HESI EXIT RN V1- V7 EXAM 5 WITH NGN
2026 LATEST WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES GUARANTEED PASS |
GRADED A+
During a routine assessment, an obese 50-year-old client states, "I feel so unlovable because
of my weight." Which is the best response by the nurse?
A.
Reassure the client that many obese people have concerns about sex.
B.
Remind the client that sexual relationships need not be affected by obesity.
C.
Determine the frequency of sexual intercourse.
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D.
Ask the client to talk about specific concerns.
D
Rationale: Option D provides an opportunity for the client to verbalize concerns and provides
the nurse with more assessment data. Options A and B may not be related to the current
concern, assume that obesity is the problem, and are communication blocks. Option C may
be appropriate after discussing the stated concerns.
The clinic nurse is conducting an assessment of a 2-year-old. The nurse asks the mother,
"What is your child playing with now?" Which response indicates to the nurse that further
teaching is needed? (Select all that apply.)
A.
"We color together using jumbo crayons."
B.
"Finger paints in the kitchen are a favorite pastime."
C.
"A marble run race track is set up in the playroom."
D.
"When outside, the wagon filled with soccer balls is the preferred toy."
E.
"We got a golf set because my other children play golf."
C, E
Rationale: Avoid small objects that can be a choking hazard during the toddler stage. The
remaining play toys are appropriate for toddlers.
The nurse is orienting a new graduate to the reporting regulations often seen in the
emergency department. Which clients will the nurse need to report to the nurse
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manager/supervisor to alert the proper authorities? (Select all that apply.)
A.
A 7-year-old who states, "I get beat up by my parents all the time." The child has bruising on
the back in various stages of healing.
B.
An 88-year-old who states, "My child lives 5 minutes away no longer stops to visit. My days
are long and lonely."
C.
A 40-year-old who states, "I was in an argument with my sibling and the next thing I knew I
was shot in the shoulder."
D.
An 18-year-old who states, "Once I turned 18 my parents demanded I leave their home. I was
no longer welcomed there."
E.
A 30-year-old who states, "The brawl was worth the stab wound I got. My family has never
liked that family. It is just that way."
A, C, E
Rationale: Nurses are mandatory reporters and must notify in the event of child and elder
abuse, domestic violence, animal bites, gun shot and stab wounds, assault, and homicides
In the middle of running a resuscitation for a cardiac arrest the LPN states to the nurse, "What
can I do for your other patients?" The nurse says to the LPN, "Go ahead and start that blood
on the client in 434B. It is primed and ready to go. You have seen me do it a million times. You
can do it." What is the LPN's best response?
A.
"No way am I starting the blood on that client!"
B.
"I am going to tell the manager you asked me to start blood."
C.
"Sure, no problem. I can do that. I have done it before."
D.
"I can take over compressions so you can start the blood."
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D
Rationale: The LPN needs to remain professional, and stating "No way ...." is an
unprofessional response. Telling the manager may be appropriate, but it does nothing to help
the situation of needing to start blood and resuscitate a client. Blood administration is the
responsibility of the RN. The LPN can perform compressions.
The nurse is preparing an older client for discharge. Which method is best for the nurse to use
when evaluating the client's ability to perform a dressing change at home?
A.
Determine how the client feels about changing the dressing.
B.
Ask the client to describe the procedure in writing.
C.
Seek a family member's evaluation of the client's ability to change the dressing.
D.
Observe the client change the dressing unassisted.
D
Rationale: Observing the client directly will allow the nurse to determine if mastery of the skill
has been obtained and provide an opportunity to affirm the skill. Option A may be therapeutic
but will not provide an opportunity to evaluate the client's ability to perform the procedure.
Option B may be threatening to an older client and will not determine his ability. Option C is
not as effective as direct observation by the nurse.
The nurse is talking with the spouse of a client admitted to the long-term care center. The
client has end-stage renal cancer and is admitted for palliative care while awaiting hospice
placement. The client often moans and groans, but is otherwise non-communicative and
somnolent. What will the nurse include in the spouse's teaching regarding the care of the
client? (Select all that apply.)
A.
Repositioning every 2 hours
B.
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