HESI Exit Exam 2025 – Latest Questions with
100% Actual Verified Answers | Updated A+
Rated Guide
A client is receiving a continuous half strength tube feeding at 50ml/hour. To
prepare enough of the solution for eight hours, how many ml of full strength
feeding will the nurse need? (Enter numeric value only.) - CORRECT
ANSWER>>>>200ml . 25 ml of full strength feeding mixed with 25ml of
water provided 50ml of half strength. 25ml × 8 hours= 200ml
An elderly male client is experiencing urinary incontinence. What is the best initial
nursing action? - CORRECT ANSWER>>>>Apply an external condom catheter
3. A male Muslim client with pneumonia is scheduled to receive a dose of an
intravenous antibiotic but refuses to allow the nurse to begin the medication, stating
he cannot allow fluids to enter his body once he is cleansed for prayer. What action
should the nurse implement? - CORRECT ANSWER>>>>Reschedule administration
of the antibiotic until after he completes his prayers
UAP using a hand sanitzers that is alcohol for 2 minutes -
CORRECT ANSWER>>>>tell that hand sanitizer use is less > 2min
5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour before a
scheduled procedure. The child weighs 44 pounds. How many mg of the
medication should the nurse administer - CORRECT ANSWER>>>>Answer:
800 Rationale: First, convert the child's weight to kg: 44 pounds divided by
2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg = 800mg
6. While assisting a postpartum client with perineal care, the nurse notes that her
vaginal bleeding spurts rather than trickles from the vagina. The uterine fundus is
firm and the client's vital signs are pulse 88 beats/minute; respiratory rate, 21
breaths/minute; and blood pressure, 104/68 mmHg. What action should the nurse
take next? - CORRECT ANSWER>>>>Compare current vital signs with
previous vital signs
A 6-year old boy was hit with a bat while playing at school. He has a splinter
of wood imbedded in his eye. Which action should the school nurse take? -
CORRECT ANSWER>>>>Have the parent take the child for emergency help
1
,Within four weeks of childbirth, a client is admitted to the hospital for
disorganized speech bizarre behavior, and strange thoughts about her infant being
possessed by demons. The nurse identifies a nursing diagnosis of "Altered thought
processes, secondary to" what condition? - CORRECT
ANSWER>>>>Postpartum psychosis
The nurse identifies a priority diagnosis of, "Altered comfort related to menstrual
cramps" for a 25-year-old female client. Which self-care activity should the
nurse emphasize in the client's teaching plan? - CORRECT
ANSWER>>>>Regular aerobic exercise.
Psych/Alcohol/Tylenol overdose antidote - CORRECT
ANSWER>>>>Give Mucomyst
Medical Surgical/Laxative abuses - CORRECT ANSWER>>>>Patient -
taking Milk of Magnesium
Spiritual/Documentation - CORRECT ANSWER>>>>Native American -
Allow pt's family to stay in the room
Leadership- Interpreter informed consent - CORRECT ANSWER>>>>Pt
should sign the consent
Geriatrics/Emergency Rib fractures fall - CORRECT
ANSWER>>>>Pulmonary embolism
A client diagnosed with major depression is being allowed a weekend pass from the
psychiatric unit. Which instruction should the nurse provide to the client's family? -
CORRECT ANSWER>>>>Involve the client in usual at home activities
Upon assessment, the nurse discovers that a postpartum client has persistent
red lochia.
Which of the following does this assessment finding suggest to the nurse?
- CORRECT ANSWER>>>>Coagulation disorders
The healthcare provider performs peritoneal dialysis on a client, after which 2
liters of fluid is drained. What action should the nurse complete first? -
CORRECT ANSWER>>>>Assess vital signs.
2
, After administering a medication through a nasogastric tube connected to
suction, what action should the nurse take first? - CORRECT
ANSWER>>>>Clamp the tube
The nurse is caring for four clients: Client A 94% o2 saturation, Client
B, hemoglobin of 8.;
Client C, potassium level of 3.8 and Client D appendectomy who has a white
blood cell count of 15,000. What
should the nurse implement? - CORRECT ANSWER>>>>Determine if Client
B has two units of packed cells available in the blood bank.
Triage question with a train wreck The psychiatric nurse is called to a train
derailment that was likely caused by a terrorist bomb. In triaging those in need
of immediate care, what is the priority ranking for these cases?
(arrange these cases in order or priority with the top item requiring the most
immediate care and the bottom item requiring the least priority care) -
CORRECT ANSWER>>>>A mother and father have just arrived on the .
A crying child being held by another passenger. A woman sitting on the
ground with a blanket.
A middle-aged man who is wandering around
(arrange in order) = middle age woman bleeding- woman w/ blanket- child crying-
mother and father. (Mine didn't have a middle age woman bleeding, instead it had an
old man wandering and - CORRECT ANSWER>>>>correct order is: wandering old
man, woman w/blanket, man holding baby, and mother & father)
The nurse in the emergency department is using the simple triage and rapid
transport (START) system to assess victims of a hurricane. Which statement
correctly describes a yellow disaster tag? - CORRECT ANSWER>>>>A
yellow disaster tag means critical injuries and require immediate intervention.
