HESI RN Exit Exam Comprehensive
Nursing Exit Assessment | Latest Update
with Correct Answers | NCLEX®
Readiness Preparation
HESI RN EXIT PRACTICE EXAM
Q1. Which action should the nurse take first when a patient reports shortness of breath?
a) Increase IV fluids
b) Auscultate lung sounds
c) Administer pain medication
d) Encourage deep breathing exercises
Answer: b) Auscultate lung sounds
Q2. The best method to prevent hospital-acquired infections is:
a) Use of sterile gloves for all care
b) Hand hygiene before and after contact
c) Wearing N95 masks at all times
d) Restricting visitors
Answer: b) Hand hygiene before and after contact
Q3. A patient looks pale and diaphoretic. The nurse should first:
a) Check capillary refill
b) Assess blood pressure
c) Obtain blood glucose
,d) Call the provider
Answer: b) Assess blood pressure
Q4. Which patient requires the most immediate intervention?
a) A COPD patient with SpO₂ of 89%
b) A postoperative patient with urinary retention
c) A diabetic patient with blurred vision
d) A patient with mild nausea
Answer: a) A COPD patient with SpO₂ of 89%
Q5. A fall risk patient should have:
a) Bed in lowest position
b) Wheels locked
c) Call light within reach
d) All of the above
Answer: d) All of the above
Q6. Which is a sentinel event?
a) Medication delay
b) Fall resulting in fracture
c) Late lab report
d) IV dressing change missed
Answer: b) Fall resulting in fracture
Q7. Which action is a nursing responsibility?
a) Prescribing antibiotics
b) Administering medication per order
c) Diagnosing disease
d) Performing surgery
Answer: b) Administering medication per order
Q8. A patient with a latex allergy should avoid:
a) Vinyl gloves
b) Balloon play
c) Cotton gowns
, d) Stainless steel instruments
Answer: b) Balloon play
Q9. Which sign indicates hypoxia?
a) Bradycardia
b) Cyanosis
c) Jugular vein distention
d) Polyuria
Answer: b) Cyanosis
Q10. A nurse delegates vital signs to UAP. The nurse must:
a) Ignore the results
b) Re-evaluate priorities based on findings
c) Document only abnormal values
d) Delegate patient education
Answer: b) Re-evaluate priorities based on findings
Q11. The nurse enters a room and finds the patient unresponsive and not breathing. The first
action is:
a) Call for help
b) Begin CPR
c) Check pulse
d) Retrieve crash cart
Answer: b) Begin CPR
Q12. Which action promotes patient confidentiality?
a) Discussing care in the hallway
b) Recording information in the EHR
c) Leaving the chart open at the bedside
d) Posting patient info on boards
Answer: b) Recording information in the EHR
Q13. Which patient should the nurse assess first?
a) Diabetic with blood glucose 150 mg/dL
b) Post-op client complaining of pain
c) Client with chest pain and diaphoresis
Nursing Exit Assessment | Latest Update
with Correct Answers | NCLEX®
Readiness Preparation
HESI RN EXIT PRACTICE EXAM
Q1. Which action should the nurse take first when a patient reports shortness of breath?
a) Increase IV fluids
b) Auscultate lung sounds
c) Administer pain medication
d) Encourage deep breathing exercises
Answer: b) Auscultate lung sounds
Q2. The best method to prevent hospital-acquired infections is:
a) Use of sterile gloves for all care
b) Hand hygiene before and after contact
c) Wearing N95 masks at all times
d) Restricting visitors
Answer: b) Hand hygiene before and after contact
Q3. A patient looks pale and diaphoretic. The nurse should first:
a) Check capillary refill
b) Assess blood pressure
c) Obtain blood glucose
,d) Call the provider
Answer: b) Assess blood pressure
Q4. Which patient requires the most immediate intervention?
a) A COPD patient with SpO₂ of 89%
b) A postoperative patient with urinary retention
c) A diabetic patient with blurred vision
d) A patient with mild nausea
Answer: a) A COPD patient with SpO₂ of 89%
Q5. A fall risk patient should have:
a) Bed in lowest position
b) Wheels locked
c) Call light within reach
d) All of the above
Answer: d) All of the above
Q6. Which is a sentinel event?
a) Medication delay
b) Fall resulting in fracture
c) Late lab report
d) IV dressing change missed
Answer: b) Fall resulting in fracture
Q7. Which action is a nursing responsibility?
a) Prescribing antibiotics
b) Administering medication per order
c) Diagnosing disease
d) Performing surgery
Answer: b) Administering medication per order
Q8. A patient with a latex allergy should avoid:
a) Vinyl gloves
b) Balloon play
c) Cotton gowns
, d) Stainless steel instruments
Answer: b) Balloon play
Q9. Which sign indicates hypoxia?
a) Bradycardia
b) Cyanosis
c) Jugular vein distention
d) Polyuria
Answer: b) Cyanosis
Q10. A nurse delegates vital signs to UAP. The nurse must:
a) Ignore the results
b) Re-evaluate priorities based on findings
c) Document only abnormal values
d) Delegate patient education
Answer: b) Re-evaluate priorities based on findings
Q11. The nurse enters a room and finds the patient unresponsive and not breathing. The first
action is:
a) Call for help
b) Begin CPR
c) Check pulse
d) Retrieve crash cart
Answer: b) Begin CPR
Q12. Which action promotes patient confidentiality?
a) Discussing care in the hallway
b) Recording information in the EHR
c) Leaving the chart open at the bedside
d) Posting patient info on boards
Answer: b) Recording information in the EHR
Q13. Which patient should the nurse assess first?
a) Diabetic with blood glucose 150 mg/dL
b) Post-op client complaining of pain
c) Client with chest pain and diaphoresis
