New 2026 HESI Exit Exam with NGN Bundle V1, V2, V3,
V4, V5, V6, V7 Exam New Latest Versions with All
Questions, 100% Correct Answers and Rationale
HESI Exit Exam V1
Question 1
A 68-year-old male client who is 12 hours postoperative for a hernia repair suddenly becomes
agitated, staggers out into the corridor, and demands to be set free. After assisting the client back
to bed and administering pain medication, which intervention is best for the nurse to implement?
a) Notify the healthcare provider and request a prescription for restraints to minimize the client's
danger to self.
b) Raise the side rails and notify the family to come sit with the client to reorient and cooperate.
c) Administer a prescribed narcotic antagonist to reverse the effects of any analgesic
accumulation.
d) Instruct a UAP to keep the upper side rails up and check on the client every 15 minutes until
the client is resting.
Correct Answer: b) Raise the side rails and notify the family to come sit with the client to
reorient and cooperate.
Rationale: The best immediate action is to ensure the client's safety while providing a calming
presence through family support. Restraints should only be used as a last resort after all other
interventions have failed .
Question 2
A client who is admitted to the care unit with syndrome of inappropriate antidiuretic hormone
(SIADH) has developed osmotic demyelination. Which intervention should the nurse implement
first?
a) Patch one eye.
b) Evaluate swallow.
c) Reorient often.
d) Range of motion.
Correct Answer: b) Evaluate swallow.
Rationale: Osmotic demyelination can affect cranial nerves, including those responsible for
swallowing. Assessing swallow function is a priority to prevent aspiration .
Question 3
A 30-month-old child is admitted to the hospital unit. Which of the following toys would be
appropriate for the nurse to select from the toy room for this child?
a) Cartoon stickers
b) Large wooden puzzle
c) Blunt scissors and paper
d) Beach ball
Correct Answer: b) Large wooden puzzle
Rationale: A 30-month-old child is in the toddler age group and benefits from toys that promote
problem-solving and fine motor development. A large wooden puzzle with few pieces is age-
appropriate and safe .
Question 4
,A nurse is to present information about Chinese folk medicine to a group of student nurses.
Based on this cultural belief, the nurse would explain that illness is attributed to the:
a) Yang, the positive force that represents light, warmth, and fullness
b) Yin, the negative force that represents darkness, cold, and emptiness
c) Use of improper hot foods, herbs and plants
d) A failure to keep life in balance with nature and others
Correct Answer: b) Yin, the negative force that represents darkness, cold, and emptiness
Rationale: In Chinese folk medicine, illness is often attributed to an imbalance of Yin and Yang.
Yin represents negative forces such as darkness, cold, and emptiness, and an excess of Yin can
result in illness .
Question 5
A 2-year-old child has just been diagnosed with cystic fibrosis. The child's father asks the nurse
"What is our major concern now, and what will we have to deal with in the future?" Which of the
following is the best response?
a) "There is a probability of life-long complications."
b) "Cystic fibrosis results in nutritional concerns that can be dealt with."
c) "Thin, tenacious secretions from the lungs are a constant struggle in cystic fibrosis."
d) "You will work with a team of experts and also have access to a support group that the family
can attend."
Correct Answer: c) "Thin, tenacious secretions from the lungs are a constant struggle in cystic
fibrosis."
Rationale: Cystic fibrosis is characterized by thick, tenacious mucous secretions that obstruct
the lungs and pancreas. Respiratory complications are the major concern and require ongoing
management .
Question 6
Which type of accidental poisoning would the nurse expect to occur in children under age 6?
a) Oral ingestion
b) Topical contact
c) Inhalation
d) Eye splashes
Correct Answer: a) Oral ingestion
Rationale: Children under age 6 are most likely to experience accidental poisoning through oral
ingestion as they explore their environment by putting objects in their mouths .
Question 7
A client was admitted to the psychiatric unit with a diagnosis of bipolar disorder. He constantly
bothers other clients, tries to help the housekeeping staff, demonstrates pressured speech and
demands constant attention from the staff. Which activity would be best for the client?
a) Reading
b) Checkers
c) Cards
d) Ping-pong
Correct Answer: d) Ping-pong
Rationale: A client in the manic phase of bipolar disorder needs an activity that channels excess
energy in a constructive, non-competitive way. Ping-pong allows for physical activity without
requiring intense concentration or competition that could increase agitation .
