PN Exit Hesi Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A patient is admitted with dehydration. What is the first nursing action?
✔✔Assess vital signs and level of consciousness.
A postoperative patient reports severe pain. What should the nurse do first?
✔✔Assess pain location, intensity, and characteristics.
A patient is scheduled for surgery and asks why NPO status is required. What is the nurse’s best
response?
✔✔Explain that fasting reduces the risk of aspiration during anesthesia.
A patient develops shortness of breath and low oxygen saturation. What is the priority action?
✔✔Apply oxygen and assess respiratory status.
A patient is confused and attempting to get out of bed unassisted. What is the most appropriate
intervention?
1
,✔✔Implement fall precautions and stay with the patient as needed.
A child presents with a high fever and seizure activity. What should the nurse do first?
✔✔Ensure the child’s safety and maintain airway during seizure.
A patient reports dizziness when standing. What should the nurse do first?
✔✔Assist the patient to sit or lie down and assess vital signs.
A patient with diabetes reports blood glucose of 320 mg/dL. What is the first nursing action?
✔✔Check for signs of hyperglycemia and notify the provider.
A patient is prescribed a new diuretic. What is the most important assessment before
administration?
✔✔Check the patient’s potassium level.
A postoperative patient reports shortness of breath and chest discomfort. What is the priority
action?
✔✔Assess for signs of pulmonary embolism and notify the provider.
2
,A patient reports persistent nausea after chemotherapy. What should the nurse do first?
✔✔Assess severity and administer prescribed antiemetics.
A patient with a new insulin regimen needs teaching. What is the priority information?
✔✔Educate on signs of hypoglycemia and proper insulin administration.
A patient reports sudden onset of severe headache and vision changes. What is the first nursing
action?
✔✔Notify the provider immediately and monitor neurological status.
A patient refuses medication due to fear of side effects. What should the nurse do?
✔✔Explain the purpose, benefits, and potential risks of the medication.
A patient is post-operative and shows signs of hypotension and tachycardia. What is the first
action?
✔✔Assess for bleeding and maintain IV access for fluid replacement.
3
, A patient with a Foley catheter reports bladder spasms. What is the nurse’s first action?
✔✔Check for kinks in the catheter and ensure patency.
A patient is confused and pulling at their oxygen tubing. What is the priority nursing
intervention?
✔✔Ensure patient safety and secure the tubing while monitoring oxygen saturation.
A patient reports numbness and tingling in the hands after starting a new medication. What
should the nurse do first?
✔✔Assess for adverse drug reaction and notify the provider.
A patient is post-operative and refuses to ambulate due to pain. What is the nurse’s priority?
✔✔Assess pain and provide analgesia before assisting with ambulation.
A patient has a new prescription for antihypertensive medication but blood pressure is 90/60
mmHg. What should the nurse do?
✔✔Hold the medication and notify the provider.
4
Latest Version | 2025/2026 | Correct &
Verified
A patient is admitted with dehydration. What is the first nursing action?
✔✔Assess vital signs and level of consciousness.
A postoperative patient reports severe pain. What should the nurse do first?
✔✔Assess pain location, intensity, and characteristics.
A patient is scheduled for surgery and asks why NPO status is required. What is the nurse’s best
response?
✔✔Explain that fasting reduces the risk of aspiration during anesthesia.
A patient develops shortness of breath and low oxygen saturation. What is the priority action?
✔✔Apply oxygen and assess respiratory status.
A patient is confused and attempting to get out of bed unassisted. What is the most appropriate
intervention?
1
,✔✔Implement fall precautions and stay with the patient as needed.
A child presents with a high fever and seizure activity. What should the nurse do first?
✔✔Ensure the child’s safety and maintain airway during seizure.
A patient reports dizziness when standing. What should the nurse do first?
✔✔Assist the patient to sit or lie down and assess vital signs.
A patient with diabetes reports blood glucose of 320 mg/dL. What is the first nursing action?
✔✔Check for signs of hyperglycemia and notify the provider.
A patient is prescribed a new diuretic. What is the most important assessment before
administration?
✔✔Check the patient’s potassium level.
A postoperative patient reports shortness of breath and chest discomfort. What is the priority
action?
✔✔Assess for signs of pulmonary embolism and notify the provider.
2
,A patient reports persistent nausea after chemotherapy. What should the nurse do first?
✔✔Assess severity and administer prescribed antiemetics.
A patient with a new insulin regimen needs teaching. What is the priority information?
✔✔Educate on signs of hypoglycemia and proper insulin administration.
A patient reports sudden onset of severe headache and vision changes. What is the first nursing
action?
✔✔Notify the provider immediately and monitor neurological status.
A patient refuses medication due to fear of side effects. What should the nurse do?
✔✔Explain the purpose, benefits, and potential risks of the medication.
A patient is post-operative and shows signs of hypotension and tachycardia. What is the first
action?
✔✔Assess for bleeding and maintain IV access for fluid replacement.
3
, A patient with a Foley catheter reports bladder spasms. What is the nurse’s first action?
✔✔Check for kinks in the catheter and ensure patency.
A patient is confused and pulling at their oxygen tubing. What is the priority nursing
intervention?
✔✔Ensure patient safety and secure the tubing while monitoring oxygen saturation.
A patient reports numbness and tingling in the hands after starting a new medication. What
should the nurse do first?
✔✔Assess for adverse drug reaction and notify the provider.
A patient is post-operative and refuses to ambulate due to pain. What is the nurse’s priority?
✔✔Assess pain and provide analgesia before assisting with ambulation.
A patient has a new prescription for antihypertensive medication but blood pressure is 90/60
mmHg. What should the nurse do?
✔✔Hold the medication and notify the provider.
4
