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Exit Hesi Practice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A patient reports shortness of breath after a cardiac procedure. What should the nurse do first?
- Notify the provider immediately
- Sit with the patient to provide reassurance
- Administer oxygen without assessment
✔✔B. Assess respiratory rate, oxygen saturation, and breath sounds
A patient is confused and attempting to get out of bed. What is the priority nursing action?
- Give the patient a sedative
- Tell the patient to wait until help arrives
- Call security
✔✔B. Implement fall precautions and stay with the patient as needed
A child is admitted with a high fever and seizure activity. What is the nurse’s first action?✔✔Ensure the child’s safety and maintain airway during seizure
- Call the provider after the seizure 1 / 4
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- Begin IV antibiotics immediately
- Measure the child’s temperature
A patient has a new prescription for an antihypertensive. What should the nurse monitor first?
- Blood glucose
- Respiratory rate
- Oxygen saturation
✔✔B. Blood pressure and heart rate
A nurse observes another nurse documenting care before performing it. What is the best response?
- Ignore the situation
- Report immediately to the board of nursing
- Tell the patient
✔✔C. Remind the nurse that documentation must be accurate and timely
A postoperative patient reports severe pain. What should the nurse do first?
- Ask the patient to wait 30 minutes 2 / 4
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- Give the maximum dose immediately
- Call the provider before assessment
✔✔C. Assess pain location, intensity, and characteristics
A patient is scheduled for surgery and asks why they must be NPO. What is the best nursing response?✔✔To reduce the risk of aspiration during anesthesia
- To make the stomach empty faster
- Because food interferes with anesthesia medications
- Because fasting speeds recovery
A patient is refusing medication due to fear of side effects. What is the nurse’s best response?✔✔Explain the benefits, risks, and purpose of the medication
- Force the patient to take it
- Ignore the refusal
- Wait until the patient changes their mind
A patient with diabetes reports blood glucose of 320 mg/dL. What is the nurse’s first action? 3 / 4
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✔✔Check for signs of hyperglycemia and notify the provider
- Give insulin without assessment
- Encourage the patient to drink fluids only
- Ignore the reading
A patient develops a rash after receiving IV antibiotics. What should the nurse do first?✔✔Stop the infusion and notify the provider
- Apply a topical cream
- Continue infusion while monitoring
- Document only
A patient reports dizziness when standing. What is the priority nursing action?✔✔Assist the patient to sit or lie down and assess vital signs
- Tell the patient to ignore it
- Increase IV fluids immediately
- Administer antihypertensives
A patient has a Foley catheter and reports bladder spasms. What should the nurse do first?
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