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PN Exit Hesi Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A patient is admitted with dehydration. What is the first nursing action?✔✔Assess vital signs and level of consciousness.
A postoperative patient reports severe pain. What should the nurse do first?✔✔Assess pain location, intensity, and characteristics.
A patient is scheduled for surgery and asks why NPO status is required. What is the nurse’s best response?✔✔Explain that fasting reduces the risk of aspiration during anesthesia.
A patient develops shortness of breath and low oxygen saturation. What is the priority action?✔✔Apply oxygen and assess respiratory status.
A patient is confused and attempting to get out of bed unassisted. What is the most appropriate intervention? 1 / 4
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✔✔Implement fall precautions and stay with the patient as needed.
A child presents with a high fever and seizure activity. What should the nurse do first?✔✔Ensure the child’s safety and maintain airway during seizure.
A patient reports dizziness when standing. What should the nurse do first?✔✔Assist the patient to sit or lie down and assess vital signs.
A patient with diabetes reports blood glucose of 320 mg/dL. What is the first nursing action?✔✔Check for signs of hyperglycemia and notify the provider.
A patient is prescribed a new diuretic. What is the most important assessment before administration?✔✔Check the patient’s potassium level.
A postoperative patient reports shortness of breath and chest discomfort. What is the priority action?✔✔Assess for signs of pulmonary embolism and notify the provider. 2 / 4
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A patient reports persistent nausea after chemotherapy. What should the nurse do first?✔✔Assess severity and administer prescribed antiemetics.
A patient with a new insulin regimen needs teaching. What is the priority information?✔✔Educate on signs of hypoglycemia and proper insulin administration.
A patient reports sudden onset of severe headache and vision changes. What is the first nursing action?✔✔Notify the provider immediately and monitor neurological status.
A patient refuses medication due to fear of side effects. What should the nurse do?✔✔Explain the purpose, benefits, and potential risks of the medication.
A patient is post-operative and shows signs of hypotension and tachycardia. What is the first action?✔✔Assess for bleeding and maintain IV access for fluid replacement.
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A patient with a Foley catheter reports bladder spasms. What is the nurse’s first action?✔✔Check for kinks in the catheter and ensure patency.
A patient is confused and pulling at their oxygen tubing. What is the priority nursing intervention?✔✔Ensure patient safety and secure the tubing while monitoring oxygen saturation.
A patient reports numbness and tingling in the hands after starting a new medication. What should the nurse do first?✔✔Assess for adverse drug reaction and notify the provider.
A patient is post-operative and refuses to ambulate due to pain. What is the nurse’s priority?✔✔Assess pain and provide analgesia before assisting with ambulation.
A patient has a new prescription for antihypertensive medication but blood pressure is 90/60 mmHg. What should the nurse do?✔✔Hold the medication and notify the provider.
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