HESI EXIT EXAM 2025. ACTUAL 2025 EXAM QUESTIONS AND CORRECT ANSWERS. GENUINE UPDATE.

HESI EXIT EXAM 2025. ACTUAL 2025 EXAM QUESTIONS AND CORRECT ANSWERS. GENUINE UPDATE. A newly admitted client complains of,pain rating a 7 on a scale of 0,to 10. The client has not been sleeping well lately and is experiencing labored breathing. List,the client's problems in order of,priority for the nurs e. (Rank in the priority order from highest to lowest.) 1. Airway and breathing. 2. Pain management. 3. Definitive therapy. 4. Sleep and rest. - CORRECT ANS: 1.Airway and breathing. 2.Pain management. 3.Sleep and rest. 4.Definitive therapy. Rationale First- level problems are immediate priorities,(airway, breathing, and circulation). In this scenario, airway and br eathing are the first priority, followed by pain management, Maslow's hierarchy of,basic needs for rest an d sleep, and then definitive drug therapies. Which biological practices are federally regulated for healthcare workers? (Select all that apply.) Select all that apply 1. Standard precautions. 2. N-95 tuberculosis,standard. 3. Blood-borne pathogen standard. 4. Biological product,exposure limit (BPEL). 5. Resource Conservation and Recovery Act (RCRA). 6. As Low,as Reasonably Allowable standard (ALARA). - CORRECT ANS: 3. Blood-borne pathogen standard. 5. Resource Conservation and Recovery Act,(RCRA) Basic standards for healthcare workers, as delineated by Occupational Safety and Health Administration ( OSHA), include standard precautions, droplet precautions using N- 95 respiratory particulate masks when caring for a client who is positive for tuberculosis, and required ann ual updates for healthcare workers about blood- borne pathogen transmission, methods of minimizing,exposure, and employee rights. Other options [BPE L and ALARA ] are not federally regulated. A client with severe depression tells the nurse, "I do not know why you bother with me or give me pills. I a m never,going to get well." What is the most therapeutic response? 1. "You need to stop thinking,negative thoughts. They get in the way of your,recovery." 2. "You are no bother to me or to the staff. We want you to get well and not,feel sad anymore." 3. "I have known many clients with depression who have felt better after several weeks of treatment." 4. "You are feeling very pessimistic, but that is part of your illness. It should go away as you recover." ANS - 3. "I have known many clients,with depression who have felt better,after several weeks of treatment." Stating the observation that others have recovered can give a client hope. Telling a person to stop,negtive thinking is ineffective because the client must be taught cognitive strategies to stop negative thinking. Sta ting the person is "no bother" is arguing with the client's beliefs and attempting to tell him how to feel, bot h of which are not therapeutic responses. Bring,up pessimistic feelings,interprets the client's feelings and does not provide the same degree of hope. The nurse is caring for a client with a nursing problem of, "Infection, risk for, related to inadequate primar y defenses as evidenced by surgical incision and IV access." What nursing,intervention should the nurse im plement? 1. Limit,visitors,to immediate family to decrease exposure to infection. 2. Maintain "clean" technique in the change of wound dressing and IV site. 3. Assess and document skin condition around the incision and IV site at each shift. 4. Require the use of a face mask by staff when providing care requiring close contact. - CORRECT ANS: 3. Assess and document skin condition around the incision and IV site at each shift. Early identification of, infection leads, to prompt treatment and decreased nosocomial transmission to others, so,the condition of any invasive lines or breaks in the skin should be assessed and documented during each shift. A client with ulcerative colitis is scheduled for,surgical creation of an ileoanal reservoir (J pouch). As part of preoperative teaching, what information should the nurse provide? 1. The transverse loop ostomy is permanent. 2. Easily removable appliances allow independence in self-care. 3. Daily irrigation is started after the J pouch heals. 4. Stool is eventually expelled through the rectum. - CORRECT ANS: 4. Stool is eventually expelled through the rectum. An ileal pouch- anal anastomosis (also known as the J pouch) is a surgically created ileoanal reservoir,in the anal canal tha t preserves the rectal sphincter,muscle, so that passage of stool through the rectum is the eventual result. To promote healing of the anastomosed parts of,the colon, a temporary loop ostomy is created, not a per manent one. Although appliances that are easy to use are advantageous, the ostomy is reversed after heal ing,takes place. Stool drains into the reservoir, so daily irrigation is,not usually indicated. The nurse inflates the cuff on a tracheostomy tube to minimal occlusion pressure for a client,who is breath ing,spontaneously. Which action should the nurse follow? 