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HESI RN EXIT
EXAM 2025
V3
The nurse is caring for a client in
hypertensive crisis in an intensive
care unit. The priority assessment
in the first hour of care is A) Heart
rate B) Pedal pulses C) Lung sounds
D) Pupil responses - ANSWER-D)
Pupil responses
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The nurse is evaluating a tertiary
prevention program for clients with
cardiovascular disease implemented
in a rural health clinic. Which
outcome indicate the program is
effective?
a. At-risk clients received an
increased number of routine health
screenings. b. Clients reported
having new confidence in making
healthy food choices. c. Clients who
incurred disease complications
promptly received rehabilitation. d.
Client relapse rate of 30% in a 5year
community-wide anti-smoking
campaign. - ANSWER-c. Clients who
incurred disease complications
promptly received rehabilitation.
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The nurse is caring for a client with
chronic obstructive pulmonary
disease (COPD) who uses oxygen at
2 L/minute per nasal cannula
continuously. The nurse observes
that the client is having increased
shortness of breath with
respirations at 23 breaths/minute.
Which action should the nurse
implement first? a. Determine if the
client is experiencing any anxiety.
b. Auscultate the client's bilateral
lung sounds and oxygen saturation.
c. Notify the healthcare provider
about the client's distress. d.
Assess the delivery mechanism of
the oxygen tank, tubing, and
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cannula. - ANSWER-d. Assess the
delivery mechanism of the oxygen
tank, tubing, and cannula.
A male client with stomach cancer
returns to the unit following a total
gastrectomy. He has a nasogastric
tube to suction and is receiving
Lactated Ringer's solution at 75
mL/hour IV. One hour after
admission to the unit, the nurse
notes 300 mL of blood in the suction
canister, the client's heart rate is
155 beats/minute, and his blood
pressure is 78/48 mmHg. In
addition to reporting the finding to
HESI RN EXIT
EXAM 2025
V3
The nurse is caring for a client in
hypertensive crisis in an intensive
care unit. The priority assessment
in the first hour of care is A) Heart
rate B) Pedal pulses C) Lung sounds
D) Pupil responses - ANSWER-D)
Pupil responses
,2 | Page
The nurse is evaluating a tertiary
prevention program for clients with
cardiovascular disease implemented
in a rural health clinic. Which
outcome indicate the program is
effective?
a. At-risk clients received an
increased number of routine health
screenings. b. Clients reported
having new confidence in making
healthy food choices. c. Clients who
incurred disease complications
promptly received rehabilitation. d.
Client relapse rate of 30% in a 5year
community-wide anti-smoking
campaign. - ANSWER-c. Clients who
incurred disease complications
promptly received rehabilitation.
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The nurse is caring for a client with
chronic obstructive pulmonary
disease (COPD) who uses oxygen at
2 L/minute per nasal cannula
continuously. The nurse observes
that the client is having increased
shortness of breath with
respirations at 23 breaths/minute.
Which action should the nurse
implement first? a. Determine if the
client is experiencing any anxiety.
b. Auscultate the client's bilateral
lung sounds and oxygen saturation.
c. Notify the healthcare provider
about the client's distress. d.
Assess the delivery mechanism of
the oxygen tank, tubing, and
, 4 | Page
cannula. - ANSWER-d. Assess the
delivery mechanism of the oxygen
tank, tubing, and cannula.
A male client with stomach cancer
returns to the unit following a total
gastrectomy. He has a nasogastric
tube to suction and is receiving
Lactated Ringer's solution at 75
mL/hour IV. One hour after
admission to the unit, the nurse
notes 300 mL of blood in the suction
canister, the client's heart rate is
155 beats/minute, and his blood
pressure is 78/48 mmHg. In
addition to reporting the finding to
