2/6/25, 2:58 PM NCLEX HESI EXIT CRITICAL THINKING EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | ALRE…
NCLEX HESI EXIT CRITICAL THINKING EXAM
2025 | ALL QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES | ALREADY GRADED A+ |
PROFESSOR VERIFIED
Save
Terms in this set (146)
a client with low back pain
Direct application of warm moist heat would benefit a
client with low back pain because the heat relaxes
Which client would benefit muscle spasms. Heat should not be applied to a client
from the application of who has appendicitis because it can lead to rupture
warm moist heat? of the appendix and peritonitis. Ice is applied to
recently sprained joints to help decrease edema.
Applying heat to the area of a suspected malignancy
can increase blood flow to the tumor and promote
nourishment of the cancer cells.
https://quizlet.com/1002356804/nclex-hesi-exit-critical-thinking-exam-2025-all-questions-and-correct-answers-with-rationales-already-graded-a-profes… 1/43
,2/6/25, 2:58 PM NCLEX HESI EXIT CRITICAL THINKING EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | ALRE…
A nurse is administering 0.25
vitamin K to a neonate
following birth. The Use the following formula to calculate drug
medication comes in a dosages:Dose on hand/Quantity on hand = Dose
concentration of 2 mg/ml, desired/XPlug in the values and the equation is as
and the ordered dose is follows:2 mg/ml = 0.5 mg/XX = 0.25 ml.
0.5 mg to be given
subcutaneously. How
many milliliters would the
nurse administer? Record
your answer using two
decimal places.
16 drops/min
A child is to receive IV
fluids at a rate of 95 mL/h.
To determine the number of drops per minute,
The tubing for the infusion
multiply 95 ml/hour by 10 drops/mL (drop factor). This
delivers 10 drops/mL. At
equals 950 mL/h. Dividing 950 mL/h by 60 min/h
which rate should the
yields 15.8 drops/min. Therefore, 16 drops/min should
nurse infuse the solution?
be infused.
A 5-year-old child is changes in respiration
brought to the emergency
department after injuries Impaired diaphragm function is common with cervical
sustained in a motor cord injuries in children and is potentially life
vehicle accident. The child threatening. It interferes with the ability to breathe,
is diagnosed with a causing changes in respiration.
cervical spinal cord injury.
Which assessment data
would the nurse consider
as most significant when
assessing for signs of
cervical spinal cord
swelling?
https://quizlet.com/1002356804/nclex-hesi-exit-critical-thinking-exam-2025-all-questions-and-correct-answers-with-rationales-already-graded-a-profes… 2/43
,2/6/25, 2:58 PM NCLEX HESI EXIT CRITICAL THINKING EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | ALRE…
The healthcare provider 0.75
prescribes meperidine
hydrochloride 1.5 mg/kg 1.5 mg/kg × 25 kg = 37.5 mg per dose
intramuscularly to a 37.5 mg / 50 mg x 1ml = 0.75 ml for injection
school-age client. The
pharmacy supplies
meperidine hydrochloride
injection as 50 mg/mL. The
client weighs 25 kg. How
many milliliters will the
nurse administer? Record
your answer using two
decimal places.
heart rate above 100 beats/minute
A client with a bleeding In early shock, the body attempts to meet its
ulcer is vomiting bright perfusion needs through tachycardia,
red blood. The nurse vasoconstriction, and fluid conservation.The skin
should assess the client becomes cool and clammy.Urine output in early shock
for which indicator of may be normal or slightly decreased.The client may
early shock? experience increased restlessness and anxiety from
hypoxia, but loss of consciousness is a late sign of
shock.
A client reports pain in the Call the physician to report the finding.
right heel and is
requesting medication. The best response would be to notify the physician.
