HESI Exit Questions and Answers

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HESI Exit Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A nurse is caring for a client with pneumonia who is receiving oxygen therapy. Which action is most appropriate?

• Encourage the client to lie flat in bed
• Apply oxygen at the highest setting possible

✔✔C. Monitor oxygen saturation and adjust flow as prescribed

• Restrict fluid intake to prevent pulmonary edema

A client reports chest pain radiating to the left arm. What is the nurse’s first action?

• Provide a warm compress to the chest

✔✔B. Assess vital signs and apply cardiac monitoring

• Encourage the client to take deep breaths
• Administer an analgesic immediately

A nurse is preparing to administer a new antibiotic to a client with renal impairment. What is the priority action? 1 / 4

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• Administer the full dose regardless of kidney function

✔✔B. Check renal function and adjust the dose if needed

• Give the medication with food
• Skip the dose if the client feels fine

A client with diabetes reports dizziness and sweating. What should the nurse do first?

• Encourage the client to walk around

✔✔B. Check blood glucose and administer a quick-acting carbohydrate if low

• Hold insulin for the day
• Notify the provider immediately

A patient with a Foley catheter develops cloudy urine and fever. What is the priority nursing action?

• Change the catheter immediately

✔✔B. Assess for urinary tract infection and notify the provider

• Encourage oral hydration only
• Apply a warm compress to the bladder
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A nurse observes a client with COPD using accessory muscles and having labored breathing.What is the first action?✔✔A. Assess oxygen saturation and administer prescribed oxygen

• Encourage the client to cough harder
• Have the client lie flat in bed
• Restrict fluid intake

A client is post-operative and reports pain at 9/10 on the pain scale. What is the priority action?

• Encourage deep breathing and ambulation first

✔✔B. Assess the pain and administer prescribed analgesics

• Document the pain and reassess in 2 hours
• Wait to see if the pain decreases naturally

A nurse is caring for a client with heart failure who is short of breath. What action is most appropriate?

• Place the client flat in bed

✔✔B. Elevate the head of the bed and monitor oxygen saturation

• Restrict fluids completely 3 / 4

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• Encourage heavy exercise

A patient is receiving IV potassium. Which assessment is most important?

• Monitor for edema only

✔✔B. Assess for cardiac arrhythmias

• Encourage oral potassium supplements
• Restrict fluid intake

A nurse notes a child with sudden onset of high fever and seizure activity. What is the first action?

• Place the child in a supine position

✔✔B. Ensure airway safety and maintain seizure precautions

• Start IV fluids immediately
• Administer antipyretics only

A nurse is preparing to administer a blood transfusion. What is the most important safety step?

• Check the patient’s allergies only
• Begin the transfusion immediately
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