HESI RN 2025 EXIT QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+ MOST TESTED EXAM
The nurse enters a clients room to administer oral medication's and find an
unlicensed assistive personnel providing personal care to the client, whose condition
has obviously deteriorated. The client is lying in a supine position and is weak, pale,
and diaphoretic. Which is the priority nursing action?
A) Determine why the UAP did not notify the nurse of the change in the clients
condition.
B) Advised the UAP to stop providing care so the nurse can assess the clients
condition.
C) Explain to the UAP that changes in a clients condition should be reported
immediately.
D) Ask for UAP to position the client so the oral medication's can be administered.
B) Advised the UAP to stop providing care so the nurse can assess the clients
condition.
The client who was admitted yesterday with severe dehydration is reporting pain
where a 24 gauge IV catheter with 0.9% sodium chloride is infusing at a rate of 150
mL per hour. Which intervention should the nurse implement first?
A) Discontinue the 24 gauge IV.
B) Establish a second IV site.
C) Stop the 0.9% sodium chloride infusion.
D) Assess the IV for blood return.
C) Stop the 0.9% sodium chloride infusion.
Client should the nurse assess frequently because of the risk for overflow
incontinence?
,A) a client with hematuria and decreasing hemoglobin and hematocrit levels.
B) A client who has been fast, with increased serum creatinine levels.
C) A client who is confused and frequently forgets to go to the bathroom.
D) A client who has a history of frequent urinary tract infections.
C) A client who is confused and frequently forgets to go to the bathroom.
After a spider bite on the lower extremity, a client is admitted for treatment of an
infection that is spreading up the leg. Which admission assessment findings should
the nurse report to the healthcare provider? SATA.
A) Location of the initial IV site.
B) Swollen lymph nodes in the groin.
C) Red blood cell count.
D) White blood cell count.
E) Core body temperature.
B) Swollen lymph nodes in the groin.
D) White blood cell count.
E) Core body temperature.
A client develops your to Caria on the trunk and neck shortly after a secondary
infusion of pepper Sillen is initiated. In which order should the nurse implement these
interventions?
Document reaction of the drug.
Contact the healthcare provider.
Assess vital signs.
Stop the infusion.
Initiate an adverse event report.
Stop the infusion.
,Assess vital signs.
Contact the healthcare provider.
Initiate an adverse event report.
Document reaction to drug.
What nursing intervention is particularly indicated for the second stage of labor?
A) Assessing the fetal heart rate and patterns for signs of fetal distress.
B) Monitoring effects of oxytocin administration to help achieve cervical dilation.
C) Providing pain medication to increase the clients tolerance of labor pains.
D) Assisting the client to push effectively so that expulsion of the fetus can be
achieved.
D) Assisting the client to push effectively so that expulsion of the fetus can be
achieved.
A client receives a prescription for Aceta medicine 1000 mg PO every eight hours PRN
for pain. The bottle is labeled acetaminophen for oral suspension, US P 500 mg per 15
mL. How many tablespoons should the nurse administer with each dose? (Enter
numerical value only.)
2
15 mL per tablespoon
The nurse is administering multiple prescribe vaccines to a toddler. Which strategy
should the nurse prioritized to reduce the duration of pain?
A) Supine positioning.
B) Verbal reassurance.
C) Simultaneous injections.
, D) Physical soothing.
C) Simultaneous injections.
NGN: Dean 30, admit to the medical floor, vital signs every four hours, regular diet,
out of bed with assist.
Complete diagram with one condition, two actions, and two parameters.
Actions: the client for a nutrition history, encourage the client to drink
Condition: Malnutrition
Actions: ?????
????????
When assessing a multigravida on the first postpartum day, the nurse finds a
moderate amount of lochia rubra, with the uterus firm, and three fingerbreadths
above the umbilicus. Which action should the nurse implement first?
A) Check for a distended bladder.
B) Review the hemoglobin to determine hemorrhage.
C) Increase IV infusion rate.
D) Massage the uterus to decrease atony.
A) Check for a distended bladder.
.
A client who is receiving zidovudine reports the appearance of pinpoint, red, brown
spots on the skin. Which result should the nurse report to the healthcare provider?
