(2026 STYLE) HESI RN EXIT EXAM V1 – NGN
PRACTICE QUIZ (100 QUESTIONS) WITH
RATIONALES|SECTIONS 1-3
SECTION 1: Medical-Surgical (Questions 1–
25)
1. A client with heart failure reports sudden weight gain of 3
lb in 24 hours. What action should the nurse take first?
A. Encourage fluids
B. Assess lung sounds
C. Restrict sodium completely
D. Administer potassium
Answer: B
Rationale: Rapid weight gain suggests fluid retention. Assessing lung sounds determines whether
pulmonary congestion is present and helps prioritize interventions.
2. A client receiving furosemide has potassium of 2.9 mEq/L.
Which finding requires immediate action?
A. Dry mouth
B. Leg cramps
C. Irregular pulse
D. Increased thirst
Answer: C
Rationale: Hypokalemia can cause life-threatening dysrhythmias. Irregular pulse is priority.
3. Which assessment finding suggests worsening respiratory
distress?
A. RR 20/min
B. Crackles at bases
, C. Restlessness and confusion
D. Productive cough
Answer: C
Rationale: Restlessness/confusion are early signs of hypoxia.
4. Client with chest pain receives nitroglycerin. Which finding
indicates medication effectiveness?
A. BP 98/60
B. Pain reduced from 8/10 to 2/10
C. Pulse 110
D. Headache present
Answer: B
Rationale: Primary therapeutic effect is reduction of angina.
5. Which food should a client taking warfarin avoid
increasing suddenly?
A. Apples
B. Bananas
C. Spinach
D. Chicken
Answer: C
Rationale: Vitamin K in leafy greens affects anticoagulation.
6. A diabetic client is shaky and diaphoretic. Glucose 52
mg/dL. Priority action?
A. Give insulin
B. Give 15 g fast carbohydrate
C. Call provider
D. Recheck in 1 hour
Answer: B
PRACTICE QUIZ (100 QUESTIONS) WITH
RATIONALES|SECTIONS 1-3
SECTION 1: Medical-Surgical (Questions 1–
25)
1. A client with heart failure reports sudden weight gain of 3
lb in 24 hours. What action should the nurse take first?
A. Encourage fluids
B. Assess lung sounds
C. Restrict sodium completely
D. Administer potassium
Answer: B
Rationale: Rapid weight gain suggests fluid retention. Assessing lung sounds determines whether
pulmonary congestion is present and helps prioritize interventions.
2. A client receiving furosemide has potassium of 2.9 mEq/L.
Which finding requires immediate action?
A. Dry mouth
B. Leg cramps
C. Irregular pulse
D. Increased thirst
Answer: C
Rationale: Hypokalemia can cause life-threatening dysrhythmias. Irregular pulse is priority.
3. Which assessment finding suggests worsening respiratory
distress?
A. RR 20/min
B. Crackles at bases
, C. Restlessness and confusion
D. Productive cough
Answer: C
Rationale: Restlessness/confusion are early signs of hypoxia.
4. Client with chest pain receives nitroglycerin. Which finding
indicates medication effectiveness?
A. BP 98/60
B. Pain reduced from 8/10 to 2/10
C. Pulse 110
D. Headache present
Answer: B
Rationale: Primary therapeutic effect is reduction of angina.
5. Which food should a client taking warfarin avoid
increasing suddenly?
A. Apples
B. Bananas
C. Spinach
D. Chicken
Answer: C
Rationale: Vitamin K in leafy greens affects anticoagulation.
6. A diabetic client is shaky and diaphoretic. Glucose 52
mg/dL. Priority action?
A. Give insulin
B. Give 15 g fast carbohydrate
C. Call provider
D. Recheck in 1 hour
Answer: B
