2025 HESI EXIT RN V2 EXAM WITH
NGN
1. A nurse is assessing a patient with heart failure. Which finding indicates worsening
heart failure?
A) Decreased urinary output
B) Weight loss of 2 pounds in one week
C) Increased energy levels
D) Stable blood pressure
Correct Answer: A) Decreased urinary output
Rationale: Decreased urinary output can indicate fluid retention and worsening heart
failure.
2. A patient in the emergency department presents with chest pain and diaphoresis.
The nurse should first:
A) Administer aspirin
B) Obtain a 12-lead ECG
C) Start an IV line
D) Provide oxygen
Correct Answer: B) Obtain a 12-lead ECG
Rationale: The priority is to assess the patient's cardiac status to determine the
cause of the chest pain.
3. A nurse is caring for a patient receiving anticoagulation therapy. What is the most
important assessment for the nurse to perform?
A) Monitor for signs of infection
B) Assess for signs of bleeding
C) Check for hypertension
D) Monitor liver function tests
Correct Answer: B) Assess for signs of bleeding
Rationale: Patients on anticoagulation therapy are at increased risk for bleeding;
therefore, monitoring for signs of bleeding is crucial.
,4. A patient with diabetes is scheduled for surgery. Which intervention is a priority
before the procedure?
A) Assess the patient's blood glucose level
B) Educate the patient about postoperative care
C) Confirm the patient's surgical consent
D) Start IV fluids
Correct Answer: A) Assess the patient's blood glucose level
Rationale: Maintaining normal blood glucose levels is essential to prevent
complications during and after surgery.
5. A nurse is teaching a patient about managing asthma. Which statement by the
patient indicates a need for further teaching?
A) "I will use my rescue inhaler before exercise."
B) "I can stop my medication once I feel better."
C) "I need to avoid known triggers."
D) "I should have a peak flow meter at home."
Correct Answer: B) "I can stop my medication once I feel better."
Rationale: Asthma medications should be taken as prescribed even if the patient
feels well to prevent exacerbations.
6. A nurse is caring for a patient with pneumonia. What is the best intervention to
promote effective airway clearance?
A) Administer prescribed bronchodilators
B) Encourage fluid intake
C) Position the patient in high Fowler’s position
D) Provide a humidifier in the room
Correct Answer: A) Administer prescribed bronchodilators
Rationale: Bronchodilators help to open airways and improve airflow, facilitating
effective airway clearance.
,7. A patient is being discharged with a new prescription for an oral hypoglycemic
agent. What should the nurse instruct the patient to do?
A) Skip doses if blood sugar levels are normal
B) Take the medication at the same time each day
C) Stop taking the medication if side effects occur
D) Increase carbohydrate intake while on the medication
Correct Answer: B) Take the medication at the same time each day
Rationale: Consistent timing helps maintain stable blood glucose levels and enhances
medication effectiveness.
8. The nurse is caring for a patient with chronic obstructive pulmonary disease
(COPD). Which assessment finding would be concerning?
A) Barrel chest
B) Clubbing of the fingers
C) Use of accessory muscles for breathing
D) Increased respiratory rate
Correct Answer: C) Use of accessory muscles for breathing
Rationale: The use of accessory muscles indicates increased work of breathing and
potential respiratory distress.
9. A nurse is preparing a patient for a colonoscopy. Which of the following actions is
most important prior to the procedure?
A) Administer a laxative
B) Ensure the patient has signed the consent form
C) Provide post-procedure dietary instructions
D) Educate the patient about the procedure
Correct Answer: B) Ensure the patient has signed the consent form
Rationale: Obtaining informed consent is a legal requirement and crucial before any
invasive procedure.
10. A nurse is discussing dietary modifications with a patient who has heart failure.
Which food choice indicates the need for further teaching?
, A) Fresh fruit
B) Processed cheese
C) Grilled chicken
D) Whole grain bread
Correct Answer: B) Processed cheese
Rationale: Processed cheese is often high in sodium, which can exacerbate heart
failure symptoms11. A nurse is caring for a patient who has just undergone a
laparoscopic cholecystectomy. Which assessment finding should be reported to the
healthcare provider?
A) Mild abdominal pain
B) Fever of 100.5°F (38°C)
C) Nausea and vomiting
D) Rigid abdomen
Correct Answer: D) Rigid abdomen
Rationale: A rigid abdomen may indicate peritonitis or internal bleeding and should
be reported immediately.
12. A patient with a history of stroke presents with right-sided weakness. Which of
the following nursing interventions is the priority?
A) Assess the patient's speech
B) Provide safety measures
C) Document the patient's condition
D) Administer prescribed anticoagulants
Correct Answer: B) Provide safety measures
Rationale: Ensuring the patient's safety is the priority, especially with potential
mobility issues following a stroke.
13. The nurse is teaching a patient about the side effects of a new antihypertensive
medication. Which statement by the patient indicates a need for further teaching?
A) "I should avoid standing up too quickly."
B) "I will monitor my blood pressure regularly."
