HESI RN Exit Exam V2
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 2.5
kg (5.5 lb) in 2 days. What action should the nurse take first?
A. Encourage fluid intake
B. Assess lung sounds
C. Administer potassium
D. Notify dietary services
Answer: B. Assess lung sounds
,Rationale: Rapid weight gain suggests fluid retention.
Assessing lung sounds identifies pulmonary edema and
determines urgency of intervention.
2.
Which client should the nurse assess first?
A. Client with COPD requesting pain medication
B. Client with diabetes and glucose 210 mg/dL
C. Client with chest pain rated 8/10
D. Client with urinary retention
Answer: C. Client with chest pain rated 8/10
Rationale: Chest pain indicates possible myocardial
infarction and is the highest priority.
3.
A nurse prepares to administer insulin glargine. Which action
is correct?
A. Shake vial vigorously
B. Mix with regular insulin
C. Administer at same time daily
D. Give before meals only
Answer: C. Administer at same time daily
Rationale: Insulin glargine is long-acting and must be given
at consistent times daily without mixing.
,4.
A postoperative client reports calf pain and warmth. What is
the priority action?
A. Massage the leg
B. Elevate the limb
C. Notify healthcare provider
D. Apply heat
Answer: C. Notify healthcare provider
Rationale: Symptoms suggest deep vein thrombosis (DVT),
requiring urgent evaluation.
5.
Which finding requires immediate intervention after
thyroidectomy?
A. Hoarseness
B. Neck swelling
C. Mild pain
D. Difficulty swallowing fluids
Answer: B. Neck swelling
Rationale: Neck swelling indicates hematoma formation
that may obstruct airway.
6.
A client receiving morphine becomes difficult to arouse.
What medication should the nurse anticipate?
, A. Naloxone
B. Flumazenil
C. Atropine
D. Epinephrine
Answer: A. Naloxone
Rationale: Naloxone reverses opioid-induced respiratory
depression.
7.
Which laboratory value indicates need to hold heparin?
A. Platelets 75,000/mm³
B. Hemoglobin 13 g/dL
C. WBC 8,000/mm³
D. Sodium 140 mEq/L
Answer: A. Platelets 75,000/mm³
Rationale: Thrombocytopenia increases bleeding risk with
heparin therapy.
8.
A nurse cares for a client with potassium level of 6.2 mEq/L.
What ECG change is expected?
A. Flat T waves
B. Tall peaked T waves
C. Short QT interval
D. U waves
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 2.5
kg (5.5 lb) in 2 days. What action should the nurse take first?
A. Encourage fluid intake
B. Assess lung sounds
C. Administer potassium
D. Notify dietary services
Answer: B. Assess lung sounds
,Rationale: Rapid weight gain suggests fluid retention.
Assessing lung sounds identifies pulmonary edema and
determines urgency of intervention.
2.
Which client should the nurse assess first?
A. Client with COPD requesting pain medication
B. Client with diabetes and glucose 210 mg/dL
C. Client with chest pain rated 8/10
D. Client with urinary retention
Answer: C. Client with chest pain rated 8/10
Rationale: Chest pain indicates possible myocardial
infarction and is the highest priority.
3.
A nurse prepares to administer insulin glargine. Which action
is correct?
A. Shake vial vigorously
B. Mix with regular insulin
C. Administer at same time daily
D. Give before meals only
Answer: C. Administer at same time daily
Rationale: Insulin glargine is long-acting and must be given
at consistent times daily without mixing.
,4.
A postoperative client reports calf pain and warmth. What is
the priority action?
A. Massage the leg
B. Elevate the limb
C. Notify healthcare provider
D. Apply heat
Answer: C. Notify healthcare provider
Rationale: Symptoms suggest deep vein thrombosis (DVT),
requiring urgent evaluation.
5.
Which finding requires immediate intervention after
thyroidectomy?
A. Hoarseness
B. Neck swelling
C. Mild pain
D. Difficulty swallowing fluids
Answer: B. Neck swelling
Rationale: Neck swelling indicates hematoma formation
that may obstruct airway.
6.
A client receiving morphine becomes difficult to arouse.
What medication should the nurse anticipate?
, A. Naloxone
B. Flumazenil
C. Atropine
D. Epinephrine
Answer: A. Naloxone
Rationale: Naloxone reverses opioid-induced respiratory
depression.
7.
Which laboratory value indicates need to hold heparin?
A. Platelets 75,000/mm³
B. Hemoglobin 13 g/dL
C. WBC 8,000/mm³
D. Sodium 140 mEq/L
Answer: A. Platelets 75,000/mm³
Rationale: Thrombocytopenia increases bleeding risk with
heparin therapy.
8.
A nurse cares for a client with potassium level of 6.2 mEq/L.
What ECG change is expected?
A. Flat T waves
B. Tall peaked T waves
C. Short QT interval
D. U waves
