WGU D455 – PROFESSIONAL NURSING ROLE TRANSITION |
EXIT HESI HCV2 | EXAM QUESTIONS AND CORRECT
ANSWERS | LATEST 2026/2027
Wgu D455 Exit Hesi Hcv2
1. A client with heart failure receiving furosemide reports muscle
cramps and weakness. Which laboratory value should the nurse review
first?
A. Serum calcium
B. Blood urea nitrogen
C. Serum potassium
D. Serum sodium
C. Serum potassium
Loop diuretics waste potassium, and cramps with weakness point
toward hypokalemia, which can trigger dysrhythmias.
2. The nurse is caring for a client taking digoxin 0.25 mg daily. The
apical pulse is 54 beats/min. What is the priority action?
A. Hold the dose and notify the healthcare provider
B. Administer the dose with food
C. Administer the dose and recheck in one hour
D. Give half the dose
A. Hold the dose and notify the healthcare provider
Digoxin is withheld when the apical rate falls below 60 in an adult
because bradycardia can signal toxicity.
Page 1 of 57
,3. A client with type 1 diabetes is shaky, diaphoretic, and confused. The
fingerstick glucose is 52 mg/dL. The client is alert enough to swallow.
What should the nurse give first?
A. 1 unit of regular insulin
B. A full meal tray
C. Glucagon 1 mg IM
D. 4 oz of fruit juice
D. 4 oz of fruit juice
An alert client who can swallow receives 15 g of a fast-acting
carbohydrate; glucagon is reserved for clients who cannot take anything
by mouth.
4. Which finding in a client receiving a blood transfusion requires the
nurse to stop the infusion immediately?
A. Low back pain and chills
B. Request for a blanket before the transfusion began
C. Mild itching at the IV site from tape
D. Temperature rise of 0.2 °F
A. Low back pain and chills
Back pain with chills is a classic early sign of an acute hemolytic
reaction, so the transfusion is stopped and saline is hung with new
tubing.
5. A client who had a total hip arthroplasty asks how to sit in a chair.
Which instruction is correct?
A. Lean far forward to stand up
B. Use a raised chair and keep the knees lower than the hips
C. Cross the legs at the ankles for comfort
D. Sit in a low, soft recliner
B. Use a raised chair and keep the knees lower than the hips
Keeping hip flexion under 90 degrees and avoiding adduction prevents
posterior dislocation after hip replacement.
Page 2 of 57
,6. The nurse receives report on four clients. Which client should be
assessed first?
A. A client scheduled for discharge awaiting teaching
B. A client with diabetes due for 0800 insulin
C. A client one day post-op with sudden dyspnea and chest pain
D. A client with a cast requesting pain medication rated 5/10
C. A client one day post-op with sudden dyspnea and chest pain
Sudden dyspnea with chest pain after surgery suggests pulmonary
embolism, an airway and breathing emergency.
7. A client with COPD has an SpO2 of 89% on 2 L/min nasal cannula.
What is the most appropriate action?
A. Continue the current oxygen and monitor
B. Increase oxygen to 6 L/min
C. Remove oxygen to stimulate breathing
D. Apply a non-rebreather mask
A. Continue the current oxygen and monitor
Many clients with COPD are kept at a target saturation of 88–92%, so
the current setting is acceptable.
8. Which statement by a client with a new prescription for warfarin
shows a need for more teaching?
A. "I will keep my INR appointments."
B. "I will use a soft toothbrush."
C. "I will start eating a large spinach salad every day."
D. "I will report dark tarry stools."
C. "I will start eating a large spinach salad every day."
A sudden increase in vitamin K intake opposes warfarin; leafy greens
should be eaten in consistent amounts, not suddenly increased.
Page 3 of 57
, 9. The antidote the nurse should have available for a client receiving IV
heparin is
A. Naloxone
B. Vitamin K
C. Protamine sulfate
D. Flumazenil
C. Protamine sulfate
Protamine sulfate binds heparin and reverses its anticoagulant effect.
10. A client with a chest tube connected to a water-seal drainage
system has continuous bubbling in the water-seal chamber. What does
this indicate?
A. An air leak in the system
B. The suction is turned off
C. Lung re-expansion is complete
D. Normal functioning
A. An air leak in the system
Continuous bubbling in the water-seal chamber means air is entering
the system; intermittent bubbling with exhalation is expected with a
pneumothorax.
11. A newborn is 2 hours old. Which finding should the nurse report to
the provider?
A. Acrocyanosis of the hands and feet
B. Heart rate of 140 beats/min
C. Molding of the head
D. Respiratory rate of 72 breaths/min with grunting
D. Respiratory rate of 72 breaths/min with grunting
Grunting and a respiratory rate above 60 point to respiratory distress;
acrocyanosis and molding are expected.
