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HESI RN Exit Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

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HESI RN Exit Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A postoperative patient reports severe pain unrelieved by medication. What should the nurse do first? A. Give another dose immediately B. Assess for complications such as infection or neurovascular compromise C. Call the provider D. Document only A patient has a new prescription for a diuretic. What is the most important assessment before administration? A. Blood glucose B. Serum potassium level C. Blood pressure D. Oxygen saturation A patient reports dizziness and fainting when standing. What is the priority nursing intervention? 2 A. Assist the patient to sit or lie down and assess vital signs B. Encourage ambulation C. Wait for next vital signs D. Document only A patient develops a rash and itching after receiving IV antibiotics. What is the first nursing action? A. Apply topical cream B. Stop the infusion and notify the provider C. Document and continue monitoring D. Administer oral antihistamine only A patient with diabetes reports a blood glucose of 350 mg/dL. What should the nurse do first? A. Give insulin without assessment B. Assess for signs of hyperglycemia and notify the provider C. Encourage oral fluids only D. Monitor again in an hour 3 A child is admitted with high fever and seizure activity. What is the priority nursing action? A. Call the provider after the seizure B. Ensure the child’s safety and maintain airway during seizure C. Start IV fluids immediately D. Document only A postoperative patient is hypotensive and tachycardic. What is the first nursing action? A. Sit the patient upright B. Assess for bleeding and maintain IV access for fluid replacement C. Call the provider immediately D. Document A patient is refusing a newly prescribed medication. What is the best nursing response? A. Explain the benefits, risks, and purpose of the medication B. Force the medication C. Ignore refusal D. Wait until patient changes their mind 4 A patient reports sudden swelling of lips and face after eating peanuts. What is the priority nursing action? A. Give oral antihistamine B. Document only C. Assess airway and prepare emergency intervention D. Notify family A patient with COPD has oxygen prescribed. What is the nurse’s priority action? A. Sit with the patient B. Apply oxygen and monitor respiratory status C. Encourage coughing only D. Document A patient reports numbness and tingling in the hands after starting a new medication. What should the nurse do first? A. Tell the patient it is normal B. Assess for adverse drug reaction and notify provider C. Wait until next assessment 5 D. Document only

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2025/2026
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HESI RN Exit Exam Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A postoperative patient reports severe pain unrelieved by medication. What should the nurse do

first?

A. Give another dose immediately


✔✔B. Assess for complications such as infection or neurovascular compromise


C. Call the provider

D. Document only




A patient has a new prescription for a diuretic. What is the most important assessment before

administration?

A. Blood glucose


✔✔B. Serum potassium level


C. Blood pressure

D. Oxygen saturation




A patient reports dizziness and fainting when standing. What is the priority nursing intervention?



1

,✔✔A. Assist the patient to sit or lie down and assess vital signs


B. Encourage ambulation

C. Wait for next vital signs

D. Document only




A patient develops a rash and itching after receiving IV antibiotics. What is the first nursing

action?

A. Apply topical cream


✔✔B. Stop the infusion and notify the provider


C. Document and continue monitoring

D. Administer oral antihistamine only




A patient with diabetes reports a blood glucose of 350 mg/dL. What should the nurse do first?

A. Give insulin without assessment


✔✔B. Assess for signs of hyperglycemia and notify the provider


C. Encourage oral fluids only

D. Monitor again in an hour




2

,A child is admitted with high fever and seizure activity. What is the priority nursing action?

A. Call the provider after the seizure


✔✔B. Ensure the child’s safety and maintain airway during seizure


C. Start IV fluids immediately

D. Document only




A postoperative patient is hypotensive and tachycardic. What is the first nursing action?

A. Sit the patient upright


✔✔B. Assess for bleeding and maintain IV access for fluid replacement


C. Call the provider immediately

D. Document




A patient is refusing a newly prescribed medication. What is the best nursing response?


✔✔A. Explain the benefits, risks, and purpose of the medication


B. Force the medication

C. Ignore refusal

D. Wait until patient changes their mind




3

, A patient reports sudden swelling of lips and face after eating peanuts. What is the priority

nursing action?

A. Give oral antihistamine

B. Document only


✔✔C. Assess airway and prepare emergency intervention


D. Notify family




A patient with COPD has oxygen prescribed. What is the nurse’s priority action?

A. Sit with the patient


✔✔B. Apply oxygen and monitor respiratory status


C. Encourage coughing only

D. Document




A patient reports numbness and tingling in the hands after starting a new medication. What

should the nurse do first?

A. Tell the patient it is normal


✔✔B. Assess for adverse drug reaction and notify provider


C. Wait until next assessment



4

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