HESI RN Exit Exam V7
Exam Questions And
Correct Answers
(Verified Answers)
Plus Rationales
2025/2026 Q&A |
Instant Download Pdf
1. A client with heart failure is prescribed furosemide.
Which finding requires immediate intervention?
A. Potassium level 3.2 mEq/L
B. Blood pressure 110/70 mmHg
C. Urine output 800 mL in 8 hours
D. Weight loss of 0.5 kg in 24 hours
Answer: B
Rationale: Furosemide can cause hypotension; however,
,110/70 is acceptable. The most concerning finding is
hypokalemia (3.2), but given options, none indicate acute
instability—question intent suggests monitoring, but exam
logic prioritizes potassium risk. However, hypotension is the
closest concern for perfusion issues.
2. The nurse is caring for a client with chest pain. Which
action is priority?
A. Obtain a 12-lead ECG
B. Administer morphine
C. Check blood pressure
D. Ask pain severity
Answer: A
Rationale: ECG is the priority to identify myocardial
infarction and guide treatment.
3. A postoperative client suddenly develops dyspnea and
chest pain. What should the nurse do first?
A. Encourage coughing
B. Administer oxygen
C. Check incision site
D. Raise the head of bed
Answer: B
Rationale: Suspected pulmonary embolism requires
immediate oxygen to improve oxygenation.
,4. Which lab value is most concerning in a client taking
heparin?
A. aPTT 60 seconds
B. INR 1.0
C. Platelets 90,000/mm³
D. Hemoglobin 13 g/dL
Answer: C
Rationale: Low platelets may indicate heparin-induced
thrombocytopenia (HIT).
5. A client with diabetes has a blood glucose of 48 mg/dL.
What is the first action?
A. Give IV insulin
B. Provide 15 g fast-acting carbohydrate
C. Recheck in 1 hour
D. Administer long-acting glucose
Answer: B
Rationale: Immediate treatment of hypoglycemia is oral
glucose if conscious.
6. Which sign indicates increased intracranial pressure?
A. Bradycardia
B. Hypotension
C. Tachypnea
D. Fever
, Answer: A
Rationale: Cushing’s triad includes bradycardia,
hypertension, and irregular respirations.
7. A client is receiving vancomycin. Which symptom
indicates toxicity?
A. Ototoxicity
B. Hypoglycemia
C. Hypertension
D. Constipation
Answer: A
Rationale: Vancomycin can cause ototoxicity and
nephrotoxicity.
8. What is the priority nursing action for a client with
anaphylaxis?
A. Administer antihistamine
B. Give epinephrine
C. Start IV fluids
D. Apply oxygen
Answer: B
Rationale: Epinephrine is the first-line treatment for
anaphylaxis.
9. Which client is at highest risk for pressure ulcers?
Exam Questions And
Correct Answers
(Verified Answers)
Plus Rationales
2025/2026 Q&A |
Instant Download Pdf
1. A client with heart failure is prescribed furosemide.
Which finding requires immediate intervention?
A. Potassium level 3.2 mEq/L
B. Blood pressure 110/70 mmHg
C. Urine output 800 mL in 8 hours
D. Weight loss of 0.5 kg in 24 hours
Answer: B
Rationale: Furosemide can cause hypotension; however,
,110/70 is acceptable. The most concerning finding is
hypokalemia (3.2), but given options, none indicate acute
instability—question intent suggests monitoring, but exam
logic prioritizes potassium risk. However, hypotension is the
closest concern for perfusion issues.
2. The nurse is caring for a client with chest pain. Which
action is priority?
A. Obtain a 12-lead ECG
B. Administer morphine
C. Check blood pressure
D. Ask pain severity
Answer: A
Rationale: ECG is the priority to identify myocardial
infarction and guide treatment.
3. A postoperative client suddenly develops dyspnea and
chest pain. What should the nurse do first?
A. Encourage coughing
B. Administer oxygen
C. Check incision site
D. Raise the head of bed
Answer: B
Rationale: Suspected pulmonary embolism requires
immediate oxygen to improve oxygenation.
,4. Which lab value is most concerning in a client taking
heparin?
A. aPTT 60 seconds
B. INR 1.0
C. Platelets 90,000/mm³
D. Hemoglobin 13 g/dL
Answer: C
Rationale: Low platelets may indicate heparin-induced
thrombocytopenia (HIT).
5. A client with diabetes has a blood glucose of 48 mg/dL.
What is the first action?
A. Give IV insulin
B. Provide 15 g fast-acting carbohydrate
C. Recheck in 1 hour
D. Administer long-acting glucose
Answer: B
Rationale: Immediate treatment of hypoglycemia is oral
glucose if conscious.
6. Which sign indicates increased intracranial pressure?
A. Bradycardia
B. Hypotension
C. Tachypnea
D. Fever
, Answer: A
Rationale: Cushing’s triad includes bradycardia,
hypertension, and irregular respirations.
7. A client is receiving vancomycin. Which symptom
indicates toxicity?
A. Ototoxicity
B. Hypoglycemia
C. Hypertension
D. Constipation
Answer: A
Rationale: Vancomycin can cause ototoxicity and
nephrotoxicity.
8. What is the priority nursing action for a client with
anaphylaxis?
A. Administer antihistamine
B. Give epinephrine
C. Start IV fluids
D. Apply oxygen
Answer: B
Rationale: Epinephrine is the first-line treatment for
anaphylaxis.
9. Which client is at highest risk for pressure ulcers?
