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VERSIONS 1–7 (V1,V2,V3,V4,V5,V6,V7,)
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RATED GRADE A+| VERIFIED QUESTIONS & ANSWERS |
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BRAND NEW!! y
,HESIRN Exit Exam 2025 – Version1
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Safety& Fundamentals g
Q1.
Anurseiscaring foraclient onfall precautions. Whichintervention has the
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highest priority?
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A. Keep thebedin the lowest position.
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B. Placenon-slip socksonthe client. g g g
C. Removeclutter fromthe room. g g g
D. Keepthecalllight within reach. g g
Answer:A. Keepthe bedin the lowestposition.
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Rationale:While all options reducefall risk, the lowest bed position mostdirectly
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g prevents injury if the client doesfall or attempts to get out ofbed unsafely.
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Q2.
Anursereceives aclient fromPACUwho is drowsybut arousable. What is the
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first action?
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A. Monitorvital signs. g g
B. Assessairway patency. g
C. CheckIV site. g
D. Review intake andoutput.g g
,Answer: B. Assess airwaypatency.
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Rationale:Airway is always thepriority in post-anesthesiacare(ABCs). g g g g g g g
g Monitoring vital signs follows after airway is confirmed.
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Q3.
Anurseprepares to administer digoxin. Theapical pulseis 56 bpm.What should the
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g nurse do?
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A. Administer thedose. g
B. Holdthemedication and notify theprovider.
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C. Documentthe pulseandreassessin 30 minutes.
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D. Give half thedose.
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Answer:B.Hold the medicationand notify the provider.
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Rationale:Digoxin cancausebradycardia. Thesafe hold parameter is HR <60 bpm.
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Q4.
Aconfusedelderly client keepstrying to pull outtheir IV. What is the best nursing
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g intervention?
A. Applywrist restraints. g
B. Coverthe IVsite with a protective sleeve.
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C. Removethe IV. g g
D. Askfamily tostaywith theclient. g g g
, Answer:B. Coverthe IV site with a protectivesleeve.
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Rationale:Theleastrestrictive optionthat still protectsthe client should always be g g g g g g g
g chosen before restraints.
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Q5.
Thenursefinds afire in aclient’s room.Which action shouldthe nurse take first?
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A. Pull thefire alarm.
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B. Attempttoextinguish the fire. g g
C. Rescuethe client fromtheroom. g g g g
D. Closethe door. g
Answer:C. Rescuetheclient from the room.
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Rationale:FollowRACE(Rescue,Alarm, Contain, Extinguish). Safety ofthe g g g g g
g client comes first.
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Q6.
Thenurseis caring forfourclients. Whichclient should beseenfirst?
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A. Client with atemperature of100.8°F andproductivecough.
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B. Client with O₂saturation of85% onroomair.
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C. Client requesting painmedication rated 7/10.
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D. Client with bloodglucoseof180 mg/dL.
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Answer: B. Client with O₂ saturation of 85%on room air. Rationale:Hypoxemia
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is life-threatening and must beaddressedbeforepain or fever. Prioritization uses
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g ABCs.