RN Exit Hesi Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A patient with chest pain reports radiating pain to the jaw and left arm. What is the nurse’s first
action?
A. Apply heat to the chest
✔✔B. Assess vital signs and perform ECG
C. Give pain medication
D. Encourage the patient to rest
A patient with type 1 diabetes reports dizziness and confusion. What is the priority nursing
action?
✔✔A. Administer a fast-acting carbohydrate
B. Wait for the next meal
C. Notify the provider in an hour
D. Recheck glucose in 30 minutes
A postoperative patient reports shortness of breath and low oxygen saturation. What is the first
action?
1
,A. Sit with the patient
✔✔B. Administer oxygen and assess airway
C. Encourage deep breathing
D. Document symptoms
A patient refuses a newly prescribed antibiotic. What is the best nursing response?
A. Force the patient to take it
✔✔B. Explain the benefits, risks, and purpose of the medication
C. Ignore the refusal
D. Wait until the patient changes their mind
A child is admitted with high fever and seizure activity. What is the priority nursing intervention?
A. Start IV fluids immediately
✔✔B. Ensure safety, maintain airway, and monitor seizure activity
C. Call the provider after seizure
D. Document only
A patient with COPD reports increased shortness of breath. What is the priority nursing action?
2
,A. Encourage coughing only
B. Sit with the patient
✔✔C. Administer prescribed oxygen and monitor respiratory effort
D. Monitor next shift
A patient reports sudden swelling of lips and face after eating peanuts. What is the priority
action?
A. Give oral antihistamine
✔✔B. Assess airway and prepare emergency intervention
C. Document and observe
D. Notify family
A patient reports dizziness when standing and a heart rate of 44 bpm. What is the nurse’s first
action?
A. Sit the patient upright
✔✔B. Place the patient supine, assess vital signs, and notify provider
C. Wait 30 minutes
D. Document only
3
, A postoperative patient has hypotension and tachycardia. What should the nurse do first?
✔✔A. Assess for bleeding and maintain IV access for fluid replacement
B. Call the provider immediately
C. Sit patient upright
D. Document only
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 adverse drug reaction and notify provider
C. Wait for next assessment
D. Document only
A patient is scheduled for surgery and asks why fasting is required. What is the best response?
A. To make the stomach empty faster
B. Because food interferes with anesthesia
✔✔C. To reduce risk of aspiration during anesthesia
4
Latest Version | 2025/2026 | Correct &
Verified
A patient with chest pain reports radiating pain to the jaw and left arm. What is the nurse’s first
action?
A. Apply heat to the chest
✔✔B. Assess vital signs and perform ECG
C. Give pain medication
D. Encourage the patient to rest
A patient with type 1 diabetes reports dizziness and confusion. What is the priority nursing
action?
✔✔A. Administer a fast-acting carbohydrate
B. Wait for the next meal
C. Notify the provider in an hour
D. Recheck glucose in 30 minutes
A postoperative patient reports shortness of breath and low oxygen saturation. What is the first
action?
1
,A. Sit with the patient
✔✔B. Administer oxygen and assess airway
C. Encourage deep breathing
D. Document symptoms
A patient refuses a newly prescribed antibiotic. What is the best nursing response?
A. Force the patient to take it
✔✔B. Explain the benefits, risks, and purpose of the medication
C. Ignore the refusal
D. Wait until the patient changes their mind
A child is admitted with high fever and seizure activity. What is the priority nursing intervention?
A. Start IV fluids immediately
✔✔B. Ensure safety, maintain airway, and monitor seizure activity
C. Call the provider after seizure
D. Document only
A patient with COPD reports increased shortness of breath. What is the priority nursing action?
2
,A. Encourage coughing only
B. Sit with the patient
✔✔C. Administer prescribed oxygen and monitor respiratory effort
D. Monitor next shift
A patient reports sudden swelling of lips and face after eating peanuts. What is the priority
action?
A. Give oral antihistamine
✔✔B. Assess airway and prepare emergency intervention
C. Document and observe
D. Notify family
A patient reports dizziness when standing and a heart rate of 44 bpm. What is the nurse’s first
action?
A. Sit the patient upright
✔✔B. Place the patient supine, assess vital signs, and notify provider
C. Wait 30 minutes
D. Document only
3
, A postoperative patient has hypotension and tachycardia. What should the nurse do first?
✔✔A. Assess for bleeding and maintain IV access for fluid replacement
B. Call the provider immediately
C. Sit patient upright
D. Document only
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 adverse drug reaction and notify provider
C. Wait for next assessment
D. Document only
A patient is scheduled for surgery and asks why fasting is required. What is the best response?
A. To make the stomach empty faster
B. Because food interferes with anesthesia
✔✔C. To reduce risk of aspiration during anesthesia
4
