HESI RN EXIT Exam Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client with COPD who is short of breath. The best initial action is to
A. Apply high-flow oxygen at 10 L/min
✔✔B. Place the client in high Fowler’s position and encourage pursed-lip breathing
C. Restrict fluids
D. Apply an abdominal binder
A nurse is reviewing lab results for a client taking warfarin. Which value indicates the
medication is effective?
A. INR 1.0
✔✔B. INR 2.5
C. INR 5.0
D. INR 0.8
A client with a nasogastric tube has a sudden drop in oxygen saturation. The nurse should first
✔✔A. Stop the feeding and assess for aspiration
1
,B. Increase the feeding rate
C. Flush the tube with water
D. Remove the tube immediately
A nurse is caring for a client in labor who is receiving an oxytocin infusion. The nurse notes late
decelerations on the fetal monitor. The priority action is to
✔✔A. Turn the client to her side and stop the oxytocin
B. Increase the oxytocin rate
C. Document the finding and continue
D. Check cervical dilation
A client with type 1 diabetes reports feeling shaky and sweaty. The nurse should first
A. Check the urine for ketones
✔✔B. Check the blood glucose level
C. Administer glucagon without testing
D. Restrict fluids
A nurse is teaching a client about nitroglycerin use for chest pain. Which instruction is correct?
2
,A. “Take up to 10 tablets in a row.”
✔✔B. “If pain is not relieved after 3 doses, call emergency services.”
C. “Store tablets in the refrigerator door.”
D. “Chew the tablets for faster relief.”
A nurse is caring for a client with schizophrenia who reports hearing voices. The best initial
response is
✔✔A. “I don’t hear the voices, but I understand they are real to you.”
B. “You must ignore the voices.”
C. “The voices aren’t real, so stop listening.”
D. “Why do you think you hear voices?”
A client with heart failure is receiving furosemide. Which finding requires immediate follow-up?
A. Weight loss of 1 kg in 2 days
✔✔B. Potassium level of 2.8 mEq/L
C. Blood pressure of 110/70 mmHg
D. Urine output of 1500 mL in 24 hours
3
, A nurse is caring for a client with a chest tube to water seal. Which finding requires intervention?
A. Gentle bubbling in the suction control chamber
✔✔B. Continuous bubbling in the water seal chamber
C. Fluctuation of water level with breathing
D. Drainage of 50 mL in 1 hour
A nurse is preparing to administer digoxin. Which assessment is most important before giving?
A. Blood pressure
✔✔B. Apical pulse for 1 minute
C. Respiratory rate
D. Capillary refill
A nurse is reviewing a medication order for a pediatric client. The dose is much higher than
normal. The nurse should
A. Give the dose and monitor closely
B. Ask the parent if this dose was given before
✔✔C. Hold the dose and clarify with the provider
D. Give half the dose only
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client with COPD who is short of breath. The best initial action is to
A. Apply high-flow oxygen at 10 L/min
✔✔B. Place the client in high Fowler’s position and encourage pursed-lip breathing
C. Restrict fluids
D. Apply an abdominal binder
A nurse is reviewing lab results for a client taking warfarin. Which value indicates the
medication is effective?
A. INR 1.0
✔✔B. INR 2.5
C. INR 5.0
D. INR 0.8
A client with a nasogastric tube has a sudden drop in oxygen saturation. The nurse should first
✔✔A. Stop the feeding and assess for aspiration
1
,B. Increase the feeding rate
C. Flush the tube with water
D. Remove the tube immediately
A nurse is caring for a client in labor who is receiving an oxytocin infusion. The nurse notes late
decelerations on the fetal monitor. The priority action is to
✔✔A. Turn the client to her side and stop the oxytocin
B. Increase the oxytocin rate
C. Document the finding and continue
D. Check cervical dilation
A client with type 1 diabetes reports feeling shaky and sweaty. The nurse should first
A. Check the urine for ketones
✔✔B. Check the blood glucose level
C. Administer glucagon without testing
D. Restrict fluids
A nurse is teaching a client about nitroglycerin use for chest pain. Which instruction is correct?
2
,A. “Take up to 10 tablets in a row.”
✔✔B. “If pain is not relieved after 3 doses, call emergency services.”
C. “Store tablets in the refrigerator door.”
D. “Chew the tablets for faster relief.”
A nurse is caring for a client with schizophrenia who reports hearing voices. The best initial
response is
✔✔A. “I don’t hear the voices, but I understand they are real to you.”
B. “You must ignore the voices.”
C. “The voices aren’t real, so stop listening.”
D. “Why do you think you hear voices?”
A client with heart failure is receiving furosemide. Which finding requires immediate follow-up?
A. Weight loss of 1 kg in 2 days
✔✔B. Potassium level of 2.8 mEq/L
C. Blood pressure of 110/70 mmHg
D. Urine output of 1500 mL in 24 hours
3
, A nurse is caring for a client with a chest tube to water seal. Which finding requires intervention?
A. Gentle bubbling in the suction control chamber
✔✔B. Continuous bubbling in the water seal chamber
C. Fluctuation of water level with breathing
D. Drainage of 50 mL in 1 hour
A nurse is preparing to administer digoxin. Which assessment is most important before giving?
A. Blood pressure
✔✔B. Apical pulse for 1 minute
C. Respiratory rate
D. Capillary refill
A nurse is reviewing a medication order for a pediatric client. The dose is much higher than
normal. The nurse should
A. Give the dose and monitor closely
B. Ask the parent if this dose was given before
✔✔C. Hold the dose and clarify with the provider
D. Give half the dose only
4
