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HESI RN EXIT EXAM (V6) - ACTUAL EXAM 2026/2027 |
NGN-STYLE | EXPERT VERIFIED | 160 VERIFIED Q&A |
DETAILED RATIONALES | PASS GUARANTEED - A+
GRADED
QUESTION 1
The RN is caring for a client who is receiving a blood transfusion. Which finding indicates a transfusion
reaction?
A. Chills and low back pain
B. Mild headache
C. Slight increase in heart rate
D. Flushing of the face
Rationale: Chills and low back pain are classic signs of a hemolytic transfusion reaction. The transfusion
should be stopped immediately, and the healthcare provider should be notified.
QUESTION 2
The RN is preparing to administer a blood transfusion. Which action should the RN take FIRST?
A. Obtain the client's vital signs
B. Verify the client's identity using two identifiers
C. Prime the tubing with normal saline
D. Check the blood product for discoloration
Rationale: The first step in blood transfusion administration is to verify the client's identity using two
identifiers (e.g., name and date of birth). This ensures the right client receives the right blood product.
QUESTION 3
The RN is caring for a client who is 2 hours postoperative. Which finding should the RN report to the
healthcare provider immediately?
A. Blood pressure of 80/50 mmHg
B. Heart rate of 90 bpm
C. Respiratory rate of 18 breaths/min
D. Temperature of 99.0°F (37.2°C)
,2
Rationale: A blood pressure of 80/50 mmHg is hypotension and may indicate hypovolemic shock or internal
bleeding, requiring immediate intervention.
QUESTION 4
The RN is providing education to a client about the signs of a pulmonary embolism. Which sign should the
RN include?
A. Sudden onset of chest pain and shortness of breath
B. Gradual onset of chest pain
C. Weight gain
D. Decreased heart rate
Rationale: Sudden onset of chest pain and shortness of breath are classic signs of a pulmonary embolism.
QUESTION 5
The RN is caring for a client with a central venous catheter (CVC). Which finding should the RN report
immediately?
A. Fever and chills
B. Slight redness at the insertion site
C. Leaking around the dressing
D. Difficulty flushing the catheter
Rationale: Fever and chills are signs of catheter-related bloodstream infection (CRBSI) and require immediate
reporting and intervention.
QUESTION 6
The RN is administering a medication via intravenous (IV) push. Which action is correct?
A. Administer the medication over the recommended time
B. Administer the medication as quickly as possible
C. Administer the medication without checking compatibility
D. Administer the medication with a 20 mL flush
Rationale: IV push medications should be administered over the recommended time (e.g., 1-5 minutes) to
prevent adverse effects.
QUESTION 7
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The RN is providing education to a client about the signs of a myocardial infarction (heart attack). Which sign
should the RN include?
A. Chest pain that radiates to the left arm
B. Gradual onset of chest pain
C. Weight gain
D. Decreased heart rate
Rationale: Chest pain that radiates to the left arm is a classic sign of a myocardial infarction.
QUESTION 8
The RN is caring for a client who is receiving continuous tube feeding. Which intervention is most important
to prevent aspiration?
A. Keep the head of the bed elevated at least 30 degrees
B. Check residual volumes every 8 hours
C. Flush the tube with 100 mL of water after each feeding
D. Administer the feeding via gravity drip only
Rationale: Keeping the head of the bed elevated to at least 30-45 degrees is a critical intervention to prevent
aspiration in clients receiving enteral feedings.
QUESTION 9
The RN is providing education to a client about the use of a patient-controlled analgesia (PCA) pump. Which
statement by the client indicates understanding?
A. "I will push the button when I feel pain"
B. "I will push the button every 15 minutes even if I don't have pain"
C. "I will let my family push the button for me"
D. "I will push the button only when the nurse tells me to"
Rationale: Clients should push the PCA button when they feel pain. Pushing the button without pain, having
family members push it, or waiting for the nurse to instruct are not appropriate uses of PCA.
QUESTION 10
The RN is caring for a client with a wound infection. Which finding indicates the wound is healing?
A. Pink granulation tissue
B. Yellow, slough tissue
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C. Black, necrotic tissue
D. Foul odor
Rationale: Pink granulation tissue indicates a healing wound. Yellow slough tissue and black necrotic tissue
are signs of infection or poor perfusion. Foul odor is a sign of infection.
QUESTION 11
The RN is preparing to administer a medication via a nasogastric tube. Which action should the RN take?
A. Verify tube placement before administering the medication
B. Administer the medication without checking placement
C. Administer the medication with 50 mL of water
D. Mix the medication with the tube feeding formula
Rationale: Verifying tube placement is essential before administering medications via an NG tube to prevent
aspiration.
QUESTION 12
The RN is providing education to a client about the signs of hypoglycemia. Which sign should the RN
include?
A. Sweating and tremors
B. Polyuria
C. Polydipsia
D. Weight loss
Rationale: Sweating and tremors are signs of hypoglycemia. Polyuria, polydipsia, and weight loss are signs of
hyperglycemia.
QUESTION 13
The RN is caring for a client with a nasogastric tube. Which action should the RN take to maintain tube
patency?
A. Flush the tube with 30 mL of water every 4 hours
B. Flush the tube with 100 mL of water after each feeding
C. Clamp the tube between feedings
D. Administer medications without flushing
Rationale: Flushing the tube with 30 mL of water every 4 hours helps maintain patency.
