HESI RN Exit Exam V1
Exam Questions And
Correct Answers
(Verified Answers)
Plus Rationales
2025/2026 Q&A |
Instant Download Pdf
1.
A client with heart failure reports sudden weight gain of 2 kg
(4.4 lb) in 24 hours. What action should the nurse take first?
A. Encourage increased fluid intake
B. Assess lung sounds
C. Document findings
D. Notify dietary services
Answer: B
,Rationale: Rapid weight gain indicates fluid retention.
Assessing lung sounds determines if pulmonary edema is
developing and is the priority assessment.
2.
A postoperative client reports pain rated 8/10 despite
receiving morphine 30 minutes ago. What is the nurse’s
priority action?
A. Reassess pain characteristics
B. Administer another dose immediately
C. Notify the healthcare provider
D. Document the complaint
Answer: A
Rationale: Pain reassessment ensures effectiveness of
medication and helps determine if additional intervention is
required.
3.
Which electrolyte imbalance is most likely in a client
receiving loop diuretics?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypocalcemia
Answer: B
,Rationale: Loop diuretics increase potassium excretion,
leading to hypokalemia.
4.
Which finding requires immediate intervention in a client
with pneumonia?
A. Temperature 38.2°C (100.8°F)
B. Respiratory rate 30/min
C. Oxygen saturation 84%
D. Productive cough
Answer: C
Rationale: Oxygen saturation below 90% indicates hypoxia
and requires urgent intervention.
5.
A client receiving heparin therapy shows which sign of
bleeding?
A. Decreased appetite
B. Hematuria
C. Dry mouth
D. Headache
Answer: B
Rationale: Blood in urine is a clear sign of bleeding and
requires immediate attention.
, 6.
Which client should the nurse see first?
A. Post-op client with nausea
B. Client with chest pain rated 7/10
C. Client awaiting discharge
D. Client requesting water
Answer: B
Rationale: Chest pain may indicate myocardial infarction
and requires immediate evaluation.
7.
A client with diabetes has blood glucose 52 mg/dL. What is
the nurse’s first action?
A. Administer insulin
B. Give 15 g of glucose
C. Call the provider
D. Encourage exercise
Answer: B
Rationale: Hypoglycemia requires rapid administration of
glucose.
8.
Which finding suggests fluid overload?
Exam Questions And
Correct Answers
(Verified Answers)
Plus Rationales
2025/2026 Q&A |
Instant Download Pdf
1.
A client with heart failure reports sudden weight gain of 2 kg
(4.4 lb) in 24 hours. What action should the nurse take first?
A. Encourage increased fluid intake
B. Assess lung sounds
C. Document findings
D. Notify dietary services
Answer: B
,Rationale: Rapid weight gain indicates fluid retention.
Assessing lung sounds determines if pulmonary edema is
developing and is the priority assessment.
2.
A postoperative client reports pain rated 8/10 despite
receiving morphine 30 minutes ago. What is the nurse’s
priority action?
A. Reassess pain characteristics
B. Administer another dose immediately
C. Notify the healthcare provider
D. Document the complaint
Answer: A
Rationale: Pain reassessment ensures effectiveness of
medication and helps determine if additional intervention is
required.
3.
Which electrolyte imbalance is most likely in a client
receiving loop diuretics?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypocalcemia
Answer: B
,Rationale: Loop diuretics increase potassium excretion,
leading to hypokalemia.
4.
Which finding requires immediate intervention in a client
with pneumonia?
A. Temperature 38.2°C (100.8°F)
B. Respiratory rate 30/min
C. Oxygen saturation 84%
D. Productive cough
Answer: C
Rationale: Oxygen saturation below 90% indicates hypoxia
and requires urgent intervention.
5.
A client receiving heparin therapy shows which sign of
bleeding?
A. Decreased appetite
B. Hematuria
C. Dry mouth
D. Headache
Answer: B
Rationale: Blood in urine is a clear sign of bleeding and
requires immediate attention.
, 6.
Which client should the nurse see first?
A. Post-op client with nausea
B. Client with chest pain rated 7/10
C. Client awaiting discharge
D. Client requesting water
Answer: B
Rationale: Chest pain may indicate myocardial infarction
and requires immediate evaluation.
7.
A client with diabetes has blood glucose 52 mg/dL. What is
the nurse’s first action?
A. Administer insulin
B. Give 15 g of glucose
C. Call the provider
D. Encourage exercise
Answer: B
Rationale: Hypoglycemia requires rapid administration of
glucose.
8.
Which finding suggests fluid overload?
