HESI RN Exit Exam Questions and

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

A postoperative patient reports severe pain unrelieved by medication. What should the nurse do first?

• Give another dose immediately

✔✔B. Assess for complications such as infection or neurovascular compromise

• Call the provider
• Document only

A patient has a new prescription for a diuretic. What is the most important assessment before administration?

• Blood glucose

✔✔B. Serum potassium level

• Blood pressure
• Oxygen saturation

A patient reports dizziness and fainting when standing. What is the priority nursing intervention? 1 / 4

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✔✔A. Assist the patient to sit or lie down and assess vital signs

• Encourage ambulation
• Wait for next vital signs
• Document only

A patient develops a rash and itching after receiving IV antibiotics. What is the first nursing action?

• Apply topical cream

✔✔B. Stop the infusion and notify the provider

• Document and continue monitoring
• Administer oral antihistamine only

A patient with diabetes reports a blood glucose of 350 mg/dL. What should the nurse do first?

• Give insulin without assessment

✔✔B. Assess for signs of hyperglycemia and notify the provider

• Encourage oral fluids only
• Monitor again in an hour
• / 4

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

• Call the provider after the seizure

✔✔B. Ensure the child’s safety and maintain airway during seizure

• Start IV fluids immediately
• Document only

A postoperative patient is hypotensive and tachycardic. What is the first nursing action?

• Sit the patient upright

✔✔B. Assess for bleeding and maintain IV access for fluid replacement

• Call the provider immediately
• Document

A patient is refusing a newly prescribed medication. What is the best nursing response?✔✔A. Explain the benefits, risks, and purpose of the medication

• Force the medication
• Ignore refusal
• Wait until patient changes their mind
• / 4

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A patient reports sudden swelling of lips and face after eating peanuts. What is the priority nursing action?

• Give oral antihistamine
• Document only

✔✔C. Assess airway and prepare emergency intervention

• Notify family

A patient with COPD has oxygen prescribed. What is the nurse’s priority action?

• Sit with the patient

✔✔B. Apply oxygen and monitor respiratory status

• Encourage coughing only
• Document

A patient reports numbness and tingling in the hands after starting a new medication. What should the nurse do first?

• Tell the patient it is normal

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

• Wait until next assessment
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