PN Hesi Exit Exam Questions and

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PN Hesi Exit Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A patient reports chest pain radiating to the arm. What is the nurse’s first action?

• Give analgesics immediately
• Document the report

✔✔C. Assess vital signs and apply cardiac monitoring

• Sit patient upright

A patient is confused and trying to get out of bed unassisted. What should the nurse do first?

• Call security

✔✔B. Implement fall precautions and provide supervision

• Give a sedative
• Tell the patient to wait

A patient has a Foley catheter and reports bladder spasms. What is the priority action?

• Remove the catheter

✔✔B. Check for kinks and ensure patency 1 / 4

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• Notify family
• Give pain medication only

A child presents with a high fever and seizure activity. What should the nurse do first?

• Administer antipyretics

✔✔B. Ensure safety and maintain airway

• Call the provider after seizure
• Document only

A patient’s blood glucose is 320 mg/dL. What is the nurse’s first action?✔✔A. Assess for signs of hyperglycemia and notify provider

• Give insulin immediately
• Encourage oral fluids only
• Ignore the reading

A postoperative patient reports shortness of breath and low oxygen saturation. What should the nurse do first?

• Sit with the patient 2 / 4

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• Encourage coughing and deep breathing

✔✔C. Administer oxygen and assess airway

• Document symptoms

A patient reports dizziness when standing. What is the priority nursing action?✔✔A. Assist patient to sit or lie down and assess vital signs

• Increase IV fluids immediately
• Tell the patient to ignore it
• Document

A patient refuses a newly prescribed medication. What is the nurse’s best response?

• Force the patient to take it

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

• Ignore the refusal
• Wait until the patient changes their mind

A patient develops a rash after IV antibiotics. What should the nurse do first?

• Apply a topical cream 3 / 4

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• Continue the infusion

✔✔C. Stop the infusion and notify the provider

• Document only

A patient reports numbness and tingling in 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 the provider

• Wait for next assessment
• Document only

A patient is scheduled for surgery and asks why NPO status is required. What is the nurse’s best response?

• To speed recovery
• To make the stomach empty faster

✔✔C. To reduce risk of aspiration during anesthesia

• Because it interferes with anesthesia
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