HESI Exit Practice, Real Hesi PN,
KHESI2 Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the priority action for a nurse when a client receiving IV potassium reports burning at the
infusion site?
✔✔Stop the infusion and assess the IV site.
A client with COPD is placed on 6 L/min of oxygen. What complication should the nurse
monitor for?
✔✔Decreased respiratory drive.
A nurse notices a post-op client’s surgical dressing is saturated with blood. What should be the
first action?
✔✔Apply pressure to the site and notify the surgeon.
When caring for a client with heart failure, what daily nursing intervention helps monitor fluid
retention?
✔✔Daily weight measurement.
1
,A client with a tracheostomy becomes anxious and is coughing violently. The tracheostomy tube
is dislodged. What is the immediate nursing action?
✔✔Insert a new tracheostomy tube using the obturator.
A nurse is caring for a client receiving enteral feedings via NG tube. The client develops
diarrhea. What should the nurse do first?
✔✔Slow the rate of the feeding.
A nurse is caring for a client who is NPO and receiving TPN. What is the priority nursing
assessment?
✔✔Blood glucose monitoring.
What should the nurse do before administering digoxin to a client?
✔✔Check the apical pulse for one full minute.
A client with diabetes is diaphoretic and confused. What is the nurse’s first action?
✔✔Give a fast-acting source of glucose.
2
,A nurse is teaching a client about warfarin therapy. What food should be limited?
✔✔Leafy green vegetables.
What is the best way to prevent ventilator-associated pneumonia?
✔✔Elevate the head of the bed 30–45 degrees.
A client develops shortness of breath after receiving a blood transfusion. What is the nurse’s
priority action?
✔✔Stop the transfusion immediately.
What is the priority nursing intervention when inserting an indwelling urinary catheter?
✔✔Maintain sterile technique.
What lab value should the nurse monitor for a client on furosemide?
✔✔Potassium level.
A nurse finds a client seizing in bed. What should be done first?
✔✔Turn the client onto their side.
3
, A nurse is administering insulin to a diabetic client. What action prevents lipodystrophy?
✔✔Rotate injection sites.
What is the primary purpose of incentive spirometry after surgery?
✔✔Prevent atelectasis.
A client with ascites is scheduled for paracentesis. What should the nurse do before the
procedure?
✔✔Ask the client to void.
A client with tuberculosis is admitted. What type of isolation is required?
✔✔Airborne precautions.
What is the priority intervention when a client with a chest tube reports sudden shortness of
breath?
✔✔Check for kinks or dislodgement of the tube.
4
KHESI2 Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the priority action for a nurse when a client receiving IV potassium reports burning at the
infusion site?
✔✔Stop the infusion and assess the IV site.
A client with COPD is placed on 6 L/min of oxygen. What complication should the nurse
monitor for?
✔✔Decreased respiratory drive.
A nurse notices a post-op client’s surgical dressing is saturated with blood. What should be the
first action?
✔✔Apply pressure to the site and notify the surgeon.
When caring for a client with heart failure, what daily nursing intervention helps monitor fluid
retention?
✔✔Daily weight measurement.
1
,A client with a tracheostomy becomes anxious and is coughing violently. The tracheostomy tube
is dislodged. What is the immediate nursing action?
✔✔Insert a new tracheostomy tube using the obturator.
A nurse is caring for a client receiving enteral feedings via NG tube. The client develops
diarrhea. What should the nurse do first?
✔✔Slow the rate of the feeding.
A nurse is caring for a client who is NPO and receiving TPN. What is the priority nursing
assessment?
✔✔Blood glucose monitoring.
What should the nurse do before administering digoxin to a client?
✔✔Check the apical pulse for one full minute.
A client with diabetes is diaphoretic and confused. What is the nurse’s first action?
✔✔Give a fast-acting source of glucose.
2
,A nurse is teaching a client about warfarin therapy. What food should be limited?
✔✔Leafy green vegetables.
What is the best way to prevent ventilator-associated pneumonia?
✔✔Elevate the head of the bed 30–45 degrees.
A client develops shortness of breath after receiving a blood transfusion. What is the nurse’s
priority action?
✔✔Stop the transfusion immediately.
What is the priority nursing intervention when inserting an indwelling urinary catheter?
✔✔Maintain sterile technique.
What lab value should the nurse monitor for a client on furosemide?
✔✔Potassium level.
A nurse finds a client seizing in bed. What should be done first?
✔✔Turn the client onto their side.
3
, A nurse is administering insulin to a diabetic client. What action prevents lipodystrophy?
✔✔Rotate injection sites.
What is the primary purpose of incentive spirometry after surgery?
✔✔Prevent atelectasis.
A client with ascites is scheduled for paracentesis. What should the nurse do before the
procedure?
✔✔Ask the client to void.
A client with tuberculosis is admitted. What type of isolation is required?
✔✔Airborne precautions.
What is the priority intervention when a client with a chest tube reports sudden shortness of
breath?
✔✔Check for kinks or dislodgement of the tube.
4
