HESI EXIT EXAM 2026:
COMPREHENSIVE PREDICTOR
TEST With Questions And Answers
With Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Section 1: Safe & Effective Care Environment (Management of Care)
1. A nurse is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate for the UAP?
• A. Assess a postoperative patient’s incision.
• B. Assist a patient with ambulation using a gait belt.
• C. Educate a patient on insulin self-administration.
• D. Evaluate the effectiveness of a pain medication.
Rationale: UAPs can perform basic care like ambulation, bathing, and vital signs
(stable patients). Assessment, education, and evaluation are nursing
responsibilities.
2. A patient is being transferred to the ICU. Which information must the
nurse include in the handoff report using SBAR?
• A. Patient’s insurance status.
• B. Current vital signs and recent change in mental status.
• C. Family visitor schedule.
• D. Patient’s food preferences.
,Rationale: SBAR (Situation, Background, Assessment, Recommendation) requires
clinical data. Current vital signs and mental status changes are critical for safe
transition of care.
3. A nurse witnesses a colleague administering a wrong medication to a
patient. What is the nurse’s first action?
• A. Report the colleague to the nursing supervisor immediately.
• B. Assess the patient for adverse effects.
• C. Ignore the error to avoid conflict.
• D. Document the error in the colleague’s file.
Rationale: Patient safety is priority. First, assess the patient for harm, then notify
the provider and follow facility incident reporting.
4. A hospital is implementing a new electronic health record (EHR). Which
action best supports patient confidentiality?
• A. Sharing login passwords with the unit clerk.
• B. Logging off the computer after each use.
• C. Leaving patient charts open on the desk.
• D. Discussing patient information in the elevator.
Rationale: Logging off prevents unauthorized access. Password sharing and
discussing patient info in public violate HIPAA.
5. A nurse is caring for a patient who refuses a blood transfusion due to
religious beliefs (Jehovah’s Witness). What should the nurse do?
• A. Administer the blood transfusion anyway.
• B. Respect the patient’s decision and notify the provider.
• C. Call the patient’s family for permission.
• D. Document refusal but give blood if Hgb drops.
Rationale: Competent adults have the right to refuse treatment. The nurse must
respect autonomy and explore alternatives.
, Section 2: Health Promotion & Maintenance
6. A nurse is teaching a pregnant patient about expected weight gain. The
patient has a normal BMI (22). How much weight should she gain?
• A. 15-20 lbs
• B. 25-35 lbs
• C. 35-45 lbs
• D. 10-15 lbs
Rationale: Normal BMI (18.5-24.9) recommended gain is 25-35 lbs. Underweight
gain 28-40 lbs; overweight gain 15-25 lbs.
7. Which immunization is recommended for all adults aged 65 years and
older?
• A. MMR
• B. Varicella
• C. Pneumococcal conjugate (PCV13 or PPSV23)
• D. HPV
Rationale: Pneumococcal vaccines prevent pneumonia, meningitis, and sepsis in
older adults. MMR/varicella are for younger or non-immune adults; HPV up to age
45.
8. A nurse is providing anticipatory guidance to parents of a 12-month-old.
Which milestone indicates normal development?
• A. Walking up stairs with help
• B. Saying 1-2 words like “mama” or “dada”
• C. Riding a tricycle
• D. Using a spoon without spilling
Rationale: By 12 months, most infants say 1-2 words, pull to stand, and may take
first steps. Stairs/tricycle/spoon use are later (18-36 months).
9. A community health nurse is planning a smoking cessation program. Which
intervention is most effective?
COMPREHENSIVE PREDICTOR
TEST With Questions And Answers
With Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Section 1: Safe & Effective Care Environment (Management of Care)
1. A nurse is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate for the UAP?
• A. Assess a postoperative patient’s incision.
• B. Assist a patient with ambulation using a gait belt.
• C. Educate a patient on insulin self-administration.
• D. Evaluate the effectiveness of a pain medication.
Rationale: UAPs can perform basic care like ambulation, bathing, and vital signs
(stable patients). Assessment, education, and evaluation are nursing
responsibilities.
2. A patient is being transferred to the ICU. Which information must the
nurse include in the handoff report using SBAR?
• A. Patient’s insurance status.
• B. Current vital signs and recent change in mental status.
• C. Family visitor schedule.
• D. Patient’s food preferences.
,Rationale: SBAR (Situation, Background, Assessment, Recommendation) requires
clinical data. Current vital signs and mental status changes are critical for safe
transition of care.
3. A nurse witnesses a colleague administering a wrong medication to a
patient. What is the nurse’s first action?
• A. Report the colleague to the nursing supervisor immediately.
• B. Assess the patient for adverse effects.
• C. Ignore the error to avoid conflict.
• D. Document the error in the colleague’s file.
Rationale: Patient safety is priority. First, assess the patient for harm, then notify
the provider and follow facility incident reporting.
4. A hospital is implementing a new electronic health record (EHR). Which
action best supports patient confidentiality?
• A. Sharing login passwords with the unit clerk.
• B. Logging off the computer after each use.
• C. Leaving patient charts open on the desk.
• D. Discussing patient information in the elevator.
Rationale: Logging off prevents unauthorized access. Password sharing and
discussing patient info in public violate HIPAA.
5. A nurse is caring for a patient who refuses a blood transfusion due to
religious beliefs (Jehovah’s Witness). What should the nurse do?
• A. Administer the blood transfusion anyway.
• B. Respect the patient’s decision and notify the provider.
• C. Call the patient’s family for permission.
• D. Document refusal but give blood if Hgb drops.
Rationale: Competent adults have the right to refuse treatment. The nurse must
respect autonomy and explore alternatives.
, Section 2: Health Promotion & Maintenance
6. A nurse is teaching a pregnant patient about expected weight gain. The
patient has a normal BMI (22). How much weight should she gain?
• A. 15-20 lbs
• B. 25-35 lbs
• C. 35-45 lbs
• D. 10-15 lbs
Rationale: Normal BMI (18.5-24.9) recommended gain is 25-35 lbs. Underweight
gain 28-40 lbs; overweight gain 15-25 lbs.
7. Which immunization is recommended for all adults aged 65 years and
older?
• A. MMR
• B. Varicella
• C. Pneumococcal conjugate (PCV13 or PPSV23)
• D. HPV
Rationale: Pneumococcal vaccines prevent pneumonia, meningitis, and sepsis in
older adults. MMR/varicella are for younger or non-immune adults; HPV up to age
45.
8. A nurse is providing anticipatory guidance to parents of a 12-month-old.
Which milestone indicates normal development?
• A. Walking up stairs with help
• B. Saying 1-2 words like “mama” or “dada”
• C. Riding a tricycle
• D. Using a spoon without spilling
Rationale: By 12 months, most infants say 1-2 words, pull to stand, and may take
first steps. Stairs/tricycle/spoon use are later (18-36 months).
9. A community health nurse is planning a smoking cessation program. Which
intervention is most effective?
