2025 HESI Exit Exam for Nightingale College with

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2025 HESI Exit Exam for Nightingale College with accurate and verified questions covering comprehensive nursing concepts, clinical judgment, NCLEX readiness, and patient care management.

An older client is brought to the ED with a sudden onset of confusion that occurred after experiencing a fall at home. The client's daughter, who has power of attorney, has brought the client's prescriptions. Which information should the nurse provide first when reporting to the healthcare provider using SBAR communication?

• currently prescribed medications
• Client's healthcare power of attorney
• Increasing confusion of the client
• Fall at home as reason for admission - ANSWER-C.

Increasing confusion of the client

The nurse identifies an electrolyte imbalance, a weight gain of 4.4lbs (2kg) in 24 hours and an elevated central venous pressure for a client with full thickness burns. Which intervention should the nurse implement? 1 / 4

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• Auscultate for irregular heart rate
• Review arterial blood gases results
• Measure ankle circumference
• Document abdominal girth - ANSWER-A. Auscultate for

irregular heart rate

The nurse is caring for a group of clients with the help of a practical nurse (PN). Which nursing actions should the nurse assign to the PN? (Select all that apply)

• Administer a dose of insulin per sliding scale for a client with

Type 2 DM

• Start the second blood transfusion for a client 12 hours

following a BKA

• Initiate patient controlled analgesia (PCA) pumps for two

clients immediately postoperatively

• Perform daily surgical dressing change for a client who had

an abdominal hysterectomy

• Obtain postoperative vital signs for a client one day following

unilateral knee arthroplasty - ANSWER-A. Administer a dose of insulin per sliding scale for a client with Type 2 DM

• Perform daily surgical dressing change for a client who had

an abdominal hysterectomy 2 / 4

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• Obtain postoperative vital signs for a client one day following

unilateral knee arthroplasty

The nurse is teaching a group of women about osteoporosis and exercise. The nurse should emphasize the need for which type of regular activity?

• Core strengthening
• Aerobic exercise
• Weight-bearing exercise
• Muscle stretching and toning - ANSWER-B. Aerobic

exercise

A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse?

• CT scan that was performed 6 months earlier
• Metal hip prosthesis was placed 20 years ago
• Report of client's sobriety for the last 5 years
• Takes metformin for type 2 diabetes mellitus - ANSWER-D.

Takes metformin for type 2 diabetes mellitus

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A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (A1C) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale of insulin aspart every 6h are prescribed. What actions should the nurse include in this client's plan of care? (Select all that apply)

• Do not contaminate the insulin aspart so that it is available

for IV use

• Review with the client proper foot care and prevention of

injury

• Teach subcutaneous injection technique, site rotation, and

insulin management

• Coordinate carbohydrate controlled meals at consistent times

and intervals.

• Mix bedtime dose of insulin glargine with insulin aspart

sliding scale dose

• Fingerstick glucose assessments every 6h with meals -

ANSWER-B. Review with client proper foot care and prevention of injury

• Teach subcutaneous injection technique, site rotation, and

insulin management

• Coordinate carbohydrate controlled meals at consistent times

and intervals

• Fingerstick glucose assessments every 6h with meals
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