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Exit HESI Version 1 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A patient reports shortness of breath and wheezing. What is the nurse’s first action?✔✔Assess respiratory status and administer prescribed bronchodilator.
A patient postoperatively has a sudden drop in blood pressure. What should the nurse do first?✔✔Assess for signs of bleeding and notify the provider immediately.
A client is scheduled for surgery and asks why NPO status is required. What is the nurse’s best response?✔✔Explain that fasting reduces the risk of aspiration during anesthesia.
A patient is confused and trying to leave the bed unassisted. What is the priority intervention?✔✔Implement fall precautions and stay with the patient as needed.
A patient with a history of diabetes has a blood glucose of 60 mg/dL and is symptomatic. What is the first nursing action? 1 / 4
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✔✔Administer a fast-acting carbohydrate and recheck blood glucose.
A patient complains of severe chest pain radiating to the left arm. What should the nurse do first?✔✔Assess vital signs, apply continuous cardiac monitoring, and notify the provider.
A patient with a new prescription for diuretics reports dizziness. What is the first nursing action?✔✔Assess blood pressure and heart rate before administering the medication.
A patient develops a rash after starting antibiotics. What is the priority action?✔✔Stop the medication and notify the provider of a potential allergic reaction.
A patient reports sudden onset of severe headache and vision changes. What should the nurse do first?✔✔Assess neurological status and notify the provider immediately.
A patient has postoperative pain that is not relieved by medication. What should the nurse do first?✔✔Assess the pain characteristics and evaluate for potential complications. 2 / 4
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A patient is experiencing shortness of breath and cyanosis. What is the first nursing action?✔✔Administer oxygen and assess oxygen saturation.
A patient reports nausea and vomiting after chemotherapy. What should the nurse do first?✔✔Assess severity and administer prescribed antiemetics.
A patient with a Foley catheter reports bladder spasms. What should the nurse assess first?✔✔Check for kinks in the catheter and ensure proper placement.
A patient with heart failure has gained 3 pounds in 2 days. What is the first nursing action?✔✔Assess for edema and review fluid status with the provider.
A patient shows signs of hypoglycemia after insulin administration. What is the nurse’s priority action?✔✔Administer a rapid-acting glucose source and monitor blood glucose.
A patient has new-onset confusion and fever. What is the nurse’s first intervention? 3 / 4
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✔✔Assess vital signs and notify the provider for possible infection.
A patient with a history of asthma reports increased wheezing at night. What is the priority nursing action?✔✔Assess lung sounds and administer a prescribed rescue inhaler.
A patient reports burning on urination. What should the nurse do first?✔✔Assess for urinary tract infection and collect a urine sample if indicated.
A postoperative patient has tachycardia and hypotension. What is the first nursing action?✔✔Assess for bleeding and ensure IV access for fluid replacement.
A patient receiving IV therapy has redness and swelling at the site. What is the first nursing action?✔✔Stop the IV, remove the catheter, and apply a sterile dressing.
A patient reports numbness and tingling after starting a new medication. What is the nurse’s first action?
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