HESI RN Exit Exam Comprehensive Review Actual Exam
2026/2027 | NGN Test Bank | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
SECTION 1: Fundamentals & Management of Care (15 Questions)
Q1: A charge nurse is making assignments. Which patient is most appropriate for a new
graduate RN who has completed orientation?
A. Post-op day 1 CABG with chest tubes and epidural
B. Stable patient awaiting discharge after laparoscopic cholecystectomy
C. COPD exacerbation on 4 L O₂ with frequent nebulizers
D. Newly diagnosed diabetic learning home-glucose monitoring
Correct Answer: B
Rationale: Delegation/Assignment Principle: new RN gets stable, predictable patients.
Discharge teaching reinforces fundamentals.
HESI Strategy: “Most appropriate” = match complexity to experience; unstable (A, C) or
heavy teaching (D) needs senior nurse.
Clinical-Judgment Link: Analyze Cues—stability is the deciding cue.
,Q2: A nurse notes a colleague charted “Patient slept well” without assessment. The first
action is to:
A. Complete an incident report
B. Remind the nurse to document by exception
C. Report to the nurse manager
D. Add a late entry
Correct Answer: B
Rationale: Legal/Ethics—address colleague directly first (professional courtesy).
HESI Tip: “First action” = least restrictive, lowest level of intervention.
Priority: Promote accurate documentation without escalation.
Q3: The nurse receives report on four patients. Which requires intervention first?
A. BP 140/82, no symptoms
B. RR 8/min, difficult to arouse post-morphine
,C. Temp 37.2 °C after ibuprofen
D. Pain 4/10 controlled with PO analgesic
Correct Answer: B
Rationale: ABCs—respiratory depression is life-threatening.
HESI Strategy: “Requires intervention first” = look for airway/breathing compromise.
Clinical Judgment: Recognize Cues—rate & arousal = opioid toxicity.
Q4: A patient refuses a blood transfusion for religious reasons. The best response by
the nurse is:
A. “You may die without it.”
B. “Help me understand your concerns so I can inform the provider.”
C. “The doctor will explain the risks.”
D. Sign the refusal form immediately
Correct Answer: B
Rationale: Ethics/Autonomy—explore rationale, ensure informed refusal.
, HESI Communication: “Best response” = therapeutic, patient-centered.
Legal: Document informed refusal process.
Q5: During a fire drill, the first step in RACE is:
A. Alarm
B. Rescue
C. Contain
D. Extinguish
Correct Answer: B
Rationale: Safety Protocol acronym: Rescue patients in immediate danger.
HESI Memory Trick: R-A-C-E; rescue always first.
Q6: A nurse delegates vital signs to AP. Which instruction is essential?
A. “Let me know if the patient is nice.”
B. “Report any BP >160/100 or HR <50 or >120.”
2026/2027 | NGN Test Bank | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
SECTION 1: Fundamentals & Management of Care (15 Questions)
Q1: A charge nurse is making assignments. Which patient is most appropriate for a new
graduate RN who has completed orientation?
A. Post-op day 1 CABG with chest tubes and epidural
B. Stable patient awaiting discharge after laparoscopic cholecystectomy
C. COPD exacerbation on 4 L O₂ with frequent nebulizers
D. Newly diagnosed diabetic learning home-glucose monitoring
Correct Answer: B
Rationale: Delegation/Assignment Principle: new RN gets stable, predictable patients.
Discharge teaching reinforces fundamentals.
HESI Strategy: “Most appropriate” = match complexity to experience; unstable (A, C) or
heavy teaching (D) needs senior nurse.
Clinical-Judgment Link: Analyze Cues—stability is the deciding cue.
,Q2: A nurse notes a colleague charted “Patient slept well” without assessment. The first
action is to:
A. Complete an incident report
B. Remind the nurse to document by exception
C. Report to the nurse manager
D. Add a late entry
Correct Answer: B
Rationale: Legal/Ethics—address colleague directly first (professional courtesy).
HESI Tip: “First action” = least restrictive, lowest level of intervention.
Priority: Promote accurate documentation without escalation.
Q3: The nurse receives report on four patients. Which requires intervention first?
A. BP 140/82, no symptoms
B. RR 8/min, difficult to arouse post-morphine
,C. Temp 37.2 °C after ibuprofen
D. Pain 4/10 controlled with PO analgesic
Correct Answer: B
Rationale: ABCs—respiratory depression is life-threatening.
HESI Strategy: “Requires intervention first” = look for airway/breathing compromise.
Clinical Judgment: Recognize Cues—rate & arousal = opioid toxicity.
Q4: A patient refuses a blood transfusion for religious reasons. The best response by
the nurse is:
A. “You may die without it.”
B. “Help me understand your concerns so I can inform the provider.”
C. “The doctor will explain the risks.”
D. Sign the refusal form immediately
Correct Answer: B
Rationale: Ethics/Autonomy—explore rationale, ensure informed refusal.
, HESI Communication: “Best response” = therapeutic, patient-centered.
Legal: Document informed refusal process.
Q5: During a fire drill, the first step in RACE is:
A. Alarm
B. Rescue
C. Contain
D. Extinguish
Correct Answer: B
Rationale: Safety Protocol acronym: Rescue patients in immediate danger.
HESI Memory Trick: R-A-C-E; rescue always first.
Q6: A nurse delegates vital signs to AP. Which instruction is essential?
A. “Let me know if the patient is nice.”
B. “Report any BP >160/100 or HR <50 or >120.”
