HESI RN Exit Exam with NGN Latest

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

A client who had abdominal surgery 12 hours ago reports sudden severe abdominal pain and distention. What should the nurse do first?

• Encourage deep breathing exercises

✔✔B. Assess for bowel sounds and signs of paralytic ileus

• Administer prescribed analgesic
• Place the client in a supine position

A nurse is caring for a client receiving a blood transfusion. The client develops chills, fever, and back pain. What is the nurse’s priority action?✔✔A. Stop the transfusion immediately and maintain IV with saline

• Call the provider after documenting
• Administer acetaminophen for fever
• Increase the IV infusion rate
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A client with type 2 diabetes reports dizziness and sweating. Which action should the nurse take first?

• Check blood pressure

✔✔B. Check blood glucose and give fast-acting carbohydrate if low

• Administer insulin as prescribed
• Encourage the client to rest in bed

A client in labor is experiencing late decelerations on the fetal monitor. What is the nurse’s immediate priority?

• Apply oxygen via face mask

✔✔B. Reposition the client to left lateral position

• Increase IV fluids
• Document the findings

A nurse is teaching a client about a new prescription for enalapril. Which statement by the client indicates understanding?

• “I should double the dose if I forget it.”

✔✔B. “I should report any swelling of my face or lips immediately.”

• “It’s safe to take potassium supplements without checking with my provider.” 2 / 4

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• “I will take this medication only when I feel symptoms.”

A client with chronic kidney disease has potassium 6.3 mEq/L. Which intervention should the nurse anticipate?

• Administer oral potassium

✔✔B. Prepare to give IV calcium gluconate and insulin with dextrose

• Encourage high-potassium foods
• Hold all medications

A nurse is caring for a client with pneumonia who has thick, yellow sputum. What is the priority intervention?

• Administer antibiotics as scheduled

✔✔B. Encourage fluid intake and assist with coughing and deep breathing

• Limit activity to reduce oxygen demand
• Place in Trendelenburg position

A client receiving heparin therapy develops sudden bruising and nosebleeds. What should the nurse do first?

• Apply pressure to the nose 3 / 4

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✔✔B. Hold the heparin and notify the provider

• Document the findings
• Give vitamin K

A client with a history of heart failure has sudden weight gain, edema, and shortness of breath.Which action is the nurse’s priority?

• Administer diuretic as prescribed

✔✔B. Assess respiratory status and oxygen saturation

• Restrict fluid intake
• Check vital signs every 4 hours

A client is post-thyroidectomy and complains of tingling around the mouth and in the fingers.What is the nurse’s priority action?

• Assess for infection at the incision site

✔✔B. Check for signs of hypocalcemia and prepare for calcium replacement

• Encourage deep breathing exercises
• Administer prescribed pain medication
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