HESI RN Exit Exam V3
Exam Questions And
Correct Answers
(Verified Answers)
Plus Rationales
2025/2026 Q&A |
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1. A client with heart failure is prescribed furosemide.
Which lab value requires immediate intervention?
A. Sodium 138 mEq/L
B. Potassium 2.9 mEq/L
C. Calcium 9.2 mg/dL
D. Glucose 110 mg/dL
Answer: B
Rationale: Furosemide is a loop diuretic that causes
potassium loss. A potassium level of 2.9 mEq/L is
,dangerously low and increases risk for life-threatening
dysrhythmias.
2. A nurse is caring for a postoperative client. Which finding
requires immediate action?
A. Pain level 5/10
B. Urine output 20 mL/hr
C. Temperature 37.2°C
D. Respiratory rate 18/min
Answer: B
Rationale: Urine output less than 30 mL/hr may indicate
renal hypoperfusion or shock.
3. A client receiving heparin therapy should be monitored
for which lab value?
A. INR
B. aPTT
C. Platelet count only
D. Hemoglobin A1C
Answer: B
Rationale: aPTT is used to monitor therapeutic effect of
heparin.
4. A nurse suspects opioid overdose. Which is the priority
intervention?
,A. Administer naloxone
B. Place client in Trendelenburg
C. Give flumazenil
D. Encourage fluids
Answer: A
Rationale: Naloxone is the antidote for opioid overdose.
5. Which finding indicates left-sided heart failure?
A. Peripheral edema
B. Jugular vein distention
C. Crackles in lungs
D. Ascites
Answer: C
Rationale: Left-sided failure causes pulmonary congestion
and crackles.
6. A nurse is teaching about insulin glargine. Which
statement is correct?
A. “Take it with meals.”
B. “It has no peak.”
C. “Shake before use.”
D. “Mix with NPH insulin.”
Answer: B
Rationale: Insulin glargine is long-acting with no peak.
, 7. Which action is priority for a client with anaphylaxis?
A. Administer epinephrine
B. Give oral antihistamine
C. Start IV fluids slowly
D. Apply oxygen via nasal cannula
Answer: A
Rationale: Epinephrine is first-line treatment for
anaphylaxis.
8. A postoperative client suddenly reports chest pain and
dyspnea. What is priority?
A. Encourage coughing
B. Assess oxygen saturation
C. Administer pain medication
D. Increase IV fluids
Answer: B
Rationale: Immediate assessment of oxygenation is priority
for suspected PE.
9. Which medication requires monitoring for ototoxicity?
A. Amoxicillin
B. Gentamicin
C. Metformin
D. Prednisone
Exam Questions And
Correct Answers
(Verified Answers)
Plus Rationales
2025/2026 Q&A |
Instant Download Pdf
1. A client with heart failure is prescribed furosemide.
Which lab value requires immediate intervention?
A. Sodium 138 mEq/L
B. Potassium 2.9 mEq/L
C. Calcium 9.2 mg/dL
D. Glucose 110 mg/dL
Answer: B
Rationale: Furosemide is a loop diuretic that causes
potassium loss. A potassium level of 2.9 mEq/L is
,dangerously low and increases risk for life-threatening
dysrhythmias.
2. A nurse is caring for a postoperative client. Which finding
requires immediate action?
A. Pain level 5/10
B. Urine output 20 mL/hr
C. Temperature 37.2°C
D. Respiratory rate 18/min
Answer: B
Rationale: Urine output less than 30 mL/hr may indicate
renal hypoperfusion or shock.
3. A client receiving heparin therapy should be monitored
for which lab value?
A. INR
B. aPTT
C. Platelet count only
D. Hemoglobin A1C
Answer: B
Rationale: aPTT is used to monitor therapeutic effect of
heparin.
4. A nurse suspects opioid overdose. Which is the priority
intervention?
,A. Administer naloxone
B. Place client in Trendelenburg
C. Give flumazenil
D. Encourage fluids
Answer: A
Rationale: Naloxone is the antidote for opioid overdose.
5. Which finding indicates left-sided heart failure?
A. Peripheral edema
B. Jugular vein distention
C. Crackles in lungs
D. Ascites
Answer: C
Rationale: Left-sided failure causes pulmonary congestion
and crackles.
6. A nurse is teaching about insulin glargine. Which
statement is correct?
A. “Take it with meals.”
B. “It has no peak.”
C. “Shake before use.”
D. “Mix with NPH insulin.”
Answer: B
Rationale: Insulin glargine is long-acting with no peak.
, 7. Which action is priority for a client with anaphylaxis?
A. Administer epinephrine
B. Give oral antihistamine
C. Start IV fluids slowly
D. Apply oxygen via nasal cannula
Answer: A
Rationale: Epinephrine is first-line treatment for
anaphylaxis.
8. A postoperative client suddenly reports chest pain and
dyspnea. What is priority?
A. Encourage coughing
B. Assess oxygen saturation
C. Administer pain medication
D. Increase IV fluids
Answer: B
Rationale: Immediate assessment of oxygenation is priority
for suspected PE.
9. Which medication requires monitoring for ototoxicity?
A. Amoxicillin
B. Gentamicin
C. Metformin
D. Prednisone