HESI RN EXIT EXAM (V6) - ACTUAL EXAM 2026/2027 |
NGN-STYLE | EXPERT VERIFIED | 160 VERIFIED Q&A |
DETAILED RATIONALES | PASS GUARANTEED - A+
GRADED
QUESTION 1
The RN is caring for a client who is receiving a blood transfusion. Which finding indicates a transfusion
reaction?
A. Chills and low back pain
B. Mild headache
C. Slight increase in heart rate
D. Flushing of the face
Rationale: Chills and low back pain are classic signs of a hemolytic transfusion reaction. The transfusion
should be stopped immediately, and the healthcare provider should be notified.
QUESTION 2
The RN is preparing to administer a blood transfusion. Which action should the RN take FIRST?
A. Obtain the client's vital signs
B. Verify the client's identity using two identifiers
C. Prime the tubing with normal saline
D. Check the blood product for discoloration
Rationale: The first step in blood transfusion administration is to verify the client's identity using two
identifiers (e.g., name and date of birth). This ensures the right client receives the right blood product.
QUESTION 3
The RN is caring for a client who is 2 hours postoperative. Which finding should the RN report to the
healthcare provider immediately?
A. Blood pressure of 80/50 mmHg
B. Heart rate of 90 bpm
C. Respiratory rate of 18 breaths/min
D. Temperature of 99.0°F (37.2°C)
,2
Rationale: A blood pressure of 80/50 mmHg is hypotension and may indicate hypovolemic shock or internal
bleeding, requiring immediate intervention.
QUESTION 4
The RN is providing education to a client about the signs of a pulmonary embolism. Which sign should the
RN include?
A. Sudden onset of chest pain and shortness of breath
B. Gradual onset of chest pain
C. Weight gain
D. Decreased heart rate
Rationale: Sudden onset of chest pain and shortness of breath are classic signs of a pulmonary embolism.
QUESTION 5
The RN is caring for a client with a central venous catheter (CVC). Which finding should the RN report
immediately?
A. Fever and chills
B. Slight redness at the insertion site
C. Leaking around the dressing
D. Difficulty flushing the catheter
Rationale: Fever and chills are signs of catheter-related bloodstream infection (CRBSI) and require immediate
reporting and intervention.
QUESTION 6
The RN is administering a medication via intravenous (IV) push. Which action is correct?
A. Administer the medication over the recommended time
B. Administer the medication as quickly as possible
C. Administer the medication without checking compatibility
D. Administer the medication with a 20 mL flush
Rationale: IV push medications should be administered over the recommended time (e.g., 1-5 minutes) to
prevent adverse effects.
QUESTION 7
,3
The RN is providing education to a client about the signs of a myocardial infarction (heart attack). Which sign
should the RN include?
A. Chest pain that radiates to the left arm
B. Gradual onset of chest pain
C. Weight gain
D. Decreased heart rate
Rationale: Chest pain that radiates to the left arm is a classic sign of a myocardial infarction.
QUESTION 8
The RN is caring for a client who is receiving continuous tube feeding. Which intervention is most important
to prevent aspiration?
A. Keep the head of the bed elevated at least 30 degrees
B. Check residual volumes every 8 hours
C. Flush the tube with 100 mL of water after each feeding
D. Administer the feeding via gravity drip only
Rationale: Keeping the head of the bed elevated to at least 30-45 degrees is a critical intervention to prevent
aspiration in clients receiving enteral feedings.
QUESTION 9
The RN is providing education to a client about the use of a patient-controlled analgesia (PCA) pump. Which
statement by the client indicates understanding?
A. "I will push the button when I feel pain"
B. "I will push the button every 15 minutes even if I don't have pain"
C. "I will let my family push the button for me"
D. "I will push the button only when the nurse tells me to"
Rationale: Clients should push the PCA button when they feel pain. Pushing the button without pain, having
family members push it, or waiting for the nurse to instruct are not appropriate uses of PCA.
QUESTION 10
The RN is caring for a client with a wound infection. Which finding indicates the wound is healing?
A. Pink granulation tissue
B. Yellow, slough tissue
, 4
C. Black, necrotic tissue
D. Foul odor
Rationale: Pink granulation tissue indicates a healing wound. Yellow slough tissue and black necrotic tissue
are signs of infection or poor perfusion. Foul odor is a sign of infection.
QUESTION 11
The RN is preparing to administer a medication via a nasogastric tube. Which action should the RN take?
A. Verify tube placement before administering the medication
B. Administer the medication without checking placement
C. Administer the medication with 50 mL of water
D. Mix the medication with the tube feeding formula
Rationale: Verifying tube placement is essential before administering medications via an NG tube to prevent
aspiration.
QUESTION 12
The RN is providing education to a client about the signs of hypoglycemia. Which sign should the RN
include?
A. Sweating and tremors
B. Polyuria
C. Polydipsia
D. Weight loss
Rationale: Sweating and tremors are signs of hypoglycemia. Polyuria, polydipsia, and weight loss are signs of
hyperglycemia.
QUESTION 13
The RN is caring for a client with a nasogastric tube. Which action should the RN take to maintain tube
patency?
A. Flush the tube with 30 mL of water every 4 hours
B. Flush the tube with 100 mL of water after each feeding
C. Clamp the tube between feedings
D. Administer medications without flushing
Rationale: Flushing the tube with 30 mL of water every 4 hours helps maintain patency.