What makes a baby frontal bulge or rises - CORRECT ANSWER>>>>crying
Which of the following is a nursing intervention for a 3-year-old client who
is going in for sugery in 8 hours
that has an order for fluid restriction? - CORRECT ANSWER>>>>Do not
allow the child to drink fluids
3
100% Actual Verified Answers | Updated A+
Rated Guide
A client is receiving a continuous half strength tube feeding at 50ml/hour. To
prepare enough of the solution for eight hours, how many ml of full strength
feeding will the nurse need? (Enter numeric value only.) - CORRECT
ANSWER>>>>200ml . 25 ml of full strength feeding mixed with 25ml of
water provided 50ml of half strength. 25ml × 8 hours= 200ml
An elderly male client is experiencing urinary incontinence. What is the best initial
nursing action? - CORRECT ANSWER>>>>Apply an external condom catheter
3. A male Muslim client with pneumonia is scheduled to receive a dose of an
intravenous antibiotic but refuses to allow the nurse to begin the medication, stating
he cannot allow fluids to enter his body once he is cleansed for prayer. What action
should the nurse implement? - CORRECT ANSWER>>>>Reschedule administration
of the antibiotic until after he completes his prayers
UAP using a hand sanitzers that is alcohol for 2 minutes -
CORRECT ANSWER>>>>tell that hand sanitizer use is less > 2min
5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour before a
scheduled procedure. The child weighs 44 pounds. How many mg of the
medication should the nurse administer - CORRECT ANSWER>>>>Answer:
800 Rationale: First, convert the child's weight to kg: 44 pounds divided by
2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg = 800mg
6. While assisting a postpartum client with perineal care, the nurse notes that her
vaginal bleeding spurts rather than trickles from the vagina. The uterine fundus is
firm and the client's vital signs are pulse 88 beats/minute; respiratory rate, 21
breaths/minute; and blood pressure, 104/68 mmHg. What action should the nurse
take next? - CORRECT ANSWER>>>>Compare current vital signs with
previous vital signs
A 6-year old boy was hit with a bat while playing at school. He has a splinter
of wood imbedded in his eye. Which action should the school nurse take? -
CORRECT ANSWER>>>>Have the parent take the child for emergency help
1
,Within four weeks of childbirth, a client is admitted to the hospital for
disorganized speech bizarre behavior, and strange thoughts about her infant being
possessed by demons. The nurse identifies a nursing diagnosis of "Altered thought
processes, secondary to" what condition? - CORRECT
ANSWER>>>>Postpartum psychosis
The nurse identifies a priority diagnosis of, "Altered comfort related to menstrual
cramps" for a 25-year-old female client. Which self-care activity should the
nurse emphasize in the client's teaching plan? - CORRECT
ANSWER>>>>Regular aerobic exercise.
Psych/Alcohol/Tylenol overdose antidote - CORRECT
ANSWER>>>>Give Mucomyst
Medical Surgical/Laxative abuses - CORRECT ANSWER>>>>Patient -
taking Milk of Magnesium
Spiritual/Documentation - CORRECT ANSWER>>>>Native American -
Allow pt's family to stay in the room
Leadership- Interpreter informed consent - CORRECT ANSWER>>>>Pt
should sign the consent
Geriatrics/Emergency Rib fractures fall - CORRECT
ANSWER>>>>Pulmonary embolism
A client diagnosed with major depression is being allowed a weekend pass from the
psychiatric unit. Which instruction should the nurse provide to the client's family? -
CORRECT ANSWER>>>>Involve the client in usual at home activities
Upon assessment, the nurse discovers that a postpartum client has persistent
red lochia.
Which of the following does this assessment finding suggest to the nurse?
- CORRECT ANSWER>>>>Coagulation disorders
The healthcare provider performs peritoneal dialysis on a client, after which 2
liters of fluid is drained. What action should the nurse complete first? -
CORRECT ANSWER>>>>Assess vital signs.
2
, After administering a medication through a nasogastric tube connected to
suction, what action should the nurse take first? - CORRECT
ANSWER>>>>Clamp the tube
The nurse is caring for four clients: Client A 94% o2 saturation, Client
B, hemoglobin of 8.;
Client C, potassium level of 3.8 and Client D appendectomy who has a white
blood cell count of 15,000. What
should the nurse implement? - CORRECT ANSWER>>>>Determine if Client
B has two units of packed cells available in the blood bank.
Triage question with a train wreck The psychiatric nurse is called to a train
derailment that was likely caused by a terrorist bomb. In triaging those in need
of immediate care, what is the priority ranking for these cases?
(arrange these cases in order or priority with the top item requiring the most
immediate care and the bottom item requiring the least priority care) -
CORRECT ANSWER>>>>A mother and father have just arrived on the .
A crying child being held by another passenger. A woman sitting on the
ground with a blanket.
A middle-aged man who is wandering around
(arrange in order) = middle age woman bleeding- woman w/ blanket- child crying-
mother and father. (Mine didn't have a middle age woman bleeding, instead it had an
old man wandering and - CORRECT ANSWER>>>>correct order is: wandering old
man, woman w/blanket, man holding baby, and mother & father)
The nurse in the emergency department is using the simple triage and rapid
transport (START) system to assess victims of a hurricane. Which statement
correctly describes a yellow disaster tag? - CORRECT ANSWER>>>>A
yellow disaster tag means critical injuries and require immediate intervention.
What makes a baby frontal bulge or rises - CORRECT ANSWER>>>>crying
Which of the following is a nursing intervention for a 3-year-old client who
is going in for sugery in 8 hours
that has an order for fluid restriction? - CORRECT ANSWER>>>>Do not
allow the child to drink fluids
3
