NURSING LICENSURE
2026/2027 HESI EXIT RN V1 Exam with 160 NGN Questions and Revised
Correct Answers (Verified 100% Guarantee Pass) 2026/2027
A+
Complete Blueprint Coverage
A+ 5 100%
QUESTIONS VERIFIED CLIENT NEED CATEGORIES RATIONALES INCLUDED
CATEGORIES
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity: Pharmacological and Parenteral Therapies
Physiological Integrity: Reduction of Risk and Physiological Adaptation
STUVIAACTUALEXAM
,SECTION 1: Safe and Effective Care Environment Questions 1-32
Q1
A charge nurse is preparing the assignment sheet for a medical-surgical unit. One nurse is a new graduate and another is a
float nurse unfamiliar with the unit. Which patient assignment is most appropriate for the new graduate?
A. A stable postoperative patient day 2 after laparoscopic cholecystectomy requiring routine vital signs and oral pain medication
B. A newly admitted patient with unstable angina requiring continuous cardiac monitoring and frequent titration of nitroglycerin
C. A patient with a fresh tracheostomy who needs frequent suctioning and is hypoxic
D. A patient receiving a blood transfusion who developed a reaction 30 minutes ago
Correct Answer: A
Rationale:
New graduates should receive stable patients with predictable outcomes. Unstable cardiac, airway, and transfusion-reaction patients require
experienced nurses.
Q2
A nurse discovers that a medication error occurred two hours earlier when a wrong dose of insulin was given. The patient is
currently asymptomatic with a normal blood glucose. Which action is the priority?
A. Notify the healthcare provider and complete an incident report according to facility policy
B. Wait until the end of the shift to see if any symptoms develop before reporting
C. Document the error only in a personal notebook to avoid formal consequences
D. Ask the charge nurse to change the medication administration record quietly
Correct Answer: A
Rationale:
Medication errors must be reported promptly to the provider and through the formal reporting system even if the patient is currently stable.
Q3
A nurse is caring for four patients. Which task is appropriate to delegate to an experienced unlicensed assistive personnel
(UAP)?
A. Obtaining a routine vital-sign set on a stable postoperative patient
B. Teaching a newly diagnosed diabetic about insulin self-administration
C. Assessing a patient who just returned from the post-anesthesia care unit
D. Evaluating the effectiveness of pain medication given 30 minutes ago
Correct Answer: A
Rationale:
UAPs may collect routine vital signs on stable patients. Teaching, assessment, and evaluation are nursing responsibilities.
Q4
A nurse receives a telephone order for a new medication. Which action ensures safe communication of the order?
A. Write the order, read it back to the provider for verification, and document the read-back
B. Enter the order into the computer without repeating it to save time
C. Ask another nurse to take the call and write the order later
D. Administer the medication first and obtain the written order at the end of the shift
Correct Answer: A
Rationale:
Read-back verification is a National Patient Safety Goal requirement for telephone orders.
Q5
A nurse is preparing to discharge a patient who will need daily wound care. Which action best ensures continuity of care?
A. Provide written instructions, demonstrate the procedure, and arrange a home-health referral
B. Tell the patient to call the clinic if the wound looks worse without providing supplies
C. Assume the family will figure out the dressing change after watching once
D. Discharge the patient without assessing whether supplies are available at home
Correct Answer: A
Rationale:
Effective discharge planning includes teaching, return demonstration, and coordinated referrals.
2026/2027 HESI EXIT RN V1 Exam with 160 NGN Questions and Revised Correct Answers (Verified 100% Guarantee Pass) 2026/2027 Page 2
,Q6
A nurse enters a patient's room and finds the patient on the floor. The patient states he tried to walk to the bathroom alone.
Which documentation is most accurate and objective?
A. Patient found on floor beside bed; states he attempted to ambulate unassisted; no apparent injury on assessment; provider
notified
B. Patient fell because he was noncompliant with fall precautions
C. Patient was careless and caused his own fall
D. Patient must have been reaching for something and lost balance
Correct Answer: A
Rationale:
Documentation should be factual, objective, and free of judgmental language.
Q7
A nurse is reviewing the rights of medication administration. Which additional right is emphasized in current safety standards
beyond the traditional five rights?
A. Right documentation and right reason or indication
B. Right to refuse only for the nurse, not the patient
C. Right to administer any dose the pharmacy sends
D. Right to skip the second nurse check for controlled substances
Correct Answer: A
Rationale:
Modern standards include right documentation and right indication in addition to the classic five rights.
