Comprehensive 2025 HESI RN Exit Exam Version 3 test

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Comprehensive 2025 HESI RN Exit Exam Version 3 test bank featuring updated questions and verified answers aligned with current NCLEX-RN standards and clinical practice guidelines.

A client with a history of dementia has become increasingly confused at nigh and is picking at an abdominal surgical dressing and the tape securing intravenous (IV) line. The abdominal dressing is no longer occlusive, and the IV insertion site is pink. What intervention should the nurse implement?

• Replace the IV site with a smaller gauge

• Redress the abdominal incision

• Leave the lights on in the room at night

• Apply soft bilateral wrist restraints - ANSWER-B

When should intimate partner violence (IVP) screening occur?

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• As soon as the clinician suspects a problem

• only when a client presents with an unexpected injury

• As a routine part of each health care encounter

• Once the clinician confirms a history of abuse - ANSWER-C

A male client who weighs 325 pounds (148kg) is admitted because of ureteral colic and is now complaining of sharp pain radiating toward his genitalia. He has hematuria and is hypertensive. Which intervention is most important for the nurse to include in the client's plan of care

• Manage Pain

• Encourage low calorie diet

• monitor hematuria

• Document blood pressure - ANSWER-A 2 / 4

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While visiting a female client who has heart failure (HF) and osteoarthritis, the home health nurse determines that the client is having more difficulty getting in and out of the bed than she did previously. Which action should the nurse implement first?

• Inquire about an electric bed for the client's home use
• Submit a referral for an evaluation by a physical therapist.
• Explain the usual progression of osteoarthritis and HF
• Request social services to review the client's resources -

ANSWER-B

A client is scheduled to receive an IW dose of ondansetron (Zofran) eight hours after receiving chemotherapy. The client has saline lock and is sleeping quietly without any restlessness.The nurse caring for the client is not certified in chemotherapy administration. What action should the nurse take?

A.) Ask a chemotherapy-certified nurse to administer the Zofran B.) Administer the ondasentron (Zofran) after flushing the saline lock with saline C.)Hold the scheduled dose of Zofran until the client awakens 3 / 4

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D.) Awaken the client to assess the need for administration of the Zofran - ANSWER-B

An older client is admitted for repair of a broken hip. To reduce the risk for infection in the postoperative period, which nursing care interventions should the nurse include in the client's plan of care? (Select all that apply)

• Teach client to use incentive spirometer q2 hours while

awake.

• Remove urinary catheter as soon as possible and encourage

voiding.

• Maintain sequential compression devices while in bed.
• Administer low molecular weight heparin as prescribed
• Assess pain level and medicate PRN as prescribed. -

ANSWER-A,B

A 17-year -old male is brought to the emergency department by his parents because he has been coughing and running a fever with flu-like symptoms for the past 24 hours. Which intervention should the nurse implement first?

• Obtain a chest X-ray per protocol.
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