HESI RN EXIT 2025 EXAM V5 EXAM QUESTIONS AND VERIFIED ANSWERS GRADE A+ LATEST UPDATE

HESI RN EXIT 2025 EXAM V5 EXAM QUESTIONS AND VERIFIED ANSWERS GRADE A+ LATEST UPDATE 1. During the admission assessment, the nurse identifies multiple bruises at various stages of healing on a client recently diagnosed with aplastic anemia. Nurse reviews the client's serum laboratory values which reveal platelets 50,000mm^3, white blood cells 3000 mm^3, and red blood cells 2.5 million/mm^3. Which action should the nurse implement? Select all that apply. a. Implement contact precautions b. Monitor for signs of bleeding c. Provide a soft bristle toothbrush d. Initiate sepsis protocol e. Infuse blood products as prescribed - ANSWER 2. The nurse assesses an adult client with a partial rebreather mask and notes that the oxygen reservoir bag does not deflate completely during inspiration and the client's respiratory rate is 14 breaths/minute. Which action should the nurse implement? a. Encourage the client to take deep breaths b. Increase the liter flow of oxygen c. Remove the mask to deflate the bag d. Document the assessment data - ANSWER 3. A client with uremia is experiencing uremic frost. Which action should the nurse implement? a. Provide frequent skin care and apply lotion b. Evaluate bony prominences for breakdown c. Explain that hemodialysis is needed Monitor the client's oral fluid intake - ANSWER 4. A client in the third trimester of pregnancy complaints of frequent nasal stuffiness and occasional nosebleeds. Her chest circumference has increased by 5 cm during the pregnancy, and she uses thoracic breathing. Her diaphragm is elevated, and she has an increased costal angle. Which intervention should the nurse implement? A. Ask a nurse with more experience to validate the costal angle finding B. Ask the health care provider to evaluate the client's respiratory status C. Examine the client for signs of tissue and anoxia, such as pallor D. Record the respiratory finding in the client's record as normal - ANSWER C. Examine the client for signs of tissue and anoxia, such as pallor 5. Which long term outcome is most important for the nurse to include in the plan of care for an older adult client with chronic pyelonephritis? a. Maintains blood pressure within normal limits b. Managers activities of daily living independently c. Restrict fluid intake to 1 L/day d. Measures oral temperature daily - ANSWER 6. In assessing a 70-year-old client with Alzheimer's disease, the nurse notes that the client has deep inflamed cracks at the corners of the mouth. Which intervention should the nurse include in the client's plan of care? a. Scrub the lesions with warm soapy water b. Notify the health care provider of the need for oral antibiotics c. Ensure that the client gets adequate B vitamins in foods or supplements d. Encourage the client to drink orange juice for added vitamin C - ANSWER 7. After falling down the basement steps, a client is brought to the emergency room period X-rays confirmed that the clients right leg is fractured. Following application of a leg cast, which assessment finding warrants immediate intervention by the nurse? a. Circumferential edema of right foot b. Right foot pale with sluggish capillary refill c. Complaint of throbbing right leg pain d. Increase temperature of lower extremity - ANSWER 8. Prior to obtaining an excellent temperature, the nurse should perform which action? a. Check the last oral temperature reading b. Position the client's arm at heart level c. Ask when the client last eat or drink d. Place a protective sheath over the thermometer - ANSWER 9. The nurse is performing intake interviews at a psychiatric clinic. A female client with a known history of drug abuse reports that she had a heart attack four years ago. Use of which substance places the client at highest risk for a myocardial infarction? a. Marijuana b. Benzodiazepine c. Methamphetamine d. Alcohol - ANSWER 10. In conducting a pain assessment of a client with osteoarthritis, which action should the nurse include? a. Collect dietary history of calcium rich food intake b. Measure vital sign changes after physical activity c. Ask if pain lessens with elevation of the extremity d. Observed client during movement of affected joints - ANSWER 11. When performing postural drainage on a client with chronic obstructive pulmonary disease, which approach should the nurse use? a. Explain that the client may be placed in five positions b. Instruct the client to breathe shallow and fast c. Obtain arterial blood gases prior to the procedure d. Perform the drainage immediately after meals - ANSWER a. Explain that the client may be placed in five positions 12. After three days of persistent epigastric pain, a female client presents to the clinic. She has been taking oral anti acids without relief period her vital signs are heart rate 122 beats/minute, respiration 16 breaths/minute, oxygen saturation 96%, and blood pressure 116/70 mmhg. The nurse obtains a 12-lead electrocardiogram. Which assessment finding is most crucial? a. Irregular pulse rate b. St elevation in three leads c. Complaint of radiating jaw pain d. Bile colored emesis - ANSWER 13. The practical nurse reports that the client with a deep vein thrombosis was mistakenly given heparin in addition to the prescribed warfarin. Word priority action should the nurse take? a. Complete and adverse occurrence report b. Monitor for signs of bleeding c. Obtain blood for coagulation studies d. Notify the health care provider - ANSWER 14. The nurse working in a disaster area assess an adult client who has partial thickness burns on the lower legs, or approximately 10% of the lower body. Which color of triage tag should the nurse place on this client? a. Black b. Yellow c. Red d. Green - ANSWER 15. After experiencing symptoms caused by an abnormal heart rhythm, a client is placed on a temporary pacemaker. When the client expresses concern and fear of pacemaker, how should the nurse respond? a. Use simple terms to describe how the pacemaker functions b. Offer reassurance that the staff will monitor the pacemaker c. Reinforce that the pacemaker is a temporary measure d. Encourage discussion about the concerns and fears - ANSWER 16. A client in labor states, "I think my water just broke!" The nurse notes that the umbilical cord is on the perineum. What action should the nurse perform first? A. Place the client in Trendelenburg B. Administer oxygen via face mask C. Notify the operating room team