EXIT HESI - Comprehensive PN Exam
A Practice Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A client with heart failure reports sudden weight gain of 4 pounds in 24 hours. What is the
nurse’s first action?
A. Document the finding
✔✔B. Notify the healthcare provider
C. Encourage increased fluid intake
D. Reassure the client this is normal
A nurse is teaching a client prescribed nitroglycerin tablets. Which instruction is correct?
A. Swallow the tablet with water
✔✔B. Place the tablet under the tongue until it dissolves
C. Take with meals only
D. Store in a plastic pill organizer
A client receiving IV morphine reports difficulty staying awake. Respiratory rate is 6/min. What
is the nurse’s priority action?
1
,✔✔A. Administer naloxone
B. Elevate the head of the bed
C. Reduce IV fluids
D. Document the findings
A postpartum client is experiencing heavy bleeding and a boggy uterus. Which intervention
should the nurse perform first?
A. Call the obstetrician
✔✔B. Massage the fundus
C. Apply warm compresses
D. Increase oral fluids
A client with schizophrenia is pacing and yelling loudly. What should the nurse do first?
A. Ask the client to explain feelings
✔✔B. Reduce environmental stimuli and approach calmly
C. Offer group therapy session
D. Leave the client alone until calm
2
,A client is prescribed warfarin. Which food should the nurse teach to avoid excessive intake of?
A. Apples
B. Milk
✔✔C. Spinach
D. Rice
A client with COPD is short of breath while lying in bed. Which position best promotes
ventilation?
A. Supine with legs elevated
✔✔B. High Fowler’s with arms supported on pillows
C. Side-lying with knees bent
D. Trendelenburg position
A nurse is caring for a client with cirrhosis. Which finding indicates hepatic encephalopathy?
A. Jaundice
✔✔B. Asterixis (flapping tremor)
C. Ascites
D. Pruritus
3
, A client is prescribed furosemide. Which electrolyte should be monitored most closely?
A. Sodium
✔✔B. Potassium
C. Calcium
D. Chloride
A client with diabetes reports shaking, sweating, and blurred vision. What should the nurse do
first?
A. Call the healthcare provider
✔✔B. Provide orange juice
C. Administer insulin
D. Encourage ambulation
A client with burns covering 30% of body surface area is at greatest risk in the first 24 hours for
which complication?
A. Sepsis
✔✔B. Hypovolemic shock
4
A Practice Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A client with heart failure reports sudden weight gain of 4 pounds in 24 hours. What is the
nurse’s first action?
A. Document the finding
✔✔B. Notify the healthcare provider
C. Encourage increased fluid intake
D. Reassure the client this is normal
A nurse is teaching a client prescribed nitroglycerin tablets. Which instruction is correct?
A. Swallow the tablet with water
✔✔B. Place the tablet under the tongue until it dissolves
C. Take with meals only
D. Store in a plastic pill organizer
A client receiving IV morphine reports difficulty staying awake. Respiratory rate is 6/min. What
is the nurse’s priority action?
1
,✔✔A. Administer naloxone
B. Elevate the head of the bed
C. Reduce IV fluids
D. Document the findings
A postpartum client is experiencing heavy bleeding and a boggy uterus. Which intervention
should the nurse perform first?
A. Call the obstetrician
✔✔B. Massage the fundus
C. Apply warm compresses
D. Increase oral fluids
A client with schizophrenia is pacing and yelling loudly. What should the nurse do first?
A. Ask the client to explain feelings
✔✔B. Reduce environmental stimuli and approach calmly
C. Offer group therapy session
D. Leave the client alone until calm
2
,A client is prescribed warfarin. Which food should the nurse teach to avoid excessive intake of?
A. Apples
B. Milk
✔✔C. Spinach
D. Rice
A client with COPD is short of breath while lying in bed. Which position best promotes
ventilation?
A. Supine with legs elevated
✔✔B. High Fowler’s with arms supported on pillows
C. Side-lying with knees bent
D. Trendelenburg position
A nurse is caring for a client with cirrhosis. Which finding indicates hepatic encephalopathy?
A. Jaundice
✔✔B. Asterixis (flapping tremor)
C. Ascites
D. Pruritus
3
, A client is prescribed furosemide. Which electrolyte should be monitored most closely?
A. Sodium
✔✔B. Potassium
C. Calcium
D. Chloride
A client with diabetes reports shaking, sweating, and blurred vision. What should the nurse do
first?
A. Call the healthcare provider
✔✔B. Provide orange juice
C. Administer insulin
D. Encourage ambulation
A client with burns covering 30% of body surface area is at greatest risk in the first 24 hours for
which complication?
A. Sepsis
✔✔B. Hypovolemic shock
4
