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HESI RN Exit V2 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A patient is admitted with severe dehydration. What is the first nursing action?
- Administer oral fluids immediately
- Call the provider before assessment
- Place the patient on bed rest
✔✔B. Assess vital signs and level of consciousness
A postoperative patient reports sudden shortness of breath. What is the priority action?
- Sit with the patient and provide reassurance
- Document and wait
- Notify family
✔✔B. Assess oxygen saturation, breath sounds, and respiratory effort
A nurse notes a patient’s surgical wound is red and draining pus. What is the best initial action?
- Cover the wound with a dressing only
✔✔B. Notify the provider and continue monitoring 1 / 4
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- Apply topical ointment
- Document only
A patient has a prescription for a new antihypertensive but blood pressure is 88/54 mmHg. What should the nurse do?✔✔A. Hold the medication and notify the provider
- Administer half the dose
- Give the medication anyway
- Monitor and document
A patient reports chest pain radiating to the arm. What is the first nursing action?
- Administer pain medication immediately
- Call family
- Wait to see if it resolves
✔✔B. Assess vital signs and apply cardiac monitoring
A patient with COPD reports increased shortness of breath. What should the nurse do first?✔✔A. Administer prescribed oxygen and assess respiratory effort 2 / 4
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- Sit with the patient
- Encourage coughing only
- Document and wait
A child presents with high fever and seizure activity. What is the priority action?✔✔A. Ensure safety and maintain airway during seizure
- Call provider after seizure
- Measure temperature
- Begin IV antibiotics immediately
A patient refuses medication due to fear of side effects. What is the nurse’s best response?✔✔A. Explain the benefits, risks, and purpose of the medication
- Force the patient to take it
- Ignore the refusal
- Wait for patient to change mind
A patient is post-operative and refuses to ambulate due to pain. What should the nurse do first?
- Force ambulation 3 / 4
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✔✔B. Assess pain and provide analgesia before assisting
- Wait until the patient feels ready
- Document only
A patient reports dizziness when standing. What is the priority nursing action?✔✔A. Assist the patient to sit or lie down and assess vital signs
- Increase IV fluids immediately
- Tell the patient to ignore it
- Administer antihypertensive
A patient has a Foley catheter and reports bladder spasms. What is the nurse’s first action?✔✔A. Check for kinks in the catheter and ensure patency
- Remove the catheter immediately
- Give pain medication without assessment
- Notify family
A patient develops a rash after IV antibiotics. What should the nurse do first?✔✔A. Stop the infusion and notify the provider
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