2025 RN HESI EXIT EXAM TEST BANK

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2025 RN HESI EXIT EXAM TEST BANK

WITH 800 ACTUAL EXAM QUESTIONS AND

CORRECT ANSWERS (100% CORRE CT

VERIFIED ANSWERS) HESI EXIT RN EXAM

PREP TEST BANK (BRAND NEW!)

An older male client with a history of type 1 diabetes has not felt well the past few days and arrives at the clinic with abdominal cramping and vomiting. He is lethargic, moderately, confused, and cannot remember when he took his last dose of insulin or ate last. What action should the nurse implement first?

• obtain a serum potassium level
• administer the client's usual dose of insulin
• assess pupillary response to light
• Start an intravenous (IV) infusion of normal saline - ANSWER-d. Start an

intravenous (IV) infusion of normal saline

A 26-year-old female client is admitted to the hospital for treatment of a simple goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse that the prescribed dosage is too high for this client? The client experiences

• Palpitations and shortness of breath
• Bradycardia and constipation
• Lethargy and lack of appetite
• Muscle cramping and dry, flushed skin - ANSWER-a. Palpitations and shortness

of breath

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pg. 2 A client with a history of heart failure presents to the clinic with a nausea, vomiting, yellow vision and palpitations. Which finding is most important for the nurse to assess to the client?

• Determine the client's level of orientation and cognition
• Assess distal pulses and signs of peripheral edema
• Obtain a list of medications taken for cardiac history.
• Ask the client about exposure to environmental heat. - ANSWER-c. Obtain a list

of medications taken for cardiac history.

The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement?

• Ensure that the UAP has placed the pillows effectively to protect the client.
• Instruct the UAP to obtain soft blankets to secure to the side rails instead of

pillows.

• Assume responsibility for placing the pillows while the UAP completes another

task.

• Ask the UAP to use some of the pillows to prop the client in a side lying

position. - ANSWER-b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.

A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that he has not been taking the prescribed medication because the drugs make him "feel bad". In explaining the need for hypertension control, the nurse should stress that an elevated BP places the client at risk for which pathophysiological condition?

• Blindness secondary to cataracts
• Acute kidney injury due to glomerular damage
• Stroke secondary to hemorrhage 2 / 4

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• Heart block due to myocardial damage - ANSWER-c. Stroke secondary to

hemorrhage

The nurse is auscultating a client's heart sounds. Which description should the nurse use to document this sound? (Please listen to the audio first to select the option that applies)

• S1 S2
• S1 S2 S3
• Murmur
• Pericardial friction rub. - ANSWER-c. Murmur

The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six hours for four days. What assessment is most important for the nurse to complete?

• Auscultate the client's bowel sounds
• Observe for edema around the ankles
• Measure the client's capillary glucose level
• Count the apical and radial pulses simultaneously - ANSWER-a. Auscultate the

client's bowel sounds

A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and has developed diarrhea. The client has a new prescription to change the feeding to half strength. What intervention should the nurse implement?

• Add equal amounts of water and feeding to a feeding bag and infuse at

50ml/hour

• Continue the full strength feeding after decreasing the rate of infusion to 25

ml/hr. 3 / 4

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• Maintain the present feeding until diarrhea subsides and the begin the next new

prescription.

• Withhold any further feeding until clarifying the prescription with healthcare

provides. - ANSWER-a. Add equal amounts of water and feeding to a feeding bag and infuse at 50ml/hour

A female client reports that her hair is becoming coarse and breaking off, that the outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up question is best for the nurse to ask?

• "Is there a history of female baldness in your family?"
• "Are you under any unusual stress at home or work?"
• "Do you work with hazardous chemicals?"
• "Have you noticed any changes in your fingernails?" - ANSWER-d. "Have you

noticed any changes in your fingernails?"

After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites and malnutrition. The client is drowsy but responding to verbal stimuli and reports recently spitting up blood. What assessment finding warrants immediate intervention by the nurse?

• Bruises on arms and legs
• Round and tight abdomen
• Pitting edema in lower legs
• Capillary refill of 8 seconds - ANSWER-d. Capillary refill of 8 seconds

Following surgery, a male client with antisocial personality disorder frequently requests that a specific nurse be assigned to his care and is belligerent when another nurse is assigned. What action should the charge nurse implement?

• Ask the client to explain why he constantly request the nurse
• Encourage the client to verbalize his feelings about the nurse
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