RN HESI Exit Exam Remediation
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A patient with a Foley catheter reports bladder spasms and discomfort. What is the first action?
A. Remove the catheter immediately
✔✔B. Assess for kinks, ensure patency, and check for infection
C. Administer pain medication only
D. Notify family
A child is admitted with high fever and seizure activity. What is the priority nursing intervention?
A. Start IV fluids immediately
✔✔B. Ensure safety, maintain airway, and monitor seizure
C. Call provider after seizure
D. Document only
A patient is refusing a newly prescribed antibiotic. What is the best nursing response?
A. Force the patient to take it
✔✔B. Explain the purpose, benefits, and risks of the medication
1
,C. Ignore the refusal
D. Wait until the patient changes mind
A postoperative patient reports severe pain not relieved by medication. What should the nurse do
first?
A. Give another dose immediately
✔✔B. Assess for complications such as infection, bleeding, or compartment syndrome
C. Call family
D. Document only
A patient with sudden swelling of the lips and face after eating peanuts. What is the priority
nursing action?
✔✔A. Assess airway and prepare emergency intervention
B. Give oral antihistamine
C. Document and observe
D. Notify family
A patient scheduled for surgery asks why NPO status is required. What is the nurse’s best
response?
2
,A. To fill paperwork
B. To speed recovery
✔✔C. To reduce the risk of aspiration during anesthesia
D. Because fasting makes the stomach empty faster
A patient reports burning on urination after catheter insertion. What should the nurse do first?
A. Remove the catheter immediately
✔✔B. Assess for urinary tract infection and notify provider if indicated
C. Give pain medication only
D. Document
A postoperative patient is hypotensive and tachycardic. What is the first nursing action?
A. Sit patient upright
B. Call provider immediately
✔✔C. Assess for bleeding and maintain IV access for fluid replacement
D. Document only
A patient with COPD reports increased shortness of breath. What is the priority action?
3
, A. Encourage coughing only
B. Sit with patient
✔✔C. Administer prescribed oxygen and assess respiratory effort
D. Monitor next shift
A patient reports numbness and tingling after starting a new medication. What is the first nursing
action?
A. Tell the patient it is normal
✔✔B. Assess for adverse drug reaction and notify the provider
C. Wait until next assessment
D. Document only
A patient develops rash after IV antibiotic administration. What should the nurse do first?
A. Apply topical cream
B. Continue infusion
✔✔C. Stop infusion and notify provider
D. Document only
4
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A patient with a Foley catheter reports bladder spasms and discomfort. What is the first action?
A. Remove the catheter immediately
✔✔B. Assess for kinks, ensure patency, and check for infection
C. Administer pain medication only
D. Notify family
A child is admitted with high fever and seizure activity. What is the priority nursing intervention?
A. Start IV fluids immediately
✔✔B. Ensure safety, maintain airway, and monitor seizure
C. Call provider after seizure
D. Document only
A patient is refusing a newly prescribed antibiotic. What is the best nursing response?
A. Force the patient to take it
✔✔B. Explain the purpose, benefits, and risks of the medication
1
,C. Ignore the refusal
D. Wait until the patient changes mind
A postoperative patient reports severe pain not relieved by medication. What should the nurse do
first?
A. Give another dose immediately
✔✔B. Assess for complications such as infection, bleeding, or compartment syndrome
C. Call family
D. Document only
A patient with sudden swelling of the lips and face after eating peanuts. What is the priority
nursing action?
✔✔A. Assess airway and prepare emergency intervention
B. Give oral antihistamine
C. Document and observe
D. Notify family
A patient scheduled for surgery asks why NPO status is required. What is the nurse’s best
response?
2
,A. To fill paperwork
B. To speed recovery
✔✔C. To reduce the risk of aspiration during anesthesia
D. Because fasting makes the stomach empty faster
A patient reports burning on urination after catheter insertion. What should the nurse do first?
A. Remove the catheter immediately
✔✔B. Assess for urinary tract infection and notify provider if indicated
C. Give pain medication only
D. Document
A postoperative patient is hypotensive and tachycardic. What is the first nursing action?
A. Sit patient upright
B. Call provider immediately
✔✔C. Assess for bleeding and maintain IV access for fluid replacement
D. Document only
A patient with COPD reports increased shortness of breath. What is the priority action?
3
, A. Encourage coughing only
B. Sit with patient
✔✔C. Administer prescribed oxygen and assess respiratory effort
D. Monitor next shift
A patient reports numbness and tingling after starting a new medication. What is the first nursing
action?
A. Tell the patient it is normal
✔✔B. Assess for adverse drug reaction and notify the provider
C. Wait until next assessment
D. Document only
A patient develops rash after IV antibiotic administration. What should the nurse do first?
A. Apply topical cream
B. Continue infusion
✔✔C. Stop infusion and notify provider
D. Document only
4
