HESI RN Exit (BSN) 2026 Proctored Exam 10/08/2026 with Question 129

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Sample questions from HESI RN Exit (BSN) 2026 Proctored Exam 10/08/2026 with Question 129

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical unit, the nurse receives report on four clients. Which client should the nurse assess first?

   • A.A client with pneumonia whose temperature is 38.2 C and who is due for acetaminophen
   • B.A client 2 hours after thyroidectomy who is restless and has inspiratory stridor
   • C.A client with diabetes whose premeal glucose is 248 mg/dL
   • D.A client with a fractured wrist requesting prescribed analgesia

   Rationale: Restlessness and stridor after thyroid surgery suggest airway obstruction from laryngeal edema or a neck hematoma. Airway compromise takes priority over fever, moderate hyperglycemia, and pain. The nurse should stay with the client, summon emergency assistance, and prepare to support the airway.

2. 2.In the emergency department, a 67-year-old client with sepsis has a blood pressure of 82/48 mm Hg, lactate of 4.2 mmol/L, and a new prescription for rapid isotonic IV fluids. Which actions should the nurse take? Select all that apply.

   • A.Restrict fluids until the lactate result normalizes
   • B.Obtain blood cultures before the first antibiotic if this will not delay treatment
   • C.Begin the prescribed isotonic fluid bolus and reassess perfusion
   • D.Administer the prescribed broad-spectrum antibiotic promptly
   • E.Monitor urine output and mental status during resuscitation

   Rationale: Begin the prescribed fluid promptly because hypotension and elevated lactate indicate impaired perfusion. Obtain cultures first only when doing so does not delay antibiotics; prompt antimicrobial therapy is essential in sepsis. Restricting fluids is inappropriate in this hypotensive client, while urine output and mental status help evaluate perfusion.

3. 3.A charge nurse is assigning care on a rehabilitation unit. Which task is appropriate to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Assist a stable client with bathing and report any skin changes
   • B.Assess a client who reports new shortness of breath
   • C.Evaluate whether a prescribed analgesic relieved pain
   • D.Teach a client how to use a walker on stairs

   Rationale: Bathing a stable client is a routine task that can be delegated to a trained UAP. Assessment, teaching, and evaluation require nursing judgment and remain the nurse's responsibility. The nurse should give clear instructions about reporting unexpected findings.

4. 4.A provider prescribes digoxin 0.125 mg for an older adult with heart failure. The client's apical pulse is 54/min, and the client reports nausea and seeing yellow halos. What should the nurse do?

   • A.Give the dose and recheck the pulse in 1 hour
   • B.Ask the UAP to repeat the radial pulse
   • C.Administer the dose with food
   • D.Hold the dose and notify the provider

   Answer and rationale are in the full material.

5. 5.During a home visit, a nurse learns that a client with heart failure has missed two cardiology appointments because transportation is unavailable. Which action best addresses the immediate barrier to follow-up?

   • A.Ask the client to arrange a ride with a neighbor
   • B.Document the missed visits and end the visit
   • C.Contact the care coordinator to explore transportation resources
   • D.Tell the client that follow-up is required to continue care

   Answer and rationale are in the full material.