HESI exit EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

HESI EXAM ms ms




Exam Solution ms




HESI EXIT EXAM SS5 2026 A+ GRADE ASSURED COMPL
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ETE SOLUTIONS AND VERIFIED ANSWERS (0F5B3)
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QUESTION 1 ms




After placing a 36- ms ms ms



week gestation newborn in an isolette and drying the infant with several blankets, wh
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at should the nurse implement next?
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a. Administer the vitamin K injection
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b. Remove the wet blankets and linens from the isolette
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c. Place erythromycin ophthalmic ointment in both eyes
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d. Open the isolate door to assess the infants' vital signs
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ANSWER

c. Place erythromycin ophthalmic ointment in both eyes
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QUESTION 2 ms




The nurse is reviewing the laboratory values for a client with acute pancreatitis who r
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eports that the abdominal pain is not as severe as it was on admission. Which laborat
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ory test should the nurse review to evaluate the client's clinical recovery?
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a. Lipase
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b. Creatinine
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c. Bilirubin
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d. Glucose
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ANSWER

a. Lipase
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QUESTION 3 ms




While assessing a client who had a laparotomy the previous day, the nurse notices tha
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t 300 mL of dark red fluid has drained from the nasogastric tube in the last hour. Whi
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ch action should the nurse take first?
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a. Determine the client's vital signs
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,b. Monitor urinary output hourly
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c. Notify the surgeon immediately
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d. Assess the client's level of pain
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ANSWER

b. Determine the client's vital signs
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QUESTION 4 ms




A woman is brought to the labor and delivery unit after delivering a term infant and t
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he placenta in the hospital parking lot 10 minutes ago. Which action should the nurse
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perform first?
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a. Inspect the perineum for lacerations
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b. Collect specimen for hemoglobin and hematocrit
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c. Massage the fundus and give oxytocic agent
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d. Place the infant to breast for bonding
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ANSWER

c. Massage the fundus and give oxytocic agent
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QUESTION 5 ms




A client has a new prescription for the maximum recommended dosage of piperacillin
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/tazobactam for nosocomial pneumonia. The nurse should report which laboratory fin
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ding to the health care provider before administering the prescribed dose?
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a. Elevated white blood cell count
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b. Presence of gram-positive bacteria in the sputum
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c. Decrease creatinine clearance
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d. Elevated cholesterol and lipoproteins
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ANSWER

b. Presence of gram-positive bacteria in the sputum
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QUESTION 6 ms




A client who is admitted with diabetic ketoacidosis is demonstrating Kussmaul breathi
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ng and has a severe headache along with nausea. Her arterial blood gases are: ph 7.5
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0; paco2 30 mmhg; HCO3 24 meq/L. Which assessment finding warrants immediate in
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tervention by the nurse? ms ms ms



a. Muscle stiffness
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b. Abdominal pain
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c. Mental stupor
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d. Fruity breath
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ANSWER

, d. Fruity breath
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QUESTION 7 ms




In observing a client's face, which assessment finding requires the most immediate int
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ervention by the nurse? ms ms ms



a. Cornea are jaundiced
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b. Oral mucosa is cyanotic
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c. Face is flushed and diaphoretic
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d. Eyelids are matted and crusted
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ANSWER

b. Oral mucosa is cyanotic
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QUESTION 8 ms




The nurse is assessing a client with cirrhosis and notes that the client has a positive B
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abinski reflex. Which action should the nurse take in response to the finding?
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a. Ask the client to describe recent alcohol use
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b. Keep the clients feet elevated when in bed
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c. Assess the clients muscle strength and tone
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d. Complete a thorough neurological assessment
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ANSWER

d. Complete a thorough neurological assessment
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QUESTION 9 ms




Which action should the nurse take first after obtaining a urine specimen for culture
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and sensitivity from an indwelling urinary catheter?
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a. Ensure that the drainage bag is attached to the bed frame
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b. Ensure continued sterility of the specimen container
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c. Securely fasten the clamp on the drainage bag
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d. Label the container with the clients identifiers
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ANSWER

d. Label the container with the client's identifiers.
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QUESTION 10 ms




A client with cancer complains of fever, chills, malaise, and headache following admini
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stration of a colony stimulating factor. Which nursing intervention is most beneficial i
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n helping to reduce the flu like symptoms?
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a. Monitor lab values for an increase in WBCs
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