HESI RN EXIT 2026
TEST BANK Exam
Questions And Correct
Answers (Verified
Answers) Plus
Rationales 2025/2026
Q&A | Instant
Download Pdf
1. A client with heart failure is prescribed furosemide.
Which lab value should the nurse monitor most closely?
A. Sodium
B. Potassium
C. Calcium
D. Glucose
Answer: B. Potassium
,Rationale: Loop diuretics like furosemide cause potassium
loss, increasing risk for hypokalemia and dysrhythmias.
2. A nurse is caring for a client with tuberculosis. Which
isolation precaution is required?
A. Contact
B. Droplet
C. Airborne
D. Protective
Answer: C. Airborne
Rationale: TB is transmitted via airborne particles requiring
N95 respirator and negative pressure room.
3. A client reports chest pain radiating to the left arm. What
is the nurse’s first action?
A. Obtain vital signs
B. Administer oxygen
C. Call the provider
D. Perform ECG
Answer: B. Administer oxygen
Rationale: Oxygen improves myocardial oxygenation and
reduces ischemia.
4. Which finding indicates digoxin toxicity?
A. Bradycardia
B. Hypertension
C. Tachypnea
,D. Hyperglycemia
Answer: A. Bradycardia
Rationale: Digoxin toxicity commonly causes bradycardia
and arrhythmias.
5. A client with diabetes has blood glucose of 45 mg/dL.
What is the priority intervention?
A. Give insulin
B. Administer 15g oral glucose
C. Recheck in 2 hours
D. Call provider
Answer: B. Administer 15g oral glucose
Rationale: Immediate treatment of hypoglycemia is fast-
acting carbohydrates.
6. Which medication requires monitoring for
nephrotoxicity?
A. Acetaminophen
B. Gentamicin
C. Metformin
D. Omeprazole
Answer: B. Gentamicin
Rationale: Aminoglycosides are nephrotoxic and ototoxic.
7. A post-op client is at risk for atelectasis. What is the
priority nursing intervention?
A. Encourage coughing and deep breathing
, B. Restrict fluids
C. Maintain supine position
D. Apply oxygen continuously
Answer: A. Encourage coughing and deep breathing
Rationale: Prevents alveolar collapse and promotes lung
expansion.
8. Which electrolyte imbalance is associated with muscle
twitching and tetany?
A. Hyperkalemia
B. Hypocalcemia
C. Hypernatremia
D. Hypermagnesemia
Answer: B. Hypocalcemia
Rationale: Low calcium increases neuromuscular
excitability.
9. A nurse is teaching about warfarin therapy. Which food
should be limited?
A. Apples
B. Spinach
C. Chicken
D. Rice
Answer: B. Spinach
Rationale: Vitamin K-rich foods reduce warfarin
effectiveness.
TEST BANK Exam
Questions And Correct
Answers (Verified
Answers) Plus
Rationales 2025/2026
Q&A | Instant
Download Pdf
1. A client with heart failure is prescribed furosemide.
Which lab value should the nurse monitor most closely?
A. Sodium
B. Potassium
C. Calcium
D. Glucose
Answer: B. Potassium
,Rationale: Loop diuretics like furosemide cause potassium
loss, increasing risk for hypokalemia and dysrhythmias.
2. A nurse is caring for a client with tuberculosis. Which
isolation precaution is required?
A. Contact
B. Droplet
C. Airborne
D. Protective
Answer: C. Airborne
Rationale: TB is transmitted via airborne particles requiring
N95 respirator and negative pressure room.
3. A client reports chest pain radiating to the left arm. What
is the nurse’s first action?
A. Obtain vital signs
B. Administer oxygen
C. Call the provider
D. Perform ECG
Answer: B. Administer oxygen
Rationale: Oxygen improves myocardial oxygenation and
reduces ischemia.
4. Which finding indicates digoxin toxicity?
A. Bradycardia
B. Hypertension
C. Tachypnea
,D. Hyperglycemia
Answer: A. Bradycardia
Rationale: Digoxin toxicity commonly causes bradycardia
and arrhythmias.
5. A client with diabetes has blood glucose of 45 mg/dL.
What is the priority intervention?
A. Give insulin
B. Administer 15g oral glucose
C. Recheck in 2 hours
D. Call provider
Answer: B. Administer 15g oral glucose
Rationale: Immediate treatment of hypoglycemia is fast-
acting carbohydrates.
6. Which medication requires monitoring for
nephrotoxicity?
A. Acetaminophen
B. Gentamicin
C. Metformin
D. Omeprazole
Answer: B. Gentamicin
Rationale: Aminoglycosides are nephrotoxic and ototoxic.
7. A post-op client is at risk for atelectasis. What is the
priority nursing intervention?
A. Encourage coughing and deep breathing
, B. Restrict fluids
C. Maintain supine position
D. Apply oxygen continuously
Answer: A. Encourage coughing and deep breathing
Rationale: Prevents alveolar collapse and promotes lung
expansion.
8. Which electrolyte imbalance is associated with muscle
twitching and tetany?
A. Hyperkalemia
B. Hypocalcemia
C. Hypernatremia
D. Hypermagnesemia
Answer: B. Hypocalcemia
Rationale: Low calcium increases neuromuscular
excitability.
9. A nurse is teaching about warfarin therapy. Which food
should be limited?
A. Apples
B. Spinach
C. Chicken
D. Rice
Answer: B. Spinach
Rationale: Vitamin K-rich foods reduce warfarin
effectiveness.
