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Hesi Exit 5 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with pneumonia is receiving IV antibiotics. Which finding indicates the treatment is effective?
- Increased productive cough
- Complaints of mild chest pain
- Elevated white blood cell count
✔✔B. Decreased fever and improved oxygen saturation
A nurse cares for a client receiving blood transfusion. The client suddenly develops chills and back pain. What is the priority action?
- Continue the transfusion slowly
- Notify the family
- Flush with normal saline and restart blood
✔✔B. Stop the transfusion immediately
A client scheduled for surgery states, “I don’t want the operation anymore.” What is the nurse’s best response? 1 / 4
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- Ignore the statement and prepare the client
- Ask the family to persuade the client
- Administer the pre-op medication quickly
✔✔B. Notify the surgeon immediately
A nurse is teaching a client with diabetes about foot care. Which instruction is correct?
- Walk barefoot at home to improve circulation
- Use hot water bottles for warmth
- Trim toenails very short
✔✔B. Check feet daily for cuts and blisters
Which nursing action is most important when administering IV potassium chloride?
- Give as a rapid IV push
- Mix with blood products
- Store at room temperature before use
- / 4
✔✔B. Dilute and infuse slowly using a pump
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A client with heart failure reports sudden weight gain of 3 pounds in 24 hours. What should the nurse do?
- Encourage more fluid intake
- Document as expected finding
- Increase ambulation
✔✔C. Notify the healthcare provider
A client is receiving morphine for severe pain. Which assessment is the highest priority?
- Bowel sounds
- Blood pressure
- Skin temperature
✔✔C. Respiratory rate
The nurse teaches a client using an inhaler. Which statement shows correct understanding?
- “I should exhale immediately after inhaling the medication.”
- “I should always use the inhaler before my spacer.”
- “I should take quick, shallow breaths with each dose.” 3 / 4
✔✔B. “I should hold my breath for 10 seconds after inhaling.”
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A nurse cares for a client with COPD. Which oxygen delivery method is safest?
- Non-rebreather mask at 15 L/min
- Venturi mask at 60%
- Simple mask at 10 L/min
✔✔B. Nasal cannula at 2 L/min
A client with liver cirrhosis has ascites. Which nursing intervention is priority?
- Encourage high-sodium foods
- Restrict protein intake entirely
- Encourage bedrest only
✔✔B. Measure abdominal girth daily
A nurse is caring for a client with a chest tube. Which finding requires immediate intervention?
- Intermittent bubbling in the water seal chamber
- Drainage of 50 mL serosanguinous fluid in 4 hours
- Tubing secured with tape
- / 4
✔✔B. Continuous bubbling in the water seal chamber