NUR 4687 PN HESI Exit V1 Exam 2025/2026 – Verified Questions and Answers (Rated A+ | Guaranteed Success | Latest Update)

NUR 4687 PN HESI Exit V1 Exam Questions
and Answers Rated A+ Guaranteed Success
Latest Update 2025/2026

This NUR 4687 PN HESI Exit V1 Exam (2025/2026) includes 134 verified questions covering
nursing fundamentals, pharmacology, medical-surgical, pediatrics, maternity, mental health, and
leadership. Each question includes the verified answer and a detailed rationale for A+ success.



Question 1
A nurse is preparing to administer morphine 2 mg IV to a client with pain. What is the priority
action before administration?
Answer: Verify the client's allergies.
Rationale: Checking for allergies prevents anaphylaxis, a life-threatening reaction. Clinical
Implication: Ensures medication safety and compliance with the five rights.



Question 2
A client with a new colostomy is anxious about self-care. What is the priority nursing
intervention?
Answer: Assess the client's readiness to learn.
Rationale: Assessing readiness ensures effective teaching tailored to the client's emotional and
cognitive state. Clinical Implication: Improves self-management and reduces anxiety.



Question 3
A client has a respiratory rate of 32/min and SpO2 88%. What is the priority intervention?
Answer: Administer oxygen via nasal cannula.
Rationale: Immediate oxygenation addresses hypoxia. Clinical Implication: Prevents organ
damage.



Question 4
A nurse is delegating tasks to a UAP. Which task is appropriate?
Answer: Assist with ambulation.

,Rationale: UAPs perform activities of daily living. Clinical Implication: Maintains RN
oversight for assessments.



Question 5
A client on warfarin has INR 5.2 without bleeding. Priority action?
Answer: Hold next dose and monitor INR.
Rationale: Prevents bleeding risk. Clinical Implication: Ensures therapeutic anticoagulation.



Question 6
A client with a new tracheostomy requires suctioning. Maximum time per pass?
Answer: 10-15 seconds.
Rationale: Limits hypoxia and trauma. Clinical Implication: Maintains airway patency.



Question 7
A client with type 2 diabetes has A1c 8.5% on metformin. Next step?
Answer: Add GLP-1 agonist.
Rationale: Improves glycemic control and CV risk. Clinical Implication: Reduces weight and
A1c.



Question 8
A nurse assesses a client with suspected sepsis. Priority vital sign?
Answer: Blood pressure.
Rationale: Hypotension defines shock. Clinical Implication: Guides resuscitation.



Question 9
A client with heart failure has K+ 3.1 mEq/L on furosemide. Priority?
Answer: Administer K+ supplement.
Rationale: Prevents arrhythmias. Clinical Implication: Cardiac safety.



Question 10
A client with a new IV site has redness and warmth. Priority action?
Answer: Discontinue and restart IV.
Rationale: Prevents phlebitis progression. Clinical Implication: Infection prevention.

, Question 11
A client with history of MI is on aspirin. Monitor for?
Answer: Bleeding.
Rationale: Antiplatelet risk. Clinical Implication: Hemorrhage prevention.



Question 12
A client with colostomy is anxious. Priority intervention?
Answer: Assess readiness to learn.
Rationale: Ensures effective teaching. Clinical Implication: Self-care promotion.



Question 13
A client with RR 32/min, SpO2 88%. Priority?
Answer: Administer oxygen.
Rationale: Immediate oxygenation. Clinical Implication: Hypoxia correction.



Question 14
Client with suspected DVT. Why avoid Homan's sign?
Answer: Risks clot dislodgement.
Rationale: May cause PE. Clinical Implication: Use ultrasound.



Question 15
Client on levofloxacin for pneumonia. Monitor for?
Answer: Tendon rupture.
Rationale: Black box warning. Clinical Implication: Elderly risk.



Question 16
Client with Guillain-Barré. Priority monitoring?
Answer: Respiratory function.
Rationale: Risk of failure. Clinical Implication: FVC tracking.



Question 17
Client on phenytoin. Priority teaching?