HESI Exit Exam 2025-2026 Practice Questions
Complete 100 Questions & Correct Detailed
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1. A patient with chronic kidney disease has a potassium level of 6.2 mEq/L.
Which action should the nurse take first?
A. Administer IV potassium
B. Place the patient on a cardiac monitor
C. Encourage the patient to eat bananas
D. Document the finding
✓B
Rationale: Hyperkalemia can lead to life-threatening arrhythmias; continuous
cardiac monitoring is the priority.
2. Which of the following is a sign of hypoglycemia in a diabetic patient?
A. Polyuria
B. Tremors
C. Dry mouth
D. Constipation
✓B
Rationale: Tremors, sweating, and confusion are early signs of low blood sugar.
3. A nurse is caring for a client post-operatively who has a nasogastric tube.
Which finding requires immediate action?
A. Mild abdominal distention
B. Clear, yellow drainage
C. Green, foul-smelling drainage
D. Nausea
,✓C
Rationale: Foul-smelling, green drainage may indicate infection or obstruction and
requires prompt intervention.
4. A patient receiving digoxin reports nausea and visual changes. What should
the nurse do?
A. Administer the next dose
B. Hold the medication and notify the provider
C. Check the patient’s blood pressure
D. Give an antiemetic
✓B
Rationale: Nausea and visual changes are signs of digoxin toxicity; the provider
must be notified.
5. Which intervention helps prevent falls in hospitalized older adults?
A. Encourage frequent ambulation without assistance
B. Keep the bed in high position
C. Ensure adequate lighting and clear pathways
D. Administer sedatives routinely
✓C
Rationale: Proper lighting and removing obstacles reduce fall risk.
6. A patient with COPD is experiencing dyspnea. Which oxygen delivery
method is best?
A. Non-rebreather mask at 15 L/min
B. Nasal cannula at 1–2 L/min
C. Venturi mask at 10 L/min
D. High-flow oxygen at 12 L/min
✓B
Rationale: Low-flow oxygen is preferred to avoid suppressing the patient’s hypoxic
drive.
, 7. Which laboratory result indicates iron-deficiency anemia?
A. Elevated hematocrit
B. Low hemoglobin and low MCV
C. High WBC count
D. High platelet count
✓B
Rationale: Iron-deficiency anemia typically shows low hemoglobin and microcytic
red blood cells (low MCV).
8. Which action is appropriate when a patient is having a tonic-clonic seizure?
A. Restrain the patient
B. Place a tongue blade in the mouth
C. Turn the patient onto their side
D. Give oral medication immediately
✓C
Rationale: Placing the patient on their side helps maintain airway patency and
prevent aspiration.
9. Which nursing action promotes wound healing in a post-operative patient?
A. Encourage high-protein diet
B. Keep the patient NPO
C. Avoid repositioning
D. Limit fluid intake
✓A
Rationale: Protein is essential for tissue repair and wound healing.
10.A client with heart failure reports sudden weight gain of 3 lbs in 2 days.
What is the priority nursing action?
A. Encourage exercise
B. Notify the healthcare provider
C. Document the finding
D. Restrict sodium
Complete 100 Questions & Correct Detailed
Answers (Verified Answers) |Already Graded
A+||Brand New Version!!
1. A patient with chronic kidney disease has a potassium level of 6.2 mEq/L.
Which action should the nurse take first?
A. Administer IV potassium
B. Place the patient on a cardiac monitor
C. Encourage the patient to eat bananas
D. Document the finding
✓B
Rationale: Hyperkalemia can lead to life-threatening arrhythmias; continuous
cardiac monitoring is the priority.
2. Which of the following is a sign of hypoglycemia in a diabetic patient?
A. Polyuria
B. Tremors
C. Dry mouth
D. Constipation
✓B
Rationale: Tremors, sweating, and confusion are early signs of low blood sugar.
3. A nurse is caring for a client post-operatively who has a nasogastric tube.
Which finding requires immediate action?
A. Mild abdominal distention
B. Clear, yellow drainage
C. Green, foul-smelling drainage
D. Nausea
,✓C
Rationale: Foul-smelling, green drainage may indicate infection or obstruction and
requires prompt intervention.
4. A patient receiving digoxin reports nausea and visual changes. What should
the nurse do?
A. Administer the next dose
B. Hold the medication and notify the provider
C. Check the patient’s blood pressure
D. Give an antiemetic
✓B
Rationale: Nausea and visual changes are signs of digoxin toxicity; the provider
must be notified.
5. Which intervention helps prevent falls in hospitalized older adults?
A. Encourage frequent ambulation without assistance
B. Keep the bed in high position
C. Ensure adequate lighting and clear pathways
D. Administer sedatives routinely
✓C
Rationale: Proper lighting and removing obstacles reduce fall risk.
6. A patient with COPD is experiencing dyspnea. Which oxygen delivery
method is best?
A. Non-rebreather mask at 15 L/min
B. Nasal cannula at 1–2 L/min
C. Venturi mask at 10 L/min
D. High-flow oxygen at 12 L/min
✓B
Rationale: Low-flow oxygen is preferred to avoid suppressing the patient’s hypoxic
drive.
, 7. Which laboratory result indicates iron-deficiency anemia?
A. Elevated hematocrit
B. Low hemoglobin and low MCV
C. High WBC count
D. High platelet count
✓B
Rationale: Iron-deficiency anemia typically shows low hemoglobin and microcytic
red blood cells (low MCV).
8. Which action is appropriate when a patient is having a tonic-clonic seizure?
A. Restrain the patient
B. Place a tongue blade in the mouth
C. Turn the patient onto their side
D. Give oral medication immediately
✓C
Rationale: Placing the patient on their side helps maintain airway patency and
prevent aspiration.
9. Which nursing action promotes wound healing in a post-operative patient?
A. Encourage high-protein diet
B. Keep the patient NPO
C. Avoid repositioning
D. Limit fluid intake
✓A
Rationale: Protein is essential for tissue repair and wound healing.
10.A client with heart failure reports sudden weight gain of 3 lbs in 2 days.
What is the priority nursing action?
A. Encourage exercise
B. Notify the healthcare provider
C. Document the finding
D. Restrict sodium
