HESI RN 2025 EXIT EXAM
When preparing to administer a prescribed medication to a homeless
client at a community psychiatric clinic. The client tells the nurse that the
usual dosage taken is different from the dose the nurse is giving. Which
action should the nurse take?
A) Inform the client that he may refuse the medication and document
whether or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.: B) Withhold the medication until the dosage
can be confirmed.
The charge nurse is making assignments for one practical nurse and
three registered nurses who are caring for neurologically compromised
clients. Which client with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to
170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed
from 10 to
7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.: B)
Viral meningitis whose temperature change from 101 S to 102F.
,The nurse is caring for a client with pneumonia who now develops initial
signs of septic shock and multi organ failure. The healthcare provider
prescribes a sepsis protocol. Which intervention is most important for the
nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.: A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a
suicide note to a teacher at school. On the second day of hospitalization,
the nurse asked the client to meet with the treatment team. After the
team meeting, the client leaves in tears and goes to their room. Which
nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.: D) Go to the clients
room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The
medication is available and 25,000 units per milliliter vial. How many
milliliters should the nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.): 0.6
,The nurse has completed the diet teaching of a client who is being
discharged following treatment of a leg wound. A high-protein diet is
encouraged to promote wound healing. Which lunch toys by the client
indicates that the teaching was effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit.: C) A tuna fish sandwich
with chips and ice cream.
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.: 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.: 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.: 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?: Offer a pacifier for non-Nutritive
sucking
When preparing to administer a prescribed medication to a homeless
client at a community psychiatric clinic. The client tells the nurse that the
usual dosage taken is different from the dose the nurse is giving. Which
action should the nurse take?
A) Inform the client that he may refuse the medication and document
whether or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.: B) Withhold the medication until the dosage
can be confirmed.
The charge nurse is making assignments for one practical nurse and
three registered nurses who are caring for neurologically compromised
clients. Which client with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to
170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed
from 10 to
7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.: B)
Viral meningitis whose temperature change from 101 S to 102F.
,The nurse is caring for a client with pneumonia who now develops initial
signs of septic shock and multi organ failure. The healthcare provider
prescribes a sepsis protocol. Which intervention is most important for the
nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.: A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a
suicide note to a teacher at school. On the second day of hospitalization,
the nurse asked the client to meet with the treatment team. After the
team meeting, the client leaves in tears and goes to their room. Which
nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.: D) Go to the clients
room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The
medication is available and 25,000 units per milliliter vial. How many
milliliters should the nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.): 0.6
,The nurse has completed the diet teaching of a client who is being
discharged following treatment of a leg wound. A high-protein diet is
encouraged to promote wound healing. Which lunch toys by the client
indicates that the teaching was effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit.: C) A tuna fish sandwich
with chips and ice cream.
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.: 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.: 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.: 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?: Offer a pacifier for non-Nutritive
sucking
