HESI RN Exit Exam QA Questions and

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HESI RN Exit Exam Q/A Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A client with pneumonia is receiving IV antibiotics. Which outcome best indicates effectiveness?

• Increased fatigue
• Productive cough with thick sputum
• Respiratory rate 28/min

✔✔D. Afebrile with improved breath sounds

A nurse prepares to administer insulin lispro. When should the nurse administer the dose?✔✔A. Within 15 minutes of a meal

• At bedtime
• 1 hour before meals
• After the client finishes eating

Which intervention has the highest priority for a client at risk for aspiration?

• Providing oral care after meals
• Offering fluids between meals 1 / 4

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✔✔C. Keeping the head of bed elevated during feeding

• Encouraging ambulation after meals

A client with heart failure has bilateral crackles. Which medication should the nurse anticipate?

• Acetaminophen

✔✔B. Furosemide

• Lisinopril
• Atorvastatin

Which food should the nurse teach a client with hypertension to avoid?

• Fresh apples

✔✔B. Canned soup

• Brown rice
• Baked chicken

A client receiving morphine develops a respiratory rate of 6/min. What should the nurse do first?

• Place oxygen at 2 L/min

✔✔B. Administer naloxone 2 / 4

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• Increase IV fluids
• Call the healthcare provider

Which assessment finding indicates digoxin toxicity?

• Increased appetite

✔✔B. Yellow vision changes

• Weight gain
• Constipation

A nurse is reviewing lab results for a client with chronic kidney disease. Which value requires action?

• Hemoglobin 13 g/dL

✔✔B. Potassium 6.2 mEq/L

• Calcium 9.2 mg/dL
• Sodium 138 mEq/L

Which instruction is appropriate for a client prescribed warfarin?✔✔A. "Report any unusual bleeding or bruising." 3 / 4

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• "Increase your intake of leafy green vegetables."
• "Take aspirin if you have headaches."
• "Stop taking if you feel dizzy."

A nurse is reinforcing teaching to a client starting albuterol inhaler. Which statement shows understanding?

• "I will use this medication daily at bedtime."

✔✔B. "I will use this medication when I have sudden shortness of breath."

• "I will not shake the inhaler before using it."
• "I will rinse my mouth after each puff."

Which assessment finding indicates hypoglycemia?✔✔A. Tremors and sweating

• Flushed, dry skin
• Fruity breath odor
• Increased thirst

Which action is priority when caring for a client with sepsis?

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