HESI RN Exit Exam V5
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 should the nurse monitor most closely?
A. Sodium
B. Potassium
C. Calcium
D. Hemoglobin
Answer: B. Potassium
Rationale: Furosemide is a loop diuretic that causes
,potassium loss, increasing risk for hypokalemia and
dysrhythmias.
2. A postoperative client reports sudden shortness of breath
and chest pain. What is the nurse’s first action?
A. Administer oxygen
B. Call the provider
C. Check vital signs
D. Raise the head of bed
Answer: A. Administer oxygen
Rationale: Suspected pulmonary embolism requires
immediate oxygen to improve oxygenation.
3. Which finding indicates a complication of heparin
therapy?
A. INR 2.0
B. aPTT prolonged
C. Platelets 90,000/mm³
D. Hemoglobin 14 g/dL
Answer: C. Platelets 90,000/mm³
Rationale: Heparin-induced thrombocytopenia is indicated
by low platelet count.
4. A client with diabetes has blood glucose of 55 mg/dL.
What should the nurse do first?
,A. Give insulin
B. Administer 15g fast-acting carbohydrates
C. Notify provider
D. Start IV fluids
Answer: B. Administer 15g fast-acting carbohydrates
Rationale: Hypoglycemia is treated immediately with
glucose.
5. Which symptom is most consistent with right-sided heart
failure?
A. Crackles in lungs
B. Frothy sputum
C. Peripheral edema
D. Pink frothy sputum
Answer: C. Peripheral edema
Rationale: Right-sided failure causes systemic venous
congestion.
6. A client is receiving morphine. What is the priority
assessment?
A. Pain level
B. Respiratory rate
C. Bowel sounds
D. Urine output
Answer: B. Respiratory rate
Rationale: Opioids can cause respiratory depression.
, 7. Which electrolyte imbalance is associated with
Trousseau’s sign?
A. Hyperkalemia
B. Hypocalcemia
C. Hypernatremia
D. Hypomagnesemia
Answer: B. Hypocalcemia
Rationale: Trousseau’s sign indicates low calcium levels.
8. A client with tuberculosis should be placed in:
A. Private room, droplet precautions
B. Negative pressure room, airborne precautions
C. Standard precautions only
D. Positive pressure room
Answer: B. Negative pressure room, airborne precautions
Rationale: TB spreads via airborne droplets.
9. What is the priority nursing intervention for a client in
DKA?
A. Administer insulin
B. Give sodium bicarbonate
C. Encourage oral fluids
D. Restrict potassium
Answer: A. Administer insulin
Rationale: Insulin corrects hyperglycemia and ketoacidosis.
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 should the nurse monitor most closely?
A. Sodium
B. Potassium
C. Calcium
D. Hemoglobin
Answer: B. Potassium
Rationale: Furosemide is a loop diuretic that causes
,potassium loss, increasing risk for hypokalemia and
dysrhythmias.
2. A postoperative client reports sudden shortness of breath
and chest pain. What is the nurse’s first action?
A. Administer oxygen
B. Call the provider
C. Check vital signs
D. Raise the head of bed
Answer: A. Administer oxygen
Rationale: Suspected pulmonary embolism requires
immediate oxygen to improve oxygenation.
3. Which finding indicates a complication of heparin
therapy?
A. INR 2.0
B. aPTT prolonged
C. Platelets 90,000/mm³
D. Hemoglobin 14 g/dL
Answer: C. Platelets 90,000/mm³
Rationale: Heparin-induced thrombocytopenia is indicated
by low platelet count.
4. A client with diabetes has blood glucose of 55 mg/dL.
What should the nurse do first?
,A. Give insulin
B. Administer 15g fast-acting carbohydrates
C. Notify provider
D. Start IV fluids
Answer: B. Administer 15g fast-acting carbohydrates
Rationale: Hypoglycemia is treated immediately with
glucose.
5. Which symptom is most consistent with right-sided heart
failure?
A. Crackles in lungs
B. Frothy sputum
C. Peripheral edema
D. Pink frothy sputum
Answer: C. Peripheral edema
Rationale: Right-sided failure causes systemic venous
congestion.
6. A client is receiving morphine. What is the priority
assessment?
A. Pain level
B. Respiratory rate
C. Bowel sounds
D. Urine output
Answer: B. Respiratory rate
Rationale: Opioids can cause respiratory depression.
, 7. Which electrolyte imbalance is associated with
Trousseau’s sign?
A. Hyperkalemia
B. Hypocalcemia
C. Hypernatremia
D. Hypomagnesemia
Answer: B. Hypocalcemia
Rationale: Trousseau’s sign indicates low calcium levels.
8. A client with tuberculosis should be placed in:
A. Private room, droplet precautions
B. Negative pressure room, airborne precautions
C. Standard precautions only
D. Positive pressure room
Answer: B. Negative pressure room, airborne precautions
Rationale: TB spreads via airborne droplets.
9. What is the priority nursing intervention for a client in
DKA?
A. Administer insulin
B. Give sodium bicarbonate
C. Encourage oral fluids
D. Restrict potassium
Answer: A. Administer insulin
Rationale: Insulin corrects hyperglycemia and ketoacidosis.
