Exit HESI V5 Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A patient is admitted with chest pain radiating to the jaw. What is the nurse’s first action?
A. Apply heat to the chest
B. Administer pain medication
✔✔C. Assess vital signs and perform an ECG
D. Encourage the patient to walk
A patient has a blood glucose level of 45 mg/dL and is lethargic. What should the nurse do first?
A. Wait for the next scheduled meal
✔✔B. Administer a rapid-acting carbohydrate
C. Notify the provider after an hour
D. Recheck glucose in 30 minutes
A client scheduled for surgery asks why preoperative labs are needed. What is the nurse’s best
response?
✔✔To detect abnormalities that could affect anesthesia or surgical outcome
1
,A. To fill paperwork
B. To increase billing
C. To practice drawing blood
A postoperative patient is experiencing shortness of breath and low oxygen saturation. What is
the priority action?
A. Sit with the patient
B. Encourage deep breathing
✔✔C. Administer oxygen and assess airway
D. Document the symptoms
A patient with a Foley catheter reports bladder discomfort. What should the nurse assess first?
✔✔Check for kinks, ensure patency, and assess for infection
A. Remove the catheter
B. Give pain medication only
C. Notify family
A patient is confused and attempting to leave the bed unassisted. What is the most appropriate
intervention?
2
,✔✔Implement fall precautions and provide supervision
A. Sedate immediately
B. Tell the patient to wait
C. Call security
A child is admitted with a high fever and seizure activity. What is the priority nursing action?
✔✔Ensure safety, maintain airway, and monitor seizure activity
A. Start IV fluids immediately
B. Call the provider after seizure
C. Document only
A patient reports dizziness and a heart rate of 45 bpm. What is the nurse’s first action?
✔✔Assess for symptoms of hypotension and notify the provider
A. Give fluids immediately
B. Monitor at next shift
C. Sit with patient only
A patient is refusing a newly prescribed medication. What is the best nursing response?
3
, ✔✔Explain benefits, risks, and reason for the medication
A. Force the medication
B. Ignore refusal
C. Wait until patient changes mind
A patient reports severe postoperative pain unrelieved by medication. What should the nurse do
first?
✔✔Assess for complications such as infection, compartment syndrome, or surgical site issues
A. Give another dose immediately
B. Document only
C. Call family
A patient develops sudden swelling of lips and face after eating peanuts. What is the priority
action?
✔✔Assess airway and prepare emergency intervention
A. Give antihistamine only
B. Document and observe
C. Ask family to call provider
4
Latest Version | 2025/2026 | Correct &
Verified
A patient is admitted with chest pain radiating to the jaw. What is the nurse’s first action?
A. Apply heat to the chest
B. Administer pain medication
✔✔C. Assess vital signs and perform an ECG
D. Encourage the patient to walk
A patient has a blood glucose level of 45 mg/dL and is lethargic. What should the nurse do first?
A. Wait for the next scheduled meal
✔✔B. Administer a rapid-acting carbohydrate
C. Notify the provider after an hour
D. Recheck glucose in 30 minutes
A client scheduled for surgery asks why preoperative labs are needed. What is the nurse’s best
response?
✔✔To detect abnormalities that could affect anesthesia or surgical outcome
1
,A. To fill paperwork
B. To increase billing
C. To practice drawing blood
A postoperative patient is experiencing shortness of breath and low oxygen saturation. What is
the priority action?
A. Sit with the patient
B. Encourage deep breathing
✔✔C. Administer oxygen and assess airway
D. Document the symptoms
A patient with a Foley catheter reports bladder discomfort. What should the nurse assess first?
✔✔Check for kinks, ensure patency, and assess for infection
A. Remove the catheter
B. Give pain medication only
C. Notify family
A patient is confused and attempting to leave the bed unassisted. What is the most appropriate
intervention?
2
,✔✔Implement fall precautions and provide supervision
A. Sedate immediately
B. Tell the patient to wait
C. Call security
A child is admitted with a high fever and seizure activity. What is the priority nursing action?
✔✔Ensure safety, maintain airway, and monitor seizure activity
A. Start IV fluids immediately
B. Call the provider after seizure
C. Document only
A patient reports dizziness and a heart rate of 45 bpm. What is the nurse’s first action?
✔✔Assess for symptoms of hypotension and notify the provider
A. Give fluids immediately
B. Monitor at next shift
C. Sit with patient only
A patient is refusing a newly prescribed medication. What is the best nursing response?
3
, ✔✔Explain benefits, risks, and reason for the medication
A. Force the medication
B. Ignore refusal
C. Wait until patient changes mind
A patient reports severe postoperative pain unrelieved by medication. What should the nurse do
first?
✔✔Assess for complications such as infection, compartment syndrome, or surgical site issues
A. Give another dose immediately
B. Document only
C. Call family
A patient develops sudden swelling of lips and face after eating peanuts. What is the priority
action?
✔✔Assess airway and prepare emergency intervention
A. Give antihistamine only
B. Document and observe
C. Ask family to call provider
4
