HESI RN EXIT 2025/2026 EXAM V2/ACTUAL COMPLETE REAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+
ASSURED/NEWEST!!
The nurse is preparing a client who had a below-the-knee (BKA)
amputation for discharge to home. Which recommendations
should the nurse provide this client?
A. Inspect skin for redness
B. Avoid range of motion exercises
C. Apply alcohol to the stump after bathing
D. Use a residual limb shrinker
E. Wash the stump with soap and water - ANSWER-A. Inspect
skin for redness
D. Use a residual limb shrinker
E. Wash the stump with soap and water
A client with bacterial meningitis is receiving phenytoin. Which
assessment finding indicates to the nurse that the client is
experiencing a therapeutic response to the phenytoin?
A. Decrease in intracranial pressure and cerebral edema
B. Increased time of ambulation between periods of rest
C. Normal electroencephalogram after drug administration
,D. Absence of seizure activity for the duration of treatment -
ANSWER-D. Absence of seizure activity for the duration of
the treatment
The nurse is assessing a client's breath sounds. Which
medication from the client's prescriptions will have the most
positive effect on this respiratory finding?
Sound: wheezing
A. Chloroquine
B. Enalapril
C. Albuterol
D. Losartan - ANSWER-C. Albuterol
The nurse observes a client prepare a meal in the kitchen of a
rehabilitation facility prior to discharge. Which behaviors
indicate the client understands how to maintain balance safely?
A. Bring a heavy can close to body before lifting
B. Locks knees while preparing food on the counter
C. Widens stance while working near the sink
D. Bends from the waist to pick trash off the floor
E. Leans forward to pull a pan from a high shelf - ANSWER-A.
Brings a heavy can close to body before lifting
C. Widens stance while working near the sink
,A school-aged child who weighs 42 pounds receives a post-
tonsillectomy prescription for promethazine 0.5 mg/kg IM to
prevent postoperative nausea. The medication is available in 25
mg/mL ampules. How many mL should the nurse administer? -
ANSWER--convert weight to kg: 42/2.2 = 19.09 kg
-dose/kg = 0.5x19.09 = 9.5454mg
-amount per ml:
25mg ---- in 1ml
9.5mg ----in X ml
X = 9.5 x1/25 = 0.38 = 0.4 mL
In monitoring tissue perfusion in a client following an above the
knee amputation (AKA), which action should the nurse include
in the plan of care?
A. Assess skin elasticity of the stump
B. Observe for swelling around the stump
C. Note amount and color of wound drainage
D. Evaluate closest proximal pulse - ANSWER-D. Evaluate
closest proximal pulse
, During shift report, the charge nurse receives notice of several
problems. Which problem should the nurse address first? A.
The census report has not been completed
B. A client's wife has asked to speak with the charge nurse
C. One staff member has not reported to work
D. A bucket of water was spilled in the hallway - ANSWER-D. A
bucket of water was spilled in the hallway
An older client is admitted to the hospital because of recurring
transient ischemic attacks. Neurological serial assessments for
the past 24 hours were within normal limits. One day after
admission, the client suddenly becomes confused and
combative indicating impaired mental status (IMS). What
intervention should the nurse implement first?
A. Document neurologic changes
B. Reduce environmental stimuli
C. Administer prescribed neuroleptic
D. Review medications for interactions - ANSWER-B. Reduce
environmental
stimuli
An adult client is admitted to the psychiatric unit because of a
daily, complex handwashing ritual that takes two hours or
longer to complete. The client worries about staying clean and
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+
ASSURED/NEWEST!!
The nurse is preparing a client who had a below-the-knee (BKA)
amputation for discharge to home. Which recommendations
should the nurse provide this client?
A. Inspect skin for redness
B. Avoid range of motion exercises
C. Apply alcohol to the stump after bathing
D. Use a residual limb shrinker
E. Wash the stump with soap and water - ANSWER-A. Inspect
skin for redness
D. Use a residual limb shrinker
E. Wash the stump with soap and water
A client with bacterial meningitis is receiving phenytoin. Which
assessment finding indicates to the nurse that the client is
experiencing a therapeutic response to the phenytoin?
A. Decrease in intracranial pressure and cerebral edema
B. Increased time of ambulation between periods of rest
C. Normal electroencephalogram after drug administration
,D. Absence of seizure activity for the duration of treatment -
ANSWER-D. Absence of seizure activity for the duration of
the treatment
The nurse is assessing a client's breath sounds. Which
medication from the client's prescriptions will have the most
positive effect on this respiratory finding?
Sound: wheezing
A. Chloroquine
B. Enalapril
C. Albuterol
D. Losartan - ANSWER-C. Albuterol
The nurse observes a client prepare a meal in the kitchen of a
rehabilitation facility prior to discharge. Which behaviors
indicate the client understands how to maintain balance safely?
A. Bring a heavy can close to body before lifting
B. Locks knees while preparing food on the counter
C. Widens stance while working near the sink
D. Bends from the waist to pick trash off the floor
E. Leans forward to pull a pan from a high shelf - ANSWER-A.
Brings a heavy can close to body before lifting
C. Widens stance while working near the sink
,A school-aged child who weighs 42 pounds receives a post-
tonsillectomy prescription for promethazine 0.5 mg/kg IM to
prevent postoperative nausea. The medication is available in 25
mg/mL ampules. How many mL should the nurse administer? -
ANSWER--convert weight to kg: 42/2.2 = 19.09 kg
-dose/kg = 0.5x19.09 = 9.5454mg
-amount per ml:
25mg ---- in 1ml
9.5mg ----in X ml
X = 9.5 x1/25 = 0.38 = 0.4 mL
In monitoring tissue perfusion in a client following an above the
knee amputation (AKA), which action should the nurse include
in the plan of care?
A. Assess skin elasticity of the stump
B. Observe for swelling around the stump
C. Note amount and color of wound drainage
D. Evaluate closest proximal pulse - ANSWER-D. Evaluate
closest proximal pulse
, During shift report, the charge nurse receives notice of several
problems. Which problem should the nurse address first? A.
The census report has not been completed
B. A client's wife has asked to speak with the charge nurse
C. One staff member has not reported to work
D. A bucket of water was spilled in the hallway - ANSWER-D. A
bucket of water was spilled in the hallway
An older client is admitted to the hospital because of recurring
transient ischemic attacks. Neurological serial assessments for
the past 24 hours were within normal limits. One day after
admission, the client suddenly becomes confused and
combative indicating impaired mental status (IMS). What
intervention should the nurse implement first?
A. Document neurologic changes
B. Reduce environmental stimuli
C. Administer prescribed neuroleptic
D. Review medications for interactions - ANSWER-B. Reduce
environmental
stimuli
An adult client is admitted to the psychiatric unit because of a
daily, complex handwashing ritual that takes two hours or
longer to complete. The client worries about staying clean and
