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HESI RN EXIT Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse is caring for a client with COPD who is short of breath. The best initial action is to
- Apply high-flow oxygen at 10 L/min
- Restrict fluids
- Apply an abdominal binder
✔✔B. Place the client in high Fowler’s position and encourage pursed-lip breathing
A nurse is reviewing lab results for a client taking warfarin. Which value indicates the medication is effective?
A. INR 1.0
✔✔B. INR 2.5
C. INR 5.0
D. INR 0.8
A client with a nasogastric tube has a sudden drop in oxygen saturation. The nurse should first ✔✔A. Stop the feeding and assess for aspiration 1 / 4
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- Increase the feeding rate
- Flush the tube with water
- Remove the tube immediately
A nurse is caring for a client in labor who is receiving an oxytocin infusion. The nurse notes late decelerations on the fetal monitor. The priority action is to ✔✔A. Turn the client to her side and stop the oxytocin
- Increase the oxytocin rate
- Document the finding and continue
- Check cervical dilation
A client with type 1 diabetes reports feeling shaky and sweaty. The nurse should first
- Check the urine for ketones
- Administer glucagon without testing
- Restrict fluids
✔✔B. Check the blood glucose level
A nurse is teaching a client about nitroglycerin use for chest pain. Which instruction is correct? 2 / 4
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- “Take up to 10 tablets in a row.”
- “Store tablets in the refrigerator door.”
- “Chew the tablets for faster relief.”
✔✔B. “If pain is not relieved after 3 doses, call emergency services.”
A nurse is caring for a client with schizophrenia who reports hearing voices. The best initial response is ✔✔A. “I don’t hear the voices, but I understand they are real to you.”
- “You must ignore the voices.”
- “The voices aren’t real, so stop listening.”
- “Why do you think you hear voices?”
A client with heart failure is receiving furosemide. Which finding requires immediate follow-up?
- Weight loss of 1 kg in 2 days
- Blood pressure of 110/70 mmHg
- Urine output of 1500 mL in 24 hours
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✔✔B. Potassium level of 2.8 mEq/L
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A nurse is caring for a client with a chest tube to water seal. Which finding requires intervention?
- Gentle bubbling in the suction control chamber
- Fluctuation of water level with breathing
- Drainage of 50 mL in 1 hour
✔✔B. Continuous bubbling in the water seal chamber
A nurse is preparing to administer digoxin. Which assessment is most important before giving?
- Blood pressure
- Respiratory rate
- Capillary refill
✔✔B. Apical pulse for 1 minute
A nurse is reviewing a medication order for a pediatric client. The dose is much higher than normal. The nurse should
- Give the dose and monitor closely
- Ask the parent if this dose was given before
- Give half the dose only
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✔✔C. Hold the dose and clarify with the provider