1|Page
Hesi Exit Exam 2026 Prep Test with 160
Questions and Correct Verified Answers/
Hesi Exit Exam 2026 Prep ( A Review of 160
Real Past Exam Correctly Answered
Questions)
The PN is assisting the recreational director of a long-term care facility plan
outdoor activities for the wheelchair-bound older residents who are mentally
alert. Which activity meets the physical and social needs of these residents?
A. An open air concert
B. A tea party in the courtyard
C. A team ring-toss competition
D. A picnic in the park ..........ANSWER.......B
An older postoperative client has the nursing diagnosis "impaired mobility
related to fear of falling." Which desired outcome best directs the PN's
actions for the client?
A. The client will ambulate with assistance q4 hours
B. The physical therapist will instruct the client in the use of a walker
,2|Page
C. The client will use self-affirmation statements to decrease fear
D. The PN will place a gait belt on the client prior to ambulation
..........ANSWER.......C
While performing an inspection of a client's fingernails, the PN observes a
suspected abnormality of the nail's shape and character. Which finding
should the PN document?
A. Clubbed nails
B. Splinter hemorrhages
C. Longitudinal ridges
D. Koilonychia or spoon nails ..........ANSWER.......ABeo
Before administering an antibiotic that can cause nephrotoxicity, which lab
value is most important for the PN to review?
A. Hemoglobin and Hematocrit
B. Serum Calcium
C. Serum Creatinine
D. WBC ..........ANSWER.......C
,3|Page
The UAP reports to the PN that a client refused to bathe for the third
consecutive day. Which action is best for the PN to take?
A. Explain the importance of good hygiene to the client
B. Ask family members to encourage the client to bathe
C> Reschedule the bath for the following day
D. Ask the client why the bath was refused ..........ANSWER.......D
An 8-year old is placed in 90-90 traction for a fractured femur that resulted
from a motor vehicle collision. Which finding requires further action by the
PN?
A. No BM for two days
B. Mother helps child change positions
C. Weights are touching the foot of the bed
D. Child moves the toes freely when tickled ..........ANSWER.......C
Which task could the PN safely delegate to the UAP?
, 4|Page
A. Oral feeding of a two-year old child after application of a hip spica cast
B. Assessment of the placement and latency of a NG tube
C. Participation in staff rounds to record notes regarding client goals
D. Evaluation of a client's incisional pain following narcotic administration
..........ANSWER.......A
An adult client is undergoing weekly external radiation treatments for breast
cancer. Upon arrival at the outpatient clinic for a scheduled treatment, the
client reports increasing fatigue to the PN who is taking the client's vital
signs. What action should the PN implement?
A. Notify the HCP or charge nurse immediately
B. Offer to reschedule the treatment for the following week
C. Plan to monitor the client's vital signs every 30 minutes
D. Reinforce the need for extra rest periods and plenty of sleep
..........ANSWER.......D
The PN prepares to provide wound care. In what order should the PN
implement these steps. (Place in correct oder.)
A. Don procedure gloves
Hesi Exit Exam 2026 Prep Test with 160
Questions and Correct Verified Answers/
Hesi Exit Exam 2026 Prep ( A Review of 160
Real Past Exam Correctly Answered
Questions)
The PN is assisting the recreational director of a long-term care facility plan
outdoor activities for the wheelchair-bound older residents who are mentally
alert. Which activity meets the physical and social needs of these residents?
A. An open air concert
B. A tea party in the courtyard
C. A team ring-toss competition
D. A picnic in the park ..........ANSWER.......B
An older postoperative client has the nursing diagnosis "impaired mobility
related to fear of falling." Which desired outcome best directs the PN's
actions for the client?
A. The client will ambulate with assistance q4 hours
B. The physical therapist will instruct the client in the use of a walker
,2|Page
C. The client will use self-affirmation statements to decrease fear
D. The PN will place a gait belt on the client prior to ambulation
..........ANSWER.......C
While performing an inspection of a client's fingernails, the PN observes a
suspected abnormality of the nail's shape and character. Which finding
should the PN document?
A. Clubbed nails
B. Splinter hemorrhages
C. Longitudinal ridges
D. Koilonychia or spoon nails ..........ANSWER.......ABeo
Before administering an antibiotic that can cause nephrotoxicity, which lab
value is most important for the PN to review?
A. Hemoglobin and Hematocrit
B. Serum Calcium
C. Serum Creatinine
D. WBC ..........ANSWER.......C
,3|Page
The UAP reports to the PN that a client refused to bathe for the third
consecutive day. Which action is best for the PN to take?
A. Explain the importance of good hygiene to the client
B. Ask family members to encourage the client to bathe
C> Reschedule the bath for the following day
D. Ask the client why the bath was refused ..........ANSWER.......D
An 8-year old is placed in 90-90 traction for a fractured femur that resulted
from a motor vehicle collision. Which finding requires further action by the
PN?
A. No BM for two days
B. Mother helps child change positions
C. Weights are touching the foot of the bed
D. Child moves the toes freely when tickled ..........ANSWER.......C
Which task could the PN safely delegate to the UAP?
, 4|Page
A. Oral feeding of a two-year old child after application of a hip spica cast
B. Assessment of the placement and latency of a NG tube
C. Participation in staff rounds to record notes regarding client goals
D. Evaluation of a client's incisional pain following narcotic administration
..........ANSWER.......A
An adult client is undergoing weekly external radiation treatments for breast
cancer. Upon arrival at the outpatient clinic for a scheduled treatment, the
client reports increasing fatigue to the PN who is taking the client's vital
signs. What action should the PN implement?
A. Notify the HCP or charge nurse immediately
B. Offer to reschedule the treatment for the following week
C. Plan to monitor the client's vital signs every 30 minutes
D. Reinforce the need for extra rest periods and plenty of sleep
..........ANSWER.......D
The PN prepares to provide wound care. In what order should the PN
implement these steps. (Place in correct oder.)
A. Don procedure gloves