Question 8
,The nurse is caring for a client who has developed cardiac tamponade. Which finding would the
nurse anticipate?
a) Widening pulse pressure
b) Pleural friction rub
c) Distended neck veins
d) Bradycardia
Correct Answer: c) Distended neck veins
Rationale: Cardiac tamponade occurs when fluid accumulates in the pericardial sac,
compressing the heart. Classic findings include distended neck veins (from increased central
venous pressure), muffled heart sounds, and narrowed pulse pressure .
Question 9
A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment,
the nurse would anticipate which of the following assessment findings?
a) Lethargy
b) Heat intolerance
c) Diarrhea
d) Skin eruptions
Correct Answer: a) Lethargy
Rationale: Low T3 and T4 with elevated TSH indicates hypothyroidism. Findings include
lethargy, cold intolerance, constipation, and dry skin due to decreased metabolic rate .
Question 10
The emergency room nurse admits a child who experienced a seizure at school. The father
comments that this is the first occurrence, and denies any family history of epilepsy. What is the
best response by the nurse?
a) "Do not worry. Epilepsy can be treated with medications."
b) "The seizure may or may not mean your child has epilepsy."
c) "Since this was the first convulsion, it may not happen again."
d) "Long term treatment will prevent future seizures."
Correct Answer: b) "The seizure may or may not mean your child has epilepsy."
Rationale: A single seizure does not necessarily indicate epilepsy. The diagnosis of epilepsy
requires recurrent, unprovoked seizures. The nurse should provide accurate information without
causing unnecessary alarm .
Question 11
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing
diagnosis best applies?
a) Risk for injury
b) Risk for knowledge deficit
c) Altered thought process
d) Disturbance in self-esteem
Correct Answer: a) Risk for injury
Rationale: Impaired judgment and increased risk-taking behavior directly increase the potential
for accidental injury, making "Risk for injury" the most appropriate nursing diagnosis .
Question 12
Which these findings would the nurse more closely associate with anemia in a 10 month-old
infant?
a) Hemoglobin level of 12 g/dl
, b) Pale mucosa of the eyelids and lips
c) Hypoactivity
d) A heart rate between 140 to 160
Correct Answer: b) Pale mucosa of the eyelids and lips
Rationale: Pallor of the mucous membranes, including conjunctiva and lips, is a classic and
early sign of anemia in infants. Hypoactivity may occur later as anemia progresses .
Question 13
The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority
assessment in the first hour of care is:
a) Heart rate
b) Pedal pulses
c) Lung sounds
d) Pupil responses
Correct Answer: d) Pupil responses
Rationale: In hypertensive crisis, the priority is assessing for neurological complications
including increased intracranial pressure. Pupil responses provide critical information about
brainstem function and impending herniation .
Question 14
Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest
the use of patient controlled analgesia (PCA) with a pump?
a) A young adult with a history of Down's syndrome
b) A teenager who reads at a 4th grade level
c) An elderly client with numerous arthritic nodules on the hands
d) A preschooler with intermittent episodes of alertness
Correct Answer: d) A preschooler with intermittent episodes of alertness
Rationale: PCA requires the cognitive and physical ability to self-administer medication when
needed. A preschooler with intermittent alertness cannot reliably use PCA, making this the least
appropriate candidate .
Question 15
The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive (NOFTT).
Upon entering the room, the nurse would expect the baby to be:
a) Irritable and "colicky" with no attempts to pull to standing
b) Alert, laughing and playing with a rattle, sitting with support
c) Skin color dusky with poor skin turgor over abdomen
d) Pale, thin arms and legs, uninterested in surroundings
Correct Answer: d) Pale, thin arms and legs, uninterested in surroundings
Rationale: Nonorganic failure-to-thrive results from psychosocial factors rather than organic
disease. Infants typically appear emaciated, withdrawn, and uninterested in their environment
due to lack of nurturing .
