RN HESI Exit Retake Exam Actual QA Exams 150 Questions

RN HESI Exit Retake Exam — Actual Q&A Exams 2025/2026 | 150 Questions Real Exam-Based Questions and Verified Answers | 100% Accuracy | Paramedic Program Admission Prep | Graded A+

Introduction This complete review includes 150 verified multiple-choice questions and correct answers from the RN HESI Exit Retake Exam – Actual Q&A Version for the 2025/2026 cycle.Content reflects NCLEX-RN readiness standards and includes clinical decision-making, prioritization, pharmacology, medical-surgical, maternity, pediatrics, leadership, and patient safety topics—ideal for students preparing for their final HESI attempt.Answer Format All correct answers are clearly marked in bold and green for efficient review and confident preparation.

Section 2: Exam Questions and Answers

Question 1 A client with chest pain has a BP of 88/50 mmHg. What is the priority?

• Administer morphine
• Notify the healthcare provider
• Increase IV fluids
• Prepare for ECG

Rationale: Hypotension requires immediate provider notification.

Question 2 A client with a new tracheostomy has stridor. What to do first?

• Change the dressing
• Check airway patency
• Provide oral care
• Teach family care

Rationale: Airway obstruction is life-threatening.

Question 3 A client with diabetes has a blood glucose of 40 mg/dL. What action is best?

• Recheck in 1 hour
• Administer 15 g of glucose
• Prepare insulin
• Notify dietician

Rationale: Immediate glucose correction prevents coma. 1 / 3

Question 4 A postpartum client has a boggy uterus. What to do?

• Massage the fundus
• Massage the fundus and notify the RN
• Apply ice
• Encourage ambulation

Rationale: Massage addresses bleeding; RN notification ensures oversight.

Question 5 A client with bipolar disorder is manic. What is the priority?

• Encourage rest
• Ensure safety
• Administer sedatives
• Restrain

Rationale: Safety prevents harm during mania.

Question 6 An RN delegates to an LPN. What task is appropriate?

• Develop a care plan
• Administer medications
• Evaluate outcomes
• Discharge teaching

Rationale: Medication administration is within LPN scope.

Question 7 A client with a femur fracture reports sudden dyspnea. What to suspect?

• Pneumonia
• Pulmonary embolism
• Anxiety
• Infection

Rationale: Dyspnea suggests fat embolism post-fracture.

Question 8 A nurse prepares a blood transfusion. What is the first step?

• Start the infusion
• Verify client and blood product
• Check vital signs
• Hang the bag

Rationale: Verification prevents transfusion errors.

Question 9 A client with heart failure has +2 edema. What to do?

• Increase fluids
• Elevate legs 2 / 3

• Administer diuretic
• Encourage walking

Rationale: Elevation reduces edema.

Question 10 A client with a stroke has facial droop. What is the priority?

• Administer tPA
• Notify the stroke team
• Check glucose
• Start an IV

Rationale: Rapid team activation improves outcomes.

Question 11 A client with a colostomy has skin irritation. What to assess?

• Diet
• Pouch seal and skin
• Fluid intake
• Bowel sounds

Rationale: Seal issues cause irritation.

Question 12 A client on warfarin has a nosebleed. What to monitor?

• Blood glucose

B) PT/INR

• Hemoglobin
• Urine output

Rationale: PT/INR assesses bleeding risk.

Question 13 A client with pneumonia has a respiratory rate of 32. What to do?

• Administer oxygen
• Assess oxygen saturation
• Encourage rest
• Increase fluids

Rationale: Saturation guides oxygen therapy.

Question 14 A client post-thyroidectomy has tingling. What to suspect?

• Normal healing
• Hypocalcemia
• Infection
• Hyperthyroidism

Rationale: Tingling indicates low calcium.

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