HESI Exit Exam V1-7 Questions and

1

HESI Exit Exam V1-7 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A patient with chest pain reports shortness of breath and diaphoresis. What is the nurse’s first action?

• Sit with the patient

✔✔B. Assess vital signs and apply cardiac monitoring

• Give pain medication immediately
• Call family

A patient with diabetes reports a blood glucose level of 38 mg/dL and is lethargic. What should the nurse do first?✔✔A. Administer a rapid-acting carbohydrate

• Wait for the next scheduled meal
• Notify the provider after an hour
• Encourage exercise

A postoperative patient is confused and attempting to get out of bed. What is the priority nursing action? 1 / 4

2

• Call security

✔✔B. Implement fall precautions and stay with the patient

• Sedate the patient immediately
• Document only

A patient develops sudden swelling of lips and tongue after eating peanuts. What is the first nursing action?

• Give oral antihistamine

✔✔B. Assess airway and prepare emergency intervention

• Document and observe
• Notify family

A child is admitted with fever and seizure activity. What is the priority nursing action?

• Start IV fluids immediately

✔✔B. Ensure safety, maintain airway, and monitor seizure activity

• Call provider after seizure
• Document only
• / 4

3

A patient reports dizziness and syncope. What is the priority nursing action?

• Sit patient upright

✔✔B. Place patient supine, assess vital signs, and notify provider

• Wait 30 minutes
• Document

A patient refuses a new antibiotic. What is the best nursing response?

• Force the patient to take it

✔✔B. Explain benefits, risks, and purpose of the medication

• Ignore refusal
• Wait until patient changes mind

A postoperative patient reports persistent nausea. What is the priority nursing action?

• Document only
• Provide food

✔✔C. Assess severity and administer antiemetic as prescribed

• Wait to see if it resolves
• / 4

4

A patient reports numbness and tingling after starting a new medication. What is the first nursing action?

• Tell the patient it is normal

✔✔B. Assess for adverse drug reaction and notify provider

• Wait for next assessment
• Document only

A patient is post-operative and refuses ambulation due to pain. What is the priority nursing action?

• Force ambulation
• Wait until patient feels ready

✔✔C. Assess pain and provide analgesia before assisting

• Ignore complaint

A patient with COPD reports increased shortness of breath. What is the priority nursing action?

• Encourage coughing only
• Sit with patient

✔✔C. Administer prescribed oxygen and assess respiratory effort

• / 4