HESI RN Exit V2 Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A patient is admitted with severe dehydration. What is the first nursing action?
A. Administer oral fluids immediately
✔✔B. Assess vital signs and level of consciousness
C. Call the provider before assessment
D. Place the patient on bed rest
A postoperative patient reports sudden shortness of breath. What is the priority action?
A. Sit with the patient and provide reassurance
✔✔B. Assess oxygen saturation, breath sounds, and respiratory effort
C. Document and wait
D. Notify family
A nurse notes a patient’s surgical wound is red and draining pus. What is the best initial action?
A. Cover the wound with a dressing only
✔✔B. Notify the provider and continue monitoring
1
,C. Apply topical ointment
D. Document only
A patient has a prescription for a new antihypertensive but blood pressure is 88/54 mmHg. What
should the nurse do?
✔✔A. Hold the medication and notify the provider
B. Administer half the dose
C. Give the medication anyway
D. Monitor and document
A patient reports chest pain radiating to the arm. What is the first nursing action?
A. Administer pain medication immediately
✔✔B. Assess vital signs and apply cardiac monitoring
C. Call family
D. Wait to see if it resolves
A patient with COPD reports increased shortness of breath. What should the nurse do first?
✔✔A. Administer prescribed oxygen and assess respiratory effort
2
,B. Sit with the patient
C. Encourage coughing only
D. Document and wait
A child presents with high fever and seizure activity. What is the priority action?
✔✔A. Ensure safety and maintain airway during seizure
B. Call provider after seizure
C. Measure temperature
D. Begin IV antibiotics immediately
A patient refuses medication due to fear of side effects. What is the nurse’s best response?
✔✔A. Explain the benefits, risks, and purpose of the medication
B. Force the patient to take it
C. Ignore the refusal
D. Wait for patient to change mind
A patient is post-operative and refuses to ambulate due to pain. What should the nurse do first?
A. Force ambulation
3
, ✔✔B. Assess pain and provide analgesia before assisting
C. Wait until the patient feels ready
D. Document only
A patient reports dizziness when standing. What is the priority nursing action?
✔✔A. Assist the patient to sit or lie down and assess vital signs
B. Increase IV fluids immediately
C. Tell the patient to ignore it
D. Administer antihypertensive
A patient has a Foley catheter and reports bladder spasms. What is the nurse’s first action?
✔✔A. Check for kinks in the catheter and ensure patency
B. Remove the catheter immediately
C. Give pain medication without assessment
D. Notify family
A patient develops a rash after IV antibiotics. What should the nurse do first?
✔✔A. Stop the infusion and notify the provider
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A patient is admitted with severe dehydration. What is the first nursing action?
A. Administer oral fluids immediately
✔✔B. Assess vital signs and level of consciousness
C. Call the provider before assessment
D. Place the patient on bed rest
A postoperative patient reports sudden shortness of breath. What is the priority action?
A. Sit with the patient and provide reassurance
✔✔B. Assess oxygen saturation, breath sounds, and respiratory effort
C. Document and wait
D. Notify family
A nurse notes a patient’s surgical wound is red and draining pus. What is the best initial action?
A. Cover the wound with a dressing only
✔✔B. Notify the provider and continue monitoring
1
,C. Apply topical ointment
D. Document only
A patient has a prescription for a new antihypertensive but blood pressure is 88/54 mmHg. What
should the nurse do?
✔✔A. Hold the medication and notify the provider
B. Administer half the dose
C. Give the medication anyway
D. Monitor and document
A patient reports chest pain radiating to the arm. What is the first nursing action?
A. Administer pain medication immediately
✔✔B. Assess vital signs and apply cardiac monitoring
C. Call family
D. Wait to see if it resolves
A patient with COPD reports increased shortness of breath. What should the nurse do first?
✔✔A. Administer prescribed oxygen and assess respiratory effort
2
,B. Sit with the patient
C. Encourage coughing only
D. Document and wait
A child presents with high fever and seizure activity. What is the priority action?
✔✔A. Ensure safety and maintain airway during seizure
B. Call provider after seizure
C. Measure temperature
D. Begin IV antibiotics immediately
A patient refuses medication due to fear of side effects. What is the nurse’s best response?
✔✔A. Explain the benefits, risks, and purpose of the medication
B. Force the patient to take it
C. Ignore the refusal
D. Wait for patient to change mind
A patient is post-operative and refuses to ambulate due to pain. What should the nurse do first?
A. Force ambulation
3
, ✔✔B. Assess pain and provide analgesia before assisting
C. Wait until the patient feels ready
D. Document only
A patient reports dizziness when standing. What is the priority nursing action?
✔✔A. Assist the patient to sit or lie down and assess vital signs
B. Increase IV fluids immediately
C. Tell the patient to ignore it
D. Administer antihypertensive
A patient has a Foley catheter and reports bladder spasms. What is the nurse’s first action?
✔✔A. Check for kinks in the catheter and ensure patency
B. Remove the catheter immediately
C. Give pain medication without assessment
D. Notify family
A patient develops a rash after IV antibiotics. What should the nurse do first?
✔✔A. Stop the infusion and notify the provider
4
