LATEST UPDATE WITH VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS|| COMPLETE QUESTIONS AND
CORRECT ANSWERS|| REAL EXIT HESI PN
EXAM !! BRAND NEW
Exam Directions
• Select the one best answer unless the question states otherwise.
• Prioritize airway, breathing, circulation, acute changes, and immediate saf ety threats.
• For medication questions, consider assessment f indings, contraindications, adverse ef f ects,
and client saf ety.
• Record your answers bef ore reviewing the answer key and rationales.
Questions
1. A client has just returned from surgery and is difficult to arouse. Which
assessment is the priority?
A. Airway and breathing
B. Obtain a routine temperature
C. Of f er oral f luids
D. Document the surgical history
Topic: Fundamentals
2. Which action best prevents transmission of infection between clients?
A. Perf orm hand hygiene bef ore and af ter client co ntact
B. Wear sterile gloves f or every interaction
C. Use antibiotics prophylactically
D. Place every client in isolation
,Topic: Fundamentals
3. A client reports sudden chest pressure. What should the PN do first?
A. Stop activity and assess the client
B. Encourage the client to continue walking
C. Give a meal immediately
D. Delay assessment until rounds
Topic: Fundamentals
4. Which finding requires immediate follow-up in a postoperative client?
A. Respiratory rate of 8/min
B. Temperature of 37.2°C
C. Pulse of 82/min
D. Mild incisional pain
Topic: Fundamentals
5. A confused client repeatedly tries to climb out of bed. What is the best initial
intervention?
A. Use least-restrictive saf ety measures and increase observation
B. Notif y the provider af ter the next shif t
C. Reassess only if symptoms worsen
D. Document the f inding without intervention
Topic: Saf ety
6. A medication label is unreadable. What should the PN do?
A. Do not administer it; obtain a clearly labeled medication
B. Notif y the provider af ter the next shif t
C. Reassess only if symptoms worsen
D. Document the f inding without intervention
Topic: Saf ety
7. Which client should be seen first?
A. A client with new stridor
B. Notif y the provider af ter the next shif t
,C. Reassess only if symptoms worsen
D. Document the f inding without intervention
Topic: Saf ety
8. A fire starts in a client's room. What is the first action?
A. Remove the client f rom immediate danger
B. Notif y the provider af ter the next shif t
C. Reassess only if symptoms worsen
D. Document the f inding without intervention
Topic: Saf ety
9. A client taking digoxin reports nausea and sees yellow-green halos. What
should the PN suspect?
A. Digoxin toxicity
B. Notif y the provider af ter the next shif t
C. Reassess only if symptoms worsen
D. Document the f inding without intervention
Topic: Pharmacology
10. Which finding is most concerning after opioid administration?
A. Respiratory rate of 7/min
B. Notif y the provider af ter the next shif t
C. Reassess only if symptoms worsen
D. Document the f inding without intervention
Topic: Pharmacology
11. What medication reverses opioid-induced respiratory depression?
A. Naloxone
B. Notif y the provider af ter the next shif t
C. Reassess only if symptoms worsen
D. Document the f inding without intervention
Topic: Pharmacology
, 12. A client taking warfarin should be monitored using which laboratory test?
A. INR
B. Notif y the provider af ter the next shif t
C. Reassess only if symptoms worsen
D. Document the f inding without intervention
Topic: Pharmacology
13. Which symptom is most characteristic of left-sided heart failure?
A. Crackles and dyspnea
B. Notif y the provider af ter the next shif t
C. Reassess only if symptoms worsen
D. Document the f inding without intervention
Topic: Cardiovascular
14. Which daily assessment is especially useful in heart failure?
A. Daily weight
B. Notif y the provider af ter the next shif t
C. Reassess only if symptoms worsen
D. Document the f inding without intervention
Topic: Cardiovascular
15. A client with heart failure gains 2 kg in two days. What should the PN do?
A. Notif y the healthcare provider
B. Notif y the provider af ter the next shif t
C. Reassess only if symptoms worsen
D. Document the f inding without intervention
Topic: Cardiovascular
16. Which diet instruction is commonly appropriate for heart failure?
A. Follow prescribed sodium and f luid restrictions
B. Notif y the provider af ter the next shif t
C. Reassess only if symptoms worsen
D. Document the f inding without intervention