HESI RN EXIT V2 EXAM WITH QUESTIONS
AND ANSWERS || GUARANTEED PASS ||
ALREADY GRADED A+ || LATEST VERSION
2025
A female child is brought to the emergency department after awakening with a
bark-like cough and stridor. Upon arrival to the hospital, her respirations are
labored, and she is drooling. What action should the nurse implement?
A. Prepare for emergency tracheotomy
B. Assess the child for dehydration
C. Examine oropharyngeal area for foreign body
D. Collect midstream urine specimen - ANSWER-A. Prepare for emergency
tracheotomy
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 refuses to sit on any of the chairs in the day
area. This client's handwashing is an example of which clinical behavior?
,A. Phobia
B. Addiction
C. Obsession
D. Compulsion - ANSWER-D. Compulsion
An adolescent receives a prescription for an injection of S-matriptan succinate
4mg subcutaneously for a migraine headache. Using a vial labeled, 6mg/0.5mL,
how many mL should the nurse administer? - ANSWER-6mg -- 0.5 mL
4mg -- X mL
X = 4 x 0.5/6 = 0.33
0.33 mL
The nurse is caring for a client who is having a sickle cell crisis. What
intervention should the nurse include in this client's plan of care?
A. Ensure adequate IV and oral fluid intake
B. Provide ice packs to major joint areas
C. Space analgesics to prevent addiction to narcotics
D. Re-enforce the importance of nutritional balance - ANSWER-A. Ensure
adequate IV and oral fluid intake
The nurse is preparing to administer an IV dose of ciprofloxacin to a client with
a urinary tract infection. Which client data requires the most immediate
intervention by the nurse?
A. Urine culture positive for MRSA
B. Serum creatinine of 4.5 mg/dL
C. Serum sodium of 145 mEq/L
, D. White blood cell count of 12,000mm3 - ANSWER-B. Serum creatinine of
4.5mg/Dl
An 11-year-old client is admitted to the mental health unit after trying to run
away from home and threatening self-harm. The nurse establishes a goal to
promote effective coping and plans to ask the client to verbalize three ways to
deal with stress. Which activity is best to establish rapport and accomplish this
therapeutic goal?
A. Bring the client to the team meeting to discuss the treatment plan
B. Explain the purpose of each medication the client is currently taking
C. Ask the client to write feelings in a journal and then review it together
D. Play a board game with the client and begin talking about stressors -
ANSWER-D. Play a board game with the client and begin talking about
stressors
The nurse is assessing a 4-year-old child with eczema. The child's skin is dry
and scaly, and the mother reports that the child frequently scratches the lesions
on the skin to the point of causing bleeding. Which guideline is indicated for
care of this child?
A. Keep the nails trimmed short
B. Apply baby lotion to the skin twice daily
C. Bathe the child with bath oil
D. Allow the child to wear only 100% cotton clothing - ANSWER-A. Keep the
nails trimmed short
A nurse working on an Endocrine Unit should see which client first?
A. An older client with Addison's disease whose current blood sugar level is 62
mg/dL
B. An adult with a blood sugar of 284 mg/dL and a urine output of 350 mL in
the last hour
C. An adolescent male with type 1 diabetes who is arguing about his insulin
dose
AND ANSWERS || GUARANTEED PASS ||
ALREADY GRADED A+ || LATEST VERSION
2025
A female child is brought to the emergency department after awakening with a
bark-like cough and stridor. Upon arrival to the hospital, her respirations are
labored, and she is drooling. What action should the nurse implement?
A. Prepare for emergency tracheotomy
B. Assess the child for dehydration
C. Examine oropharyngeal area for foreign body
D. Collect midstream urine specimen - ANSWER-A. Prepare for emergency
tracheotomy
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 refuses to sit on any of the chairs in the day
area. This client's handwashing is an example of which clinical behavior?
,A. Phobia
B. Addiction
C. Obsession
D. Compulsion - ANSWER-D. Compulsion
An adolescent receives a prescription for an injection of S-matriptan succinate
4mg subcutaneously for a migraine headache. Using a vial labeled, 6mg/0.5mL,
how many mL should the nurse administer? - ANSWER-6mg -- 0.5 mL
4mg -- X mL
X = 4 x 0.5/6 = 0.33
0.33 mL
The nurse is caring for a client who is having a sickle cell crisis. What
intervention should the nurse include in this client's plan of care?
A. Ensure adequate IV and oral fluid intake
B. Provide ice packs to major joint areas
C. Space analgesics to prevent addiction to narcotics
D. Re-enforce the importance of nutritional balance - ANSWER-A. Ensure
adequate IV and oral fluid intake
The nurse is preparing to administer an IV dose of ciprofloxacin to a client with
a urinary tract infection. Which client data requires the most immediate
intervention by the nurse?
A. Urine culture positive for MRSA
B. Serum creatinine of 4.5 mg/dL
C. Serum sodium of 145 mEq/L
, D. White blood cell count of 12,000mm3 - ANSWER-B. Serum creatinine of
4.5mg/Dl
An 11-year-old client is admitted to the mental health unit after trying to run
away from home and threatening self-harm. The nurse establishes a goal to
promote effective coping and plans to ask the client to verbalize three ways to
deal with stress. Which activity is best to establish rapport and accomplish this
therapeutic goal?
A. Bring the client to the team meeting to discuss the treatment plan
B. Explain the purpose of each medication the client is currently taking
C. Ask the client to write feelings in a journal and then review it together
D. Play a board game with the client and begin talking about stressors -
ANSWER-D. Play a board game with the client and begin talking about
stressors
The nurse is assessing a 4-year-old child with eczema. The child's skin is dry
and scaly, and the mother reports that the child frequently scratches the lesions
on the skin to the point of causing bleeding. Which guideline is indicated for
care of this child?
A. Keep the nails trimmed short
B. Apply baby lotion to the skin twice daily
C. Bathe the child with bath oil
D. Allow the child to wear only 100% cotton clothing - ANSWER-A. Keep the
nails trimmed short
A nurse working on an Endocrine Unit should see which client first?
A. An older client with Addison's disease whose current blood sugar level is 62
mg/dL
B. An adult with a blood sugar of 284 mg/dL and a urine output of 350 mL in
the last hour
C. An adolescent male with type 1 diabetes who is arguing about his insulin
dose
