NIGHTINGALE RN EXIT HESI – PRACTICE EXAM
2|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1.
A client with chest pain is admitted. What is the priority action?
A. Obtain ECG
B. Give pain medication
C. Start IV fluids
D. Draw labs
Answer: A
Rationale: ECG confirms myocardial ischemia immediately.
2.
Which finding requires immediate intervention?
A. SpO₂ 88%
B. Temp 37.2°C
C. BP 120/80
D. RR 18
Answer: A
Rationale: Low oxygen saturation indicates hypoxia.
3.
A postoperative patient suddenly becomes short of breath. First action?
A. Assess airway
B. Call family
C. Document
D. Raise bed rails
,Answer: A
Rationale: Airway is the first priority.
4.
Which lab value indicates kidney failure?
A. Creatinine 3.5 mg/dL
B. Sodium 140
C. Potassium 4.0
D. Hemoglobin 13
Answer: A
Rationale: Elevated creatinine indicates renal impairment.
5.
Priority intervention for hypoglycemia:
A. Give oral glucose
B. Restrict fluids
C. Give insulin
D. Encourage exercise
Answer: A
Rationale: Immediate glucose correction is required.
6.
A client has stroke symptoms. What is priority?
A. CT scan
B. Food intake
C. BP monitoring only
D. Ambulation
Answer: A
Rationale: CT differentiates ischemic vs hemorrhagic stroke.
, 7.
Which is a sign of increased intracranial pressure?
A. Bradycardia
B. Tachycardia
C. Fever
D. Rash
Answer: A
Rationale: Cushing’s triad includes bradycardia.
8.
Priority for sepsis:
A. IV antibiotics
B. Oral fluids
C. Antacids
D. Bed rest only
Answer: A
Rationale: Early antibiotics reduce mortality.
9.
Which patient is highest priority?
A. Chest pain + diaphoresis
B. Stable fracture
C. Mild headache
D. Controlled diabetes
Answer: A
Rationale: Possible myocardial infarction.
10.
Best indicator of perfusion:
2|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1.
A client with chest pain is admitted. What is the priority action?
A. Obtain ECG
B. Give pain medication
C. Start IV fluids
D. Draw labs
Answer: A
Rationale: ECG confirms myocardial ischemia immediately.
2.
Which finding requires immediate intervention?
A. SpO₂ 88%
B. Temp 37.2°C
C. BP 120/80
D. RR 18
Answer: A
Rationale: Low oxygen saturation indicates hypoxia.
3.
A postoperative patient suddenly becomes short of breath. First action?
A. Assess airway
B. Call family
C. Document
D. Raise bed rails
,Answer: A
Rationale: Airway is the first priority.
4.
Which lab value indicates kidney failure?
A. Creatinine 3.5 mg/dL
B. Sodium 140
C. Potassium 4.0
D. Hemoglobin 13
Answer: A
Rationale: Elevated creatinine indicates renal impairment.
5.
Priority intervention for hypoglycemia:
A. Give oral glucose
B. Restrict fluids
C. Give insulin
D. Encourage exercise
Answer: A
Rationale: Immediate glucose correction is required.
6.
A client has stroke symptoms. What is priority?
A. CT scan
B. Food intake
C. BP monitoring only
D. Ambulation
Answer: A
Rationale: CT differentiates ischemic vs hemorrhagic stroke.
, 7.
Which is a sign of increased intracranial pressure?
A. Bradycardia
B. Tachycardia
C. Fever
D. Rash
Answer: A
Rationale: Cushing’s triad includes bradycardia.
8.
Priority for sepsis:
A. IV antibiotics
B. Oral fluids
C. Antacids
D. Bed rest only
Answer: A
Rationale: Early antibiotics reduce mortality.
9.
Which patient is highest priority?
A. Chest pain + diaphoresis
B. Stable fracture
C. Mild headache
D. Controlled diabetes
Answer: A
Rationale: Possible myocardial infarction.
10.
Best indicator of perfusion:
