HESI EXIT EXAM (E2) RN PRACTICE EXAM LATEST
UPDATED FINAL EXAM WITH MOST TESTED 100
QUESTIONS AND 100% CORRECT VERIFIED ANSWERS
WITH DETAILED RATIONALES PLUS ANSWER KEY
ALREADY GRADED A+2026-2027 FINAL EXAM
UPDATED VERSION INSTANT DOWNLOAD PDF
Question 1
A client with chronic heart failure is prescribed
digoxin. Which assessment finding indicates a
potential digoxin toxicity?
A) Heart rate of 72 beats per minute
B) Serum potassium level of 3.2 mEq/L
C) Blood pressure of 118/76 mm Hg
D) Respiratory rate of 16 breaths per minute
Correct Answer: B
,Rationale: Hypokalemia (potassium < 3.5 mEq/L)
increases the risk of digoxin toxicity. Normal heart
rate, blood pressure, and respiratory rate do not
indicate toxicity.
Question 2
A nurse is caring for a client with acute pancreatitis.
Which intervention is most important?
A) Administering oral fluids
B) Placing the client in a supine position
C) Maintaining nothing by mouth (NPO) status
D) Encouraging a high-fat diet
Correct Answer: C
Rationale: NPO status rests the pancreas by
reducing stimulation of pancreatic enzymes. Oral
fluids, supine position, and high-fat diet would
exacerbate pain and complications.
Question 3
A postoperative client reports sudden chest pain and
dyspnea. The nurse notes tachycardia and
hypotension. What is the priority action?
A) Administer oxygen
,B) Assess the surgical wound
C) Apply warm compresses
D) Encourage deep breathing
Correct Answer: A
Rationale: Oxygenation is the priority to address
potential pulmonary embolism. Wound assessment,
compresses, or deep breathing are not immediate
interventions for possible embolism.
Question 4
Which laboratory value is most indicative of renal
failure?
A) BUN 12 mg/dL
B) Creatinine 3.2 mg/dL
C) Hemoglobin 14 g/dL
D) Albumin 4.0 g/dL
Correct Answer: B
Rationale: Elevated creatinine (>1.2 mg/dL) reflects
impaired glomerular filtration, specific to renal
function. BUN of 12 is normal; hemoglobin and
albumin are unrelated to renal failure.
, Question 5
A client with diabetes mellitus has a blood glucose
of 48 mg/dL. What is the nurse’s priority
intervention?
A) Administer insulin
B) Give 15 g of fast-acting carbohydrate
C) Provide a high-protein snack
D) Check urine ketones
Correct Answer: B
Rationale: Hypoglycemia requires immediate
correction with fast-acting carbohydrates (e.g.,
glucose tablets). Insulin would lower glucose
further; protein does not rapidly raise glucose;
ketones are not the priority.
Question 6
In caring for a client with cirrhosis, which finding
suggests hepatic encephalopathy?
A) Asterixis
B) Jaundice
C) Ascites
D) Spider angiomas
Correct Answer: A
UPDATED FINAL EXAM WITH MOST TESTED 100
QUESTIONS AND 100% CORRECT VERIFIED ANSWERS
WITH DETAILED RATIONALES PLUS ANSWER KEY
ALREADY GRADED A+2026-2027 FINAL EXAM
UPDATED VERSION INSTANT DOWNLOAD PDF
Question 1
A client with chronic heart failure is prescribed
digoxin. Which assessment finding indicates a
potential digoxin toxicity?
A) Heart rate of 72 beats per minute
B) Serum potassium level of 3.2 mEq/L
C) Blood pressure of 118/76 mm Hg
D) Respiratory rate of 16 breaths per minute
Correct Answer: B
,Rationale: Hypokalemia (potassium < 3.5 mEq/L)
increases the risk of digoxin toxicity. Normal heart
rate, blood pressure, and respiratory rate do not
indicate toxicity.
Question 2
A nurse is caring for a client with acute pancreatitis.
Which intervention is most important?
A) Administering oral fluids
B) Placing the client in a supine position
C) Maintaining nothing by mouth (NPO) status
D) Encouraging a high-fat diet
Correct Answer: C
Rationale: NPO status rests the pancreas by
reducing stimulation of pancreatic enzymes. Oral
fluids, supine position, and high-fat diet would
exacerbate pain and complications.
Question 3
A postoperative client reports sudden chest pain and
dyspnea. The nurse notes tachycardia and
hypotension. What is the priority action?
A) Administer oxygen
,B) Assess the surgical wound
C) Apply warm compresses
D) Encourage deep breathing
Correct Answer: A
Rationale: Oxygenation is the priority to address
potential pulmonary embolism. Wound assessment,
compresses, or deep breathing are not immediate
interventions for possible embolism.
Question 4
Which laboratory value is most indicative of renal
failure?
A) BUN 12 mg/dL
B) Creatinine 3.2 mg/dL
C) Hemoglobin 14 g/dL
D) Albumin 4.0 g/dL
Correct Answer: B
Rationale: Elevated creatinine (>1.2 mg/dL) reflects
impaired glomerular filtration, specific to renal
function. BUN of 12 is normal; hemoglobin and
albumin are unrelated to renal failure.
, Question 5
A client with diabetes mellitus has a blood glucose
of 48 mg/dL. What is the nurse’s priority
intervention?
A) Administer insulin
B) Give 15 g of fast-acting carbohydrate
C) Provide a high-protein snack
D) Check urine ketones
Correct Answer: B
Rationale: Hypoglycemia requires immediate
correction with fast-acting carbohydrates (e.g.,
glucose tablets). Insulin would lower glucose
further; protein does not rapidly raise glucose;
ketones are not the priority.
Question 6
In caring for a client with cirrhosis, which finding
suggests hepatic encephalopathy?
A) Asterixis
B) Jaundice
C) Ascites
D) Spider angiomas
Correct Answer: A
