2026 HESI RN Exit
2026 HESI RN Exit Exam | NGN Nursing
Questions | 2026 HESI Nursing Exit Exam
Questions (Latest PDF Update)
The nurse is orienting a new graduate to the reporting regulations often seen in the
emergency department. Which clients will the nurse need to report to the nurse
manager/supervisor to alert the proper authorities? (Select all that apply.)
A.
A 7-year-old who states, "I get beat up by my parents all the time." The child has bruising on
the back in various stages of healing.
B.
A+ TEST BANK 1
, 2026 HESI RN Exit
An 88-year-old who states, "My child lives 5 minutes away no longer stops to visit. My days
are long and lonely."
C.
A 40-year-old who states, "I was in an argument with my sibling and the next thing I knew I
was shot in the shoulder."
D.
An 18-year-old who states, "Once I turned 18 my parents demanded I leave their home. I was
no longer welcomed there."
E.
A 30-year-old who states, "The brawl was worth the stab wound I got. My family has never
liked that family. It is just that way." –
Correct Answer :A, C, E
Rationale:
Nurses are mandatory reporters and must notify in the event of child and elder abuse,
domestic violence, animal bites, gun shot and stab wounds, assault, and homicides
In the middle of running a resuscitation for a cardiac arrest the LPN states to the nurse, "What
can I do for your other patients?" The nurse says to the LPN, "Go ahead and start that blood
on the client in 434B. It is primed and ready to go. You have seen me do it a million times. You
can do it." What is the LPN's best response?
A.
"No way am I starting the blood on that client!"
B.
"I am going to tell the manager you asked me to start blood."
C.
"Sure, no problem. I can do that. I have done it before."
D.
A+ TEST BANK 2
, 2026 HESI RN Exit
"I can take over compressions so you can start the blood." –
Correct Answer :D
Rationale:
The LPN needs to remain professional, and stating "No way ...." is an unprofessional
response. Telling the manager may be appropriate, but it does nothing to help the situation of
needing to start blood and resuscitate a client. Blood administration is the responsibility of
the RN. The LPN can perform compressions.
The nurse is preparing an older client for discharge. Which method is best for the nurse to use
when evaluating the client's ability to perform a dressing change at home?
A.
Determine how the client feels about changing the dressing.
B.
Ask the client to describe the procedure in writing.
C.
Seek a family member's evaluation of the client's ability to change the dressing.
D.
Observe the client change the dressing unassisted. –
Correct Answer :D
Rationale:
Observing the client directly will allow the nurse to determine if mastery of the skill has been
obtained and provide an opportunity to affirm the skill. Option A may be therapeutic but will
not provide an opportunity to evaluate the client's ability to perform the procedure. Option B
may be threatening to an older client and will not determine his ability. Option C is not as
effective as direct observation by the nurse.
A+ TEST BANK 3
, 2026 HESI RN Exit
The nurse is talking with the spouse of a client admitted to the long-term care center. The
client has end-stage renal cancer and is admitted for palliative care while awaiting hospice
placement. The client often moans and groans, but is otherwise non-communicative and
somnolent. What will the nurse include in the spouse's teaching regarding the care of the
client? (Select all that apply.)
A.
Repositioning every 2 hours
B.
Round-the-clock pain medication administration
C.
Assessment for skin breakdown
D.
Back rubs three times a day
E.
Bathing twice a day –
Correct Answer :A, B, C, D
Rationale:
The nurse must cleanse soiled areas to remove any irritants; a bath twice a day can dry out
the skin. The goal of palliative care is to make the client comfortable, and not treat the cause
of the condition. The client will be on bed rest because of the client's debilitated condition.
Skin breakdown is a nursing concern. Measures to prevent skin breakdown should be
included in this client's plan of care.
The goal is for the client to take in 1500 calories/day administered through by a feeding tube.
The concentration of the feeding is 1.5 calories/mL. How many mL per hour will the nurse
need to set the infusion pump to deliver the feeding over 18 hours? _____ Enter a whole
number. - Correct Answer :56
A+ TEST BANK 4
2026 HESI RN Exit Exam | NGN Nursing
Questions | 2026 HESI Nursing Exit Exam
Questions (Latest PDF Update)
The nurse is orienting a new graduate to the reporting regulations often seen in the
emergency department. Which clients will the nurse need to report to the nurse
manager/supervisor to alert the proper authorities? (Select all that apply.)
A.
A 7-year-old who states, "I get beat up by my parents all the time." The child has bruising on
the back in various stages of healing.
B.
A+ TEST BANK 1
, 2026 HESI RN Exit
An 88-year-old who states, "My child lives 5 minutes away no longer stops to visit. My days
are long and lonely."
C.
A 40-year-old who states, "I was in an argument with my sibling and the next thing I knew I
was shot in the shoulder."
D.
An 18-year-old who states, "Once I turned 18 my parents demanded I leave their home. I was
no longer welcomed there."
E.
A 30-year-old who states, "The brawl was worth the stab wound I got. My family has never
liked that family. It is just that way." –
Correct Answer :A, C, E
Rationale:
Nurses are mandatory reporters and must notify in the event of child and elder abuse,
domestic violence, animal bites, gun shot and stab wounds, assault, and homicides
In the middle of running a resuscitation for a cardiac arrest the LPN states to the nurse, "What
can I do for your other patients?" The nurse says to the LPN, "Go ahead and start that blood
on the client in 434B. It is primed and ready to go. You have seen me do it a million times. You
can do it." What is the LPN's best response?
A.
"No way am I starting the blood on that client!"
B.
"I am going to tell the manager you asked me to start blood."
C.
"Sure, no problem. I can do that. I have done it before."
D.
A+ TEST BANK 2
, 2026 HESI RN Exit
"I can take over compressions so you can start the blood." –
Correct Answer :D
Rationale:
The LPN needs to remain professional, and stating "No way ...." is an unprofessional
response. Telling the manager may be appropriate, but it does nothing to help the situation of
needing to start blood and resuscitate a client. Blood administration is the responsibility of
the RN. The LPN can perform compressions.
The nurse is preparing an older client for discharge. Which method is best for the nurse to use
when evaluating the client's ability to perform a dressing change at home?
A.
Determine how the client feels about changing the dressing.
B.
Ask the client to describe the procedure in writing.
C.
Seek a family member's evaluation of the client's ability to change the dressing.
D.
Observe the client change the dressing unassisted. –
Correct Answer :D
Rationale:
Observing the client directly will allow the nurse to determine if mastery of the skill has been
obtained and provide an opportunity to affirm the skill. Option A may be therapeutic but will
not provide an opportunity to evaluate the client's ability to perform the procedure. Option B
may be threatening to an older client and will not determine his ability. Option C is not as
effective as direct observation by the nurse.
A+ TEST BANK 3
, 2026 HESI RN Exit
The nurse is talking with the spouse of a client admitted to the long-term care center. The
client has end-stage renal cancer and is admitted for palliative care while awaiting hospice
placement. The client often moans and groans, but is otherwise non-communicative and
somnolent. What will the nurse include in the spouse's teaching regarding the care of the
client? (Select all that apply.)
A.
Repositioning every 2 hours
B.
Round-the-clock pain medication administration
C.
Assessment for skin breakdown
D.
Back rubs three times a day
E.
Bathing twice a day –
Correct Answer :A, B, C, D
Rationale:
The nurse must cleanse soiled areas to remove any irritants; a bath twice a day can dry out
the skin. The goal of palliative care is to make the client comfortable, and not treat the cause
of the condition. The client will be on bed rest because of the client's debilitated condition.
Skin breakdown is a nursing concern. Measures to prevent skin breakdown should be
included in this client's plan of care.
The goal is for the client to take in 1500 calories/day administered through by a feeding tube.
The concentration of the feeding is 1.5 calories/mL. How many mL per hour will the nurse
need to set the infusion pump to deliver the feeding over 18 hours? _____ Enter a whole
number. - Correct Answer :56
A+ TEST BANK 4
