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HESI RN Exit Test Bank 2025–2026 | 250+ Real NCLEX-
Style Questions & Answers | A+ Graded | Guaranteed Pass
1. A nurse is reviewing a client’s chart who has just been admitted with digoxin
toxicity. Which of the following findings should the nurse expect?
A. Hyperglycemia
B. Bradycardia
C. Hypertension
D. Dilated pupils
→ Correct answer: B. Bradycardia
Rationale: Digoxin toxicity commonly presents with bradycardia, visual changes,
nausea, and confusion. Monitor cardiac rhythms closely.
2. A client in the postpartum unit complains of persistent lochia rubra 5 days after
delivery. Which action should the nurse take first?
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A. Educate the client that this is normal
B. Increase IV fluids
C. Notify the provider
D. Assess the uterus for firmness and position
→ Correct answer: D. Assess the uterus for firmness and position
Rationale: Prolonged lochia rubra may indicate subinvolution or retained
products. Uterine assessment is the priority before notifying the provider.
3. A client with schizophrenia is experiencing auditory hallucinations. What is the
nurse’s best response?
A. “You’re safe in this room.”
B. “What are the voices saying to you?”
C. “The voices aren’t real.”
D. “Ignore what you're hearing.”
→ Correct answer: B. “What are the voices saying to you?”
Rationale: This therapeutic approach helps assess the content of hallucinations,
which could indicate risk for harm to self or others.
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4. Which lab value requires immediate intervention in a client receiving heparin
therapy?
A. aPTT of 40 seconds
B. Platelets of 90,000/mm³
C. INR of 1.1
D. Hemoglobin of 13 g/dL
→ Correct answer: B. Platelets of 90,000/mm³
Rationale: A platelet count below 100,000 may indicate heparin-induced
thrombocytopenia (HIT), a serious complication.
5. A child with asthma is prescribed albuterol. Which side effect should the nurse
explain to the parent?
A. Bradycardia
B. Constipation
C. Tachycardia
D. Weight gain
→ Correct answer: C. Tachycardia
Rationale: Albuterol stimulates beta-2 receptors and can cause tachycardia,
restlessness, and tremors.
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6. A nurse is preparing to administer a unit of packed red blood cells. What is the
priority action?
A. Warm the blood before administration
B. Verify client identity with another nurse
C. Monitor temperature after infusion
D. Insert a Foley catheter
→ Correct answer: B. Verify client identity with another nurse
Rationale: To prevent life-threatening transfusion reactions, verifying patient
identity is the most critical step.
7. A client receiving lithium therapy reports nausea and tremors. What should the
nurse do first?
A. Hold the dose and notify the provider
B. Encourage hydration
C. Give antiemetic medication
D. Assess lithium level
→ Correct answer: D. Assess lithium level
Rationale: Symptoms suggest early lithium toxicity. The nurse should assess
serum levels before further actions.
HESI RN Exit Test Bank 2025–2026 | 250+ Real NCLEX-
Style Questions & Answers | A+ Graded | Guaranteed Pass
1. A nurse is reviewing a client’s chart who has just been admitted with digoxin
toxicity. Which of the following findings should the nurse expect?
A. Hyperglycemia
B. Bradycardia
C. Hypertension
D. Dilated pupils
→ Correct answer: B. Bradycardia
Rationale: Digoxin toxicity commonly presents with bradycardia, visual changes,
nausea, and confusion. Monitor cardiac rhythms closely.
2. A client in the postpartum unit complains of persistent lochia rubra 5 days after
delivery. Which action should the nurse take first?
, 2
A. Educate the client that this is normal
B. Increase IV fluids
C. Notify the provider
D. Assess the uterus for firmness and position
→ Correct answer: D. Assess the uterus for firmness and position
Rationale: Prolonged lochia rubra may indicate subinvolution or retained
products. Uterine assessment is the priority before notifying the provider.
3. A client with schizophrenia is experiencing auditory hallucinations. What is the
nurse’s best response?
A. “You’re safe in this room.”
B. “What are the voices saying to you?”
C. “The voices aren’t real.”
D. “Ignore what you're hearing.”
→ Correct answer: B. “What are the voices saying to you?”
Rationale: This therapeutic approach helps assess the content of hallucinations,
which could indicate risk for harm to self or others.
, 3
4. Which lab value requires immediate intervention in a client receiving heparin
therapy?
A. aPTT of 40 seconds
B. Platelets of 90,000/mm³
C. INR of 1.1
D. Hemoglobin of 13 g/dL
→ Correct answer: B. Platelets of 90,000/mm³
Rationale: A platelet count below 100,000 may indicate heparin-induced
thrombocytopenia (HIT), a serious complication.
5. A child with asthma is prescribed albuterol. Which side effect should the nurse
explain to the parent?
A. Bradycardia
B. Constipation
C. Tachycardia
D. Weight gain
→ Correct answer: C. Tachycardia
Rationale: Albuterol stimulates beta-2 receptors and can cause tachycardia,
restlessness, and tremors.
, 4
6. A nurse is preparing to administer a unit of packed red blood cells. What is the
priority action?
A. Warm the blood before administration
B. Verify client identity with another nurse
C. Monitor temperature after infusion
D. Insert a Foley catheter
→ Correct answer: B. Verify client identity with another nurse
Rationale: To prevent life-threatening transfusion reactions, verifying patient
identity is the most critical step.
7. A client receiving lithium therapy reports nausea and tremors. What should the
nurse do first?
A. Hold the dose and notify the provider
B. Encourage hydration
C. Give antiemetic medication
D. Assess lithium level
→ Correct answer: D. Assess lithium level
Rationale: Symptoms suggest early lithium toxicity. The nurse should assess
serum levels before further actions.
