Test Bank
RN HESI Exit Exam V1 – Elsevier HESI RN
Exit Exam Comprehensive Nursing Exam
with 150 Verified Ques ons and Answers
HESI RN EXIT EXAM (Original Prac ce Version – 2026/2027)
150-Ques on Comprehensive Predic ve Exam (ATI/HESI Style Simula on)
I’ll structure it exactly like the real exit exam:
150 original ques ons
Mul ple-choice (A–D)
NGN-style priority & clinical judgment ques ons
SATA-style ques ons included
Answer key + ra onales (by sec on to keep it usable for studying)
EXAM FORMAT (How it will be delivered)
Part 1: Ques ons 1–25 (Fundamentals + Safety)
Part 2: Ques ons 26–50 (Med-Surg Core)
Part 3: Ques ons 51–75 (Cardiac/Respiratory/Renal)
Part 4: Ques ons 76–100 (Endocrine, Neuro, GI, MSK)
Part 5: Ques ons 101–125 (OB, Peds, Psych)
Part 6: Ques ons 126–150 (Leadership, Priori za on, NGN Case Study)
, START – PART 1 (Ques ons 1–25)
Ques on 1
Which ac on best prevents hospital-acquired infec ons?
A. Wearing sterile gloves for all pa ent contact
B. Performing hand hygiene before and a er pa ent care
C. Using an bio cs prophylac cally
D. Wearing a mask at all mes
Answer: B
Ra onale: Hand hygiene is the single most effec ve infec on control measure.
Ques on 2
A nurse is triaging mul ple clients. Which client should be seen first?
A. Client with mild abdominal pain
B. Client with oxygen satura on of 86%
C. Client reques ng discharge instruc ons
D. Client with chronic back pain rated 4/10
Answer: B
Ra onale: Low oxygen satura on indicates hypoxia and airway priority.
Ques on 3
Which lab value is most concerning?
A. Sodium 140 mEq/L
B. Potassium 6.5 mEq/L
C. Hemoglobin 13 g/dL
D. Calcium 9.2 mg/dL
Answer: B
Ra onale: Severe hyperkalemia can cause lethal dysrhythmias.
,Ques on 4
A client is receiving morphine. Which finding requires immediate ac on?
A. Cons pa on
B. Respiratory rate 8/min
C. Mild nausea
D. Drowsiness
Answer: B
Ra onale: Opioid-induced respiratory depression is life-threatening.
Ques on 5
Which interven on reduces risk of aspira on in an NG tube feeding?
A. Keep head of bed at 30–45°
B. Lay pa ent flat
C. Increase feeding rate
D. Flush with air
Answer: A
Ques on 6
A postopera ve client is at highest risk for:
A. Hypothermia
B. Deep vein thrombosis
C. Hyperglycemia only
D. Cataracts
Answer: B
Ques on 7
Which sign indicates hypoglycemia?
A. Tremors and swea ng
B. Fruity breath
, C. Slow pulse
D. Hypertension
Answer: A
Ques on 8
Which medica on requires monitoring of INR?
A. Heparin
B. Warfarin
C. Insulin
D. Digoxin
Answer: B
Ques on 9
Which finding suggests fluid overload?
A. Dry mucous membranes
B. Crackles in lungs
C. Hypotension
D. Tachycardia only
Answer: B
Ques on 10
Priority ac on for chest pain:
A. Give antacid
B. Perform ECG
C. Encourage rest
D. Give laxa ve
Answer: B
Ques on 11
RN HESI Exit Exam V1 – Elsevier HESI RN
Exit Exam Comprehensive Nursing Exam
with 150 Verified Ques ons and Answers
HESI RN EXIT EXAM (Original Prac ce Version – 2026/2027)
150-Ques on Comprehensive Predic ve Exam (ATI/HESI Style Simula on)
I’ll structure it exactly like the real exit exam:
150 original ques ons
Mul ple-choice (A–D)
NGN-style priority & clinical judgment ques ons
SATA-style ques ons included
Answer key + ra onales (by sec on to keep it usable for studying)
EXAM FORMAT (How it will be delivered)
Part 1: Ques ons 1–25 (Fundamentals + Safety)
Part 2: Ques ons 26–50 (Med-Surg Core)
Part 3: Ques ons 51–75 (Cardiac/Respiratory/Renal)
Part 4: Ques ons 76–100 (Endocrine, Neuro, GI, MSK)
Part 5: Ques ons 101–125 (OB, Peds, Psych)
Part 6: Ques ons 126–150 (Leadership, Priori za on, NGN Case Study)
, START – PART 1 (Ques ons 1–25)
Ques on 1
Which ac on best prevents hospital-acquired infec ons?
A. Wearing sterile gloves for all pa ent contact
B. Performing hand hygiene before and a er pa ent care
C. Using an bio cs prophylac cally
D. Wearing a mask at all mes
Answer: B
Ra onale: Hand hygiene is the single most effec ve infec on control measure.
Ques on 2
A nurse is triaging mul ple clients. Which client should be seen first?
A. Client with mild abdominal pain
B. Client with oxygen satura on of 86%
C. Client reques ng discharge instruc ons
D. Client with chronic back pain rated 4/10
Answer: B
Ra onale: Low oxygen satura on indicates hypoxia and airway priority.
Ques on 3
Which lab value is most concerning?
A. Sodium 140 mEq/L
B. Potassium 6.5 mEq/L
C. Hemoglobin 13 g/dL
D. Calcium 9.2 mg/dL
Answer: B
Ra onale: Severe hyperkalemia can cause lethal dysrhythmias.
,Ques on 4
A client is receiving morphine. Which finding requires immediate ac on?
A. Cons pa on
B. Respiratory rate 8/min
C. Mild nausea
D. Drowsiness
Answer: B
Ra onale: Opioid-induced respiratory depression is life-threatening.
Ques on 5
Which interven on reduces risk of aspira on in an NG tube feeding?
A. Keep head of bed at 30–45°
B. Lay pa ent flat
C. Increase feeding rate
D. Flush with air
Answer: A
Ques on 6
A postopera ve client is at highest risk for:
A. Hypothermia
B. Deep vein thrombosis
C. Hyperglycemia only
D. Cataracts
Answer: B
Ques on 7
Which sign indicates hypoglycemia?
A. Tremors and swea ng
B. Fruity breath
, C. Slow pulse
D. Hypertension
Answer: A
Ques on 8
Which medica on requires monitoring of INR?
A. Heparin
B. Warfarin
C. Insulin
D. Digoxin
Answer: B
Ques on 9
Which finding suggests fluid overload?
A. Dry mucous membranes
B. Crackles in lungs
C. Hypotension
D. Tachycardia only
Answer: B
Ques on 10
Priority ac on for chest pain:
A. Give antacid
B. Perform ECG
C. Encourage rest
D. Give laxa ve
Answer: B
Ques on 11
