HESI RN Exit Exam Comprehensive Practice Actual Exam
2026/2027 | NGN Test Bank | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
SECTION 1: Fundamentals & Safety (15 Questions)
Q1: A nurse is caring for four patients. Which patient should the nurse assess FIRST?
A. A post-op day 2 patient with pain rated 6/10
B. A diabetic patient with blood glucose of 180 mg/dL
C. A post-op thyroidectomy patient with complaints of "tightness" in the neck
D. An elderly patient requesting assistance to the bathroom
Correct Answer: C
Rationale: Clinical Judgment: Prioritize Hypotheses using ABCs. Neck tightness after
thyroidectomy suggests airway-compromising hematoma—an immediate threat. Pain
(A), hyperglycemia (B), and toileting (D) are non-urgent compared with airway risk.
Q2: Which task can the charge nurse delegate to an experienced UAP?
A. Assess a new post-op patient’s pain level
B. Assist a stable patient with ambulation to the bathroom
C. Teach a diabetic patient about insulin administration
D. Change a sterile central-line dressing
,Correct Answer: B
Rationale: Delegation Principle: UAPs may perform non-invasive, routine tasks for stable
patients. Ambulation assistance is within scope. Assessment, teaching, and sterile
procedures (A, C, D) require RN judgment/skill.
Q3 (NGN Cloze): Complete the sentence: “The nurse should perform hand hygiene (1)
_______ and (2) _______ patient contact.”
Drop-down options: (1) before | after | during | between
(2) before | after | during | between
Correct Completion: (1) before | (2) after
Rationale: CDC Standard: Clean hands before touching patient (prevent transfer of
organisms to patient) and after (prevent transfer from patient to nurse/environment).
Q4: A patient’s call light has been on for 3 minutes. Which action demonstrates
patient-centered care?
A. Finish documenting last assessment before answering
B. Ask the UAP to check when they pass by
C. Respond promptly to discover the patient’s need
D. Assume it is not urgent and continue current task
Correct Answer: C
Rationale: Patient-Centered Care & Safety: Immediate response shows respect and
prevents potential falls or discomfort. Promptness is a safety/quality indicator.
,Q5: While preparing insulin, the nurse notes the vial label reads U-500 instead of the
usual U-100. The appropriate action is:
A. Use one-fifth of the ordered units
B. Contact the pharmacist and prescriber to clarify the order
C. Recalculate and administer with U-100 syringe
D. Proceed; concentration difference is acceptable
Correct Answer: B
Rationale: Medication Safety: U-500 is 5× concentrated—requires special syringe and
order verification. Independent calculation (A, C) risks 10-fold overdose. Never proceed
without clarification (D).
Q6: A nurse witnesses a colleague violating safety protocol. The first step is:
A. Report to the supervisor immediately
B. Speak directly to the colleague about the observed unsafe practice
C. Document the incident in the colleague’s file
D. Ignore if no patient harm occurred
Correct Answer: B
Rationale: TeamSTEPPS & Just Culture: Respectful, direct communication
(two-challenge rule) addresses issue promptly and maintains professionalism. Escalate
only if unresolved.
, Q7 (NGN Matrix): Four patients need assessment. Drag each finding to Priority Level
(Highest, Intermediate, Lowest).
● Findings:
1. Oxygen saturation 88 % on room air
2. Pain 8/10 after knee surgery
3. Blood glucose 240 mg/dL
4. Request for water pitcher refill
Correct Matrix:
● Highest: 1 (Oxygenation/ABC)
● Intermediate: 2 & 3 (Pain control; hyperglycemia)
● Lowest: 4 (Comfort)
Rationale: Clinical Judgment: ABCs first; then acute symptom management; lastly
comfort requests.
Q8: A patient is on contact precautions for MRSA in a wound. Which action is
appropriate?
A. Remove gown when leaving room but keep gloves in hallway
B. Don gown and gloves before entering room; remove and perform hand hygiene before
exiting
C. Mask is required for all room entries
D. Allow family to bring in outside food without restriction
Correct Answer: B
Rationale: Contact Precautions: Gown & gloves prevent contamination; hand hygiene
before exit is critical. Mask (C) unnecessary unless splash risk. Outside items (D) may
carry organisms.
