HESI RN 2025 EXIT EXAM AND
VERIFIED ANSWERS
Older adult client is admitted to the stroke unit after recovery from the
acute phase of an ischemic cerebral vascular accident. Which
intervention should the nurse include in the plan of care during
convalescence and rehabilitation.? Select all that apply.
A) Place a bedside commode next to bed.
B) Measure neurological bagel signs every four hours.
C) Play classical music in room while client is awake.
D) Section oral cavity every four hours.
E) Encourage family to participate in the clients care. - answansw✔✔A)
Place a bedside commode next to bed.
E) Encourage family to participate in the clients care.
The nurse enters the room of a client with Parkinson's disease who is
taking carbidopa levodopa. The client is a rising slowly from the chair
while the unlicensed assistive personnel stands next to the chair. Which
action should the nurse take?
A) Offer a PRN analgesic to reduce painful movement.
B) Tell the UAP to assess the quiet and moving more quickly.
C) Affirm that the client should arise slowly from the chair.
,D) Demonstrate how to help the client move more efficiently. -
answansw✔✔C) Affirm that the client should arise slowly from the
chair.
When preparing to administer a prescribed medication to a homeless
client at a community psychiatric clinic. The client tells the nurse that
the usual dosage taken is different from the dose the nurse is giving.
Which action should the nurse take?
A) Inform the client that he may refuse the medication and document
whether or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the
next healthcare team meeting. - answansw✔✔B) Withhold the
medication until the dosage can be confirmed.
The charge nurse is making assignments for one practical nurse and
three registered nurses who are caring for neurologically compromised
clients. Which client with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to
170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed
from 10 to 7.
,D) Myxedema, whose blood pressure change from 80/50 to 70/40. -
answansw✔✔B) Viral meningitis whose temperature change from 101
S to 102F.
The nurse is caring for a client with pneumonia who now develops
initial signs of septic shock and multi organ failure. The healthcare
provider prescribes a sepsis protocol. Which intervention is most
important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - answansw✔✔A) Maintain strict
intake and output.
And adolescent client is admitted to the hospital because of writing a
suicide note to a teacher at school. On the second day of
hospitalization, the nurse asked the client to meet with the treatment
team. After the team meeting, the client leaves in tears and goes to
their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
, D) Go to the clients room and ask what happened. - answansw✔✔D)
Go to the clients room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The
medication is available and 25,000 units per milliliter vial. How many
milliliters should the nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.) - answansw✔✔0.6
NGN: The client is a 49-year-old male who reports flu like symptoms
including fever and chest congestion for four days. He came to the
emergency department last night when he was having more difficulty
breathing he has a history of 1/2 pack a day cigarette smoking for 20
years. He has no significant medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. - answansw✔✔B) Start oxygen 3 L per minute via nasal
cannula.
VERIFIED ANSWERS
Older adult client is admitted to the stroke unit after recovery from the
acute phase of an ischemic cerebral vascular accident. Which
intervention should the nurse include in the plan of care during
convalescence and rehabilitation.? Select all that apply.
A) Place a bedside commode next to bed.
B) Measure neurological bagel signs every four hours.
C) Play classical music in room while client is awake.
D) Section oral cavity every four hours.
E) Encourage family to participate in the clients care. - answansw✔✔A)
Place a bedside commode next to bed.
E) Encourage family to participate in the clients care.
The nurse enters the room of a client with Parkinson's disease who is
taking carbidopa levodopa. The client is a rising slowly from the chair
while the unlicensed assistive personnel stands next to the chair. Which
action should the nurse take?
A) Offer a PRN analgesic to reduce painful movement.
B) Tell the UAP to assess the quiet and moving more quickly.
C) Affirm that the client should arise slowly from the chair.
,D) Demonstrate how to help the client move more efficiently. -
answansw✔✔C) Affirm that the client should arise slowly from the
chair.
When preparing to administer a prescribed medication to a homeless
client at a community psychiatric clinic. The client tells the nurse that
the usual dosage taken is different from the dose the nurse is giving.
Which action should the nurse take?
A) Inform the client that he may refuse the medication and document
whether or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the
next healthcare team meeting. - answansw✔✔B) Withhold the
medication until the dosage can be confirmed.
The charge nurse is making assignments for one practical nurse and
three registered nurses who are caring for neurologically compromised
clients. Which client with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to
170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed
from 10 to 7.
,D) Myxedema, whose blood pressure change from 80/50 to 70/40. -
answansw✔✔B) Viral meningitis whose temperature change from 101
S to 102F.
The nurse is caring for a client with pneumonia who now develops
initial signs of septic shock and multi organ failure. The healthcare
provider prescribes a sepsis protocol. Which intervention is most
important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - answansw✔✔A) Maintain strict
intake and output.
And adolescent client is admitted to the hospital because of writing a
suicide note to a teacher at school. On the second day of
hospitalization, the nurse asked the client to meet with the treatment
team. After the team meeting, the client leaves in tears and goes to
their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
, D) Go to the clients room and ask what happened. - answansw✔✔D)
Go to the clients room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The
medication is available and 25,000 units per milliliter vial. How many
milliliters should the nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.) - answansw✔✔0.6
NGN: The client is a 49-year-old male who reports flu like symptoms
including fever and chest congestion for four days. He came to the
emergency department last night when he was having more difficulty
breathing he has a history of 1/2 pack a day cigarette smoking for 20
years. He has no significant medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. - answansw✔✔B) Start oxygen 3 L per minute via nasal
cannula.
