HESI RN Fundamentals Exit (2 NEW VERSIONS) Exam Practice Test 2026–2027 | 200 NGN-Style Multiple- Choice Questions with Verified Answers & Detailed Rationales | Comprehensive Nursing Fundamentals Review LATEST UPDATE THIS YEAR Description Master the

HESI RN Fundamentals Exit (2 NEW VERSIONS) Exam
Practice Test 2026–2027 | 200 NGN-Style Multiple-
Choice Questions with Verified Answers & Detailed
Rationales | Comprehensive Nursing Fundamentals
Review LATEST UPDATE THIS YEAR


Description
Master the HESI RN Fundamentals Exit Exam with this comprehensive 200-question practice exam
designed to strengthen clinical judgment, reinforce core nursing concepts, and improve exam readiness.
Every question is written in a HESI-style multiple-choice format and includes the correct answer with a
detailed rationale to help you understand the reasoning behind each response.

This study guide reflects current nursing standards and emphasizes the essential knowledge and critical-
thinking skills expected of nursing students preparing for HESI Fundamentals and RN program exit
examinations.




Coverage Includes
 Nursing Fundamentals
 Patient Safety & Quality Improvement
 Clinical Judgment (NGN Concepts)
 Infection Prevention & Standard Precautions
 Isolation Precautions
 Medication Administration
 Dosage & Medication Safety
 Pharmacology Fundamentals
 IV Therapy
 Blood Transfusions
 Fluid & Electrolyte Balance
 Acid-Base Fundamentals
 Oxygenation & Respiratory Care
 Airway Management
 Cardiovascular Nursing
 Neurological Assessment

,  Endocrine Disorders
 Diabetes Mellitus
 Pain Assessment & Management
 Wound Care & Pressure Injury Prevention
 Mobility & Patient Positioning
 Nutrition & Hydration
 Enteral Nutrition
 Urinary Elimination
 Bowel Elimination
 Preoperative & Postoperative Nursing Care
 Documentation & Legal/Ethical Nursing Practice
 Delegation & Prioritization (ABCs, Maslow, Nursing Process)
 Client Education & Discharge Planning
 Communication & Therapeutic Nursing
 Infection Control in Healthcare Settings
 Evidence-Based Nursing Practice
 HESI Exit Exam Test-Taking Strategies




Features
 ✅ 200 Original HESI-Style Multiple-Choice Questions
 ✅ Four Complete Practice Batches
 ✅ Verified Correct Answers
 ✅ Detailed Rationales for Every Question
 ✅ NCLEX®/NGN Clinical Judgment Concepts
 ✅ Comprehensive Nursing Fundamentals Review
 ✅ Ideal for ADN, BSN, and Practical Nursing Students
 ✅ Excellent for HESI Fundamentals, Exit HESI, NCLEX-RN®, and Nursing School Final Exam
Preparation




Question 1

A registered nurse is preparing to administer oral medications to four clients. Which action
should the nurse perform first to promote safe medication administration?

A. Assess each client's pain level.

,B. Compare the medication administration record (MAR) with the provider's prescription.

C. Explain potential side effects after administering the medication.

D. Offer water to each client before identifying them.

Correct Answer: B

Explanation: The nurse should first verify that the provider's prescription matches the MAR
before administering medications. This helps prevent medication errors. Patient
identification and the rights of medication administration follow as part of the medication
administration process.




Question 2

A nurse enters a client's room and discovers the client lying on the floor beside the bed.
What is the nurse's priority action?

A. Complete an incident report.

B. Assist the client back into bed immediately.

C. Assess the client for injuries and level of consciousness.

D. Notify the healthcare provider.

Correct Answer: C

, Explanation: The priority is to assess the client for injuries using the nursing process. The
client should not be moved until injuries are evaluated. Documentation and notifications
occur after the assessment.




Question 3

A nurse is caring for a client diagnosed with pulmonary tuberculosis. Which personal
protective equipment (PPE) is required before entering the room?

A. Surgical mask

B. N95 respirator

C. Face shield only

D. Sterile gloves

Correct Answer: B

Explanation: Tuberculosis requires airborne precautions. An N95 respirator or higher-level
respirator is required to reduce the risk of inhaling airborne particles.*




Question 4

Which assessment finding requires the nurse's immediate intervention?

A. Temperature of 99.1°F (37.3°C)

B. Blood pressure of 118/74 mm Hg