HESI RN EXIT EXAM / ACTUAL HESI RN EXIT
EXAM 2025 COMPLETE TEST QUESTIONS AND
CORRECT DETAILED ANSWERS (CORRECT
VERIFIED SOLUTIONS) A NEW UPDATED
VERSION |GUARANTEED PASS A+ (BRAND
NEW!!) RN HESI EXIT
1. A male client with stomach cancer returns to the unit following a total gastrectomy.
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He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 m
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L/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the s
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uction canister, the client's heart rate is 155 beats/minute, and his blood pressure is 78/4
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8 mmHg. In addition to reporting the finding to the surgeon. Which action should the nu
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rse implement first? - answerd. Increase the infusion rate of Lactated Ringer's solution.
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2. an adult male who fell 20 feet from the roof of this home has multiple injuries, includi
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ng a right pneumothorax. Chest tubes were inserted in the emergency department prior
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to his transfer to the intensive care unit (ICU). the nurse notes that the suction control ch
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amber is bubbling at the f f f f
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10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of brig
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ht red blood is measured in the collection chamber. Which intervention should the nurs
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e implement? - answera. Add sterile water to the suction control chamber.
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3. A client who received hemodialysis yesterday is experiencing a blood pressure of 20
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0/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute. The
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client is manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen satur
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ation on room air of 89%. Which action should the nurse take first? -
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answerc. Begin supplemental oxygen.
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4. A client with Addison's crisis is admitted for treatment with adrenal cortical supplem
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entation. Based on the client's admitting diagnosis, which findings require immediate a
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ction by the nurse? (Select all that apply) - answerHeadache and tremors
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Irregular heart rate f f
pallor and diaphoresis f f
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5. An older client is admitted with fluid volume deficit and dehydration. Which assess
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ment finding is the best indicator of hydration that the nurse should report to the healthc
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are provider? - answerd. Skin tenting occurs when the client's forearm is pinched.
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6. After an inservice about electronic health record (EHR) security and safeguarding cl
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ient information, the nurse observes a colleague going home with printed copies of clie
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nt information in a uniform pocket. Which action should the nurse take? -
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answera. File a detailed incident report with the specific hiring facility.
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7. The nurse is evaluating a tertiary prevention program for clients with cardiovascular
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disease implemented in a rural health clinic. Which outcome indicate the program is eff
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ective? - f
answerc. Clients who incurred disease complications promptly received rehabilitation
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.
8. The nurse is caring for a client with chronic obstructive pulmonary disease (COPD)
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who uses oxygen at 2 L/minute per nasal cannula continuously. The nurse observes that
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the client is having increased shortness of breath with respirations at 23 breaths/minute
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. Which action should the nurse implement first? -
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answerd. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
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9. Which statement by a client who is 24 hours post-
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subtotal thyroidectomy requires an immediate investigation by the nurse? -
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answerWhen I get out of bed quickly, I feel a little dizzy."
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10. An older adult male who is in his early 70's is admitted to the emergency department
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because of a COPD exacerbation. This client is struggling to breathe and the healthcare
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team is preparing for endotracheal intubation. The spouse's wife, who is 30 years youn
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ger than the client, asks the nurse to stop the procedure and provide the nurse a copy of t
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he client's living will. Which action should the nurse take? -
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answerb. Notify the healthcare provider of the client's wishes.
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11. An unlicensed assistive personnel (UAP) is assigned to provide personal care for a c
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lient whose prescribed activity is bedrest with bedside commode use. The UAP reports
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to the nurse that the client is so obese that the UAP feels unable to safely assist the client
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in transferring from the bed to the bedside commode. How should the nurse respond? -
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answerc. Advice the client to maintain bedrest so that safety can be ensured.
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