HESI EXAM vc
Exam Solution vc
HESI RN EXIT EXAM MOST TESTED EXAM QUESTIONS A
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ND ANSWERS GRADED A+ ASSURED SUCCESS 2026 A+ G
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RADE ASSURED COMPLETE SOLUTIONS AND VERIFIED vc vc vc vc vc vc
ANSWERS (91BC4) vc
QUESTION 1 vc
The nurse is caring for a client with pneumonia who now develops initial signs of septic
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shock and multi organ failure. The healthcare provider prescribes a sepsis protocol. Whi
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ch intervention is most important for the nurse to include in the plan of care?
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A) Maintain strict intake and output.
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B) Keep head of bed raised 45°.
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C) Excess warmth of extremities.
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D) Monitor blood glucose level.
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ANSWER
A) Maintain strict intake and output.
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QUESTION 2 vc
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous onc
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e a day for a client who weighs 154 pounds. The medication is available and 25,000 units
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per milliliter vial. How many milliliters should the nurse administer? (Enter numerical v
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alue only. If rounding is required, round to the nearest 10th.)
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ANSWER
0.6
QUESTION 3 vc
An infant born with esophageal atresia and tracheoesophageal fistula receives a prescrip
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tion for internal feedings after corrective surgery. To promote normal growth and devel
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opment of the infant, which action should the nurse include in the plan of care?
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, ANSWER
Offer a pacifier for non-Nutritive sucking
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QUESTION 4 vc
The nurse is preparing a four year-
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old client with a serum bilirubin level of 19 for discharge from the hospital. When teachi
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ng the parents about home photo therapy, which instruction should the nurse include in
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the discharge teaching plan?
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A) Cover with a receiving blanket.
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B) Perform diaper changes under the light.
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C) Feed the infant every four hours.
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D) Reposition the infant every two hours.
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ANSWER
D) Reposition the infant every two hours.
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QUESTION 5 vc
The nurse initiate the procedure to remove a clients peripherally inserted central cathet
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er when a code blue is called for another client in the unit who collapse in the hallway w
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hile ambulating with the unlicensed assistive personnel. Which action should the nurse t
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ake?
A) Close the room door.
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B) Finish the procedure.
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C) Respond to the code.
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D) Call for an assistant.
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ANSWER
B) Finish the procedure.
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QUESTION 6 vc
Which nursing intervention is most important for the nurse to include in the plan of care
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for a client with alcohol withdrawal delirium?
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A) Maintain a quiet, non-stimulating environment.
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B) Confront the clients denial of substance abuse.
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C) Force oral fluids and provide frequent small meals.
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D) Encourage attendance and group participation.
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ANSWER
A) Maintain a quiet, non-stimulating environment.
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Exam Solution vc
HESI RN EXIT EXAM MOST TESTED EXAM QUESTIONS A
vc vc vc vc vc vc vc vc
ND ANSWERS GRADED A+ ASSURED SUCCESS 2026 A+ G
vc vc vc vc vc vc vc vc
RADE ASSURED COMPLETE SOLUTIONS AND VERIFIED vc vc vc vc vc vc
ANSWERS (91BC4) vc
QUESTION 1 vc
The nurse is caring for a client with pneumonia who now develops initial signs of septic
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
shock and multi organ failure. The healthcare provider prescribes a sepsis protocol. Whi
vc vc vc vc vc vc vc vc vc vc vc vc
ch intervention is most important for the nurse to include in the plan of care?
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
A) Maintain strict intake and output.
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B) Keep head of bed raised 45°.
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C) Excess warmth of extremities.
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D) Monitor blood glucose level.
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ANSWER
A) Maintain strict intake and output.
vc vc vc vc vc
QUESTION 2 vc
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous onc
vc vc vc vc vc vc vc vc vc vc
e a day for a client who weighs 154 pounds. The medication is available and 25,000 units
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
per milliliter vial. How many milliliters should the nurse administer? (Enter numerical v
vc vc vc vc vc vc vc vc vc vc vc vc vc
alue only. If rounding is required, round to the nearest 10th.)
vc vc vc vc vc vc vc vc vc vc
ANSWER
0.6
QUESTION 3 vc
An infant born with esophageal atresia and tracheoesophageal fistula receives a prescrip
vc vc vc vc vc vc vc vc vc vc vc
tion for internal feedings after corrective surgery. To promote normal growth and devel
vc vc vc vc vc vc vc vc vc vc vc vc
opment of the infant, which action should the nurse include in the plan of care?
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
, ANSWER
Offer a pacifier for non-Nutritive sucking
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QUESTION 4 vc
The nurse is preparing a four year-
vc vc vc vc vc vc
old client with a serum bilirubin level of 19 for discharge from the hospital. When teachi
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ng the parents about home photo therapy, which instruction should the nurse include in
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
the discharge teaching plan?
vc vc vc
A) Cover with a receiving blanket.
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B) Perform diaper changes under the light.
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C) Feed the infant every four hours.
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D) Reposition the infant every two hours.
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ANSWER
D) Reposition the infant every two hours.
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QUESTION 5 vc
The nurse initiate the procedure to remove a clients peripherally inserted central cathet
vc vc vc vc vc vc vc vc vc vc vc vc
er when a code blue is called for another client in the unit who collapse in the hallway w
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
hile ambulating with the unlicensed assistive personnel. Which action should the nurse t
vc vc vc vc vc vc vc vc vc vc vc vc
ake?
A) Close the room door.
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B) Finish the procedure.
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C) Respond to the code.
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D) Call for an assistant.
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ANSWER
B) Finish the procedure.
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QUESTION 6 vc
Which nursing intervention is most important for the nurse to include in the plan of care
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for a client with alcohol withdrawal delirium?
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A) Maintain a quiet, non-stimulating environment.
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B) Confront the clients denial of substance abuse.
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C) Force oral fluids and provide frequent small meals.
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D) Encourage attendance and group participation.
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ANSWER
A) Maintain a quiet, non-stimulating environment.
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