Q8
A nurse is floated to a unit where she has never worked. Which action demonstrates safe practice?
A. Inform the charge nurse of limited orientation and request a patient assignment within her competence
B. Accept any assignment without discussion to avoid appearing difficult
C. Refuse all patients and leave the unit
D. Ask to be the charge nurse for the shift to learn the unit
Correct Answer: A
Rationale:
Nurses must practice within their competence and communicate limitations to the charge nurse.
Q9
A nurse notices that a colleague is documenting assessments that were never performed. Which action is required?
A. Report the concern through the appropriate chain of command or risk-management channel
B. Ignore the behavior because it is not the nurse's responsibility
C. Confront the colleague loudly in the nursing station
D. Alter the colleague's notes to make them accurate
Correct Answer: A
Rationale:
Falsification of the medical record is a serious integrity issue that must be reported.
Q10
A patient with a do-not-resuscitate order experiences respiratory arrest. The family demands that resuscitation begin. Which
response is most appropriate?
A. Explain the existing DNR order and continue comfort measures while offering support to the family
B. Begin full CPR because the family is present and requesting it
C. Leave the room to avoid the conflict
D. Ask the UAP to decide whether to resuscitate
Correct Answer: A
Rationale:
A valid DNR order must be honored; the nurse supports the family while maintaining the plan of care.
2026/2027 HESI EXIT RN V1 Exam with 160 NGN Questions and Revised Correct Answers (Verified 100% Guarantee Pass) 2026/2027 Page 3
, Q11
A nurse is preparing to administer a high-alert medication. Which safety practice is required?
A. Independent double-check by a second qualified nurse before administration
B. Ask any available staff member to glance at the syringe
C. Administer the medication quickly to avoid delay
D. Skip the double-check if the nurse is experienced
Correct Answer: A
Rationale:
High-alert medications require an independent double-check to reduce error risk.
Q12
A nurse is caring for a patient in contact isolation for MRSA. Which personal protective equipment is required upon entering
the room?
A. Gown and gloves for all patient contact and contact with the environment
B. Only a surgical mask
C. No PPE if the nurse will only talk to the patient from the doorway
D. Sterile gloves and a face shield for every entry
Correct Answer: A
Rationale:
Contact precautions require gown and gloves for interaction with the patient or environment.
Q13
A nurse is reviewing a patient's advance directive. The patient is now unresponsive. Which action is correct?
A. Follow the documented wishes regarding life-sustaining treatment
B. Ask the family to create a new directive at the bedside
C. Ignore the advance directive because the patient cannot currently speak
D. Request a court order before following any directive
Correct Answer: A
Rationale:
Valid advance directives guide care when the patient cannot speak for himself.
Q14
A nurse is teaching a group of new graduates about informed consent. Which statement is accurate?
A. The nurse may witness the signature after verifying the patient understands the procedure as explained by the provider
B. The nurse is responsible for explaining the surgical risks in detail
C. Consent is valid even if the patient is heavily sedated
D. Family members may always sign for a competent adult
Correct Answer: A
Rationale:
The provider obtains informed consent; the nurse may witness the signature after confirming understanding.
Q15
A fire alarm sounds on the unit. Which action follows the RACE sequence correctly?
A. Rescue patients in immediate danger, activate the alarm, contain the fire, extinguish if safe
B. Run to the cafeteria, announce the fire, call the operator, evacuate the entire hospital immediately
C. Remove all equipment first, then patients, then activate the alarm
D. Close all doors and wait for the fire department without moving patients
Correct Answer: A
Rationale:
RACE: Rescue, Alarm, Contain, Extinguish/Evacuate.
Q16
A nurse is preparing a sterile field for a dressing change. Which action contaminates the field?
A. Turning her back to the sterile field while reaching for supplies
B. Keeping sterile gloves above the waist and within the field
C. Opening sterile packages away from the body
D. Pouring sterile solution from a height of 6 inches
Correct Answer: A
Rationale:
Turning the back to the sterile field breaks sterility; the field must remain in view.