Page 4 of 57
EXIT HESI HCV2 | EXAM QUESTIONS AND CORRECT
ANSWERS | LATEST 2026/2027
Wgu D455 Exit Hesi Hcv2
1. A client with heart failure receiving furosemide reports muscle
cramps and weakness. Which laboratory value should the nurse review
first?
A. Serum calcium
B. Blood urea nitrogen
C. Serum potassium
D. Serum sodium
C. Serum potassium
Loop diuretics waste potassium, and cramps with weakness point
toward hypokalemia, which can trigger dysrhythmias.
2. The nurse is caring for a client taking digoxin 0.25 mg daily. The
apical pulse is 54 beats/min. What is the priority action?
A. Hold the dose and notify the healthcare provider
B. Administer the dose with food
C. Administer the dose and recheck in one hour
D. Give half the dose
A. Hold the dose and notify the healthcare provider
Digoxin is withheld when the apical rate falls below 60 in an adult
because bradycardia can signal toxicity.
Page 1 of 57
,3. A client with type 1 diabetes is shaky, diaphoretic, and confused. The
fingerstick glucose is 52 mg/dL. The client is alert enough to swallow.
What should the nurse give first?
A. 1 unit of regular insulin
B. A full meal tray
C. Glucagon 1 mg IM
D. 4 oz of fruit juice
D. 4 oz of fruit juice
An alert client who can swallow receives 15 g of a fast-acting
carbohydrate; glucagon is reserved for clients who cannot take anything
by mouth.
4. Which finding in a client receiving a blood transfusion requires the
nurse to stop the infusion immediately?
A. Low back pain and chills
B. Request for a blanket before the transfusion began
C. Mild itching at the IV site from tape
D. Temperature rise of 0.2 °F
A. Low back pain and chills
Back pain with chills is a classic early sign of an acute hemolytic
reaction, so the transfusion is stopped and saline is hung with new
tubing.
5. A client who had a total hip arthroplasty asks how to sit in a chair.
Which instruction is correct?
A. Lean far forward to stand up
B. Use a raised chair and keep the knees lower than the hips
C. Cross the legs at the ankles for comfort
D. Sit in a low, soft recliner
B. Use a raised chair and keep the knees lower than the hips
Keeping hip flexion under 90 degrees and avoiding adduction prevents
posterior dislocation after hip replacement.
Page 2 of 57
,6. The nurse receives report on four clients. Which client should be
assessed first?
A. A client scheduled for discharge awaiting teaching
B. A client with diabetes due for 0800 insulin
C. A client one day post-op with sudden dyspnea and chest pain
D. A client with a cast requesting pain medication rated 5/10
C. A client one day post-op with sudden dyspnea and chest pain
Sudden dyspnea with chest pain after surgery suggests pulmonary
embolism, an airway and breathing emergency.
7. A client with COPD has an SpO2 of 89% on 2 L/min nasal cannula.
What is the most appropriate action?
A. Continue the current oxygen and monitor
B. Increase oxygen to 6 L/min
C. Remove oxygen to stimulate breathing
D. Apply a non-rebreather mask
A. Continue the current oxygen and monitor
Many clients with COPD are kept at a target saturation of 88–92%, so
the current setting is acceptable.
8. Which statement by a client with a new prescription for warfarin
shows a need for more teaching?
A. "I will keep my INR appointments."
B. "I will use a soft toothbrush."
C. "I will start eating a large spinach salad every day."
D. "I will report dark tarry stools."
C. "I will start eating a large spinach salad every day."
A sudden increase in vitamin K intake opposes warfarin; leafy greens
should be eaten in consistent amounts, not suddenly increased.
Page 3 of 57
, 9. The antidote the nurse should have available for a client receiving IV
heparin is
A. Naloxone
B. Vitamin K
C. Protamine sulfate
D. Flumazenil
C. Protamine sulfate
Protamine sulfate binds heparin and reverses its anticoagulant effect.
10. A client with a chest tube connected to a water-seal drainage
system has continuous bubbling in the water-seal chamber. What does
this indicate?
A. An air leak in the system
B. The suction is turned off
C. Lung re-expansion is complete
D. Normal functioning
A. An air leak in the system
Continuous bubbling in the water-seal chamber means air is entering
the system; intermittent bubbling with exhalation is expected with a
pneumothorax.
11. A newborn is 2 hours old. Which finding should the nurse report to
the provider?
A. Acrocyanosis of the hands and feet
B. Heart rate of 140 beats/min
C. Molding of the head
D. Respiratory rate of 72 breaths/min with grunting
D. Respiratory rate of 72 breaths/min with grunting
Grunting and a respiratory rate above 60 point to respiratory distress;
acrocyanosis and molding are expected.
Page 4 of 57
