HESI EXIT EXAM PAPER 3 (ADVANCED LEVEL) – 40
QUESTIONS WITH VERIFIED ANSWERS & DETAILED
EXPLANATIONS | TEST BANK 2026
COURSE NAME
HESI Exit Examination
LEVEL
Advanced Level
SHORT INTRODUCTION
This advanced-level HESI Exit Examination paper is designed to
evaluate higher-order clinical reasoning, evidence-based nursing
practice, prioritization, delegation, pharmacology, leadership, and
complex patient management. The questions reflect the style and
difficulty commonly encountered on comprehensive nursing exit
examinations and are intended to strengthen critical thinking and clinical
decision-making skills.
INSTRUCTIONS
Answer all 40 questions.
Section A: Multiple Choice Questions.
Section B: Short Answer Questions.
Section C: Clinical Scenario Questions.
Section D: Critical Thinking Questions.
, Each question includes the correct answer followed by an
Explanation written in italics.
Suggested time: 2 hours.
Use this paper for advanced revision and examination preparation.
SECTION A: MULTIPLE CHOICE QUESTIONS (1–15)
1. Which patient should the nurse assess first?
A. A client with chronic back pain rated 5/10
B. A postoperative client with sudden oxygen saturation of 84%
C. A client requesting discharge instructions
D. A client awaiting breakfast
Answer: B
Explanation: Airway and breathing take priority. A sudden drop in
oxygen saturation requires immediate assessment.
2. Which electrolyte imbalance places a patient at greatest risk for life-
threatening dysrhythmias?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Answer: B
QUESTIONS WITH VERIFIED ANSWERS & DETAILED
EXPLANATIONS | TEST BANK 2026
COURSE NAME
HESI Exit Examination
LEVEL
Advanced Level
SHORT INTRODUCTION
This advanced-level HESI Exit Examination paper is designed to
evaluate higher-order clinical reasoning, evidence-based nursing
practice, prioritization, delegation, pharmacology, leadership, and
complex patient management. The questions reflect the style and
difficulty commonly encountered on comprehensive nursing exit
examinations and are intended to strengthen critical thinking and clinical
decision-making skills.
INSTRUCTIONS
Answer all 40 questions.
Section A: Multiple Choice Questions.
Section B: Short Answer Questions.
Section C: Clinical Scenario Questions.
Section D: Critical Thinking Questions.
, Each question includes the correct answer followed by an
Explanation written in italics.
Suggested time: 2 hours.
Use this paper for advanced revision and examination preparation.
SECTION A: MULTIPLE CHOICE QUESTIONS (1–15)
1. Which patient should the nurse assess first?
A. A client with chronic back pain rated 5/10
B. A postoperative client with sudden oxygen saturation of 84%
C. A client requesting discharge instructions
D. A client awaiting breakfast
Answer: B
Explanation: Airway and breathing take priority. A sudden drop in
oxygen saturation requires immediate assessment.
2. Which electrolyte imbalance places a patient at greatest risk for life-
threatening dysrhythmias?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Answer: B
