HESI RN Exit Exam with NGN Latest
Version B Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A client who had abdominal surgery 12 hours ago reports sudden severe abdominal pain and
distention. What should the nurse do first?
A. Encourage deep breathing exercises
✔✔B. Assess for bowel sounds and signs of paralytic ileus
C. Administer prescribed analgesic
D. Place the client in a supine position
A nurse is caring for a client receiving a blood transfusion. The client develops chills, fever, and
back pain. What is the nurse’s priority action?
✔✔A. Stop the transfusion immediately and maintain IV with saline
B. Call the provider after documenting
C. Administer acetaminophen for fever
D. Increase the IV infusion rate
1
,A client with type 2 diabetes reports dizziness and sweating. Which action should the nurse take
first?
A. Check blood pressure
✔✔B. Check blood glucose and give fast-acting carbohydrate if low
C. Administer insulin as prescribed
D. Encourage the client to rest in bed
A client in labor is experiencing late decelerations on the fetal monitor. What is the nurse’s
immediate priority?
A. Apply oxygen via face mask
✔✔B. Reposition the client to left lateral position
C. Increase IV fluids
D. Document the findings
A nurse is teaching a client about a new prescription for enalapril. Which statement by the client
indicates understanding?
A. “I should double the dose if I forget it.”
✔✔B. “I should report any swelling of my face or lips immediately.”
C. “It’s safe to take potassium supplements without checking with my provider.”
2
,D. “I will take this medication only when I feel symptoms.”
A client with chronic kidney disease has potassium 6.3 mEq/L. Which intervention should the
nurse anticipate?
A. Administer oral potassium
✔✔B. Prepare to give IV calcium gluconate and insulin with dextrose
C. Encourage high-potassium foods
D. Hold all medications
A nurse is caring for a client with pneumonia who has thick, yellow sputum. What is the priority
intervention?
A. Administer antibiotics as scheduled
✔✔B. Encourage fluid intake and assist with coughing and deep breathing
C. Limit activity to reduce oxygen demand
D. Place in Trendelenburg position
A client receiving heparin therapy develops sudden bruising and nosebleeds. What should the
nurse do first?
A. Apply pressure to the nose
3
, ✔✔B. Hold the heparin and notify the provider
C. Document the findings
D. Give vitamin K
A client with a history of heart failure has sudden weight gain, edema, and shortness of breath.
Which action is the nurse’s priority?
A. Administer diuretic as prescribed
✔✔B. Assess respiratory status and oxygen saturation
C. Restrict fluid intake
D. Check vital signs every 4 hours
A client is post-thyroidectomy and complains of tingling around the mouth and in the fingers.
What is the nurse’s priority action?
A. Assess for infection at the incision site
✔✔B. Check for signs of hypocalcemia and prepare for calcium replacement
C. Encourage deep breathing exercises
D. Administer prescribed pain medication
4
Version B Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A client who had abdominal surgery 12 hours ago reports sudden severe abdominal pain and
distention. What should the nurse do first?
A. Encourage deep breathing exercises
✔✔B. Assess for bowel sounds and signs of paralytic ileus
C. Administer prescribed analgesic
D. Place the client in a supine position
A nurse is caring for a client receiving a blood transfusion. The client develops chills, fever, and
back pain. What is the nurse’s priority action?
✔✔A. Stop the transfusion immediately and maintain IV with saline
B. Call the provider after documenting
C. Administer acetaminophen for fever
D. Increase the IV infusion rate
1
,A client with type 2 diabetes reports dizziness and sweating. Which action should the nurse take
first?
A. Check blood pressure
✔✔B. Check blood glucose and give fast-acting carbohydrate if low
C. Administer insulin as prescribed
D. Encourage the client to rest in bed
A client in labor is experiencing late decelerations on the fetal monitor. What is the nurse’s
immediate priority?
A. Apply oxygen via face mask
✔✔B. Reposition the client to left lateral position
C. Increase IV fluids
D. Document the findings
A nurse is teaching a client about a new prescription for enalapril. Which statement by the client
indicates understanding?
A. “I should double the dose if I forget it.”
✔✔B. “I should report any swelling of my face or lips immediately.”
C. “It’s safe to take potassium supplements without checking with my provider.”
2
,D. “I will take this medication only when I feel symptoms.”
A client with chronic kidney disease has potassium 6.3 mEq/L. Which intervention should the
nurse anticipate?
A. Administer oral potassium
✔✔B. Prepare to give IV calcium gluconate and insulin with dextrose
C. Encourage high-potassium foods
D. Hold all medications
A nurse is caring for a client with pneumonia who has thick, yellow sputum. What is the priority
intervention?
A. Administer antibiotics as scheduled
✔✔B. Encourage fluid intake and assist with coughing and deep breathing
C. Limit activity to reduce oxygen demand
D. Place in Trendelenburg position
A client receiving heparin therapy develops sudden bruising and nosebleeds. What should the
nurse do first?
A. Apply pressure to the nose
3
, ✔✔B. Hold the heparin and notify the provider
C. Document the findings
D. Give vitamin K
A client with a history of heart failure has sudden weight gain, edema, and shortness of breath.
Which action is the nurse’s priority?
A. Administer diuretic as prescribed
✔✔B. Assess respiratory status and oxygen saturation
C. Restrict fluid intake
D. Check vital signs every 4 hours
A client is post-thyroidectomy and complains of tingling around the mouth and in the fingers.
What is the nurse’s priority action?
A. Assess for infection at the incision site
✔✔B. Check for signs of hypocalcemia and prepare for calcium replacement
C. Encourage deep breathing exercises
D. Administer prescribed pain medication
4
