HESI RN Exit Exam V1 | Latest Update 2025 | 100% Correct | Graded A+ and Verified Answers (+900 Score)

HESI RN Exit Exam V1 | Latest
Update 2025 | 100% Correct | Graded
A+ and Verified Answers (+900 Score)

Question 1
What is the priority nursing action for a client with chest pain and suspected myocardial
infarction?
Answer: Administer oxygen
Rationale: Oxygen improves myocardial oxygenation, reducing ischemia.



Question 2
What is the therapeutic INR range for a client on warfarin?
Answer: 2.0–3.0
Rationale: This range ensures anticoagulation without excessive bleeding risk.



Question 3
What is a common side effect of warfarin?
Answer: Bleeding
Rationale: Warfarin’s anticoagulant effect increases bleeding risk.



Question 4
What should the nurse teach a client taking warfarin about dietary considerations?
Answer: Maintain consistent vitamin K intake
Rationale: Vitamin K antagonizes warfarin, so consistency prevents INR fluctuations.



Question 5
What is the priority assessment for a client with heart failure?
Answer: Lung sounds
Rationale: Crackles indicate fluid overload, a common heart failure complication.

,Question 6
What medication is commonly prescribed for heart failure with reduced ejection fraction?
Answer: Lisinopril
Rationale: ACE inhibitors reduce preload and afterload, improving cardiac function.



Question 7
What is a common symptom of heart failure?
Answer: Dyspnea on exertion
Rationale: Fluid overload causes shortness of breath during activity.



Question 8
What is the priority nursing intervention for a client with pulmonary edema?
Answer: Position in high Fowler’s
Rationale: This position maximizes lung expansion and reduces preload.



Question 9
What is the antidote for heparin overdose?
Answer: Protamine sulfate
Rationale: Protamine neutralizes heparin’s anticoagulant effects.



Question 10
What lab value should be monitored for a client on heparin?
Answer: aPTT
Rationale: aPTT assesses heparin’s therapeutic effect.



Question 11
What is the priority nursing action for a client with atrial fibrillation?
Answer: Assess for signs of thromboembolism
Rationale: Atrial fibrillation increases clot formation risk.



Question 12
What is the first-line treatment for acute asthma exacerbation?
Answer: Albuterol
Rationale: Albuterol, a short-acting beta-agonist, relieves bronchospasm.

, Question 13
What is a common trigger for asthma exacerbations?
Answer: Allergens
Rationale: Allergens like pollen or dust mites provoke airway inflammation.



Question 14
What is the priority assessment for a client with COPD?
Answer: Oxygen saturation
Rationale: Hypoxemia is a primary concern in COPD exacerbations.



Question 15
What is the first-line treatment for COPD exacerbation?
Answer: Albuterol and systemic corticosteroids
Rationale: These reduce bronchospasm and inflammation.



Question 16
What is a common symptom of COPD?
Answer: Chronic cough with sputum
Rationale: Chronic mucus production is a hallmark of COPD.



Question 17
What is the priority nursing action for a client with pneumonia?
Answer: Administer prescribed antibiotics
Rationale: Timely antibiotics treat the underlying infection.



Question 18
What is a common physical exam finding in pneumonia?
Answer: Crackles
Rationale: Crackles indicate fluid or infection in the alveoli.



Question 19
What is the gold standard for diagnosing pulmonary embolism?