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Comprehensive 2025 HESI RN Exit Exam Version 3 test
bank featuring updated questions and verified answers
aligned with current NCLEX-RN standards and clinical
practice guidelines.
A client with a history of dementia has become increasingly
confused at nigh and is picking at an abdominal surgical
dressing and the tape securing intravenous (IV) line. The
abdominal dressing is no longer occlusive, and the IV insertion
site is pink. What intervention should the nurse implement?
A. Replace the IV site with a smaller gauge
B. Redress the abdominal incision
C. Leave the lights on in the room at night
D. Apply soft bilateral wrist restraints - ANSWER-B
When should intimate partner violence (IVP) screening occur?
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A. As soon as the clinician suspects a problem
B. only when a client presents with an unexpected injury
C. As a routine part of each health care encounter
D. Once the clinician confirms a history of abuse - ANSWER-C
A male client who weighs 325 pounds (148kg) is admitted
because of ureteral colic and is now complaining of sharp pain
radiating toward his genitalia. He has hematuria and is
hypertensive. Which intervention is most important for the nurse
to include in the client's plan of care
A. Manage Pain
B. Encourage low calorie diet
C. monitor hematuria
D. Document blood pressure - ANSWER-A
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While visiting a female client who has heart failure (HF) and
osteoarthritis, the home health nurse determines that the client is
having more difficulty getting in and out of the bed than she did
previously. Which action should the nurse implement first?
A. Inquire about an electric bed for the client's home use
B. Submit a referral for an evaluation by a physical therapist.
C. Explain the usual progression of osteoarthritis and HF
D. Request social services to review the client's resources -
ANSWER-B
A client is scheduled to receive an IW dose of ondansetron
(Zofran) eight hours after receiving chemotherapy. The client
has saline lock and is sleeping quietly without any restlessness.
The nurse caring for the client is not certified in chemotherapy
administration. What action should the nurse take?
A.) Ask a chemotherapy-certified nurse to administer the Zofran
B.) Administer the ondasentron (Zofran) after flushing the saline
lock with saline
C.)Hold the scheduled dose of Zofran until the client awakens
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D.) Awaken the client to assess the need for administration of
the Zofran - ANSWER-B
An older client is admitted for repair of a broken hip. To reduce
the risk for infection in the postoperative period, which nursing
care interventions should the nurse include in the client's plan of
care? (Select all that apply)
A. Teach client to use incentive spirometer q2 hours while
awake.
B. Remove urinary catheter as soon as possible and encourage
voiding.
C. Maintain sequential compression devices while in bed.
D. Administer low molecular weight heparin as prescribed
E. Assess pain level and medicate PRN as prescribed. -
ANSWER-A,B
A 17-year -old male is brought to the emergency department by
his parents because he has been coughing and running a fever
with flu-like symptoms for the past 24 hours. Which
intervention should the nurse implement first?
A. Obtain a chest X-ray per protocol.
Comprehensive 2025 HESI RN Exit Exam Version 3 test
bank featuring updated questions and verified answers
aligned with current NCLEX-RN standards and clinical
practice guidelines.
A client with a history of dementia has become increasingly
confused at nigh and is picking at an abdominal surgical
dressing and the tape securing intravenous (IV) line. The
abdominal dressing is no longer occlusive, and the IV insertion
site is pink. What intervention should the nurse implement?
A. Replace the IV site with a smaller gauge
B. Redress the abdominal incision
C. Leave the lights on in the room at night
D. Apply soft bilateral wrist restraints - ANSWER-B
When should intimate partner violence (IVP) screening occur?
,2|Page
A. As soon as the clinician suspects a problem
B. only when a client presents with an unexpected injury
C. As a routine part of each health care encounter
D. Once the clinician confirms a history of abuse - ANSWER-C
A male client who weighs 325 pounds (148kg) is admitted
because of ureteral colic and is now complaining of sharp pain
radiating toward his genitalia. He has hematuria and is
hypertensive. Which intervention is most important for the nurse
to include in the client's plan of care
A. Manage Pain
B. Encourage low calorie diet
C. monitor hematuria
D. Document blood pressure - ANSWER-A
,3|Page
While visiting a female client who has heart failure (HF) and
osteoarthritis, the home health nurse determines that the client is
having more difficulty getting in and out of the bed than she did
previously. Which action should the nurse implement first?
A. Inquire about an electric bed for the client's home use
B. Submit a referral for an evaluation by a physical therapist.
C. Explain the usual progression of osteoarthritis and HF
D. Request social services to review the client's resources -
ANSWER-B
A client is scheduled to receive an IW dose of ondansetron
(Zofran) eight hours after receiving chemotherapy. The client
has saline lock and is sleeping quietly without any restlessness.
The nurse caring for the client is not certified in chemotherapy
administration. What action should the nurse take?
A.) Ask a chemotherapy-certified nurse to administer the Zofran
B.) Administer the ondasentron (Zofran) after flushing the saline
lock with saline
C.)Hold the scheduled dose of Zofran until the client awakens
, 4|Page
D.) Awaken the client to assess the need for administration of
the Zofran - ANSWER-B
An older client is admitted for repair of a broken hip. To reduce
the risk for infection in the postoperative period, which nursing
care interventions should the nurse include in the client's plan of
care? (Select all that apply)
A. Teach client to use incentive spirometer q2 hours while
awake.
B. Remove urinary catheter as soon as possible and encourage
voiding.
C. Maintain sequential compression devices while in bed.
D. Administer low molecular weight heparin as prescribed
E. Assess pain level and medicate PRN as prescribed. -
ANSWER-A,B
A 17-year -old male is brought to the emergency department by
his parents because he has been coughing and running a fever
with flu-like symptoms for the past 24 hours. Which
intervention should the nurse implement first?
A. Obtain a chest X-ray per protocol.