A) Skin biopsy.
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+ MOST TESTED EXAM
The nurse enters a clients room to administer oral medication's and find an
unlicensed assistive personnel providing personal care to the client, whose condition
has obviously deteriorated. The client is lying in a supine position and is weak, pale,
and diaphoretic. Which is the priority nursing action?
A) Determine why the UAP did not notify the nurse of the change in the clients
condition.
B) Advised the UAP to stop providing care so the nurse can assess the clients
condition.
C) Explain to the UAP that changes in a clients condition should be reported
immediately.
D) Ask for UAP to position the client so the oral medication's can be administered.
B) Advised the UAP to stop providing care so the nurse can assess the clients
condition.
The client who was admitted yesterday with severe dehydration is reporting pain
where a 24 gauge IV catheter with 0.9% sodium chloride is infusing at a rate of 150
mL per hour. Which intervention should the nurse implement first?
A) Discontinue the 24 gauge IV.
B) Establish a second IV site.
C) Stop the 0.9% sodium chloride infusion.
D) Assess the IV for blood return.
C) Stop the 0.9% sodium chloride infusion.
Client should the nurse assess frequently because of the risk for overflow
incontinence?
,A) a client with hematuria and decreasing hemoglobin and hematocrit levels.
B) A client who has been fast, with increased serum creatinine levels.
C) A client who is confused and frequently forgets to go to the bathroom.
D) A client who has a history of frequent urinary tract infections.
C) A client who is confused and frequently forgets to go to the bathroom.
After a spider bite on the lower extremity, a client is admitted for treatment of an
infection that is spreading up the leg. Which admission assessment findings should
the nurse report to the healthcare provider? SATA.
A) Location of the initial IV site.
B) Swollen lymph nodes in the groin.
C) Red blood cell count.
D) White blood cell count.
E) Core body temperature.
B) Swollen lymph nodes in the groin.
D) White blood cell count.
E) Core body temperature.
A client develops your to Caria on the trunk and neck shortly after a secondary
infusion of pepper Sillen is initiated. In which order should the nurse implement these
interventions?
Document reaction of the drug.
Contact the healthcare provider.
Assess vital signs.
Stop the infusion.
Initiate an adverse event report.
Stop the infusion.
,Assess vital signs.
Contact the healthcare provider.
Initiate an adverse event report.
Document reaction to drug.
What nursing intervention is particularly indicated for the second stage of labor?
A) Assessing the fetal heart rate and patterns for signs of fetal distress.
B) Monitoring effects of oxytocin administration to help achieve cervical dilation.
C) Providing pain medication to increase the clients tolerance of labor pains.
D) Assisting the client to push effectively so that expulsion of the fetus can be
achieved.
D) Assisting the client to push effectively so that expulsion of the fetus can be
achieved.
A client receives a prescription for Aceta medicine 1000 mg PO every eight hours PRN
for pain. The bottle is labeled acetaminophen for oral suspension, US P 500 mg per 15
mL. How many tablespoons should the nurse administer with each dose? (Enter
numerical value only.)
2
15 mL per tablespoon
The nurse is administering multiple prescribe vaccines to a toddler. Which strategy
should the nurse prioritized to reduce the duration of pain?
A) Supine positioning.
B) Verbal reassurance.
C) Simultaneous injections.
, D) Physical soothing.
C) Simultaneous injections.
NGN: Dean 30, admit to the medical floor, vital signs every four hours, regular diet,
out of bed with assist.
Complete diagram with one condition, two actions, and two parameters.
Actions: the client for a nutrition history, encourage the client to drink
Condition: Malnutrition
Actions: ?????
????????
When assessing a multigravida on the first postpartum day, the nurse finds a
moderate amount of lochia rubra, with the uterus firm, and three fingerbreadths
above the umbilicus. Which action should the nurse implement first?
A) Check for a distended bladder.
B) Review the hemoglobin to determine hemorrhage.
C) Increase IV infusion rate.
D) Massage the uterus to decrease atony.
A) Check for a distended bladder.
.
A client who is receiving zidovudine reports the appearance of pinpoint, red, brown
spots on the skin. Which result should the nurse report to the healthcare provider?
A) Skin biopsy.
