3/9/25, 12:00 Nursing Care Scenarios
PM
HESI EXIT V1 EXAM 2025 WITH 100% CORRECT ANSWERS
1. If a new resident at the facility has a Braden Scale score indicating high
risk for pressure ulcers, what nursing intervention should be
implemented?
Provide a high-protein diet without monitoring skin.
Increase the frequency of skin assessments and repositioning.
Limit mobility to prevent falls.
Decrease fluid intake to reduce dampness.
2. What is the dosage of interferon beta-Ib that the client with multiple
sclerosis is prescribed to receive every other day?
1.2 mL
0.25 mg
0.75 mL
0.1875 mg
3. A nurse is suctioning a client with an oral airway and notices resistance
when inserting the catheter. What should the nurse do to address this
issue?
Reapply a water soluble lubricant to the catheter before
attempting again.
Use a larger catheter size to overcome resistance.
Increase the suction pressure to force the catheter through.
Skip lubrication and proceed with suctioning.
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,3/9/25, 12:00 Nursing Care Scenarios
4.
PM
An older male client is admitted with the medical diagnosis of possible
cerebral vascular accident (CVA). He has facial paralysis and cannot move his
left side. When entering the room, the nurse finds the client's wife tearful and
2/56
,3/9/25, 12:00 Nursing Care Scenarios
PM
trying unsuccessfully to give him a drink of water. What action should the
nurse take?
Ask the wife to stop and assess the client's swallowing reflex.
Assist the wife and carefully give the client small sips of water
Obtain a thickening powder before providing any more
fluids. Give the wife a straw to help facilitate the client's
drinking.
5. Why is it important to delegate certain nursing tasks to practical nurses
(PNs) in an extended care facility?
It ensures that all nursing tasks are performed by RNs only.
It allows RNs to perform more administrative duties instead of direct
patient care.
It reduces the workload of registered nurses (RNs) without
considering patient safety.
Delegating tasks allows for efficient use of nursing resources and
ensures that patients receive timely care.
6. What is one method a nurse can use to confirm the correct placement of an
endotracheal tube (ETT)?
Monitor the patient's heart rate.
Assess the patient's level of
consciousness. Check the patient's blood
pressure.
Auscultate for presence of bilateral breath sounds.
7. If a client with Type 1 diabetes experiences increased thirst and follows the
nurse's instruction to administer regular insulin, what should the nurse advise
3/56
, 3/9/25, 12:00 Nursing Care Scenarios
PM
the client to monitor next?
Heart rate
4/56
PM
HESI EXIT V1 EXAM 2025 WITH 100% CORRECT ANSWERS
1. If a new resident at the facility has a Braden Scale score indicating high
risk for pressure ulcers, what nursing intervention should be
implemented?
Provide a high-protein diet without monitoring skin.
Increase the frequency of skin assessments and repositioning.
Limit mobility to prevent falls.
Decrease fluid intake to reduce dampness.
2. What is the dosage of interferon beta-Ib that the client with multiple
sclerosis is prescribed to receive every other day?
1.2 mL
0.25 mg
0.75 mL
0.1875 mg
3. A nurse is suctioning a client with an oral airway and notices resistance
when inserting the catheter. What should the nurse do to address this
issue?
Reapply a water soluble lubricant to the catheter before
attempting again.
Use a larger catheter size to overcome resistance.
Increase the suction pressure to force the catheter through.
Skip lubrication and proceed with suctioning.
1/56
,3/9/25, 12:00 Nursing Care Scenarios
4.
PM
An older male client is admitted with the medical diagnosis of possible
cerebral vascular accident (CVA). He has facial paralysis and cannot move his
left side. When entering the room, the nurse finds the client's wife tearful and
2/56
,3/9/25, 12:00 Nursing Care Scenarios
PM
trying unsuccessfully to give him a drink of water. What action should the
nurse take?
Ask the wife to stop and assess the client's swallowing reflex.
Assist the wife and carefully give the client small sips of water
Obtain a thickening powder before providing any more
fluids. Give the wife a straw to help facilitate the client's
drinking.
5. Why is it important to delegate certain nursing tasks to practical nurses
(PNs) in an extended care facility?
It ensures that all nursing tasks are performed by RNs only.
It allows RNs to perform more administrative duties instead of direct
patient care.
It reduces the workload of registered nurses (RNs) without
considering patient safety.
Delegating tasks allows for efficient use of nursing resources and
ensures that patients receive timely care.
6. What is one method a nurse can use to confirm the correct placement of an
endotracheal tube (ETT)?
Monitor the patient's heart rate.
Assess the patient's level of
consciousness. Check the patient's blood
pressure.
Auscultate for presence of bilateral breath sounds.
7. If a client with Type 1 diabetes experiences increased thirst and follows the
nurse's instruction to administer regular insulin, what should the nurse advise
3/56
, 3/9/25, 12:00 Nursing Care Scenarios
PM
the client to monitor next?
Heart rate
4/56
