HESI RN Exit Exam Version 1 – Complete Practice Exam
2026
,Question 1
A nurse is caring for a client admitted with heart failure who suddenly
reports increasing shortness of breath. Which action should the nurse
take first?
A. Increase the IV fluid rate.
B. Place the client in High Fowler's position.
C. Notify the healthcare provider.
D. Administer the scheduled diuretic.
Correct Answer: B
Rationale: Positioning the client upright promotes lung expansion and
decreases venous return, improving oxygenation. Airway and breathing
interventions take priority.
Question 2
A client receiving IV vancomycin develops flushing of the face and neck
during the infusion. What is the nurse's priority action?
A. Continue the infusion.
B. Slow the infusion rate and assess the client.
C. Administer epinephrine immediately.
D. Discontinue the IV catheter.
Correct Answer: B
Rationale: Red Man Syndrome is usually related to rapid infusion.
Slowing the infusion and assessing the client is the appropriate initial
response.
HESI RN Exit Exam Version 1 – Complete Practice Exam
2026
,Question 3
Which client should the nurse assess first?
A. Postoperative client with pain rated 6/10.
B. Client with COPD and oxygen saturation of 88% on room air.
C. Client requesting pain medication.
D. Client awaiting discharge instructions.
Correct Answer: B
Rationale: Airway and oxygenation take priority using the ABC
framework.
Question 4
A nurse delegates ambulation of a stable postoperative client to an
assistive personnel (AP). Which observation requires immediate
intervention?
A. AP reports the client walked 50 feet.
B. AP assists the client with a gait belt.
C. AP allows the client to ambulate alone after reporting dizziness.
D. AP documents the activity.
Correct Answer: C
Rationale: A dizzy postoperative client is at high risk for falls and should
never ambulate independently.
Question 5
Which finding indicates effective teaching about insulin administration?
HESI RN Exit Exam Version 1 – Complete Practice Exam
2026
, A. "I'll inject insulin into the same site every day."
B. "I'll rotate injection sites within the same anatomical area."
C. "I'll massage the site after injecting."
D. "I'll reuse needles if they stay clean."
Correct Answer: B
Rationale: Rotating sites within one anatomical area promotes
consistent absorption while preventing lipodystrophy.
Question 6
A client with bacterial meningitis is admitted to the medical unit. Which
precaution should the nurse initiate?
A. Contact precautions.
B. Airborne precautions.
C. Droplet precautions.
D. Protective isolation.
Correct Answer: C
Rationale: Bacterial meningitis is transmitted through respiratory
droplets.
Question 7
Which laboratory value requires immediate nursing intervention?
A. Potassium 6.2 mEq/L
B. Sodium 138 mEq/L
HESI RN Exit Exam Version 1 – Complete Practice Exam
2026
2026
,Question 1
A nurse is caring for a client admitted with heart failure who suddenly
reports increasing shortness of breath. Which action should the nurse
take first?
A. Increase the IV fluid rate.
B. Place the client in High Fowler's position.
C. Notify the healthcare provider.
D. Administer the scheduled diuretic.
Correct Answer: B
Rationale: Positioning the client upright promotes lung expansion and
decreases venous return, improving oxygenation. Airway and breathing
interventions take priority.
Question 2
A client receiving IV vancomycin develops flushing of the face and neck
during the infusion. What is the nurse's priority action?
A. Continue the infusion.
B. Slow the infusion rate and assess the client.
C. Administer epinephrine immediately.
D. Discontinue the IV catheter.
Correct Answer: B
Rationale: Red Man Syndrome is usually related to rapid infusion.
Slowing the infusion and assessing the client is the appropriate initial
response.
HESI RN Exit Exam Version 1 – Complete Practice Exam
2026
,Question 3
Which client should the nurse assess first?
A. Postoperative client with pain rated 6/10.
B. Client with COPD and oxygen saturation of 88% on room air.
C. Client requesting pain medication.
D. Client awaiting discharge instructions.
Correct Answer: B
Rationale: Airway and oxygenation take priority using the ABC
framework.
Question 4
A nurse delegates ambulation of a stable postoperative client to an
assistive personnel (AP). Which observation requires immediate
intervention?
A. AP reports the client walked 50 feet.
B. AP assists the client with a gait belt.
C. AP allows the client to ambulate alone after reporting dizziness.
D. AP documents the activity.
Correct Answer: C
Rationale: A dizzy postoperative client is at high risk for falls and should
never ambulate independently.
Question 5
Which finding indicates effective teaching about insulin administration?
HESI RN Exit Exam Version 1 – Complete Practice Exam
2026
, A. "I'll inject insulin into the same site every day."
B. "I'll rotate injection sites within the same anatomical area."
C. "I'll massage the site after injecting."
D. "I'll reuse needles if they stay clean."
Correct Answer: B
Rationale: Rotating sites within one anatomical area promotes
consistent absorption while preventing lipodystrophy.
Question 6
A client with bacterial meningitis is admitted to the medical unit. Which
precaution should the nurse initiate?
A. Contact precautions.
B. Airborne precautions.
C. Droplet precautions.
D. Protective isolation.
Correct Answer: C
Rationale: Bacterial meningitis is transmitted through respiratory
droplets.
Question 7
Which laboratory value requires immediate nursing intervention?
A. Potassium 6.2 mEq/L
B. Sodium 138 mEq/L
HESI RN Exit Exam Version 1 – Complete Practice Exam
2026
