HESI RN Exit Exam Version 2 (V2) Complete
Practice Exam 2026
,HESI RN Exit Exam Version 2 (V2) Complete
Practice Exam 2026
Question 1
A charge nurse is reviewing client assignments for an
Unlicensed Assistive Personnel (UAP). Which task is appropriate
for the nurse to delegate to the UAP?
• A) Converse with the client to determine if mucous
membranes are impaired.
• B) Report hourly urine output of less than 30 mL/hr.
• C) Monitor a newly admitted client's ability for movement
in bed.
• D) Check skin turgor every 4 hours for hydration status.
Correct Answer: B) Report hourly urine output of less than 30
mL/hr.
• Rationale: Measuring and recording output is a standard,
routine task that can be delegated to UAPs. Assessing
mucous membranes, clinical evaluation of
movement/neurological status, and physical assessments
like skin turgor require professional nursing judgment and
cannot be delegated.
Question 2
The nurse has admitted a 4-year-old child with a diagnosis of
possible rheumatic fever. Which statement by the parent would
,HESI RN Exit Exam Version 2 (V2) Complete
Practice Exam 2026
cause the nurse to suspect a causative association with this
disease?
• A) "Our child had chickenpox 6 months ago."
• B) "Strep throat went through all the children at the day
care last month."
• C) "Both ears were infected over 3 months ago."
• D) "Last week both feet had a fungal skin infection."
Correct Answer: B) "Strep throat went through all the children
at the day care last month."
• Rationale: Rheumatic fever is an inflammatory disease that
typically develops 2 to 4 weeks after an inadequately
treated group A beta-hemolytic streptococcal (Strep
throat) infection.
Question 3
A client with a head injury is restless and confused. Which
physiological factor explains why opioids are generally
contraindicated or used with extreme caution in clients with
increased intracranial pressure (ICP)?
• A) Sedation produced by opioids causes a prolonged half-
life when ICP is elevated.
, HESI RN Exit Exam Version 2 (V2) Complete
Practice Exam 2026
• B) Higher doses of opioids are required when cerebral
blood flow is reduced.
• C) Dysphoria from opioids contributes to altered levels of
consciousness.
• D) Opioids suppress respirations, which increases PCO2
and contributes to vasodilation and increased ICP.
Correct Answer: D) Opioids suppress respirations, which
increases PCO2 and contributes to vasodilation and increased
ICP.
• Rationale: Respiratory depression causes carbon dioxide
retention (hypercapnia), which leads to cerebral blood
vessel vasodilation. This directly raises intracranial
pressure and masks early neurological changes.
Question 4
A client has an order for 1,000 mL of 5% Dextrose in Water
(D5 W) to infuse over an 8-hour period. Upon assessment, the
nurse discovers that 800 mL has infused after only 4 hours.
What is the priority nursing action?
• A) Ask the client if there are any breathing problems.
• B) Have the client void as much as possible.
• C) Check the vital signs.
Practice Exam 2026
,HESI RN Exit Exam Version 2 (V2) Complete
Practice Exam 2026
Question 1
A charge nurse is reviewing client assignments for an
Unlicensed Assistive Personnel (UAP). Which task is appropriate
for the nurse to delegate to the UAP?
• A) Converse with the client to determine if mucous
membranes are impaired.
• B) Report hourly urine output of less than 30 mL/hr.
• C) Monitor a newly admitted client's ability for movement
in bed.
• D) Check skin turgor every 4 hours for hydration status.
Correct Answer: B) Report hourly urine output of less than 30
mL/hr.
• Rationale: Measuring and recording output is a standard,
routine task that can be delegated to UAPs. Assessing
mucous membranes, clinical evaluation of
movement/neurological status, and physical assessments
like skin turgor require professional nursing judgment and
cannot be delegated.
Question 2
The nurse has admitted a 4-year-old child with a diagnosis of
possible rheumatic fever. Which statement by the parent would
,HESI RN Exit Exam Version 2 (V2) Complete
Practice Exam 2026
cause the nurse to suspect a causative association with this
disease?
• A) "Our child had chickenpox 6 months ago."
• B) "Strep throat went through all the children at the day
care last month."
• C) "Both ears were infected over 3 months ago."
• D) "Last week both feet had a fungal skin infection."
Correct Answer: B) "Strep throat went through all the children
at the day care last month."
• Rationale: Rheumatic fever is an inflammatory disease that
typically develops 2 to 4 weeks after an inadequately
treated group A beta-hemolytic streptococcal (Strep
throat) infection.
Question 3
A client with a head injury is restless and confused. Which
physiological factor explains why opioids are generally
contraindicated or used with extreme caution in clients with
increased intracranial pressure (ICP)?
• A) Sedation produced by opioids causes a prolonged half-
life when ICP is elevated.
, HESI RN Exit Exam Version 2 (V2) Complete
Practice Exam 2026
• B) Higher doses of opioids are required when cerebral
blood flow is reduced.
• C) Dysphoria from opioids contributes to altered levels of
consciousness.
• D) Opioids suppress respirations, which increases PCO2
and contributes to vasodilation and increased ICP.
Correct Answer: D) Opioids suppress respirations, which
increases PCO2 and contributes to vasodilation and increased
ICP.
• Rationale: Respiratory depression causes carbon dioxide
retention (hypercapnia), which leads to cerebral blood
vessel vasodilation. This directly raises intracranial
pressure and masks early neurological changes.
Question 4
A client has an order for 1,000 mL of 5% Dextrose in Water
(D5 W) to infuse over an 8-hour period. Upon assessment, the
nurse discovers that 800 mL has infused after only 4 hours.
What is the priority nursing action?
• A) Ask the client if there are any breathing problems.
• B) Have the client void as much as possible.
• C) Check the vital signs.
