TEST BANK FOR HESI RN EXIT EXAM
2025/2026
VERSIONS 1–7 (V1,V2,V3,V4,V5,V6,V7,) |
RATED GRADE A+| VERIFIED QUESTIONS & ANSWERS |
BRAND NEW!!
,HESI RN Exit Exam 2025 – Version 1
Safety & Fundamentals
Q1.
,A nurse is caring for a client on fall precautions. Which intervention has the
highest priority?
A. Keep the bed in the lowest position.
B. Place non-slip socks on the client.
C. Remove clutter from the room.
D. Keep the call light within reach.
Answer: A. Keep the bed in the lowest position.
Rationale: While all options reduce fall risk, the lowest bed position most
directly prevents injury if the client does fall or attempts to get out of bed
unsafely.
Q2.
A nurse receives a client from PACU who is drowsy but arousable. What is the
first action?
A. Monitor vital signs.
B. Assess airway patency.
C. Check IV site.
D. Review intake and output.
Answer: B. Assess airway patency.
Rationale: Airway is always the priority in post-anesthesia care (ABCs).
Monitoring vital signs follows after airway is confirmed.
Q3.
, A nurse prepares to administer digoxin. The apical pulse is 56 bpm. What should
the nurse do?
A. Administer the dose.
B. Hold the medication and notify the provider.
C. Document the pulse and reassess in 30 minutes.
D. Give half the dose.
Answer: B. Hold the medication and notify the provider.
Rationale: Digoxin can cause bradycardia. The safe hold parameter is HR <60
bpm.
Q4.
A confused elderly client keeps trying to pull out their IV. What is the best
nursing intervention?
A. Apply wrist restraints.
B. Cover the IV site with a protective sleeve.
C. Remove the IV.
D. Ask family to stay with the client.
Answer: B. Cover the IV site with a protective sleeve.
Rationale: The least restrictive option that still protects the client should always
be chosen before restraints.
Q5.
The nurse finds a fire in a client’s room. Which action should the nurse take first?
A. Pull the fire alarm.
2025/2026
VERSIONS 1–7 (V1,V2,V3,V4,V5,V6,V7,) |
RATED GRADE A+| VERIFIED QUESTIONS & ANSWERS |
BRAND NEW!!
,HESI RN Exit Exam 2025 – Version 1
Safety & Fundamentals
Q1.
,A nurse is caring for a client on fall precautions. Which intervention has the
highest priority?
A. Keep the bed in the lowest position.
B. Place non-slip socks on the client.
C. Remove clutter from the room.
D. Keep the call light within reach.
Answer: A. Keep the bed in the lowest position.
Rationale: While all options reduce fall risk, the lowest bed position most
directly prevents injury if the client does fall or attempts to get out of bed
unsafely.
Q2.
A nurse receives a client from PACU who is drowsy but arousable. What is the
first action?
A. Monitor vital signs.
B. Assess airway patency.
C. Check IV site.
D. Review intake and output.
Answer: B. Assess airway patency.
Rationale: Airway is always the priority in post-anesthesia care (ABCs).
Monitoring vital signs follows after airway is confirmed.
Q3.
, A nurse prepares to administer digoxin. The apical pulse is 56 bpm. What should
the nurse do?
A. Administer the dose.
B. Hold the medication and notify the provider.
C. Document the pulse and reassess in 30 minutes.
D. Give half the dose.
Answer: B. Hold the medication and notify the provider.
Rationale: Digoxin can cause bradycardia. The safe hold parameter is HR <60
bpm.
Q4.
A confused elderly client keeps trying to pull out their IV. What is the best
nursing intervention?
A. Apply wrist restraints.
B. Cover the IV site with a protective sleeve.
C. Remove the IV.
D. Ask family to stay with the client.
Answer: B. Cover the IV site with a protective sleeve.
Rationale: The least restrictive option that still protects the client should always
be chosen before restraints.
Q5.
The nurse finds a fire in a client’s room. Which action should the nurse take first?
A. Pull the fire alarm.