Question 16
As the nurse is speaking with a group of teens which of these side effects of chemotherapy for
cancer would the nurse expect this group to be more interested in during the discussion?
a) Mouth sores
b) Fatigue
c) Diarrhea
d) Hair loss
V4, V5, V6, V7 Exam New Latest Versions with All
Questions, 100% Correct Answers and Rationale
HESI Exit Exam V1
Question 1
A 68-year-old male client who is 12 hours postoperative for a hernia repair suddenly becomes
agitated, staggers out into the corridor, and demands to be set free. After assisting the client back
to bed and administering pain medication, which intervention is best for the nurse to implement?
a) Notify the healthcare provider and request a prescription for restraints to minimize the client's
danger to self.
b) Raise the side rails and notify the family to come sit with the client to reorient and cooperate.
c) Administer a prescribed narcotic antagonist to reverse the effects of any analgesic
accumulation.
d) Instruct a UAP to keep the upper side rails up and check on the client every 15 minutes until
the client is resting.
Correct Answer: b) Raise the side rails and notify the family to come sit with the client to
reorient and cooperate.
Rationale: The best immediate action is to ensure the client's safety while providing a calming
presence through family support. Restraints should only be used as a last resort after all other
interventions have failed .
Question 2
A client who is admitted to the care unit with syndrome of inappropriate antidiuretic hormone
(SIADH) has developed osmotic demyelination. Which intervention should the nurse implement
first?
a) Patch one eye.
b) Evaluate swallow.
c) Reorient often.
d) Range of motion.
Correct Answer: b) Evaluate swallow.
Rationale: Osmotic demyelination can affect cranial nerves, including those responsible for
swallowing. Assessing swallow function is a priority to prevent aspiration .
Question 3
A 30-month-old child is admitted to the hospital unit. Which of the following toys would be
appropriate for the nurse to select from the toy room for this child?
a) Cartoon stickers
b) Large wooden puzzle
c) Blunt scissors and paper
d) Beach ball
Correct Answer: b) Large wooden puzzle
Rationale: A 30-month-old child is in the toddler age group and benefits from toys that promote
problem-solving and fine motor development. A large wooden puzzle with few pieces is age-
appropriate and safe .
Question 4
,A nurse is to present information about Chinese folk medicine to a group of student nurses.
Based on this cultural belief, the nurse would explain that illness is attributed to the:
a) Yang, the positive force that represents light, warmth, and fullness
b) Yin, the negative force that represents darkness, cold, and emptiness
c) Use of improper hot foods, herbs and plants
d) A failure to keep life in balance with nature and others
Correct Answer: b) Yin, the negative force that represents darkness, cold, and emptiness
Rationale: In Chinese folk medicine, illness is often attributed to an imbalance of Yin and Yang.
Yin represents negative forces such as darkness, cold, and emptiness, and an excess of Yin can
result in illness .
Question 5
A 2-year-old child has just been diagnosed with cystic fibrosis. The child's father asks the nurse
"What is our major concern now, and what will we have to deal with in the future?" Which of the
following is the best response?
a) "There is a probability of life-long complications."
b) "Cystic fibrosis results in nutritional concerns that can be dealt with."
c) "Thin, tenacious secretions from the lungs are a constant struggle in cystic fibrosis."
d) "You will work with a team of experts and also have access to a support group that the family
can attend."
Correct Answer: c) "Thin, tenacious secretions from the lungs are a constant struggle in cystic
fibrosis."
Rationale: Cystic fibrosis is characterized by thick, tenacious mucous secretions that obstruct
the lungs and pancreas. Respiratory complications are the major concern and require ongoing
management .
Question 6
Which type of accidental poisoning would the nurse expect to occur in children under age 6?
a) Oral ingestion
b) Topical contact
c) Inhalation
d) Eye splashes
Correct Answer: a) Oral ingestion
Rationale: Children under age 6 are most likely to experience accidental poisoning through oral
ingestion as they explore their environment by putting objects in their mouths .
Question 7
A client was admitted to the psychiatric unit with a diagnosis of bipolar disorder. He constantly
bothers other clients, tries to help the housekeeping staff, demonstrates pressured speech and
demands constant attention from the staff. Which activity would be best for the client?
a) Reading
b) Checkers
c) Cards
d) Ping-pong
Correct Answer: d) Ping-pong
Rationale: A client in the manic phase of bipolar disorder needs an activity that channels excess
energy in a constructive, non-competitive way. Ping-pong allows for physical activity without
requiring intense concentration or competition that could increase agitation .