2026/2027 | NGN Test Bank | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
SECTION 1: Fundamentals & Safety (15 Questions)
Q1: A nurse is caring for four patients. Which patient should the nurse assess FIRST?
A. A post-op day 2 patient with pain rated 6/10
B. A diabetic patient with blood glucose of 180 mg/dL
C. A post-op thyroidectomy patient with complaints of "tightness" in the neck
D. An elderly patient requesting assistance to the bathroom
Correct Answer: C
Rationale: Clinical Judgment: Prioritize Hypotheses using ABCs. Neck tightness after
thyroidectomy suggests airway-compromising hematoma—an immediate threat. Pain
(A), hyperglycemia (B), and toileting (D) are non-urgent compared with airway risk.
Q2: Which task can the charge nurse delegate to an experienced UAP?
A. Assess a new post-op patient’s pain level
B. Assist a stable patient with ambulation to the bathroom
C. Teach a diabetic patient about insulin administration
D. Change a sterile central-line dressing
,Correct Answer: B
Rationale: Delegation Principle: UAPs may perform non-invasive, routine tasks for stable
patients. Ambulation assistance is within scope. Assessment, teaching, and sterile
procedures (A, C, D) require RN judgment/skill.
Q3 (NGN Cloze): Complete the sentence: “The nurse should perform hand hygiene (1)
_______ and (2) _______ patient contact.”
Drop-down options: (1) before | after | during | between
(2) before | after | during | between
Correct Completion: (1) before | (2) after
Rationale: CDC Standard: Clean hands before touching patient (prevent transfer of
organisms to patient) and after (prevent transfer from patient to nurse/environment).
Q4: A patient’s call light has been on for 3 minutes. Which action demonstrates
patient-centered care?
A. Finish documenting last assessment before answering
B. Ask the UAP to check when they pass by
C. Respond promptly to discover the patient’s need
D. Assume it is not urgent and continue current task
Correct Answer: C
Rationale: Patient-Centered Care & Safety: Immediate response shows respect and
prevents potential falls or discomfort. Promptness is a safety/quality indicator.
,Q5: While preparing insulin, the nurse notes the vial label reads U-500 instead of the
usual U-100. The appropriate action is:
A. Use one-fifth of the ordered units
B. Contact the pharmacist and prescriber to clarify the order
C. Recalculate and administer with U-100 syringe
D. Proceed; concentration difference is acceptable
Correct Answer: B
Rationale: Medication Safety: U-500 is 5× concentrated—requires special syringe and
order verification. Independent calculation (A, C) risks 10-fold overdose. Never proceed
without clarification (D).
Q6: A nurse witnesses a colleague violating safety protocol. The first step is:
A. Report to the supervisor immediately
B. Speak directly to the colleague about the observed unsafe practice
C. Document the incident in the colleague’s file
D. Ignore if no patient harm occurred
Correct Answer: B
Rationale: TeamSTEPPS & Just Culture: Respectful, direct communication
(two-challenge rule) addresses issue promptly and maintains professionalism. Escalate
only if unresolved.
, Q7 (NGN Matrix): Four patients need assessment. Drag each finding to Priority Level
(Highest, Intermediate, Lowest).
● Findings:
1. Oxygen saturation 88 % on room air
2. Pain 8/10 after knee surgery
3. Blood glucose 240 mg/dL
4. Request for water pitcher refill
Correct Matrix:
● Highest: 1 (Oxygenation/ABC)
● Intermediate: 2 & 3 (Pain control; hyperglycemia)
● Lowest: 4 (Comfort)
Rationale: Clinical Judgment: ABCs first; then acute symptom management; lastly
comfort requests.
Q8: A patient is on contact precautions for MRSA in a wound. Which action is
appropriate?
A. Remove gown when leaving room but keep gloves in hallway
B. Don gown and gloves before entering room; remove and perform hand hygiene before
exiting
C. Mask is required for all room entries
D. Allow family to bring in outside food without restriction
Correct Answer: B
Rationale: Contact Precautions: Gown & gloves prevent contamination; hand hygiene
before exit is critical. Mask (C) unnecessary unless splash risk. Outside items (D) may
carry organisms.
