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 should be assigned to the
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: Delegation/Assignment: New RNs handle stable patients with predictable
outcomes. Discharge teaching is within competency.
HESI Strategy: Match acuity to experience. Unstable (A, C) or complex assessment (D)
require experienced nurse.
Clinical Judgment: Analyze Cues – stability is the key cue for safe assignment.
Q2: A patient with tuberculosis needs transport to radiology. Which precaution is
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 for anyone in room or during
transport.
HESI Tip: Airborne = most restrictive; know PPE for each precaution type.
Priority: Protect airway of staff and other patients.
Q3: The nurse notes a colleague charted “Patient appears depressed” without
supporting data. The nurse’s best action is:
A. Ignore it – it’s subjective
B. Discuss directly with the colleague to add objective data
C. Report to nurse manager immediately
D. Add own note contradicting the colleague
Correct Answer: B
Rationale: Legal/Ethical: Charting must be objective and complete. Direct
communication promotes accountability.
HESI Strategy: Address issues at lowest appropriate level first.
Clinical Judgment: Generate Solutions – collaborative correction preserves team
function.
,Q4: A patient’s family asks to see the medical record. The nurse’s best response is:
A. “Only the patient can review it.”
B. “I’ll contact the HCP to obtain proper consent.”
C. “You can read it at the nurses’ station.”
D. “HIPAA prevents any family access.”
Correct Answer: B
Rationale: Legal: Access requires patient consent or legal authority.
HESI Focus: Know HIPAA rules; facilitate legal access.
Priority: Protect confidentiality while enabling lawful review.
Q5: During a code, the nurse witnesses a colleague perform incorrect compressions.
The nurse should:
A. Wait until the code ends to speak up
B. Immediately correct the technique aloud
C. Document the error afterward
D. Report to risk management
Correct Answer: B
Rationale: Safety: Immediate correction during code prevents harm.
HESI Strategy: Patient safety overrides hierarchy; speak up.
Clinical Judgment: Take Action – real-time intervention saves lives.
Q6: A nurse receives a verbal order for morphine 10 mg IV. The nurse’s first action is:
A. Administer the drug
, B. Read the order back to the provider
C. Document the order
D. Check the allergy band
Correct Answer: B
Rationale: Safety: Read-back eliminates transcription errors.
HESI Tip: Verbal orders only in emergencies; always read-back.
Priority: Accuracy before administration.
Q7: Which task can be delegated to AP (assistive personnel)?
A. Stable patient’s morning vital signs
B. IV insertion for hydration
C. Teaching use of incentive spirometer
D. Assessment of newly admitted patient
Correct Answer: A
Rationale: Delegation: AP can perform routine, stable tasks.
HESI Framework: Right task, right person, right circumstance.
Clinical Judgment: Evaluate stability and complexity.
Q8: A patient refuses life-saving blood transfusion. The nurse’s priority is:
A. Obtain a court order
B. Ensure informed consent is documented
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 should be assigned to the
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: Delegation/Assignment: New RNs handle stable patients with predictable
outcomes. Discharge teaching is within competency.
HESI Strategy: Match acuity to experience. Unstable (A, C) or complex assessment (D)
require experienced nurse.
Clinical Judgment: Analyze Cues – stability is the key cue for safe assignment.
Q2: A patient with tuberculosis needs transport to radiology. Which precaution is
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 for anyone in room or during
transport.
HESI Tip: Airborne = most restrictive; know PPE for each precaution type.
Priority: Protect airway of staff and other patients.
Q3: The nurse notes a colleague charted “Patient appears depressed” without
supporting data. The nurse’s best action is:
A. Ignore it – it’s subjective
B. Discuss directly with the colleague to add objective data
C. Report to nurse manager immediately
D. Add own note contradicting the colleague
Correct Answer: B
Rationale: Legal/Ethical: Charting must be objective and complete. Direct
communication promotes accountability.
HESI Strategy: Address issues at lowest appropriate level first.
Clinical Judgment: Generate Solutions – collaborative correction preserves team
function.
,Q4: A patient’s family asks to see the medical record. The nurse’s best response is:
A. “Only the patient can review it.”
B. “I’ll contact the HCP to obtain proper consent.”
C. “You can read it at the nurses’ station.”
D. “HIPAA prevents any family access.”
Correct Answer: B
Rationale: Legal: Access requires patient consent or legal authority.
HESI Focus: Know HIPAA rules; facilitate legal access.
Priority: Protect confidentiality while enabling lawful review.
Q5: During a code, the nurse witnesses a colleague perform incorrect compressions.
The nurse should:
A. Wait until the code ends to speak up
B. Immediately correct the technique aloud
C. Document the error afterward
D. Report to risk management
Correct Answer: B
Rationale: Safety: Immediate correction during code prevents harm.
HESI Strategy: Patient safety overrides hierarchy; speak up.
Clinical Judgment: Take Action – real-time intervention saves lives.
Q6: A nurse receives a verbal order for morphine 10 mg IV. The nurse’s first action is:
A. Administer the drug
, B. Read the order back to the provider
C. Document the order
D. Check the allergy band
Correct Answer: B
Rationale: Safety: Read-back eliminates transcription errors.
HESI Tip: Verbal orders only in emergencies; always read-back.
Priority: Accuracy before administration.
Q7: Which task can be delegated to AP (assistive personnel)?
A. Stable patient’s morning vital signs
B. IV insertion for hydration
C. Teaching use of incentive spirometer
D. Assessment of newly admitted patient
Correct Answer: A
Rationale: Delegation: AP can perform routine, stable tasks.
HESI Framework: Right task, right person, right circumstance.
Clinical Judgment: Evaluate stability and complexity.
Q8: A patient refuses life-saving blood transfusion. The nurse’s priority is:
A. Obtain a court order
B. Ensure informed consent is documented
