HESI Exit Exam Version 1 – 2026
Edition||questions and answers with
rationales/graded A+/2026
update/100% correct /instant
download
Comprehensive Predictor Test for Nursing Students
Instructions: Select the best answer. Each question is designed to reflect the latest
NCLEX/HESI test blueprint (2026). Time suggested: 2.5 minutes per question.
Section 1: Prioritization & Delegation (Questions 1-12)
1. A nurse receives report on 4 clients. Which client should be assessed
FIRST?
• A. Client with CHF and 2+ pitting edema in lower legs
• B. Client post-appendectomy day 2 reporting pain of 4/10
• C. Client with Type 1 diabetes reporting feeling shaky and diaphoretic
• D. Client with new tracheostomy who has oxygen saturation of 88%
• Rationale: A sudden drop in SpO2 (88%) in a new tracheostomy indicates
possible mucus plug or displacement, which is life-threatening.
Hypoglycemia (C) is urgent but less immediately life-threatening without
LOC changes.
,2. The LPN/LVN reports to the RN that a client with a nasogastric (NG) tube
to low intermittent suction has a pH of 6.0 from aspirate. Which action should
the RN take first?
• A. Request an X-ray to confirm tube placement
• B. Assess the client’s bowel sounds and abdominal distention
• C. Flush the NG tube with 30 mL of air
• D. Document the finding as expected
• Rationale: Gastric pH should be ≤4. A pH of 6 may indicate placement in
the respiratory tract or small bowel. The nurse must first assess the client
clinically (coughing, distress, bowel sounds) before obtaining an X-ray.
3. Which task is appropriate for the RN to delegate to an unlicensed assistive
personnel (UAP)?
• A. Assess a postoperative client’s incision for redness
• B. Measure intake and output for a client with acute kidney injury
• C. Teach a diabetic client how to administer insulin
• D. Evaluate the effectiveness of a PRN pain medication
• Rationale: Measuring I&O is a basic, non-invasive task within UAP scope.
Assessment (A), teaching (C), and evaluation (D) require RN judgment.
4. The nurse is caring for a client on fall precautions. Which action
demonstrates correct delegation to a UAP?
• A. "Ambulate the client to the bathroom every 2 hours."
• B. "Keep the bed alarm on and respond immediately if it sounds."
• C. "Determine if the client needs toileting assistance."
• D. "Assess the client's ability to use the call light."
• Rationale: UAPs can maintain safety devices and respond to alarms.
Assessment and determination (C, D) are RN responsibilities.
5. A charge nurse is assigning staff. Which client should be assigned to a float
RN from the postpartum unit?
, • A. Client with unstable atrial fibrillation on a heparin drip
• B. Client with PIH (pregnancy-induced hypertension) receiving
magnesium sulfate
• C. Client post-cardiac catheterization with femoral sheath in place
• D. Client with chest pain and new-onset heart block
• Rationale: PIH and magnesium sulfate are high-risk obstetrical conditions,
so a postpartum RN has relevant skills. The other options require
cardiac/telemetry expertise.
6. Four clients call the nurse at the same time. Which complaint should the
nurse address FIRST?
• A. "My IV site is red and warm."
• B. "I haven't had a bowel movement in 4 days."
• C. "I feel like my throat is swelling after the IV antibiotic."
• D. "My surgical dressing has a small spot of drainage."
• Rationale: Throat swelling suggests anaphylaxis, a life-threatening allergic
reaction. This takes priority over phlebitis (A), constipation (B), or expected
drainage (D).
7. The RN is supervising a new graduate nurse. Which action requires the RN
to intervene?
• A. Graduate applies oxygen via nasal cannula at 2 L/min for SpO2 91%
• B. Graduate places a client with dyspnea in high Fowler’s position
• C. Graduate defers a STAT potassium level draw for 30 minutes to
finish morning care
• D. Graduate uses a gait belt when transferring a weak client
• Rationale: STAT labs are time-critical, especially potassium (cardiac risks).
Delaying for non-urgent care is unsafe.
