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Exam (elaborations)

RN EXIT HESI A2 EXAM WITH CORRECT ANSWERS 2025

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RN EXIT HESI A2 EXAM WITH CORRECT ANSWERS 2025

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RN EXIT HESI A2 EX
Course
RN EXIT HESI A2 EX










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Institution
RN EXIT HESI A2 EX
Course
RN EXIT HESI A2 EX

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Uploaded on
May 5, 2025
Number of pages
21
Written in
2024/2025
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Exam (elaborations)
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RN EXIT HESI A2 EXAM WITH
CORRECT ANSWERS
2025
Client w/ COPD, oxygen 2/l. Nurse observes SOB w/23BPM ( correct
answersthe
Assess ) delivery mechanism of the oxygen tank, tubing,
and cannula.
Client w/ HF, SOB. Nurse to administer morphine sulfate IV
( correct answers
Withhold the morphine
) till client's dyspnea
resolves.
two medications at same time. Which property of drugs to watch out
for?
answers ) Short half
( correct
life
ordered 15000 iu, on hand 25000 iu/ml ( correct
answers ) 0.6 mL
4 clients admitted to acute neuro unit. which client to be assigned a
private answers
correct room ) bacterial (
meningitis
An older adult with a terminal illness is receiving hospice care and is
having difficulty
coping with
death
and dying. Which intervention should the nurse include in this client's plan
of care?
d. Encourage family visit
(
frequently.
correct answers ) c. Teach client how to use guided
The nurse is conduction intake interviews of children at a city clinic.
imagery.
Whichsusceptible
most child is
contracting lead poisoning? ( correct answers ) A 2-year-old who plays
to
on agingplayground
outdoor
equipment.
A 62- year-old male client tells the nurse that he has HDL level of 85
mg/dl (2.2
mmol/L Si).
action should the nurse take?( correct answers ) Confirm that this value
What
is helpful
in reducing cardiac
risk.
An adolescent with meningococcal meningitis is receiving a continuous IV
infusion of
penicillin
which prescribed as 20 million units in volume of 2 L of NS every 24
G,
hours. The delivers
pharmacy
million units/L of NS. How many ml/hr? ( correct answers )
10
83 ml/hr


GRADED
A+

,10.While the nurse is admitting a client with partial thickness burn
to the upperchest,
extremities,
abdominal, the client experiences difficulty swallowing. The client is
and
drooling and
anxious.
intervention should the nurse implement first? ( correct answers )
Which
Auscultate
main stem over
bronchus.

11.when conducting diet teaching for a client who was diagnosed with
hypertension.
Which foods
the nurse encourage the client to eat? ( correct answers ) A.Fruits
should
without sauce
C.Fresh or frozen vegetables without
sauce.
the nurse reviewing discharge instructions with an older client who
received new
medicatio
prescriptions. Which instruction should the nurse provide? ( correct
n
answers
a ) Use system to help remember to take the right meds at the
med reminder
right time.

13.While transferring a client with a chest tube from the bed to a
tube
stretcher,
from
disconnected
the water-seal
the chest drainage container. The nurse immerses the end of
the tube in
container ofa
sterile
water. Which action should the nurse implement first? ( correct
answers
for a new) water-seal
Prepare system and reattach the client tube.

A client who weighs 132 pounds receives a prescription for lorazepam 44
mcg/kg IV to
b
e
administered 20 minutes before a scheduled procedure. The medication is
available in
2mg/
vial. How many mL should the nurse administer.
mL ( correct answers )
1.3mL

antiretroviral
An older malereports
client who
that was
he issuccessfully
now havingtreated
pain in for
his Herpes
trunk area
zoster
where
shingles
the
were with an
lesions
Which action should the nurse take?
located. ( correct answers ) Contact the
HCP about
need to resume
the clients medication.

A mother calls the nurse to report that at 0900 she administered an
oral dose of
digoxin
to
her 4 month old infant but at 0920 the baby vomited the medicine.
Which instruction
should
the
nurse provide? ( correct answers ) Withhold this
dose




GRADED
A+

, The nurse is teaching a mother of a newborn with a cleft lip how to
bottle feed her
bab
using a Medela Heberman feeder which has a valve to control the release
y
of milk and
nippl
opening. The nurse discusses placing the nipples elongated tip in the
e
back of the oral
cavity
.Which instructions should the nurse provide the mother about feedings?
answers ) Hold the newborn in an upright position
( correct
The nurse is preparing an older client for discharge following cataract
extraction.
Whic
instruction should be provided in discharge teaching.
h
( correct answers
straining at stool, )bending, or lifting heavy objects.
Avoid

To prevent infection by autocontamination during the acute phase of
recovery from
multipl
e
burns. Which intervention is most important for the nurse to implement.
answers ) B. Dress each wound separately
( correct
After placing a client at 26 weeks gestation in the lithotomy
position, the chest
complains
of
dizziness and becomes pale and diaphoretic. Which action should
the nurse
implement? ( correct answers ) Place a wedge under a clients hip

The HCP provides a sedative for a client with severe hypothyroidism. The
nurse
t plans
o
contact the provider to review the safety of the prescription for the client
and consults
the
nurse. The charge nurse notes the prescription is legally written and
charge
completely. How
should
charge nurse respond? ( correct answers ) Affirm the nurses plan to
the
review the with the provider
prescription

A client with tachycardia and hypotension presents to the ERreporting
severe vomiting
an
diarrhea for 3 days. Which action is most important for the nurse to
implement?
correct answers ) Encourage electrolyte supplements (

A female client presents to the clinic with a fever and sore throat as well
as a rash on
th
e
hands, palms, and soles of the feet. Client reports having intercourse
with a new
partner
8
weeks ago. Which condition should the nurse suspect. ( correct
answers ) Herpes
simplex
virus


GRADED
A+
R310,10
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