C) "I can take this medication with any other medications."
NGN
1. A nurse is assessing a patient with heart failure. Which finding indicates worsening
heart failure?
A) Decreased urinary output
B) Weight loss of 2 pounds in one week
C) Increased energy levels
D) Stable blood pressure
Correct Answer: A) Decreased urinary output
Rationale: Decreased urinary output can indicate fluid retention and worsening heart
failure.
2. A patient in the emergency department presents with chest pain and diaphoresis.
The nurse should first:
A) Administer aspirin
B) Obtain a 12-lead ECG
C) Start an IV line
D) Provide oxygen
Correct Answer: B) Obtain a 12-lead ECG
Rationale: The priority is to assess the patient's cardiac status to determine the
cause of the chest pain.
3. A nurse is caring for a patient receiving anticoagulation therapy. What is the most
important assessment for the nurse to perform?
A) Monitor for signs of infection
B) Assess for signs of bleeding
C) Check for hypertension
D) Monitor liver function tests
Correct Answer: B) Assess for signs of bleeding
Rationale: Patients on anticoagulation therapy are at increased risk for bleeding;
therefore, monitoring for signs of bleeding is crucial.
,4. A patient with diabetes is scheduled for surgery. Which intervention is a priority
before the procedure?
A) Assess the patient's blood glucose level
B) Educate the patient about postoperative care
C) Confirm the patient's surgical consent
D) Start IV fluids
Correct Answer: A) Assess the patient's blood glucose level
Rationale: Maintaining normal blood glucose levels is essential to prevent
complications during and after surgery.
5. A nurse is teaching a patient about managing asthma. Which statement by the
patient indicates a need for further teaching?
A) "I will use my rescue inhaler before exercise."
B) "I can stop my medication once I feel better."
C) "I need to avoid known triggers."
D) "I should have a peak flow meter at home."
Correct Answer: B) "I can stop my medication once I feel better."
Rationale: Asthma medications should be taken as prescribed even if the patient
feels well to prevent exacerbations.
6. A nurse is caring for a patient with pneumonia. What is the best intervention to
promote effective airway clearance?
A) Administer prescribed bronchodilators
B) Encourage fluid intake
C) Position the patient in high Fowler’s position
D) Provide a humidifier in the room
Correct Answer: A) Administer prescribed bronchodilators
Rationale: Bronchodilators help to open airways and improve airflow, facilitating
effective airway clearance.
,7. A patient is being discharged with a new prescription for an oral hypoglycemic
agent. What should the nurse instruct the patient to do?
A) Skip doses if blood sugar levels are normal
B) Take the medication at the same time each day
C) Stop taking the medication if side effects occur
D) Increase carbohydrate intake while on the medication
Correct Answer: B) Take the medication at the same time each day
Rationale: Consistent timing helps maintain stable blood glucose levels and enhances
medication effectiveness.
8. The nurse is caring for a patient with chronic obstructive pulmonary disease
(COPD). Which assessment finding would be concerning?
A) Barrel chest
B) Clubbing of the fingers
C) Use of accessory muscles for breathing
D) Increased respiratory rate
Correct Answer: C) Use of accessory muscles for breathing
Rationale: The use of accessory muscles indicates increased work of breathing and
potential respiratory distress.
9. A nurse is preparing a patient for a colonoscopy. Which of the following actions is
most important prior to the procedure?
A) Administer a laxative
B) Ensure the patient has signed the consent form
C) Provide post-procedure dietary instructions
D) Educate the patient about the procedure
Correct Answer: B) Ensure the patient has signed the consent form
Rationale: Obtaining informed consent is a legal requirement and crucial before any
invasive procedure.
10. A nurse is discussing dietary modifications with a patient who has heart failure.
Which food choice indicates the need for further teaching?
, A) Fresh fruit
B) Processed cheese
C) Grilled chicken
D) Whole grain bread
Correct Answer: B) Processed cheese
Rationale: Processed cheese is often high in sodium, which can exacerbate heart
failure symptoms11. A nurse is caring for a patient who has just undergone a
laparoscopic cholecystectomy. Which assessment finding should be reported to the
healthcare provider?
A) Mild abdominal pain
B) Fever of 100.5°F (38°C)
C) Nausea and vomiting
D) Rigid abdomen
Correct Answer: D) Rigid abdomen
Rationale: A rigid abdomen may indicate peritonitis or internal bleeding and should
be reported immediately.
12. A patient with a history of stroke presents with right-sided weakness. Which of
the following nursing interventions is the priority?
A) Assess the patient's speech
B) Provide safety measures
C) Document the patient's condition
D) Administer prescribed anticoagulants
Correct Answer: B) Provide safety measures
Rationale: Ensuring the patient's safety is the priority, especially with potential
mobility issues following a stroke.
13. The nurse is teaching a patient about the side effects of a new antihypertensive
medication. Which statement by the patient indicates a need for further teaching?
A) "I should avoid standing up too quickly."
B) "I will monitor my blood pressure regularly."
C) "I can take this medication with any other medications."