8. Which client can be assigned to an LPN/LVN under RN supervision?
• A. Client 2 hours post-lobectomy with chest tube and bloody drainage
Edition||questions and answers with
rationales/graded A+/2026
update/100% correct /instant
download
Comprehensive Predictor Test for Nursing Students
Instructions: Select the best answer. Each question is designed to reflect the latest
NCLEX/HESI test blueprint (2026). Time suggested: 2.5 minutes per question.
Section 1: Prioritization & Delegation (Questions 1-12)
1. A nurse receives report on 4 clients. Which client should be assessed
FIRST?
• A. Client with CHF and 2+ pitting edema in lower legs
• B. Client post-appendectomy day 2 reporting pain of 4/10
• C. Client with Type 1 diabetes reporting feeling shaky and diaphoretic
• D. Client with new tracheostomy who has oxygen saturation of 88%
• Rationale: A sudden drop in SpO2 (88%) in a new tracheostomy indicates
possible mucus plug or displacement, which is life-threatening.
Hypoglycemia (C) is urgent but less immediately life-threatening without
LOC changes.
,2. The LPN/LVN reports to the RN that a client with a nasogastric (NG) tube
to low intermittent suction has a pH of 6.0 from aspirate. Which action should
the RN take first?
• A. Request an X-ray to confirm tube placement
• B. Assess the client’s bowel sounds and abdominal distention
• C. Flush the NG tube with 30 mL of air
• D. Document the finding as expected
• Rationale: Gastric pH should be ≤4. A pH of 6 may indicate placement in
the respiratory tract or small bowel. The nurse must first assess the client
clinically (coughing, distress, bowel sounds) before obtaining an X-ray.
3. Which task is appropriate for the RN to delegate to an unlicensed assistive
personnel (UAP)?
• A. Assess a postoperative client’s incision for redness
• B. Measure intake and output for a client with acute kidney injury
• C. Teach a diabetic client how to administer insulin
• D. Evaluate the effectiveness of a PRN pain medication
• Rationale: Measuring I&O is a basic, non-invasive task within UAP scope.
Assessment (A), teaching (C), and evaluation (D) require RN judgment.
4. The nurse is caring for a client on fall precautions. Which action
demonstrates correct delegation to a UAP?
• A. "Ambulate the client to the bathroom every 2 hours."
• B. "Keep the bed alarm on and respond immediately if it sounds."
• C. "Determine if the client needs toileting assistance."
• D. "Assess the client's ability to use the call light."
• Rationale: UAPs can maintain safety devices and respond to alarms.
Assessment and determination (C, D) are RN responsibilities.
5. A charge nurse is assigning staff. Which client should be assigned to a float
RN from the postpartum unit?
, • A. Client with unstable atrial fibrillation on a heparin drip
• B. Client with PIH (pregnancy-induced hypertension) receiving
magnesium sulfate
• C. Client post-cardiac catheterization with femoral sheath in place
• D. Client with chest pain and new-onset heart block
• Rationale: PIH and magnesium sulfate are high-risk obstetrical conditions,
so a postpartum RN has relevant skills. The other options require
cardiac/telemetry expertise.
6. Four clients call the nurse at the same time. Which complaint should the
nurse address FIRST?
• A. "My IV site is red and warm."
• B. "I haven't had a bowel movement in 4 days."
• C. "I feel like my throat is swelling after the IV antibiotic."
• D. "My surgical dressing has a small spot of drainage."
• Rationale: Throat swelling suggests anaphylaxis, a life-threatening allergic
reaction. This takes priority over phlebitis (A), constipation (B), or expected
drainage (D).
7. The RN is supervising a new graduate nurse. Which action requires the RN
to intervene?
• A. Graduate applies oxygen via nasal cannula at 2 L/min for SpO2 91%
• B. Graduate places a client with dyspnea in high Fowler’s position
• C. Graduate defers a STAT potassium level draw for 30 minutes to
finish morning care
• D. Graduate uses a gait belt when transferring a weak client
• Rationale: STAT labs are time-critical, especially potassium (cardiac risks).
Delaying for non-urgent care is unsafe.
8. Which client can be assigned to an LPN/LVN under RN supervision?
• A. Client 2 hours post-lobectomy with chest tube and bloody drainage
