EXIT HESI -PN Exam A Practice
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A patient is scheduled for surgery and asks why they need to be NPO. What is the best nursing
response?
A. To make the stomach empty faster
✔✔B. To reduce the risk of aspiration during anesthesia
C. Because food interferes with anesthesia
D. To speed up recovery
A patient reports shortness of breath and wheezing. What should the nurse do first?
A. Call the provider immediately
✔✔B. Assess respiratory status and oxygen saturation
C. Sit with the patient
D. Give bronchodilator without assessment
A patient is post-operative and refuses to ambulate due to pain. What is the priority nursing
action?
1
,A. Force the patient to walk
B. Wait until the patient feels ready
✔✔C. Assess pain and provide analgesia before ambulation
D. Ignore the complaint
A patient reports dizziness when standing. What is the first nursing action?
A. Encourage ambulation
✔✔B. Assist the patient to sit or lie down and assess vital signs
C. Give fluids immediately
D. Document
A patient has a new prescription for a diuretic. What is the most important assessment before
administration?
A. Heart rate
B. Blood glucose
✔✔C. Potassium level
D. Respiratory rate
2
,A patient develops a rash after receiving IV antibiotics. What should the nurse do first?
A. Continue the infusion
B. Apply topical cream
✔✔C. Stop the infusion and notify the provider
D. Document only
A patient with COPD reports increased shortness of breath and cyanosis. What is the priority
nursing action?
A. Sit with the patient
✔✔B. Administer prescribed oxygen and assess respiratory effort
C. Encourage coughing only
D. Wait for next vital signs
A patient is confused and attempting to leave the bed unassisted. What is the most appropriate
intervention?
✔✔A. Implement fall precautions and provide supervision
B. Sedate immediately
C. Tell the patient to wait
3
, D. Call security
A patient reports sudden severe headache and vision changes. What is the first nursing action?
A. Give analgesics
B. Document only
✔✔C. Notify the provider immediately and monitor neurological status
D. Sit patient in waiting area
A patient reports blood glucose of 320 mg/dL. What should the nurse do first?
A. Give insulin without assessment
B. Encourage fluids only
✔✔C. Assess for signs of hyperglycemia and notify provider
D. Ignore reading
A patient reports numbness and tingling in the hands after starting a new medication. What is the
first action?
A. Tell the patient it is normal
✔✔B. Assess for signs of adverse drug reaction and notify provider
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A patient is scheduled for surgery and asks why they need to be NPO. What is the best nursing
response?
A. To make the stomach empty faster
✔✔B. To reduce the risk of aspiration during anesthesia
C. Because food interferes with anesthesia
D. To speed up recovery
A patient reports shortness of breath and wheezing. What should the nurse do first?
A. Call the provider immediately
✔✔B. Assess respiratory status and oxygen saturation
C. Sit with the patient
D. Give bronchodilator without assessment
A patient is post-operative and refuses to ambulate due to pain. What is the priority nursing
action?
1
,A. Force the patient to walk
B. Wait until the patient feels ready
✔✔C. Assess pain and provide analgesia before ambulation
D. Ignore the complaint
A patient reports dizziness when standing. What is the first nursing action?
A. Encourage ambulation
✔✔B. Assist the patient to sit or lie down and assess vital signs
C. Give fluids immediately
D. Document
A patient has a new prescription for a diuretic. What is the most important assessment before
administration?
A. Heart rate
B. Blood glucose
✔✔C. Potassium level
D. Respiratory rate
2
,A patient develops a rash after receiving IV antibiotics. What should the nurse do first?
A. Continue the infusion
B. Apply topical cream
✔✔C. Stop the infusion and notify the provider
D. Document only
A patient with COPD reports increased shortness of breath and cyanosis. What is the priority
nursing action?
A. Sit with the patient
✔✔B. Administer prescribed oxygen and assess respiratory effort
C. Encourage coughing only
D. Wait for next vital signs
A patient is confused and attempting to leave the bed unassisted. What is the most appropriate
intervention?
✔✔A. Implement fall precautions and provide supervision
B. Sedate immediately
C. Tell the patient to wait
3
, D. Call security
A patient reports sudden severe headache and vision changes. What is the first nursing action?
A. Give analgesics
B. Document only
✔✔C. Notify the provider immediately and monitor neurological status
D. Sit patient in waiting area
A patient reports blood glucose of 320 mg/dL. What should the nurse do first?
A. Give insulin without assessment
B. Encourage fluids only
✔✔C. Assess for signs of hyperglycemia and notify provider
D. Ignore reading
A patient reports numbness and tingling in the hands after starting a new medication. What is the
first action?
A. Tell the patient it is normal
✔✔B. Assess for signs of adverse drug reaction and notify provider
4