Question 8
,The nurse is caring for a client who has developed cardiac tamponade. Which finding would the
nurse anticipate?
a) Widening pulse pressure
b) Pleural friction rub
c) Distended neck veins
d) Bradycardia
Correct Answer: c) Distended neck veins
Rationale: Cardiac tamponade occurs when fluid accumulates in the pericardial sac,
compressing the heart. Classic findings include distended neck veins (from increased central
venous pressure), muffled heart sounds, and narrowed pulse pressure .
Question 9
A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment,
the nurse would anticipate which of the following assessment findings?
a) Lethargy
b) Heat intolerance
c) Diarrhea
d) Skin eruptions
Correct Answer: a) Lethargy
Rationale: Low T3 and T4 with elevated TSH indicates hypothyroidism. Findings include
lethargy, cold intolerance, constipation, and dry skin due to decreased metabolic rate .
Question 10
The emergency room nurse admits a child who experienced a seizure at school. The father
comments that this is the first occurrence, and denies any family history of epilepsy. What is the
best response by the nurse?
a) "Do not worry. Epilepsy can be treated with medications."
b) "The seizure may or may not mean your child has epilepsy."
c) "Since this was the first convulsion, it may not happen again."
d) "Long term treatment will prevent future seizures."
Correct Answer: b) "The seizure may or may not mean your child has epilepsy."
Rationale: A single seizure does not necessarily indicate epilepsy. The diagnosis of epilepsy
requires recurrent, unprovoked seizures. The nurse should provide accurate information without
causing unnecessary alarm .
Question 11
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing
diagnosis best applies?
a) Risk for injury
b) Risk for knowledge deficit
c) Altered thought process
d) Disturbance in self-esteem
Correct Answer: a) Risk for injury
Rationale: Impaired judgment and increased risk-taking behavior directly increase the potential
for accidental injury, making "Risk for injury" the most appropriate nursing diagnosis .
Question 12
Which these findings would the nurse more closely associate with anemia in a 10 month-old
infant?
a) Hemoglobin level of 12 g/dl
, b) Pale mucosa of the eyelids and lips
c) Hypoactivity
d) A heart rate between 140 to 160
Correct Answer: b) Pale mucosa of the eyelids and lips
Rationale: Pallor of the mucous membranes, including conjunctiva and lips, is a classic and
early sign of anemia in infants. Hypoactivity may occur later as anemia progresses .
Question 13
The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority
assessment in the first hour of care is:
a) Heart rate
b) Pedal pulses
c) Lung sounds
d) Pupil responses
Correct Answer: d) Pupil responses
Rationale: In hypertensive crisis, the priority is assessing for neurological complications
including increased intracranial pressure. Pupil responses provide critical information about
brainstem function and impending herniation .
Question 14
Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest
the use of patient controlled analgesia (PCA) with a pump?
a) A young adult with a history of Down's syndrome
b) A teenager who reads at a 4th grade level
c) An elderly client with numerous arthritic nodules on the hands
d) A preschooler with intermittent episodes of alertness
Correct Answer: d) A preschooler with intermittent episodes of alertness
Rationale: PCA requires the cognitive and physical ability to self-administer medication when
needed. A preschooler with intermittent alertness cannot reliably use PCA, making this the least
appropriate candidate .
Question 15
The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive (NOFTT).
Upon entering the room, the nurse would expect the baby to be:
a) Irritable and "colicky" with no attempts to pull to standing
b) Alert, laughing and playing with a rattle, sitting with support
c) Skin color dusky with poor skin turgor over abdomen
d) Pale, thin arms and legs, uninterested in surroundings
Correct Answer: d) Pale, thin arms and legs, uninterested in surroundings
Rationale: Nonorganic failure-to-thrive results from psychosocial factors rather than organic
disease. Infants typically appear emaciated, withdrawn, and uninterested in their environment
due to lack of nurturing .
Question 16
As the nurse is speaking with a group of teens which of these side effects of chemotherapy for
cancer would the nurse expect this group to be more interested in during the discussion?
a) Mouth sores
b) Fatigue
c) Diarrhea
d) Hair loss
