HESI RN exit EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution uy




EXIT HESI V1 2026 A+ GRADE ASSURED COMPLETE SOL
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UTIONS AND VERIFIED ANSWERS (4A0B2) uy uy uy uy




QUESTION 1 uy




A client is receiving ophthalmic drops preoperatively for a cataract extraction and asks
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the nurse why the healthcare provider has prescribed all these medications. Which info
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rmation should the nurse included when responding to this client? (Select all that apply.
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)
ANSWER

• B Pupillary dilation is necessary to access the eye chamber for lens removal. • C The iris must be par
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alyzed during surgery to prevent it from reacting to light. E One of the medications is used to anestheti
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ze the corneal surface.
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QUESTION 2 uy




An adult client presents to the clinic with large draining ulcers on both lower legs that a
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re characteristic of Kaposi's sarcoma lesions. The client is accompanied by two family m
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embers. Which action should the nurse take?
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ANSWER

• C Send family to the waiting area while the client's history is taken.
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QUESTION 3 uy




The nurse is developing a teaching plan for a client with acute gastritis caused by drinki
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ng contaminated water. The nurse should emphasize the need to report the onset of wh
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ich problem?uy




ANSWER

A Bloody mesis
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QUESTION 4 uy

,The charge nurse in an extended care facility is organizing unit activities for the day. W
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hich action may be safely delegated to the practical nurse (PN)?
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ANSWER

Establish blood pressure parameters for client monitoring.
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QUESTION 5 uy




The school nurse is preparing a teaching pamphlet in response to requests from parent
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s regarding an outbreak of pinworms at the local preschool. Which information about th
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e most commonly prescribed medication, mebendazole, should be included?
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ANSWER

A Only children with perianal itching should take the medication.
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QUESTION 6 uy




A 3-year-
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old boy was successfully toilet trained prior to his admission to the hospital for inuries
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sustained from a fall. His parents are very concerned that the child has regressed in his
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toileting behaviors. Which information should the nurse provide to the parents?
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ANSWER

Children usually resume their toileting behaviors when they leave the hospital.
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QUESTION 7 uy




A 10-year-
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old with acute decompensated heart failure has a 3 pound (1.4 kg) weight gain in the la
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st 24 hours. Which intervention is most important for the nurse to implement?
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ANSWER

Assess bilateral lung sounds.
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QUESTION 8 uy




The nurse is caring for a client who receives a prescription for valproic acid in which th
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e maximum safe dosage is 60 mg/kg/day. How many mg/day is the maximum safe dosa
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ge for a client who weighs 176 pounds? (Enter numerical value only.)
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ANSWER

4800

, QUESTION 9 uy




A client is admitted with the diagnosis of Wernicke's syndrome. Which assessment findi
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ng should the nurse use in planning the client's care?
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ANSWER

Confusion.



QUESTION 10 uy




The nurse is caring for a client after a thoracentesis that drained 50 mL of clear fluid fr
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om the left lung. Which assessment finding should the nurse report to the healthcare pr
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ovider immediately? uy




ANSWER

Mediastinal shift to the right. uy uy uy uy




QUESTION 11 uy




A client arrives to the emergency department with chest pain after taking sildenafil. Bas
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ed on the client's history, which medication should the nurse withhold?
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ANSWER

Nitroglycerin.



QUESTION 12 uy




Six weeks after the birth of a child with Trisomy 21, the parents return to the prenatal c
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linic for a follow-
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up visit. They have spoken with a genetic counselor, but are still unsure about the risk
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of having another child with Trisomy 21. The couple brings literature from the counselo
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r with them, and asks the nurse to explain it. Which action should the nurse take?
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ANSWER

Review the literature and answer any questions the nurse is able to answer.
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QUESTION 13 uy




A client who is one day postpartum tells the nurse that her baby cannot latch onto the b
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reast. The nurse determines that the client's nipples are inverted.
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ANSWER

Recommend using a breast shield. uy uy uy uy