EXAM QUESTIONS AND ANSWERS
ALREADY GRADED A+ RN HESI EXIT
🏥NGN HESI RN EXIT EXAM
1. Which condition is most likely? (Select one)
A. Pneumonia
B. Heart failure
C. Asthma
D. Dehydration
✅ Answer: B
Rationale: Fluid overload + crackles + edema = heart failure.
2. Which findings support this diagnosis? (Select all that apply)
A. Crackles
B. Weight gain
C. Edema
D. Dry mucosa
✅ Answers: A, B, C
Rationale: All indicate fluid overload.
3. What is the priority nursing action?
A. Encourage fluids
B. Administer oxygen
C. Provide food
D. Ambulate
,✅ Answer: B
Rationale: Airway/breathing first (ABCs).
4. Which provider order should the nurse anticipate?
A. IV fluids
B. Diuretics
C. High sodium diet
D. Bed rest only
✅ Answer: B
Rationale: Diuretics remove excess fluid.
🏥 CASE 2
Patient Scenario:
A 45-year-old client with diabetes presents with:
● Blood glucose: 48 mg/dL
● Sweating, confusion, tremors
5. What condition is occurring?
A. Hyperglycemia
B. Hypoglycemia
C. DKA
D. Infection
✅ Answer: B
6. Priority intervention:
A. Insulin
B. Give juice/glucose
, C. IV fluids
D. Exercise
✅ Answer: B
7. If unconscious, nurse should:
A. Give oral glucose
B. Give IV dextrose
C. Wait
D. Feed
✅ Answer: B
🏥 CASE 3
Patient Scenario:
A post-op client suddenly develops:
● Chest pain
● Shortness of breath
● Tachycardia
8. Priority concern:
A. Pneumonia
B. Pulmonary embolism
C. Anxiety
D. Infection
✅ Answer: B
9. First nursing action: