2026-2027 Updated Review of 4 Previous HESI EXIT
Exams – Questions and Correct Answers/ A Review of
3 Different HESI Exit Past Exams with 600 Real Exam
Questions Correct Answers (Versions A, B & C)
Contents
HESI Exit Version A.................................................................................................1
HESI Exit Version B...............................................................................................43
HESI Exit Version C...............................................................................................82
HESI Exit Version A
The nurse leading a care team on a medical surgical unit is assigning client care to
a practical nurse (PN) and an unlicensed assistive personnel (UAP). Which task
should the nurse delegate to the UAP?
A. Evaluate a client's mobility progress toward the plan of care
B. Assess for side effects of administered pain medications
C. Turn and reposition a client with a total hip replacement
D. Monitor an intravenous infusion rate on an established schedule
C. Turn and reposition a client with a total hip replacement
The home health nurse is scheduling visits for clients with diabetes who need
blood glucose measurements, one postoperative client who needs wound care, and
two clients who need admission assessments and care plans established. Staffing
includes one nurse (RN) and two licensed practical nurses (PN). Which is the best
home visit assignment?
a. RN completes the two admission assessments. 1 PN completes the blood glucose
measurements, and 1 PN completes the post-operative visit
b. RN completes the postoperative visit in two blood glucose measurements. Each
PN completes one admission assessment
c. RN completes 1 admission and the postoperative visit. 1 PN completes the blood
glucose measurements, 1 PN completes an admission assessment
1
,d. RN completes the postoperative visit. Each PN completes one admission
assessment and one blood glucose measurement
a. RN completes the two admission assessments. 1 PN completes the blood glucose
measurements, and 1 PN completes the post-operative visit
A client who gave birth 48 hours ago has decided to bottle feed the infant. During
the assessment, the nurse observes that both breasts are swollen, warm, and tender
on palpation. Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
A. Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for
discharge to home. Which recommendations should the nurse provide this client?
(Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water
B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
A toddler presenting with a history of intermittent skin rashes, hives, abdominal
pain, and vomiting that occurs after ingesting of milk products arrives to the clinic
accompanied by the parents. Which type of testing should the nurse provide
education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge
A. Serum immunoglobulin E (IgE)
2
,Which self care measure is most important for the nurse to include in the plan of
care of a client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan
B. Blood glucose monitoring
A client presents to the emergency department with muscle aches, headache, fever,
and describes a recent loss of taste and smell. The nurse obtains a nasal swab for
COVID-19 testing. Which action is most important for the nurse to take?
A. Place the nasal swab specimen for COVID-19 directly into a biohazard bag
B. Move the client to a private room, keep the door closed, and initiate droplet
precautions.
C. Teach the client to wear a mask, hand wash, and social distance to prevent
spreading the virus
D. Explain to the client to inform others that they may have been potentially
exposed in the last 14 days.
B. Move the client to a private room, keep the door closed, and initiate droplet
precautions.
After an older client receives treatment for drug toxicity, the healthcare provider
prescribes a 24-hour creatinine clearance test. Prior to starting the urine collection,
the nurse notes that the client's serum creatinine is 0.3 mg/dL. Which action should
the nurse implement?
A. Evaluate the client's serum BUN level
B. Initiate the urine collection as prescribed
C. Notify the healthcare provider of the results
D. Assess the client for signs of hypokalemia
C. Notify the healthcare provider of the results
A client who is scheduled for a bronchoscopy in the morning is anxious and asking
the nurse numerous questions about the procedure. In preparing the client for the
procedure, which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
3
, C. Instruct client to write down the questions
D. Deny client's request for a midnight snack
B. Administer a sedative to alleviate anxiety
The nurse assesses a client one hour after starting a transfusion of packed red blood
cells and determines that there are no indications of a transfusion reaction. What
instruction should the nurse provide the unlicensed assistive personnel (UAP) who
is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client assessment
can be done
B. Continue to measure the client's vital signs every thirty minutes until the
transfusion is complete
C. Monitor the client carefully for the next three hours and report the onset of a
reaction immediately
D. Since a reaction did not occur, the priority is to maintain client comfort during
the transfusion
B. Continue to measure the client's vital signs every thirty minutes until the
transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with multi-organ
failure caused by a ruptured appendix. Which intervention is most important for
the nurse to include in the plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output
D. Maintain strict intake and output
A client presses the call bell and requests pain medication for a severe headache.
To assess the quality of the client's pain, which approach should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale
A. Ask the client to describe the pain
4
Exams – Questions and Correct Answers/ A Review of
3 Different HESI Exit Past Exams with 600 Real Exam
Questions Correct Answers (Versions A, B & C)
Contents
HESI Exit Version A.................................................................................................1
HESI Exit Version B...............................................................................................43
HESI Exit Version C...............................................................................................82
HESI Exit Version A
The nurse leading a care team on a medical surgical unit is assigning client care to
a practical nurse (PN) and an unlicensed assistive personnel (UAP). Which task
should the nurse delegate to the UAP?
A. Evaluate a client's mobility progress toward the plan of care
B. Assess for side effects of administered pain medications
C. Turn and reposition a client with a total hip replacement
D. Monitor an intravenous infusion rate on an established schedule
C. Turn and reposition a client with a total hip replacement
The home health nurse is scheduling visits for clients with diabetes who need
blood glucose measurements, one postoperative client who needs wound care, and
two clients who need admission assessments and care plans established. Staffing
includes one nurse (RN) and two licensed practical nurses (PN). Which is the best
home visit assignment?
a. RN completes the two admission assessments. 1 PN completes the blood glucose
measurements, and 1 PN completes the post-operative visit
b. RN completes the postoperative visit in two blood glucose measurements. Each
PN completes one admission assessment
c. RN completes 1 admission and the postoperative visit. 1 PN completes the blood
glucose measurements, 1 PN completes an admission assessment
1
,d. RN completes the postoperative visit. Each PN completes one admission
assessment and one blood glucose measurement
a. RN completes the two admission assessments. 1 PN completes the blood glucose
measurements, and 1 PN completes the post-operative visit
A client who gave birth 48 hours ago has decided to bottle feed the infant. During
the assessment, the nurse observes that both breasts are swollen, warm, and tender
on palpation. Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
A. Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for
discharge to home. Which recommendations should the nurse provide this client?
(Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water
B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
A toddler presenting with a history of intermittent skin rashes, hives, abdominal
pain, and vomiting that occurs after ingesting of milk products arrives to the clinic
accompanied by the parents. Which type of testing should the nurse provide
education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge
A. Serum immunoglobulin E (IgE)
2
,Which self care measure is most important for the nurse to include in the plan of
care of a client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan
B. Blood glucose monitoring
A client presents to the emergency department with muscle aches, headache, fever,
and describes a recent loss of taste and smell. The nurse obtains a nasal swab for
COVID-19 testing. Which action is most important for the nurse to take?
A. Place the nasal swab specimen for COVID-19 directly into a biohazard bag
B. Move the client to a private room, keep the door closed, and initiate droplet
precautions.
C. Teach the client to wear a mask, hand wash, and social distance to prevent
spreading the virus
D. Explain to the client to inform others that they may have been potentially
exposed in the last 14 days.
B. Move the client to a private room, keep the door closed, and initiate droplet
precautions.
After an older client receives treatment for drug toxicity, the healthcare provider
prescribes a 24-hour creatinine clearance test. Prior to starting the urine collection,
the nurse notes that the client's serum creatinine is 0.3 mg/dL. Which action should
the nurse implement?
A. Evaluate the client's serum BUN level
B. Initiate the urine collection as prescribed
C. Notify the healthcare provider of the results
D. Assess the client for signs of hypokalemia
C. Notify the healthcare provider of the results
A client who is scheduled for a bronchoscopy in the morning is anxious and asking
the nurse numerous questions about the procedure. In preparing the client for the
procedure, which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
3
, C. Instruct client to write down the questions
D. Deny client's request for a midnight snack
B. Administer a sedative to alleviate anxiety
The nurse assesses a client one hour after starting a transfusion of packed red blood
cells and determines that there are no indications of a transfusion reaction. What
instruction should the nurse provide the unlicensed assistive personnel (UAP) who
is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client assessment
can be done
B. Continue to measure the client's vital signs every thirty minutes until the
transfusion is complete
C. Monitor the client carefully for the next three hours and report the onset of a
reaction immediately
D. Since a reaction did not occur, the priority is to maintain client comfort during
the transfusion
B. Continue to measure the client's vital signs every thirty minutes until the
transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with multi-organ
failure caused by a ruptured appendix. Which intervention is most important for
the nurse to include in the plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output
D. Maintain strict intake and output
A client presses the call bell and requests pain medication for a severe headache.
To assess the quality of the client's pain, which approach should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale
A. Ask the client to describe the pain
4
