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HESI RN Exit Exam (V3) 2025 Actual Qs & Ans to Pass the Exam, 100% Verified – PDF
Question 1: 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 the surgeon. Which action should the nurse implement first?
CORRECT ANSWER : d. Increase the infusion rate of Lactated
Ringer's solution.
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Question 2: An adult male who fell 20 feet from the roof of this
home has multiple injuries, including a right pneumothorax.Chest tubes were inserted in the emergency department prior to his transfer to the intensive care unit (ICU). The nurse notes that the suction control chamber is bubbling at the -10 cm H2O mark, with fluctuation in the water seal, and over the past hour
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75 ml of bright red blood is measured in the collection chamber.Which intervention should the nurse implement?
CORRECT ANSWER : a. Add sterile water to the suction
control chamber.
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Question 3: A client who received hemodialysis yesterday is
experiencing a blood pressure of 200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute. The client is manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen saturation on room air of 89%. Which action should the nurse take first?
CORRECT ANSWER : c. Begin supplemental oxygen.
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Question 4: A client with Addison's crisis is admitted for
treatment with adrenal cortical supplementation. Based on the
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client's admitting diagnosis, which findings require immediate action by the nurse? (Select all that apply)
CORRECT ANSWER : Headache and tremors, Irregular heart
rate, Pallor and diaphoresis
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Question 5: An older client is admitted with fluid volume deficit
and dehydration. Which assessment finding is the best indicator of hydration that the nurse should report to the healthcare provider?
CORRECT ANSWER : d. Skin tenting occurs when the client's
forearm is pinched.
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Question 6: After an inservice about electronic health record
(EHR) security and safeguarding client information, the nurse observes a colleague going home with printed copies of client
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information in a uniform pocket. Which action should the nurse take?
CORRECT ANSWER : a. File a detailed incident report with the
specific hiring facility.
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Question 7: The nurse is evaluating a tertiary prevention
program for clients with cardiovascular disease implemented in a rural health clinic. Which outcome indicates the program is effective?
CORRECT ANSWER : c. Clients who incurred disease
complications promptly received rehabilitation.
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Question 8: 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