HESI RN Exit Exam V4
Exam Questions And
Correct Answers
(Verified Answers) Plus
Rationales 2025/2026
Q&A | Instant
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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. Hypokalemia increases risk of dysrhythmias.
2.
Which action should the nurse take first for a client
experiencing chest pain?
A. Administer oxygen
B. Obtain a 12-lead ECG
C. Assess pain level
D. Notify provider
Answer: A
Rationale: Oxygen improves myocardial oxygenation and is
the priority in suspected ischemia.
3.
A client is receiving heparin therapy. Which lab value
indicates therapeutic effect?
A. INR 1.0
B. aPTT 70 seconds
C. Platelets 250,000
D. PT 12 seconds
Answer: B
Rationale: aPTT is used to monitor heparin therapy;
therapeutic range is 1.5–2.5 times normal.
4.
,Which symptom is most indicative of hypoglycemia?
A. Fruity breath
B. Polyuria
C. Diaphoresis
D. Kussmaul respirations
Answer: C
Rationale: Sweating is an early sign of hypoglycemia due to
sympathetic activation.
5.
A nurse is caring for a client with tuberculosis. Which
precaution is required?
A. Droplet
B. Contact
C. Airborne
D. Protective isolation
Answer: C
Rationale: TB spreads via airborne droplets; N95 respirator
is required.
6.
Which finding indicates lithium toxicity?
A. Polyuria
B. Coarse tremors
C. Weight gain
D. Constipation
, Answer: B
Rationale: Tremors, confusion, and ataxia indicate toxicity.
7.
A postoperative client suddenly becomes dyspneic. What is
the priority action?
A. Elevate legs
B. Apply oxygen
C. Encourage coughing
D. Give pain medication
Answer: B
Rationale: Sudden dyspnea suggests possible PE; oxygen is
priority.
8.
Which food should be avoided by a client taking warfarin?
A. Apples
B. Spinach
C. Rice
D. Chicken
Answer: B
Rationale: Leafy greens are high in vitamin K, reducing
warfarin effectiveness.
9.
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. Hypokalemia increases risk of dysrhythmias.
2.
Which action should the nurse take first for a client
experiencing chest pain?
A. Administer oxygen
B. Obtain a 12-lead ECG
C. Assess pain level
D. Notify provider
Answer: A
Rationale: Oxygen improves myocardial oxygenation and is
the priority in suspected ischemia.
3.
A client is receiving heparin therapy. Which lab value
indicates therapeutic effect?
A. INR 1.0
B. aPTT 70 seconds
C. Platelets 250,000
D. PT 12 seconds
Answer: B
Rationale: aPTT is used to monitor heparin therapy;
therapeutic range is 1.5–2.5 times normal.
4.
,Which symptom is most indicative of hypoglycemia?
A. Fruity breath
B. Polyuria
C. Diaphoresis
D. Kussmaul respirations
Answer: C
Rationale: Sweating is an early sign of hypoglycemia due to
sympathetic activation.
5.
A nurse is caring for a client with tuberculosis. Which
precaution is required?
A. Droplet
B. Contact
C. Airborne
D. Protective isolation
Answer: C
Rationale: TB spreads via airborne droplets; N95 respirator
is required.
6.
Which finding indicates lithium toxicity?
A. Polyuria
B. Coarse tremors
C. Weight gain
D. Constipation
, Answer: B
Rationale: Tremors, confusion, and ataxia indicate toxicity.
7.
A postoperative client suddenly becomes dyspneic. What is
the priority action?
A. Elevate legs
B. Apply oxygen
C. Encourage coughing
D. Give pain medication
Answer: B
Rationale: Sudden dyspnea suggests possible PE; oxygen is
priority.
8.
Which food should be avoided by a client taking warfarin?
A. Apples
B. Spinach
C. Rice
D. Chicken
Answer: B
Rationale: Leafy greens are high in vitamin K, reducing
warfarin effectiveness.
9.
