TEST BANK FOR HESI RN EXIT EXAM 2025/2026
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VERSIONS 1–7 (V1,V2,V3,V4,V5,V6,V7,) |
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RATED GRADE A+| VERIFIED QUESTIONS & ANSWERS | BRAN
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D NEW!! zl
,HESI RN Exit Exam 2025 – Version 1
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Safety& Fundamentals
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Q1.
Anurseis caring fora client onfall precautions. Which intervention has the
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highest priority? zl
A. Keep the bed in the lowest position.
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B. Place non-slip socks onthe client.
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C. Remove clutter fromthe room. zl zl zl zl
D. Keep thecall light within reach.
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Answer: A. Keepthe bedin the lowestposition.
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Rationale:While all options reducefall risk, the lowest bed position most directly prevent
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s injury if the client doesfall or attempts to get out ofbed unsafely.
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Q2.
Anursereceives a client fromPACU who is drowsybut arousable. What is the
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first action?
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A. Monitor vital signs. zl zl
B. Assessairway patency. zl zl
C. Check IV site. zl zl
D. Review intake and output. zl zl zl
,Answer: B. Assess airwaypatency.
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Rationale:Airway is always the priority in post-
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anesthesia care (ABCs). Monitoring vital signs follows after airway is confirmed.
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Q3.
Anurse prepares to administer digoxin. The apical pulse is 56 bpm.What should the n
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urse do?
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A. Administer the dose. zl zl
B. Hold themedication and notify theprovider.
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C. Document the pulse and reassess in 30 minutes. zl zl zl zl zl zl zl
D. Give half the dose.
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Answer:B. Hold the medicationand notify the provider.
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Rationale:Digoxin can causebradycardia. Thesafe hold parameter is HR <60 bpm.
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Q4.
Aconfusedelderly client keeps trying to pull out their IV. What is the best nursing in
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tervention?
A. Applywrist restraints. zl zl
B. Coverthe IV site with a protective sleeve.
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C. Remove the IV. zl zl
D. Ask family to staywith theclient.
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, Answer: B. Coverthe IV site with a protective sleeve.
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Rationale:Theleast restrictive optionthat still protects the client should always be chose
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n before restraints.
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Q5.
The nurse finds a fire in a client’s room. Which action should the nurse take first?
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A. Pull thefire alarm.
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B. Attempt toextinguish the fire. zl zl zl zl
C. Rescuethe client fromthe room. zl zl zl zl zl
D. Closethe door. zl zl
Answer: C. Rescue the client from the room.
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Rationale:FollowRACE (Rescue,Alarm, Contain, Extinguish). Safety ofthe client
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comes first.
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Q6.
Thenurseis caring for four clients. Which client should beseen first?
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A. Client with atemperature of100.8°F and productive cough.
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B. Client with O₂ saturation of85% on roomair.
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C. Client requesting pain medication rated 7/10.
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D. Client with bloodglucose of180 mg/dL.
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Answer: B. Client with O₂ saturation of 85%on room air.
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Rationale:Hypoxemia is life- zl zl zl
threatening and must beaddressed beforepain or fever. Prioritization uses ABCs.
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zl zl zl zl zl zl zl
VERSIONS 1–7 (V1,V2,V3,V4,V5,V6,V7,) |
z l zl z l
RATED GRADE A+| VERIFIED QUESTIONS & ANSWERS | BRAN
zl zl zl z l z l zl z l zl
D NEW!! zl
,HESI RN Exit Exam 2025 – Version 1
zl zl zl zl zl zl zl
Safety& Fundamentals
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Q1.
Anurseis caring fora client onfall precautions. Which intervention has the
zl zl zl zl zl zl zl zl zl zl zl z l zl
highest priority? zl
A. Keep the bed in the lowest position.
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B. Place non-slip socks onthe client.
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C. Remove clutter fromthe room. zl zl zl zl
D. Keep thecall light within reach.
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Answer: A. Keepthe bedin the lowestposition.
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Rationale:While all options reducefall risk, the lowest bed position most directly prevent
zl zl zl zl zl zl zl zl zl zl zl zl zl
s injury if the client doesfall or attempts to get out ofbed unsafely.
zl z l zl zl z l zl zl zl zl zl zl zl zl zl
Q2.
Anursereceives a client fromPACU who is drowsybut arousable. What is the
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
first action?
zl
A. Monitor vital signs. zl zl
B. Assessairway patency. zl zl
C. Check IV site. zl zl
D. Review intake and output. zl zl zl
,Answer: B. Assess airwaypatency.
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Rationale:Airway is always the priority in post-
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anesthesia care (ABCs). Monitoring vital signs follows after airway is confirmed.
zl zl zl z l zl zl zl zl z l zl
Q3.
Anurse prepares to administer digoxin. The apical pulse is 56 bpm.What should the n
zl zl zl zl z l zl zl zl zl zl zl zl zl zl zl
urse do?
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A. Administer the dose. zl zl
B. Hold themedication and notify theprovider.
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C. Document the pulse and reassess in 30 minutes. zl zl zl zl zl zl zl
D. Give half the dose.
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Answer:B. Hold the medicationand notify the provider.
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Rationale:Digoxin can causebradycardia. Thesafe hold parameter is HR <60 bpm.
zl zl zl zl zl zl zl zl zl zl zl zl
Q4.
Aconfusedelderly client keeps trying to pull out their IV. What is the best nursing in
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
tervention?
A. Applywrist restraints. zl zl
B. Coverthe IV site with a protective sleeve.
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C. Remove the IV. zl zl
D. Ask family to staywith theclient.
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, Answer: B. Coverthe IV site with a protective sleeve.
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Rationale:Theleast restrictive optionthat still protects the client should always be chose
zl zl zl zl zl zl zl zl zl zl zl z l zl
n before restraints.
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Q5.
The nurse finds a fire in a client’s room. Which action should the nurse take first?
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A. Pull thefire alarm.
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B. Attempt toextinguish the fire. zl zl zl zl
C. Rescuethe client fromthe room. zl zl zl zl zl
D. Closethe door. zl zl
Answer: C. Rescue the client from the room.
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Rationale:FollowRACE (Rescue,Alarm, Contain, Extinguish). Safety ofthe client
zl zl zl zl zl zl z l zl zl zl zl
comes first.
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Q6.
Thenurseis caring for four clients. Which client should beseen first?
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A. Client with atemperature of100.8°F and productive cough.
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B. Client with O₂ saturation of85% on roomair.
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C. Client requesting pain medication rated 7/10.
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D. Client with bloodglucose of180 mg/dL.
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Answer: B. Client with O₂ saturation of 85%on room air.
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Rationale:Hypoxemia is life- zl zl zl
threatening and must beaddressed beforepain or fever. Prioritization uses ABCs.
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