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Suicide precautions are initiated for a
child admitted to the mental health unit
following an intentional narcotic over-
dose. After a visitor leaves, the nurse Remove cigarettes for the client's room
finds a package of cigarettes in the
client's room. Which intervention is most
important for the nurse to implement?
A family member of a frail elderly adult
asks the nurse about eligibility require-
ments for hospice care.What information
should the nurse provide? (Select all that
apply.)
A.) A client must be willing to accept pal-
liative care, not curative care.
A,B
B.) The healthcare provider must project
that the client has 6 months or less to
live.
C.) The client must be diagnosed with
clinical depression
D.) The client must be of sound mind
A client with atrial fibrillation receives a
new prescription for dabigatran. What in- Avoid use of nonsteroidal ant-inflamma-
struction should the nurse include in this tory drugs (NSAID).
client's teaching plan?
An infant who is admitted for surgical re-
pair of a ventricular septal defect (VSD)
is irritable and diaphoretic with jugu- Digoxin
lar vein distention. Which prescription
should the nurse administer first?
The nursing staff on a medical unit in-
Supervise a newly hired graduate nurse
cludes a registered nurse (RN), practical
during an admission assessment.
nurse (PN), and an unlicensed assistive
, HESI RN EXIT EXAM (5) 2025 LATEST QUESTIONS AND ANSWERS|A+
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personnel (UAP). Which task should the
charge nurse assign to the RN?
While teaching a young male adult to
use an inhaler for his newly diagnosed
asthma, the client stares into the dis-
Ask the client what he is thinking about
tance and appears to be concentrating
at his time.
on something other than the lesson the
nurse is presenting. What action should
the nurse take?
After several hours of non-productive
coughing, a client presents to the emer-
gency room complaining of chest tight-
ness and shortness of breath. Histo-
ry includes end stage chronic obstruc-
tive pulmonary disease (COPD) and dia-
betes mellitus. While completing the pul-
monary assessment, the nurse hears
wheezing and poor air movement bilat-
erally. Which actions should the nurse
A,B,C
implement? (Select all that apply.)
A.) Administer PRN nebulizer treatment.
B.) Obtain 12 lead electrocardiogram.
C.) Monitor continuous oxygen satura-
tion.
D.) Lay the client in the prone position
The nurse caring for a 3-month-old boy
one day after a pylorotomy notices that
the infant is restless, is exhibiting facial Administer a prescribed analgesia for
grimaces, and is drawing his knees to pain.
his chest. What action should the nurse
take?
A 4-year-old with acute lymphocyt-
ic leukemia (ALL) is receiving a
chemotherapy (CT) protocol that in-
, HESI RN EXIT EXAM (5) 2025 LATEST QUESTIONS AND ANSWERS|A+
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cludes methotrexate (Mexate, Trexal,
MIX), an antimetabolite. Which informa- Use sunblock or protective clothing when
tion should the nurse provide the parents outdoors.
about caring for their child?
Two days after admission a male client
remembers that he is allergic to eggs,
and informs the nurse of the allergy.
Which actions should the nurse imple-
ment? SATA
A.) Tell the client that its a mild reaction
B,C,D
B.) Notify the food services department of
the allergy.
C.) Enter the allergy information in the
client's record.
D.)Add egg allergy to the client's allergy
arm band.
The rapid response team's detects re-
turn of spontaneous circulation (ROSC)
after 2 min of continuous chest compres-
sions. The client has a weak, fast pulse
Perform bilateral chest auscultation.
and no respiratory effort, so the health-
care provider performs a successful oral,
intubation. What action should the nurse
implement?
After administering an antipyretic med-
ication. Which intervention should the Encouraging liberal fluid intake
nurse implement?
A client with hyperthyroidism is being
Describe radioactive iodine as a taste-
treated with radioactive iodine (I-131).
less, colorless medication administered
Which explanation should be included in
by the healthcare provider
preparing this client for this treatment?
After a colon resection for colon can-
cer, a male client is moaning while being
, HESI RN EXIT EXAM (5) 2025 LATEST QUESTIONS AND ANSWERS|A+
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transferred to the Postanesthesia Care
Determine client's pulse, blood pressure,
Unit (PACU). Which intervention should
and respirations
the nurse implement first?
The nurse is caring for a group of clients
with the help of a licensed practical nurse
(LPN) and an experienced unlicensed
assistive personnel (UAP). Which pro-
cedures can the nurse delegate to the
UAP? (Select all that apply)
A.) Take postoperative vital signs for a
A,B,C
client who has an epidual following knee
arthroplasty
B.) Collect a sputum specimen for a client
with a fever of unknown origin
C.) Ambulate a client who had a
femoral-popliteal bypass graft yesterday
A male client with cirrhosis has ascites
and reports feeling short of breath. The Raise the head of the bed to a Fowler's
client is in semi Fowler position with his position and support his arms with a pil-
arms at his side. What action should the low
nurse implement?
A client with a history of chronic pain re-
quests a nonopioid analgesic. The client
is alert but has difficulty describing the
Administer the analgesic as requested
exact nature and location of the pain to
the nurse. Which action should the nurse
implement next?
The nurse uses the parkland formula
(4ml x kg x total body surface area =
24 hours fluid replacement) to calculate
the 24-hours IV fluid replacement for a 12160
client with 40% burns who weighs 76kg.
How many ml should the client receive?
(Enter numeric value only.)