Hesi Nursing Exit Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A postoperative patient has sudden hypotension and tachycardia. What should the nurse do first?
✔✔Assess for bleeding and maintain IV access for fluid replacement
A patient reports numbness and tingling after starting a new medication. What is the priority
nursing action?
✔✔Assess for adverse drug reaction and notify the provider
A patient scheduled for surgery asks why fasting is required. What is the best response?
✔✔Explain that fasting reduces the risk of aspiration during anesthesia
A patient develops swelling of the lips and tongue after eating peanuts. What is the priority
nursing action?
✔✔Assess airway and prepare for emergency intervention
A patient is confused and attempting to get out of bed unassisted. What should the nurse do first?
1
,✔✔Implement fall precautions and provide close supervision
A patient reports chest pain radiating to the jaw. What is the first action?
✔✔Assess vital signs and apply cardiac monitoring immediately
A patient refuses a newly prescribed medication. How should the nurse respond?
✔✔Explain the purpose, benefits, and potential risks of the medication
A patient with COPD reports worsening shortness of breath. What should the nurse do first?
✔✔Administer prescribed oxygen and assess respiratory effort
A child presents with high fever and seizure activity. What is the nurse’s first action?
✔✔Ensure safety, maintain airway, and monitor seizure activity
A postoperative patient reports severe pain not relieved by medication. What is the priority
nursing action?
✔✔Assess for complications such as infection, bleeding, or surgical site issues
2
,A patient has a Foley catheter and reports bladder discomfort. What should the nurse do first?
✔✔Check for kinks, ensure patency, and assess for infection
A patient reports persistent nausea after chemotherapy. What is the first nursing action?
✔✔Assess severity and administer antiemetic as prescribed
A patient with diabetes has a blood glucose of 38 mg/dL and is lethargic. What is the priority
nursing action?
✔✔Administer a rapid-acting carbohydrate
A patient reports dizziness and fainting. What should the nurse do first?
✔✔Place the patient supine, assess vital signs, and monitor closely
A patient develops a sudden severe headache and vision changes. What is the first nursing
action?
✔✔Notify the provider immediately and monitor neurological status
3
, A postoperative patient reports shortness of breath and low oxygen saturation. What is the
priority action?
✔✔Administer oxygen, assess airway, and monitor vital signs
A patient reports black, tarry stools while taking anticoagulants. What should the nurse do first?
✔✔Notify the provider immediately and hold the medication
A patient is scheduled for blood transfusion and has a history of reaction. What is the first step?
✔✔Verify patient history and ensure appropriate pre-medication is administered
A patient reports numbness in lower extremities. What is the priority nursing action?
✔✔Assess neurological status and notify the provider
A postoperative patient refuses to ambulate due to pain. What should the nurse do first?
✔✔Assess pain and provide analgesia before assisting with ambulation
A patient develops rash after receiving IV antibiotics. What is the first nursing action?
✔✔Stop the infusion and notify the provider
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A postoperative patient has sudden hypotension and tachycardia. What should the nurse do first?
✔✔Assess for bleeding and maintain IV access for fluid replacement
A patient reports numbness and tingling after starting a new medication. What is the priority
nursing action?
✔✔Assess for adverse drug reaction and notify the provider
A patient scheduled for surgery asks why fasting is required. What is the best response?
✔✔Explain that fasting reduces the risk of aspiration during anesthesia
A patient develops swelling of the lips and tongue after eating peanuts. What is the priority
nursing action?
✔✔Assess airway and prepare for emergency intervention
A patient is confused and attempting to get out of bed unassisted. What should the nurse do first?
1
,✔✔Implement fall precautions and provide close supervision
A patient reports chest pain radiating to the jaw. What is the first action?
✔✔Assess vital signs and apply cardiac monitoring immediately
A patient refuses a newly prescribed medication. How should the nurse respond?
✔✔Explain the purpose, benefits, and potential risks of the medication
A patient with COPD reports worsening shortness of breath. What should the nurse do first?
✔✔Administer prescribed oxygen and assess respiratory effort
A child presents with high fever and seizure activity. What is the nurse’s first action?
✔✔Ensure safety, maintain airway, and monitor seizure activity
A postoperative patient reports severe pain not relieved by medication. What is the priority
nursing action?
✔✔Assess for complications such as infection, bleeding, or surgical site issues
2
,A patient has a Foley catheter and reports bladder discomfort. What should the nurse do first?
✔✔Check for kinks, ensure patency, and assess for infection
A patient reports persistent nausea after chemotherapy. What is the first nursing action?
✔✔Assess severity and administer antiemetic as prescribed
A patient with diabetes has a blood glucose of 38 mg/dL and is lethargic. What is the priority
nursing action?
✔✔Administer a rapid-acting carbohydrate
A patient reports dizziness and fainting. What should the nurse do first?
✔✔Place the patient supine, assess vital signs, and monitor closely
A patient develops a sudden severe headache and vision changes. What is the first nursing
action?
✔✔Notify the provider immediately and monitor neurological status
3
, A postoperative patient reports shortness of breath and low oxygen saturation. What is the
priority action?
✔✔Administer oxygen, assess airway, and monitor vital signs
A patient reports black, tarry stools while taking anticoagulants. What should the nurse do first?
✔✔Notify the provider immediately and hold the medication
A patient is scheduled for blood transfusion and has a history of reaction. What is the first step?
✔✔Verify patient history and ensure appropriate pre-medication is administered
A patient reports numbness in lower extremities. What is the priority nursing action?
✔✔Assess neurological status and notify the provider
A postoperative patient refuses to ambulate due to pain. What should the nurse do first?
✔✔Assess pain and provide analgesia before assisting with ambulation
A patient develops rash after receiving IV antibiotics. What is the first nursing action?
✔✔Stop the infusion and notify the provider
4
