HESI RN Exit Exam Version 3 (V3) Complete
Practice Exam 2026
,HESI RN Exit Exam Version 3 (V3) Complete
Practice Exam 2026
Question 1
A charge nurse is making assignments for a client newly
admitted with diabetic ketoacidosis. Which client care task can
be safely delegated to the licensed practical nurse (LPN)?
• A) Administering an intravenous regular insulin bolus per
protocol.
• B) Administering a scheduled subcutaneous insulin
injection to a stable client.
• C) Performing the initial admission assessment and
formulating nursing diagnoses.
• D) Evaluating the effectiveness of fluid resuscitation
therapy.
Correct Answer: B) Administering a scheduled subcutaneous
insulin injection to a stable client.
• Rationale: LPNs can administer subcutaneous medications
to stable clients. Initial assessments, care planning,
evaluations, and IV push medications (like regular insulin
boluses in acute states) require registered nurse judgment
and cannot be delegated.
Question 2
,HESI RN Exit Exam Version 3 (V3) Complete
Practice Exam 2026
A nurse is planning care for a client with a newly placed chest
tube connected to water-seal suction. Which intervention is
appropriate to include in the client's care plan?
• A) Clamp the chest tube whenever the client ambulates in
the hallway.
• B) Strip or milk the chest tubing every 2 hours to maintain
patency.
• C) Keep the drainage system below the level of the client's
chest at all times.
• D) Empty and measure the drainage container at the end
of each shift.
Correct Answer: C) Keep the drainage system below the level
of the client's chest at all times.
• Rationale: The chest drainage system must always remain
below the client's chest level to prevent gravity-driven
backflow of drainage or air into the pleural space.
Clamping can cause a tension pneumothorax, and routine
stripping/milking is contraindicated due to excessive
negative pressure generation.
Question 3
A nurse is caring for a client receiving a blood transfusion. The
client develops chills, lower back pain, and tachycardia 15
, HESI RN Exit Exam Version 3 (V3) Complete
Practice Exam 2026
minutes after the infusion starts. What is the nurse's immediate
priority action?
• A) Slow down the infusion rate and monitor vital signs
every 5 minutes.
• B) Stop the blood transfusion immediately and infuse 0.9%
normal saline through new tubing.
• C) Administer an antihistamine as prescribed and continue
the transfusion.
• D) Notify the blood bank to check the crossmatch slip.
Correct Answer: B) Stop the blood transfusion immediately
and infuse 0.9% normal saline through new tubing.
• Rationale: These manifestations indicate an acute
hemolytic transfusion reaction. The nurse must stop the
transfusion immediately, disconnect the blood tubing, and
infuse 0.9% normal saline using new tubing to maintain
vascular access while notifying the provider and blood
bank.
Question 4
An emergency department nurse receives four clients following
a chemical factory explosion. Which client should be triaged
with a red tag for immediate life-saving intervention?
Practice Exam 2026
,HESI RN Exit Exam Version 3 (V3) Complete
Practice Exam 2026
Question 1
A charge nurse is making assignments for a client newly
admitted with diabetic ketoacidosis. Which client care task can
be safely delegated to the licensed practical nurse (LPN)?
• A) Administering an intravenous regular insulin bolus per
protocol.
• B) Administering a scheduled subcutaneous insulin
injection to a stable client.
• C) Performing the initial admission assessment and
formulating nursing diagnoses.
• D) Evaluating the effectiveness of fluid resuscitation
therapy.
Correct Answer: B) Administering a scheduled subcutaneous
insulin injection to a stable client.
• Rationale: LPNs can administer subcutaneous medications
to stable clients. Initial assessments, care planning,
evaluations, and IV push medications (like regular insulin
boluses in acute states) require registered nurse judgment
and cannot be delegated.
Question 2
,HESI RN Exit Exam Version 3 (V3) Complete
Practice Exam 2026
A nurse is planning care for a client with a newly placed chest
tube connected to water-seal suction. Which intervention is
appropriate to include in the client's care plan?
• A) Clamp the chest tube whenever the client ambulates in
the hallway.
• B) Strip or milk the chest tubing every 2 hours to maintain
patency.
• C) Keep the drainage system below the level of the client's
chest at all times.
• D) Empty and measure the drainage container at the end
of each shift.
Correct Answer: C) Keep the drainage system below the level
of the client's chest at all times.
• Rationale: The chest drainage system must always remain
below the client's chest level to prevent gravity-driven
backflow of drainage or air into the pleural space.
Clamping can cause a tension pneumothorax, and routine
stripping/milking is contraindicated due to excessive
negative pressure generation.
Question 3
A nurse is caring for a client receiving a blood transfusion. The
client develops chills, lower back pain, and tachycardia 15
, HESI RN Exit Exam Version 3 (V3) Complete
Practice Exam 2026
minutes after the infusion starts. What is the nurse's immediate
priority action?
• A) Slow down the infusion rate and monitor vital signs
every 5 minutes.
• B) Stop the blood transfusion immediately and infuse 0.9%
normal saline through new tubing.
• C) Administer an antihistamine as prescribed and continue
the transfusion.
• D) Notify the blood bank to check the crossmatch slip.
Correct Answer: B) Stop the blood transfusion immediately
and infuse 0.9% normal saline through new tubing.
• Rationale: These manifestations indicate an acute
hemolytic transfusion reaction. The nurse must stop the
transfusion immediately, disconnect the blood tubing, and
infuse 0.9% normal saline using new tubing to maintain
vascular access while notifying the provider and blood
bank.
Question 4
An emergency department nurse receives four clients following
a chemical factory explosion. Which client should be triaged
with a red tag for immediate life-saving intervention?
