PN HESI EXIT EXAM REVISION PACK
Evaluation 18
Contents
Ultra-Hard HESI Predictor Questions........................................................................................................................................................................3
Comprehensive Pharmacology Mastery...................................................................................................................................................................5
,Advanced SATA & NGN Cases....................................................................................................................................................................................8
Leadership & Charge Nurse Scenarios......................................................................................................................................................................9
Disaster & Triage Nursing........................................................................................................................................................................................11
Comprehensive Exit Exam Readiness......................................................................................................................................................................12
, Questions 451–475
Ultra-Hard HESI Predictor Questions
Question 451
A client with heart failure develops sudden severe dyspnea, pink frothy sputum, and oxygen saturation of 78%.
What is the priority nursing action?
A. Place the client upright and administer oxygen
B. Encourage oral fluids
C. Obtain a dietary history
D. Restrict monitoring
Answer: A
Rationale:
The client is experiencing acute pulmonary edema. Airway and oxygenation are the immediate priorities.
Question 452
A client receiving hemodialysis suddenly develops chest pain and shortness of breath. What should the nurse do
first?
A. Stop the dialysis treatment and assess the client
B. Increase the dialysis rate
C. Encourage deep breathing only
D. Document the symptoms
Answer: A
Rationale:
Chest pain during dialysis may indicate serious complications requiring immediate assessment.
Evaluation 18
Contents
Ultra-Hard HESI Predictor Questions........................................................................................................................................................................3
Comprehensive Pharmacology Mastery...................................................................................................................................................................5
,Advanced SATA & NGN Cases....................................................................................................................................................................................8
Leadership & Charge Nurse Scenarios......................................................................................................................................................................9
Disaster & Triage Nursing........................................................................................................................................................................................11
Comprehensive Exit Exam Readiness......................................................................................................................................................................12
, Questions 451–475
Ultra-Hard HESI Predictor Questions
Question 451
A client with heart failure develops sudden severe dyspnea, pink frothy sputum, and oxygen saturation of 78%.
What is the priority nursing action?
A. Place the client upright and administer oxygen
B. Encourage oral fluids
C. Obtain a dietary history
D. Restrict monitoring
Answer: A
Rationale:
The client is experiencing acute pulmonary edema. Airway and oxygenation are the immediate priorities.
Question 452
A client receiving hemodialysis suddenly develops chest pain and shortness of breath. What should the nurse do
first?
A. Stop the dialysis treatment and assess the client
B. Increase the dialysis rate
C. Encourage deep breathing only
D. Document the symptoms
Answer: A
Rationale:
Chest pain during dialysis may indicate serious complications requiring immediate assessment.
