2024 HESI RN EXIT V1,V2,V3,V4,V5,AND
V8 COMPLETE EXAMS 2025 VERSION
LA 5-week-old infant developed projectile vomiting over the last 2 weeks is dx with hypertrophic
pyloric stenosis. Which intervention should the nurse plan to implement? - ANSWER-Maintain
intravenous fluid therapy per RX
Nurse is assigned to 2 critical care clients. One client was admitted yesterday with pneumonia is
being mechanically ventilated and has an elevated temp. The other client had a thoracotomy two
days ago and now complaining of incisional pain. Which intervention should the nurse implement
first? - ANSWER-Assess level of consciousness and vital signs for both clients.
Client has an abdominal dehiscence when the surgical staples are removed. What intervention
should the nurse implement? - ANSWER-Apply sterile saline gauze
While assessing a client who is admitted with HF and pulmonary edema, the nurse identifies
dependent peripheral edema, irregular HR and persistent cough that produces pink blood-tinged
sputum. After initiating continuous tele and positioning the client which intervention should the
nurse implement? - ANSWER-Obtain sputum sample
Initiate hourly urine output measurements
Document degree of edema
Admitted IV diuretics
Client is admitted to the ER following MVA in which the client sustained a head injury. Which
assessment data would provide the earliest indication that the client is experiencing increased ICP? -
ANSWER-Lethargy
An S3 sound is auscultated in client in the 3rd trimester of pregnancy. What intervention should the
nurse take? - ANSWER-Document in the clients records
Male client discharged 3 days ago post exploratory laparotomy biopsy is admitted to the hospital
with warm, red, tender, swollen lower leg. The nurse is prepping to initiate heparin therapy. What
, additional intervention should the nurse include in plan if care? - ANSWER-Maintain the client on
bed rest.
During an assessment by the home health nurse of an older man who lives alone, the client reports
that he is troubled by constipation. To formulate a plan of care, what additional information should
the nurse obtain? - ANSWER-Daily food and fluid intake
Current prescribed and over the counter medications.
Next scheduled visit with the healthcare provider
Methods currently used to treat constipation.
Well the nurse is assessing an older client fall risk the client reports living at home alone and never
following. Which action should the nurse take? - ANSWER-Continue to obtain client data needed to
complete a fall risk survey.
A three-year-old boy successfully toilet trained prior to this admission to the hospital for injuries
sustained from a fall. His parents are very concerned that the child has regressed in his toilet
behaviors, which information should the nurse provide the parents? - ANSWER-Children usually
resume their toileting behaviors when they leave the hospital.
A heparin infusion if it is prescribed for a client who weighs 240 pounds. After administering a body
starts at 80 units per kilogram, the nurse calculates the infusion rate for the heparin solution at 18
units per kilogram per hour. The available solution is heparin sodium 25,000 units and 5% dextrose
injection 250 ML's. The nurse should program temptation come to deliver how many ML's per hour
nearest whole number - ANSWER-O: 18 units/kg/hr
W: 220 PDS = 100 Kg
A: 25,000 units/250 ml
18*100Kg*1 hr*250 ml/ 25,000 units= 18
An adult mail with a 6 cm to the racic aneurysm is being prepared for surgery. The nurse reports of
the healthcare provided at the client blood pressure is 220/112 mmHg so an anti-hypertensive agent
is added to the client IV infusion. Which finding warrant immediate intervention by the nurse? -
ANSWER-Reports a sharp pain between the shoulder blades.
A client with postpartum depression who is admitted to the behavioral health unit? - ANSWER-Eats
food
V8 COMPLETE EXAMS 2025 VERSION
LA 5-week-old infant developed projectile vomiting over the last 2 weeks is dx with hypertrophic
pyloric stenosis. Which intervention should the nurse plan to implement? - ANSWER-Maintain
intravenous fluid therapy per RX
Nurse is assigned to 2 critical care clients. One client was admitted yesterday with pneumonia is
being mechanically ventilated and has an elevated temp. The other client had a thoracotomy two
days ago and now complaining of incisional pain. Which intervention should the nurse implement
first? - ANSWER-Assess level of consciousness and vital signs for both clients.
Client has an abdominal dehiscence when the surgical staples are removed. What intervention
should the nurse implement? - ANSWER-Apply sterile saline gauze
While assessing a client who is admitted with HF and pulmonary edema, the nurse identifies
dependent peripheral edema, irregular HR and persistent cough that produces pink blood-tinged
sputum. After initiating continuous tele and positioning the client which intervention should the
nurse implement? - ANSWER-Obtain sputum sample
Initiate hourly urine output measurements
Document degree of edema
Admitted IV diuretics
Client is admitted to the ER following MVA in which the client sustained a head injury. Which
assessment data would provide the earliest indication that the client is experiencing increased ICP? -
ANSWER-Lethargy
An S3 sound is auscultated in client in the 3rd trimester of pregnancy. What intervention should the
nurse take? - ANSWER-Document in the clients records
Male client discharged 3 days ago post exploratory laparotomy biopsy is admitted to the hospital
with warm, red, tender, swollen lower leg. The nurse is prepping to initiate heparin therapy. What
, additional intervention should the nurse include in plan if care? - ANSWER-Maintain the client on
bed rest.
During an assessment by the home health nurse of an older man who lives alone, the client reports
that he is troubled by constipation. To formulate a plan of care, what additional information should
the nurse obtain? - ANSWER-Daily food and fluid intake
Current prescribed and over the counter medications.
Next scheduled visit with the healthcare provider
Methods currently used to treat constipation.
Well the nurse is assessing an older client fall risk the client reports living at home alone and never
following. Which action should the nurse take? - ANSWER-Continue to obtain client data needed to
complete a fall risk survey.
A three-year-old boy successfully toilet trained prior to this admission to the hospital for injuries
sustained from a fall. His parents are very concerned that the child has regressed in his toilet
behaviors, which information should the nurse provide the parents? - ANSWER-Children usually
resume their toileting behaviors when they leave the hospital.
A heparin infusion if it is prescribed for a client who weighs 240 pounds. After administering a body
starts at 80 units per kilogram, the nurse calculates the infusion rate for the heparin solution at 18
units per kilogram per hour. The available solution is heparin sodium 25,000 units and 5% dextrose
injection 250 ML's. The nurse should program temptation come to deliver how many ML's per hour
nearest whole number - ANSWER-O: 18 units/kg/hr
W: 220 PDS = 100 Kg
A: 25,000 units/250 ml
18*100Kg*1 hr*250 ml/ 25,000 units= 18
An adult mail with a 6 cm to the racic aneurysm is being prepared for surgery. The nurse reports of
the healthcare provided at the client blood pressure is 220/112 mmHg so an anti-hypertensive agent
is added to the client IV infusion. Which finding warrant immediate intervention by the nurse? -
ANSWER-Reports a sharp pain between the shoulder blades.
A client with postpartum depression who is admitted to the behavioral health unit? - ANSWER-Eats
food
