HESI Exit V2 Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A patient has a blood glucose level of 38 mg/dL and is lethargic. What should the nurse do
immediately?
✔✔Administer a rapid-acting carbohydrate and reassess glucose.
A postoperative patient is hypotensive and tachycardic. What is the nurse’s priority action?
✔✔Assess for signs of bleeding and maintain IV access for fluid replacement.
A patient reports chest pain radiating to the jaw. What is the first nursing action?
✔✔Assess vital signs and initiate cardiac monitoring.
A patient is confused and attempting to remove their IV line. What should the nurse do first?
✔✔Ensure patient safety and secure the IV line.
A child presents with fever and seizure activity. What is the priority nursing action?
✔✔Ensure the child’s safety, maintain airway, and monitor seizure activity.
1
,A patient scheduled for surgery asks why fasting is required. What is the nurse’s best response?
✔✔Explain that fasting reduces the risk of aspiration during anesthesia.
A patient refuses a newly prescribed medication due to fear of side effects. What is the nurse’s
priority action?
✔✔Educate the patient about the purpose, benefits, and risks of the medication.
A patient reports persistent nausea after chemotherapy. What is the nurse’s first action?
✔✔Assess the severity and administer antiemetics as prescribed.
A postoperative patient reports sudden shortness of breath and cyanosis. What is the priority
action?
✔✔Administer oxygen, assess respiratory effort, and notify the provider.
A patient with a Foley catheter reports bladder discomfort. What should the nurse assess first?
✔✔Check for kinks in the catheter, ensure patency, and assess for infection.
2
,A patient with diabetes reports blood glucose of 310 mg/dL. What is the first nursing action?
✔✔Assess for signs of hyperglycemia and notify the provider.
A patient develops sudden swelling of the lips and face after eating peanuts. What is the first
action?
✔✔Assess airway and prepare emergency intervention.
A postoperative patient is refusing ambulation due to pain. What is the priority nursing action?
✔✔Assess pain and provide analgesia before assisting with ambulation.
A patient develops a rash after IV antibiotic administration. What should the nurse do first?
✔✔Stop the infusion and notify the provider.
A patient on anticoagulants reports black, tarry stools. What is the first action?
✔✔Notify the provider immediately and hold the medication.
A patient reports numbness and tingling after starting a new medication. What is the nurse’s first
action?
3
, ✔✔Assess for adverse drug reaction and notify the provider.
A patient is experiencing dizziness when standing. What should the nurse do first?
✔✔Assist the patient to sit or lie down and assess vital signs.
A patient reports sudden severe headache and vision changes. What is the priority action?
✔✔Notify the provider immediately and monitor neurological status.
A patient with COPD reports increased shortness of breath. What is the nurse’s priority action?
✔✔Administer prescribed oxygen and assess respiratory effort.
A patient develops chest pain radiating to the left arm. What is the nurse’s first action?
✔✔Assess vital signs, apply cardiac monitoring, and notify the provider.
A postoperative patient shows hypotension and tachycardia. What should the nurse do first?
✔✔Assess for bleeding and maintain IV access.
A patient with an NG tube reports nausea. What is the priority nursing action?
4
Latest Version | 2025/2026 | Correct &
Verified
A patient has a blood glucose level of 38 mg/dL and is lethargic. What should the nurse do
immediately?
✔✔Administer a rapid-acting carbohydrate and reassess glucose.
A postoperative patient is hypotensive and tachycardic. What is the nurse’s priority action?
✔✔Assess for signs of bleeding and maintain IV access for fluid replacement.
A patient reports chest pain radiating to the jaw. What is the first nursing action?
✔✔Assess vital signs and initiate cardiac monitoring.
A patient is confused and attempting to remove their IV line. What should the nurse do first?
✔✔Ensure patient safety and secure the IV line.
A child presents with fever and seizure activity. What is the priority nursing action?
✔✔Ensure the child’s safety, maintain airway, and monitor seizure activity.
1
,A patient scheduled for surgery asks why fasting is required. What is the nurse’s best response?
✔✔Explain that fasting reduces the risk of aspiration during anesthesia.
A patient refuses a newly prescribed medication due to fear of side effects. What is the nurse’s
priority action?
✔✔Educate the patient about the purpose, benefits, and risks of the medication.
A patient reports persistent nausea after chemotherapy. What is the nurse’s first action?
✔✔Assess the severity and administer antiemetics as prescribed.
A postoperative patient reports sudden shortness of breath and cyanosis. What is the priority
action?
✔✔Administer oxygen, assess respiratory effort, and notify the provider.
A patient with a Foley catheter reports bladder discomfort. What should the nurse assess first?
✔✔Check for kinks in the catheter, ensure patency, and assess for infection.
2
,A patient with diabetes reports blood glucose of 310 mg/dL. What is the first nursing action?
✔✔Assess for signs of hyperglycemia and notify the provider.
A patient develops sudden swelling of the lips and face after eating peanuts. What is the first
action?
✔✔Assess airway and prepare emergency intervention.
A postoperative patient is refusing ambulation due to pain. What is the priority nursing action?
✔✔Assess pain and provide analgesia before assisting with ambulation.
A patient develops a rash after IV antibiotic administration. What should the nurse do first?
✔✔Stop the infusion and notify the provider.
A patient on anticoagulants reports black, tarry stools. What is the first action?
✔✔Notify the provider immediately and hold the medication.
A patient reports numbness and tingling after starting a new medication. What is the nurse’s first
action?
3
, ✔✔Assess for adverse drug reaction and notify the provider.
A patient is experiencing dizziness when standing. What should the nurse do first?
✔✔Assist the patient to sit or lie down and assess vital signs.
A patient reports sudden severe headache and vision changes. What is the priority action?
✔✔Notify the provider immediately and monitor neurological status.
A patient with COPD reports increased shortness of breath. What is the nurse’s priority action?
✔✔Administer prescribed oxygen and assess respiratory effort.
A patient develops chest pain radiating to the left arm. What is the nurse’s first action?
✔✔Assess vital signs, apply cardiac monitoring, and notify the provider.
A postoperative patient shows hypotension and tachycardia. What should the nurse do first?
✔✔Assess for bleeding and maintain IV access.
A patient with an NG tube reports nausea. What is the priority nursing action?
4
