HESI RN FUNDAMENTALS EXIT EXAM – 200
PRACTICE QUESTIONS VERSION 1 & VERSION 2 |
100 QUESTIONS EACH | LATEST UPDATE THIS YEAR
INSTANT DOWNLOAD PDF
VERSION 1 – QUESTIONS 1-100
Question 1
A client with congestive heart failure reports shortness of breath and increasing fatigue. The
nurse notes bilateral crackles and 2+ pitting edema. Which action should the nurse take
first?
Encourage the client to increase fluid intake
Administer the prescribed diuretic
Place the client in high-Fowler's position
Document the findings and reassess in 2 hours
Rationale: High-Fowler's position improves ventilation and oxygenation immediately.
Diuretics can be administered next, but positioning is the priority to relieve respiratory
distress .
, Question 2
A client is scheduled for a colonoscopy. Which instruction should the nurse provide?
"You may continue your aspirin daily."
"Drink clear liquids only the day before."
"You should not fast before the procedure."
"You can take your diabetic insulin as usual."
Rationale: Clear liquids help empty the bowel and reduce the risk of aspiration. Aspirin is
usually stopped prior; insulin is often adjusted .
Question 3
A client with pneumonia is receiving oxygen at 2 L/min via nasal cannula. The client
becomes confused and sleepy. What is the priority nursing action?
Increase oxygen to 4 L/min
Check oxygen saturation and respiratory rate
Administer a sedative to calm the client
Encourage the client to drink fluids
Rationale: Confusion and drowsiness may indicate hypoxia or CO2 retention. Assessing
oxygenation and respiratory status is the priority .
, Question 4
A client with newly diagnosed diabetes asks how to prevent hypoglycemia. The nurse
should advise:
"Skip meals when you feel tired."
"Eat a snack before exercise."
"Take your insulin only on weekdays."
"Reduce your carbohydrate intake to zero."
Rationale: Eating a snack before exercise helps prevent hypoglycemia. Skipping meals or
reducing carbohydrates can increase risk of hypoglycemia .
Question 5
A client with chronic kidney disease has a serum potassium of 6.2 mEq/L. Which
intervention should the nurse implement first?
Administer insulin with dextrose as ordered
Restrict dietary potassium
Notify the provider
Start a potassium-wasting diuretic
Rationale: Hyperkalemia is life-threatening. Notify the provider immediately while preparing
for treatment .
, Question 6
A client with COPD is receiving oxygen at 2 L/min. The client becomes lethargic and
respiratory rate drops. The nurse suspects:
Hypoxia
Oxygen toxicity
CO2 retention
Pulmonary embolism
Rationale: COPD patients may rely on hypoxic drive. Too much oxygen can cause CO2
retention and decreased respiratory drive .
Question 7
A client is scheduled for surgery and is anxious. Which nursing action is most effective?
Provide detailed medical terminology
Encourage the client to ask questions
Tell the client not to worry
Avoid discussing the procedure
Rationale: Allowing questions reduces anxiety by promoting understanding and control .
Question 8
PRACTICE QUESTIONS VERSION 1 & VERSION 2 |
100 QUESTIONS EACH | LATEST UPDATE THIS YEAR
INSTANT DOWNLOAD PDF
VERSION 1 – QUESTIONS 1-100
Question 1
A client with congestive heart failure reports shortness of breath and increasing fatigue. The
nurse notes bilateral crackles and 2+ pitting edema. Which action should the nurse take
first?
Encourage the client to increase fluid intake
Administer the prescribed diuretic
Place the client in high-Fowler's position
Document the findings and reassess in 2 hours
Rationale: High-Fowler's position improves ventilation and oxygenation immediately.
Diuretics can be administered next, but positioning is the priority to relieve respiratory
distress .
, Question 2
A client is scheduled for a colonoscopy. Which instruction should the nurse provide?
"You may continue your aspirin daily."
"Drink clear liquids only the day before."
"You should not fast before the procedure."
"You can take your diabetic insulin as usual."
Rationale: Clear liquids help empty the bowel and reduce the risk of aspiration. Aspirin is
usually stopped prior; insulin is often adjusted .
Question 3
A client with pneumonia is receiving oxygen at 2 L/min via nasal cannula. The client
becomes confused and sleepy. What is the priority nursing action?
Increase oxygen to 4 L/min
Check oxygen saturation and respiratory rate
Administer a sedative to calm the client
Encourage the client to drink fluids
Rationale: Confusion and drowsiness may indicate hypoxia or CO2 retention. Assessing
oxygenation and respiratory status is the priority .
, Question 4
A client with newly diagnosed diabetes asks how to prevent hypoglycemia. The nurse
should advise:
"Skip meals when you feel tired."
"Eat a snack before exercise."
"Take your insulin only on weekdays."
"Reduce your carbohydrate intake to zero."
Rationale: Eating a snack before exercise helps prevent hypoglycemia. Skipping meals or
reducing carbohydrates can increase risk of hypoglycemia .
Question 5
A client with chronic kidney disease has a serum potassium of 6.2 mEq/L. Which
intervention should the nurse implement first?
Administer insulin with dextrose as ordered
Restrict dietary potassium
Notify the provider
Start a potassium-wasting diuretic
Rationale: Hyperkalemia is life-threatening. Notify the provider immediately while preparing
for treatment .
, Question 6
A client with COPD is receiving oxygen at 2 L/min. The client becomes lethargic and
respiratory rate drops. The nurse suspects:
Hypoxia
Oxygen toxicity
CO2 retention
Pulmonary embolism
Rationale: COPD patients may rely on hypoxic drive. Too much oxygen can cause CO2
retention and decreased respiratory drive .
Question 7
A client is scheduled for surgery and is anxious. Which nursing action is most effective?
Provide detailed medical terminology
Encourage the client to ask questions
Tell the client not to worry
Avoid discussing the procedure
Rationale: Allowing questions reduces anxiety by promoting understanding and control .
Question 8
