HESI Exit RN V4 Questions and

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HESI Exit RN V4 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A nurse is caring for a client with heart failure who reports sudden shortness of breath. Which action should the nurse take first?

• Notify the healthcare provider

✔✔B. Place the client in high Fowler’s position

• Administer a PRN analgesic
• Encourage the client to ambulate

A nurse is reviewing lab results for a client receiving chemotherapy. Which finding should the nurse report immediately?

• Hemoglobin 11.2 g/dL

✔✔B. Absolute neutrophil count 400/mm³

• Platelet count 160,000/mm³
• White blood cell count 5,000/mm³

A client with type 1 diabetes reports nausea and increased thirst. Which assessment is most important? 1 / 4

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• Blood pressure

✔✔B. Blood glucose level

• Daily weight
• Capillary refill

A nurse is preparing to administer blood to a client. Which action is most important to reduce the risk of a transfusion reaction?✔✔A. Verify client identification with another nurse

• Pre-medicate the client with acetaminophen
• Warm the blood prior to administration
• Monitor vital signs every 30 minutes

A nurse is caring for a client with COPD. Which oxygen delivery device is most appropriate?

• Non-rebreather mask at 15 L/min
• Simple face mask at 8 L/min

✔✔C. Nasal cannula at 2 L/min

• Venturi mask at 50%
• / 4

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A nurse is teaching a client about warfarin therapy. Which statement indicates understanding?

• “I will eat more green leafy vegetables.”

✔✔B. “I will have my INR checked regularly.”

• “I will take aspirin for headaches.”
• “I can stop taking the medication when I feel better.”

A nurse is assessing a client with a chest tube. Which finding requires immediate intervention?

• Occasional bubbling in the water seal chamber

✔✔B. Continuous bubbling in the water seal chamber

• Drainage of 80 mL over 4 hours
• Fluctuation of water level with respirations

A nurse is caring for a client who is postoperative following abdominal surgery. Which intervention helps prevent atelectasis?

• Encourage bed rest
• Limit fluid intake

✔✔C. Use incentive spirometer hourly

• Apply abdominal binder tightly 3 / 4

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A nurse is caring for a client with suspected meningitis. Which action should the nurse take first?✔✔A. Place the client in droplet precautions

• Administer IV antibiotics
• Assess level of consciousness
• Prepare the client for lumbar puncture

A nurse is teaching a client about a new prescription for digoxin. Which statement indicates the client understands the teaching?

• “I should take my pulse once a week.”

✔✔B. “I should hold the medication if my pulse is below 60.”

• “I can double my dose if I miss one.”
• “I should take this medication with antacids.”

A nurse is reviewing discharge instructions with a client with heart failure. Which food choice shows correct understanding?

• Canned soup

✔✔B. Fresh fruit salad

• / 4