The nurse assesses the The nurse cannot repeat the dose of analgesic
client and administers an without an order. Massaging the ankle and applying
analgesic. The client moist heat would be inappropriate for a number of
experiences no pain relief reasons. The client could be developing a deep vein
and states that the heel thrombosis, which may dislodge an embolus.
pain is worse. What is an Unrelieved pain indicates that an adverse event is
appropriate intervention developing, and the physician should be made aware
by the nurse? of the situation.
https://quizlet.com/1002356804/nclex-hesi-exit-critical-thinking-exam-2025-all-questions-and-correct-answers-with-rationales-already-graded-a-profes… 3/43
, 2/6/25, 2:58 PM NCLEX HESI EXIT CRITICAL THINKING EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | ALRE…
A client has suffered a A cardiac monitor should be used for at least 24 hours
deep partial-thickness to anticipate the potential for cardiac dysrhythmias.
burn to the right arm from
a high-voltage source of A client with electrical burns based on energy and
energy that was not potential damage to the heart needs cardiac
turned off while working monitoring. Dextrose is not useful for fluid volume
on it. What is the priority expansion and infection would occur much later.
nursing intervention in the Urine output needs hourly monitoring based on
acute phase of care? myoglobin release.
Document this finding as on the high end of the
normal range and plan to reassess.
During the nurse's Heart rates can be as fast as 180 bpm, but the normal
assessment, the newborn range for a newborn heart rate is 110-160 bpm. Thus,
wakes and is in a quiet- the newborn's heart rate of 157 bpm is on the high end
alert state. The nurse of the normal range, but still within the normal range.
counts the apical pulse to It would be appropriate to reassess the client's heart
be 157 beats per minute. rate because newborn heart rates can fluctuate
Which is the most depending on the state of
appropriate nursing consciousness/wakefulness, hunger, temperature, and
action? especially if the newborn is moving or startled. It
would be inappropriate to call the pediatrician or to
notify the charge nurse at this time because the value
is currently within the normal range.
https://quizlet.com/1002356804/nclex-hesi-exit-critical-thinking-exam-2025-all-questions-and-correct-answers-with-rationales-already-graded-a-profes… 4/43
NCLEX HESI EXIT CRITICAL THINKING EXAM
2025 | ALL QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES | ALREADY GRADED A+ |
PROFESSOR VERIFIED
Save
Terms in this set (146)
a client with low back pain
Direct application of warm moist heat would benefit a
client with low back pain because the heat relaxes
Which client would benefit muscle spasms. Heat should not be applied to a client
from the application of who has appendicitis because it can lead to rupture
warm moist heat? of the appendix and peritonitis. Ice is applied to
recently sprained joints to help decrease edema.
Applying heat to the area of a suspected malignancy
can increase blood flow to the tumor and promote
nourishment of the cancer cells.
https://quizlet.com/1002356804/nclex-hesi-exit-critical-thinking-exam-2025-all-questions-and-correct-answers-with-rationales-already-graded-a-profes… 1/43
,2/6/25, 2:58 PM NCLEX HESI EXIT CRITICAL THINKING EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | ALRE…
A nurse is administering 0.25
vitamin K to a neonate
following birth. The Use the following formula to calculate drug
medication comes in a dosages:Dose on hand/Quantity on hand = Dose
concentration of 2 mg/ml, desired/XPlug in the values and the equation is as
and the ordered dose is follows:2 mg/ml = 0.5 mg/XX = 0.25 ml.
0.5 mg to be given
subcutaneously. How
many milliliters would the
nurse administer? Record
your answer using two
decimal places.
16 drops/min
A child is to receive IV
fluids at a rate of 95 mL/h.
To determine the number of drops per minute,
The tubing for the infusion
multiply 95 ml/hour by 10 drops/mL (drop factor). This
delivers 10 drops/mL. At
equals 950 mL/h. Dividing 950 mL/h by 60 min/h
which rate should the
yields 15.8 drops/min. Therefore, 16 drops/min should
nurse infuse the solution?
be infused.
