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EXIT HESI -PN Exam A Practice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A patient is scheduled for surgery and asks why they need to be NPO. What is the best nursing response?
- To make the stomach empty faster
- Because food interferes with anesthesia
- To speed up recovery
✔✔B. To reduce the risk of aspiration during anesthesia
A patient reports shortness of breath and wheezing. What should the nurse do first?
- Call the provider immediately
- Sit with the patient
- Give bronchodilator without assessment
✔✔B. Assess respiratory status and oxygen saturation
A patient is post-operative and refuses to ambulate due to pain. What is the priority nursing action? 1 / 4
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- Force the patient to walk
- Wait until the patient feels ready
- Ignore the complaint
✔✔C. Assess pain and provide analgesia before ambulation
A patient reports dizziness when standing. What is the first nursing action?
- Encourage ambulation
- Give fluids immediately
- Document
✔✔B. Assist the patient to sit or lie down and assess vital signs
A patient has a new prescription for a diuretic. What is the most important assessment before administration?
- Heart rate
- Blood glucose
- Respiratory rate
- / 4
✔✔C. Potassium level
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A patient develops a rash after receiving IV antibiotics. What should the nurse do first?
- Continue the infusion
- Apply topical cream
- Document only
✔✔C. Stop the infusion and notify the provider
A patient with COPD reports increased shortness of breath and cyanosis. What is the priority nursing action?
- Sit with the patient
- Encourage coughing only
- Wait for next vital signs
✔✔B. Administer prescribed oxygen and assess respiratory effort
A patient is confused and attempting to leave the bed unassisted. What is the most appropriate intervention?✔✔A. Implement fall precautions and provide supervision
- Sedate immediately
- Tell the patient to wait 3 / 4
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- Call security
A patient reports sudden severe headache and vision changes. What is the first nursing action?
- Give analgesics
- Document only
- Sit patient in waiting area
✔✔C. Notify the provider immediately and monitor neurological status
A patient reports blood glucose of 320 mg/dL. What should the nurse do first?
- Give insulin without assessment
- Encourage fluids only
- Ignore reading
✔✔C. Assess for signs of hyperglycemia and notify provider
A patient reports numbness and tingling in the hands after starting a new medication. What is the first action?
- Tell the patient it is normal
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✔✔B. Assess for signs of adverse drug reaction and notify provider