First, we need to find the elements in the relation $R$ defined by $4x \le 5y$ where $x, y \in A = \{1, 2, 3, 4, 5\}$.
We can list the pairs $(x, y)$ that satisfy the condition:
Therefore, $R = \{(1, 1), (1, 2), (1, 3), (1, 4), (1, 5), (2, 2), (2, 3), (2, 4), (2, 5), (3, 3), (3, 4), (3, 5), (4, 4), (4, 5), (5, 4), (5, 5)\}$.
The number of elements in $R$ is $m = 16$.
Now, we need to find the minimum number of elements to add to $R$ to make it symmetric. A relation is symmetric if whenever $(x, y) \in R$, then $(y, x) \in R$.
We have the following pairs in $R$:
So, we need to add the following pairs: $(2, 1), (3, 1), (4, 1), (5, 1), (3, 2), (4, 2), (5, 2), (4, 3), (5, 3)$.
The number of elements to add is $n = 9$.
Finally, $m + n = 16 + 9 = 25$.
Correct Answer: 25
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