1
Fortis College HESI Exit Exam Actual Exam
Questions and Answers with Rationales
2026/2027 | Transition to Practice Capstone |
Pass Guarantee
Q001: A 68-year-old with STEMI receives fibrinolytics and now has sudden
dyspnea, JVD, and BP 70/40. What is the priority action?
Options:
A. Start dopamine
B. Give furosemide IV
C. Prepare for pericardiocentesis - CORRECT
D. Repeat ECG
ANSWER: C
Q002: A 55-year-old with COPD has ABG pH 7.32, PaCO₂ 58, PaO₂ 55, and is
drowsy. What is the priority?
Options:
A. Increase O₂ to 6 L
B. Start BiPAP - CORRECT
C. Give acetazolamide
D. Intubate
ANSWER: B
Q003: A 72-year-old post-TURP has HR 120, BP 80/50, and Hgb 7.8. What is the
priority?
Options:
A. Clamp irrigation
, 2
B. Transfuse 2 units
C. Start vasopressor
D. Replace with 3-way Foley - CORRECT
ANSWER: D
Q004: A 45-year-old with cirrhosis has hematemesis and BP 84/40. What is the
first action?
Options:
A. Insert NG tube
B. Start 2 large-bore IVs - CORRECT
C. Give protonix
D. Type 6 units
ANSWER: B
Q005: A 60-year-old with CKD has K 6.2 and peaked T waves. What is the
immediate action?
Options:
A. Give calcium gluconate 1 g IV - CORRECT
B. Start insulin + D50
C. Give albuterol
D. Kayexalate enema
ANSWER: A
Q006: A 50-year-old with asthma on BiPAP has peak flow 180 after 3 nebs. What
is next?
Options:
A. Give magnesium 2 g IV - CORRECT
B. Intubate
, 3
C. Increase BiPAP
D. Give aminophylline
ANSWER: A
Q007: A 38-year-old with T1DM has BG 42 mg/dL and can swallow. What is the
priority?
Options:
A. Give 15 g glucose tabs - CORRECT
B. Start D10 IV
C. Give glucagon IM
D. Hold pump basal
ANSWER: A
Q008: A 65-year-old with AFib on dabigatran has GI bleeding and BP 90/60. What
is the antidote?
Options:
A. Protamine 50 mg
B. Vitamin K 10 mg
C. Idarucizumab 5 g IV - CORRECT
D. FEIBA
ANSWER: C
Q009: A 30-year-old post-trauma has femur fracture and sudden dyspnea. What is
the priority?
Options:
A. Start heparin
B. Apply traction
C. Prepare for intubation - CORRECT
Fortis College HESI Exit Exam Actual Exam
Questions and Answers with Rationales
2026/2027 | Transition to Practice Capstone |
Pass Guarantee
Q001: A 68-year-old with STEMI receives fibrinolytics and now has sudden
dyspnea, JVD, and BP 70/40. What is the priority action?
Options:
A. Start dopamine
B. Give furosemide IV
C. Prepare for pericardiocentesis - CORRECT
D. Repeat ECG
ANSWER: C
Q002: A 55-year-old with COPD has ABG pH 7.32, PaCO₂ 58, PaO₂ 55, and is
drowsy. What is the priority?
Options:
A. Increase O₂ to 6 L
B. Start BiPAP - CORRECT
C. Give acetazolamide
D. Intubate
ANSWER: B
Q003: A 72-year-old post-TURP has HR 120, BP 80/50, and Hgb 7.8. What is the
priority?
Options:
A. Clamp irrigation
, 2
B. Transfuse 2 units
C. Start vasopressor
D. Replace with 3-way Foley - CORRECT
ANSWER: D
Q004: A 45-year-old with cirrhosis has hematemesis and BP 84/40. What is the
first action?
Options:
A. Insert NG tube
B. Start 2 large-bore IVs - CORRECT
C. Give protonix
D. Type 6 units
ANSWER: B
Q005: A 60-year-old with CKD has K 6.2 and peaked T waves. What is the
immediate action?
Options:
A. Give calcium gluconate 1 g IV - CORRECT
B. Start insulin + D50
C. Give albuterol
D. Kayexalate enema
ANSWER: A
Q006: A 50-year-old with asthma on BiPAP has peak flow 180 after 3 nebs. What
is next?
Options:
A. Give magnesium 2 g IV - CORRECT
B. Intubate
, 3
C. Increase BiPAP
D. Give aminophylline
ANSWER: A
Q007: A 38-year-old with T1DM has BG 42 mg/dL and can swallow. What is the
priority?
Options:
A. Give 15 g glucose tabs - CORRECT
B. Start D10 IV
C. Give glucagon IM
D. Hold pump basal
ANSWER: A
Q008: A 65-year-old with AFib on dabigatran has GI bleeding and BP 90/60. What
is the antidote?
Options:
A. Protamine 50 mg
B. Vitamin K 10 mg
C. Idarucizumab 5 g IV - CORRECT
D. FEIBA
ANSWER: C
Q009: A 30-year-old post-trauma has femur fracture and sudden dyspnea. What is
the priority?
Options:
A. Start heparin
B. Apply traction
C. Prepare for intubation - CORRECT
