & Answers
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QUESTION 1
A homeless client presents at a community psychiatric clinic for a scheduled medication
administration. When you prepare to give the prescribed dose, the client says the usual
dose taken is different from what you’ve drawn up. Which action should the nurse take?
A. Tell the client they can refuse the medication.
B. Withhold the medication until the dose can be verified.
C. Explain the dosage change is probably correct.
D. Instruct the client to take the medication now and verify later.
Answer: B
Expert-Verified Explanation: If there is any discrepancy between the client’s report and
the prescription, always verify with the healthcare provider or medication record before
administering. This ensures client safety and avoids possible dosing errors.
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QUESTION 2
You are the charge nurse making assignments for one Practical Nurse (PN) and three
RNs on a neuro unit. Which client change in status is best to assign to the PN?
A. A subdural hematoma client whose BP changed from 150/80 to 170/60.
B. A viral meningitis client whose temperature changed from 101.5°F to 102°F.
, C. A diabetic ketoacidosis client whose GCS changed from 10 to 7.
D. A myxedema client whose BP changed from 80/50 to 70/40.
Answer: B
Questions & Answers
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QUESTION 1
A homeless client presents at a community psychiatric clinic for a scheduled medication
administration. When you prepare to give the prescribed dose, the client says the usual
dose taken is different from what you’ve drawn up. Which action should the nurse take?
A. Tell the client they can refuse the medication.
B. Withhold the medication until the dose can be verified.
C. Explain the dosage change is probably correct.
D. Instruct the client to take the medication now and verify later.
Answer: B
Expert-Verified Explanation: If there is any discrepancy between the client’s report and
the prescription, always verify with the healthcare provider or medication record before
administering. This ensures client safety and avoids possible dosing errors.
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QUESTION 2
You are the charge nurse making assignments for one Practical Nurse (PN) and three
RNs on a neuro unit. Which client change in status is best to assign to the PN?
A. A subdural hematoma client whose BP changed from 150/80 to 170/60.
B. A viral meningitis client whose temperature changed from 101.5°F to 102°F.
, C. A diabetic ketoacidosis client whose GCS changed from 10 to 7.
D. A myxedema client whose BP changed from 80/50 to 70/40.
Answer: B
