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HESI Exit Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

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HESI Exit Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A nurse is caring for a client with pneumonia who is receiving oxygen therapy. Which action is most appropriate? A. Encourage the client to lie flat in bed B. Apply oxygen at the highest setting possible C. Monitor oxygen saturation and adjust flow as prescribed D. Restrict fluid intake to prevent pulmonary edema A client reports chest pain radiating to the left arm. What is the nurse’s first action? A. Provide a warm compress to the chest B. Assess vital signs and apply cardiac monitoring C. Encourage the client to take deep breaths D. Administer an analgesic immediately A nurse is preparing to administer a new antibiotic to a client with renal impairment. What is the priority action? 2 A. Administer the full dose regardless of kidney function B. Check renal function and adjust the dose if needed C. Give the medication with food D. Skip the dose if the client feels fine A client with diabetes reports dizziness and sweating. What should the nurse do first? A. Encourage the client to walk around B. Check blood glucose and administer a quick-acting carbohydrate if low C. Hold insulin for the day D. Notify the provider immediately A patient with a Foley catheter develops cloudy urine and fever. What is the priority nursing action? A. Change the catheter immediately B. Assess for urinary tract infection and notify the provider C. Encourage oral hydration only D. Apply a warm compress to the bladder 3 A nurse observes a client with COPD using accessory muscles and having labored breathing. What is the first action? A. Assess oxygen saturation and administer prescribed oxygen B. Encourage the client to cough harder C. Have the client lie flat in bed D. Restrict fluid intake A client is post-operative and reports pain at 9/10 on the pain scale. What is the priority action? A. Encourage deep breathing and ambulation first B. Assess the pain and administer prescribed analgesics C. Document the pain and reassess in 2 hours D. Wait to see if the pain decreases naturally A nurse is caring for a client with heart failure who is short of breath. What action is most appropriate? A. Place the client flat in bed B. Elevate the head of the bed and monitor oxygen saturation C. Restrict fluids completely 4 D. Encourage heavy exercise A patient is receiving IV potassium. Which assessment is most important? A. Monitor for edema only B. Assess for cardiac arrhythmias C. Encourage oral potassium supplements D. Restrict fluid intake A nurse notes a child with sudden onset of high fever and seizure activity. What is the first action? A. Place the child in a supine position B. Ensure airway safety and maintain seizure precautions C. Start IV fluids immediately D. Administer antipyretics only A nurse is preparing to administer a blood transfusion. What is the most important safety step? A. Check the patient’s allergies only B. Begin the transfusion immediately 5 C. Verify the patient’s identity and blood product compatibility D. Ensure the IV line is flushed with saline only A client is experiencing sudden shortness of breath after surgery. What is the nurse’s priority assessment? A. Check for incision site bleeding B. Assess oxygen saturation and lung sounds C. Encourage ambulation immediately

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HESI Exit Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A nurse is caring for a client with pneumonia who is receiving oxygen therapy. Which action is

most appropriate?

A. Encourage the client to lie flat in bed

B. Apply oxygen at the highest setting possible


✔✔C. Monitor oxygen saturation and adjust flow as prescribed


D. Restrict fluid intake to prevent pulmonary edema




A client reports chest pain radiating to the left arm. What is the nurse’s first action?

A. Provide a warm compress to the chest


✔✔B. Assess vital signs and apply cardiac monitoring


C. Encourage the client to take deep breaths

D. Administer an analgesic immediately




A nurse is preparing to administer a new antibiotic to a client with renal impairment. What is the

priority action?



1

,A. Administer the full dose regardless of kidney function


✔✔B. Check renal function and adjust the dose if needed


C. Give the medication with food

D. Skip the dose if the client feels fine




A client with diabetes reports dizziness and sweating. What should the nurse do first?

A. Encourage the client to walk around


✔✔B. Check blood glucose and administer a quick-acting carbohydrate if low


C. Hold insulin for the day

D. Notify the provider immediately




A patient with a Foley catheter develops cloudy urine and fever. What is the priority nursing

action?

A. Change the catheter immediately


✔✔B. Assess for urinary tract infection and notify the provider


C. Encourage oral hydration only

D. Apply a warm compress to the bladder




2

,A nurse observes a client with COPD using accessory muscles and having labored breathing.

What is the first action?


✔✔A. Assess oxygen saturation and administer prescribed oxygen


B. Encourage the client to cough harder

C. Have the client lie flat in bed

D. Restrict fluid intake




A client is post-operative and reports pain at 9/10 on the pain scale. What is the priority action?

A. Encourage deep breathing and ambulation first


✔✔B. Assess the pain and administer prescribed analgesics


C. Document the pain and reassess in 2 hours

D. Wait to see if the pain decreases naturally




A nurse is caring for a client with heart failure who is short of breath. What action is most

appropriate?

A. Place the client flat in bed


✔✔B. Elevate the head of the bed and monitor oxygen saturation


C. Restrict fluids completely



3

, D. Encourage heavy exercise




A patient is receiving IV potassium. Which assessment is most important?

A. Monitor for edema only


✔✔B. Assess for cardiac arrhythmias


C. Encourage oral potassium supplements

D. Restrict fluid intake




A nurse notes a child with sudden onset of high fever and seizure activity. What is the first

action?

A. Place the child in a supine position


✔✔B. Ensure airway safety and maintain seizure precautions


C. Start IV fluids immediately

D. Administer antipyretics only




A nurse is preparing to administer a blood transfusion. What is the most important safety step?

A. Check the patient’s allergies only

B. Begin the transfusion immediately



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