HESI Term 2 Exit Questions and

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HESI Term 2 Exit Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A patient develops shortness of breath during ambulation. What should the nurse do first?

• Continue ambulation to build tolerance

✔✔B. Assist the patient to sit or lie down and assess respiratory status

• Call family to assist
• Administer oxygen without assessment

A patient reports severe pain after surgery. Which action is most appropriate?

• Tell the patient to wait until the next scheduled dose

✔✔B. Assess the pain and administer prescribed analgesics as needed

• Suggest alternative therapy only
• Ignore the complaint if vital signs are normal

A client has a new prescription for a diuretic. What is the priority assessment before administration?

• Blood glucose level 1 / 4

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✔✔B. Serum potassium level

• Pulse oximetry
• Temperature

A patient reports dizziness upon standing. What is the most appropriate initial intervention?✔✔A. Assist the patient to sit or lie down and assess vital signs

• Encourage the patient to walk slowly
• Administer IV fluids immediately
• Ignore if dizziness resolves spontaneously

A nurse notes redness and warmth around a patient’s IV site. What should be the first action?

• Massage the area

✔✔B. Stop the IV and assess for infiltration or infection

• Flush the IV
• Apply a warm compress only

A client is scheduled for surgery and asks why fasting is required. What is the best response?

• Fasting helps the provider see the organs clearly 2 / 4

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• It prevents nausea after surgery

✔✔C. Fasting reduces the risk of aspiration during anesthesia

• It improves healing

A patient’s oxygen saturation drops to 88%. What is the nurse’s priority action?

• Reassess in 10 minutes
• Encourage deep breathing only

✔✔C. Apply supplemental oxygen and assess respiratory status

• Document and continue monitoring

A patient develops a rash after receiving penicillin. What is the most appropriate response?

• Ignore and continue treatment

✔✔B. Stop the medication and notify the provider

• Apply lotion to the rash
• Document and observe

A patient is refusing medication due to fear of side effects. What should the nurse do first?

• Administer the medication anyway 3 / 4

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• Ask the patient to sign a refusal form only

✔✔C. Explain the purpose, benefits, and risks of the medication

• Wait until the patient changes their mind

A client with diabetes reports blood sugar of 320 mg/dL. What is the nurse’s initial action?

• Administer insulin without further assessment

✔✔B. Assess for hyperglycemia symptoms and notify the provider

• Encourage the patient to drink water only
• Document and recheck later

A child presents with a high fever and seizure activity. What is the priority nursing action?✔✔A. Ensure the child’s safety and maintain airway during seizure

• Administer antipyretic immediately
• Call family to observe
• Document seizure

A postoperative patient reports sudden chest pain radiating to the left arm. What is the first action?

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