EXAM ALL 550 QUESTIONS WITH CORRECT, VERIFIED AND
DETAILED ANSWERS – GUARANTEED PASS
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RN HESI EXIT EXAM 2025
A client with foul-smelling drainage from an incision on the upper left arm is
admitted with a suspected MRSA. Which nursing intervention should the nurse
include in the plan of care? SATA.
A) Institute contact precautions for staff and visitors.
B) Use standard precautions and wear a mask.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
E) Explain the purpose of a low bacteria diet. - - ANS - -A) Institute
contact precautions for staff and visitors.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
An adult client who is admitted to the mental health unit for treatment of bipolar
disorder has a slightly slurred speech pattern and an unsteady gait. Which
assessment finding is most important for the nurse to report to the healthcare
provider?
,A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%.
D) Serum lithium level of 1.6. - - ANS - -D) Serum lithium level of 1.6.
When conducting diet teaching for a client who is on a post operative full liquid
diet, which foods should the nurse encouraged the client to eat? SATA.
A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
D) Creamy peanut butter.
E) Canned fruit cocktail. - - ANS - -A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
An infant born with esophageal atresia and tracheoesophageal fistula receives a
prescription for internal feedings after corrective surgery. To promote normal
growth and development of the infant, which action should the nurse include in
the plan of care? - - ANS - -Offer a pacifier for non-Nutritive sucking
The nurse is preparing a four year-old client with a serum bilirubin level of 19 for
discharge from the hospital. When teaching the parents about home photo therapy,
which instruction should the nurse include in the discharge teaching plan?
,A) Cover with a receiving blanket.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours. - - ANS - -D) Reposition the infant every
two hours.
The nurse initiate the procedure to remove a clients peripherally inserted central
catheter when a code blue is called for another client in the unit who collapse in
the hallway while ambulating with the unlicensed assistive personnel. Which
action should the nurse take?
A) Close the room door.
B) Finish the procedure.
C) Respond to the code.
D) Call for an assistant. - - ANS - -B) Finish the procedure.
Which nursing intervention is most important for the nurse to include in the plan of
care for a client with alcohol withdrawal delirium?
A) Maintain a quiet, non-stimulating environment.
B) Confront the clients denial of substance abuse.
C) Force oral fluids and provide frequent small meals.
D) Encourage attendance and group participation. - - ANS - -A) Maintain a quiet,
non- stimulating environment.
, A client arrives at the emergency department describing chest pain that began
three hours earlier which has not subsided. To assess the quality of the clients
chest pain. Which approach for the nurse use?
A) Provide a numeric pain scale.
B) Ask the client to describe the pain.
C) Identify effective pain relief measures.
D) Observe body language and movement. - - ANS - -B) Ask the client to describe
the pain.
An adolescent who was diagnosed with type one diabetes Molite us at the age of
nine, is admitted to the hospital in diabetic keto acidosis. Which occurrence is the
most likely cause of the keto acidosis?
A) Ate an extra peanut butter sandwich before gym class.
B) Incorrectly administered too much insulin.
C) Had a cold and ear infection for the past two days.
D) Skipped eating lunch while at school. - - ANS - -C) Had a cold and ear
infection for the past two days.
When is it most important for the nurse to assess a pregnant client's deep tendon
reflexes?
A) Within the first trimester of pregnancy.
B) When the client has ankle edema.