A 5-year-old child is changes in respiration
brought to the emergency
department after injuries Impaired diaphragm function is common with cervical
sustained in a motor cord injuries in children and is potentially life
vehicle accident. The child threatening. It interferes with the ability to breathe,
is diagnosed with a causing changes in respiration.
cervical spinal cord injury.
Which assessment data
would the nurse consider
as most significant when
assessing for signs of
cervical spinal cord
swelling?
https://quizlet.com/1002356804/nclex-hesi-exit-critical-thinking-exam-2025-all-questions-and-correct-answers-with-rationales-already-graded-a-profes… 2/43
,2/6/25, 2:58 PM NCLEX HESI EXIT CRITICAL THINKING EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | ALRE…
The healthcare provider 0.75
prescribes meperidine
hydrochloride 1.5 mg/kg 1.5 mg/kg × 25 kg = 37.5 mg per dose
intramuscularly to a 37.5 mg / 50 mg x 1ml = 0.75 ml for injection
school-age client. The
pharmacy supplies
meperidine hydrochloride
injection as 50 mg/mL. The
client weighs 25 kg. How
many milliliters will the
nurse administer? Record
your answer using two
decimal places.
heart rate above 100 beats/minute
A client with a bleeding In early shock, the body attempts to meet its
ulcer is vomiting bright perfusion needs through tachycardia,
red blood. The nurse vasoconstriction, and fluid conservation.The skin
should assess the client becomes cool and clammy.Urine output in early shock
for which indicator of may be normal or slightly decreased.The client may
early shock? experience increased restlessness and anxiety from
hypoxia, but loss of consciousness is a late sign of
shock.
A client reports pain in the Call the physician to report the finding.
right heel and is
requesting medication. The best response would be to notify the physician.
The nurse assesses the The nurse cannot repeat the dose of analgesic
client and administers an without an order. Massaging the ankle and applying
analgesic. The client moist heat would be inappropriate for a number of
experiences no pain relief reasons. The client could be developing a deep vein
and states that the heel thrombosis, which may dislodge an embolus.
pain is worse. What is an Unrelieved pain indicates that an adverse event is
appropriate intervention developing, and the physician should be made aware
by the nurse? of the situation.
https://quizlet.com/1002356804/nclex-hesi-exit-critical-thinking-exam-2025-all-questions-and-correct-answers-with-rationales-already-graded-a-profes… 3/43
, 2/6/25, 2:58 PM NCLEX HESI EXIT CRITICAL THINKING EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | ALRE…
A client has suffered a A cardiac monitor should be used for at least 24 hours
deep partial-thickness to anticipate the potential for cardiac dysrhythmias.
burn to the right arm from
a high-voltage source of A client with electrical burns based on energy and
energy that was not potential damage to the heart needs cardiac
turned off while working monitoring. Dextrose is not useful for fluid volume
on it. What is the priority expansion and infection would occur much later.
nursing intervention in the Urine output needs hourly monitoring based on
acute phase of care? myoglobin release.
Document this finding as on the high end of the
normal range and plan to reassess.
During the nurse's Heart rates can be as fast as 180 bpm, but the normal
assessment, the newborn range for a newborn heart rate is 110-160 bpm. Thus,
wakes and is in a quiet- the newborn's heart rate of 157 bpm is on the high end
alert state. The nurse of the normal range, but still within the normal range.
counts the apical pulse to It would be appropriate to reassess the client's heart
be 157 beats per minute. rate because newborn heart rates can fluctuate
Which is the most depending on the state of
appropriate nursing consciousness/wakefulness, hunger, temperature, and
action? especially if the newborn is moving or startled. It
would be inappropriate to call the pediatrician or to
notify the charge nurse at this time because the value
is currently within the normal range.
https://quizlet.com/1002356804/nclex-hesi-exit-critical-thinking-exam-2025-all-questions-and-correct-answers-with-rationales-already-graded-a-profes… 4/43