1. Check the pilot,balloon to ensure that it is,firm. 2. Verify the healthcare provider's prescription for the required cuff pressure. 3. Use a manometer,to maintain cuff pressure between 25 and 30 mmHg. 4. Inject,air until no air,is auscultated over the larynx during,a deep breath. - CORRECT ANS: 4. Inject air until no air,is auscultated over the larynx during,a deep breath. To achieve minimal pressure (minimal occlusion volume technique) against,the tracheal wall, inject,air,int o the tracheostomy tube cuff while auscultating with a stethoscope placed over the larynx (over the cuff) during inhalation. At the point when sounds of air movement cease, inflation is stopped, indicating,that th e cuff is,sealed against the tracheal wall. A,60-year-old homeless,man who complains of,a cough, late- afternoon fever, and night,sweats has a 10 mm induration after receiving,a purified protein derivative (PP D) skin test. Which action should the nurse implement? 1. Refer,for,further,diagnostic evaluation. 2. Determine exposure of,others,to the tuberculosis. 3. Begin anti-tubercular drug therapy. 4. Quarantine or isolate to control communicability. - CORRECT ANS: 1. Refer for,further diagnostic evaluation. The PPD skin test results,is indicative of exposure or,latent Mycobacterium tuberculosis infection (LTBI), w hich this client is in a high- risk category for exposure in a homeless environment. Although productive prolonged cough, fever, and n ight sweats are common early symptoms, persons suspected of,LTBI should not begin treatment,until acti ve TB disease has been excluded. Further,diagnostic evaluation should be implemented. A dormant form t hat neither,causes disease nor is communicable. Which contextual factors are considered external environmental influences in the framework for,occupati onal health programs and services? (Select all that apply.) Select all that apply 1. Economics. 2. Workforce. 3. Technology. 4. Interventions. 5. Socio-economic status. 6. Legislation/regulation. ANS,- 1. Economics. 3. Technology. 6. Legislation/regulation. Economics affects the health of,the company and its workforce productivity, in termsof profitability, grow th, and expansion. Technology adds to an industry's capacity to develop and implement,new or,improved work processes. Legislation/regulation in the workplace, such as the blood- borne pathogen standard, affects the workforce in terms of requirements, administration, and control str ategies. Occupational safety programs are built around the workforce to strive for,maximum internal prod uctivity. Interventions,are internal environmental influences of an occupational health and safety progra m. Socio-economic status is a demographic variable commonly used in epidemiology. The nurse is analyzing,the waveforms of a client's electrocardiogram. What,finding indicates a disturbance in electrical conduction in the ventricles? 1. T wave of,0.16 second. 2. PR interval of,0.18 second. 3. QT interval of,0.34 second. 4. QRS interval of 0.14,second. - CORRECT ANS: 4. QRS interval of 0.14,second. The normal duration of,the QRS is 0.04 to 0.12 second, so a prolonged QRS indicates an electrical anomaly in the ventricles. The T wave is normally 0.16 seconds. The PR interval range is 0.12 to 0.20 second. The QT interval should be 0.31 to 0.38 second. The nurse is assigned a client with numerous treatments and decides it,is not possible to complete all the needed treatments in the time scheduled for this shift. Which process should the nurse use? 1. Delegate tasks to competent team members. 2. Prioritize tasks with the most crucial needs first. 3. Report the incomplete treatments to next shift nurse. 4. Start with the easiest treatment,first. ANS,- 2. Prioritize tasks with the most crucial needs first. Planning,care for a client with numerous treatments should be prioritized with the most crucial client nee ds first to the least. Delegating to others,or reporting displace the nurse's responsibility to provide care. St arting with easiest is an inefficient utilization of time in meeting,critical client needs. A male client is on contact precautions due to an infected draining wound and is being discharged home. T he client lives at home with his wife and their,adolescent daughter. What discharge instruction should the nurse include for the client? 1. Use disposable plates and utensils. 2. Stay in a room with the door closed. 3. Dispose of,soiled dressings in plastic,bags that,are securely closed. 4. Others who are in the same room with the client,should wear a mask. - CORRECT ANS: 3. Dispose of,soiled dressings in plastic,bags that,are securely closed.