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 assigning patients. Which patient should be assigned to a newly
licensed RN?
A. Post-op day 1 CABG with chest tubes
B. Stable diabetic for discharge teaching
C. COPD exacerbation needing frequent nebulizers
D. Post-stroke patient with swallowing assessment
Correct Answer: B
Rationale: Clinical Judgment: Analyze Cues - stable patient with predictable outcomes
matches novice competency. HESI Strategy: Match acuity to experience. Priority
Framework: Non-acute, teaching-focused = safe assignment.
Q2: A patient with tuberculosis needs transport to Radiology. What precautions are
required?
A. Standard precautions only
,B. N95 respirator for transport personnel
C. Contact precautions with gown/gloves
D. Droplet precautions with surgical mask
Correct Answer: B
Rationale: Infection Control: TB = airborne → N95 respirator required. HESI Tip: Know
PPE by precaution type. Priority: Airborne = most restrictive.
Q3 (NGN - Matrix): Assign priority level (High, Intermediate, Low) for these findings:
TableCopy
Finding Priority
Post-op patient with BP 80/40 High
Diabetic with glucose 180 mg/dL Intermediate
Stable patient requesting pain med Low
Newborn with respiratory rate 70 High
Rationale: Clinical Judgment: Prioritize Hypotheses using ABCs + Stability. Hypotension
and neonatal tachypnea = immediate threats. Hyperglycemia = manageable after
stabilization.
,Q4: A nurse notes a colleague preparing to insert an IV without gloves. What should the
nurse do?
A. Report to supervisor immediately
B. Politely remind about standard precautions
C. Say nothing - not your patient
D. Complete incident report later
Correct Answer: B
Rationale: Safety & Communication: Immediate gentle reminder prevents exposure.
HESI Strategy: Culture of safety > hierarchy. Ethics: Beneficence + non-maleficence.
Q5: When using restraints, which assessment is required every 2 hours?
A. Circulation and range of motion
B. Nutritional intake
C. Sleep pattern
D. Family visitation needs
Correct Answer: A
Rationale: Joint Commission Standards: Circulation, skin, ROM, hydration, elimination,
psychological needs q2h. HESI Focus: Know restraint protocols.
Q6: A patient suddenly becomes confused and agitated. What should the nurse assess
first?
, A. Oxygen saturation
B. Last pain medication
C. Family history of dementia
D. Sleep history
Correct Answer: A
Rationale: Clinical Judgment: ABCs first - hypoxia is #1 cause of acute confusion. HESI
Priority: Physiological before psychosocial.
Q7: A patient asks the nurse to keep a secret about leaving AMA. What should the nurse
do?
A. Promise to keep the secret
B. Explain that patient safety comes first and inform provider
C. Say nothing - autonomy issue
D. Tell the family immediately
Correct Answer: B
Rationale: Ethical Principles: Safety > autonomy. Cannot promise secrecy when safety at
risk. HESI Ethics: Follow chain of command.
Q8: A nurse is fatigued after three 12-hour shifts. What is best action?
A. Drink coffee and continue
B. Report fatigue and request modified assignment
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 assigning patients. Which patient should be assigned to a newly
licensed RN?
A. Post-op day 1 CABG with chest tubes
B. Stable diabetic for discharge teaching
C. COPD exacerbation needing frequent nebulizers
D. Post-stroke patient with swallowing assessment
Correct Answer: B
Rationale: Clinical Judgment: Analyze Cues - stable patient with predictable outcomes
matches novice competency. HESI Strategy: Match acuity to experience. Priority
Framework: Non-acute, teaching-focused = safe assignment.
Q2: A patient with tuberculosis needs transport to Radiology. What precautions are
required?
A. Standard precautions only
,B. N95 respirator for transport personnel
C. Contact precautions with gown/gloves
D. Droplet precautions with surgical mask
Correct Answer: B
Rationale: Infection Control: TB = airborne → N95 respirator required. HESI Tip: Know
PPE by precaution type. Priority: Airborne = most restrictive.
Q3 (NGN - Matrix): Assign priority level (High, Intermediate, Low) for these findings:
TableCopy
Finding Priority
Post-op patient with BP 80/40 High
Diabetic with glucose 180 mg/dL Intermediate
Stable patient requesting pain med Low
Newborn with respiratory rate 70 High
Rationale: Clinical Judgment: Prioritize Hypotheses using ABCs + Stability. Hypotension
and neonatal tachypnea = immediate threats. Hyperglycemia = manageable after
stabilization.
,Q4: A nurse notes a colleague preparing to insert an IV without gloves. What should the
nurse do?
A. Report to supervisor immediately
B. Politely remind about standard precautions
C. Say nothing - not your patient
D. Complete incident report later
Correct Answer: B
Rationale: Safety & Communication: Immediate gentle reminder prevents exposure.
HESI Strategy: Culture of safety > hierarchy. Ethics: Beneficence + non-maleficence.
Q5: When using restraints, which assessment is required every 2 hours?
A. Circulation and range of motion
B. Nutritional intake
C. Sleep pattern
D. Family visitation needs
Correct Answer: A
Rationale: Joint Commission Standards: Circulation, skin, ROM, hydration, elimination,
psychological needs q2h. HESI Focus: Know restraint protocols.
Q6: A patient suddenly becomes confused and agitated. What should the nurse assess
first?
, A. Oxygen saturation
B. Last pain medication
C. Family history of dementia
D. Sleep history
Correct Answer: A
Rationale: Clinical Judgment: ABCs first - hypoxia is #1 cause of acute confusion. HESI
Priority: Physiological before psychosocial.
Q7: A patient asks the nurse to keep a secret about leaving AMA. What should the nurse
do?
A. Promise to keep the secret
B. Explain that patient safety comes first and inform provider
C. Say nothing - autonomy issue
D. Tell the family immediately
Correct Answer: B
Rationale: Ethical Principles: Safety > autonomy. Cannot promise secrecy when safety at
risk. HESI Ethics: Follow chain of command.
Q8: A nurse is fatigued after three 12-hour shifts. What is best action?
A. Drink coffee and continue
B. Report fatigue and request modified assignment