2026/2027 HESI EXIT RN V1 Exam with 160 NGN Questions and Revised Correct Answers (Verified 100% Guarantee Pass) 2026/2027 Page 4
2026/2027 HESI EXIT RN V1 Exam with 160 NGN Questions and Revised
Correct Answers (Verified 100% Guarantee Pass) 2026/2027
A+
Complete Blueprint Coverage
A+ 5 100%
QUESTIONS VERIFIED CLIENT NEED CATEGORIES RATIONALES INCLUDED
CATEGORIES
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity: Pharmacological and Parenteral Therapies
Physiological Integrity: Reduction of Risk and Physiological Adaptation
STUVIAACTUALEXAM
,SECTION 1: Safe and Effective Care Environment Questions 1-32
Q1
A charge nurse is preparing the assignment sheet for a medical-surgical unit. One nurse is a new graduate and another is a
float nurse unfamiliar with the unit. Which patient assignment is most appropriate for the new graduate?
A. A stable postoperative patient day 2 after laparoscopic cholecystectomy requiring routine vital signs and oral pain medication
B. A newly admitted patient with unstable angina requiring continuous cardiac monitoring and frequent titration of nitroglycerin
C. A patient with a fresh tracheostomy who needs frequent suctioning and is hypoxic
D. A patient receiving a blood transfusion who developed a reaction 30 minutes ago
Correct Answer: A
Rationale:
New graduates should receive stable patients with predictable outcomes. Unstable cardiac, airway, and transfusion-reaction patients require
experienced nurses.
Q2
A nurse discovers that a medication error occurred two hours earlier when a wrong dose of insulin was given. The patient is
currently asymptomatic with a normal blood glucose. Which action is the priority?
A. Notify the healthcare provider and complete an incident report according to facility policy
B. Wait until the end of the shift to see if any symptoms develop before reporting
C. Document the error only in a personal notebook to avoid formal consequences
D. Ask the charge nurse to change the medication administration record quietly
Correct Answer: A
Rationale:
Medication errors must be reported promptly to the provider and through the formal reporting system even if the patient is currently stable.
Q3
A nurse is caring for four patients. Which task is appropriate to delegate to an experienced unlicensed assistive personnel
(UAP)?
A. Obtaining a routine vital-sign set on a stable postoperative patient
B. Teaching a newly diagnosed diabetic about insulin self-administration
C. Assessing a patient who just returned from the post-anesthesia care unit
D. Evaluating the effectiveness of pain medication given 30 minutes ago
Correct Answer: A
Rationale:
UAPs may collect routine vital signs on stable patients. Teaching, assessment, and evaluation are nursing responsibilities.
Q4
A nurse receives a telephone order for a new medication. Which action ensures safe communication of the order?
A. Write the order, read it back to the provider for verification, and document the read-back
B. Enter the order into the computer without repeating it to save time
C. Ask another nurse to take the call and write the order later
D. Administer the medication first and obtain the written order at the end of the shift
Correct Answer: A
Rationale:
Read-back verification is a National Patient Safety Goal requirement for telephone orders.
Q5
A nurse is preparing to discharge a patient who will need daily wound care. Which action best ensures continuity of care?
A. Provide written instructions, demonstrate the procedure, and arrange a home-health referral
B. Tell the patient to call the clinic if the wound looks worse without providing supplies
C. Assume the family will figure out the dressing change after watching once
D. Discharge the patient without assessing whether supplies are available at home
Correct Answer: A
Rationale:
Effective discharge planning includes teaching, return demonstration, and coordinated referrals.
2026/2027 HESI EXIT RN V1 Exam with 160 NGN Questions and Revised Correct Answers (Verified 100% Guarantee Pass) 2026/2027 Page 2
,Q6
A nurse enters a patient's room and finds the patient on the floor. The patient states he tried to walk to the bathroom alone.
Which documentation is most accurate and objective?
A. Patient found on floor beside bed; states he attempted to ambulate unassisted; no apparent injury on assessment; provider
notified
B. Patient fell because he was noncompliant with fall precautions
C. Patient was careless and caused his own fall
D. Patient must have been reaching for something and lost balance
Correct Answer: A
Rationale:
Documentation should be factual, objective, and free of judgmental language.
Q7
A nurse is reviewing the rights of medication administration. Which additional right is emphasized in current safety standards
beyond the traditional five rights?
A. Right documentation and right reason or indication
B. Right to refuse only for the nurse, not the patient
C. Right to administer any dose the pharmacy sends
D. Right to skip the second nurse check for controlled substances
Correct Answer: A
Rationale:
Modern standards include right documentation and right indication in addition to the classic five rights.
Q8
A nurse is floated to a unit where she has never worked. Which action demonstrates safe practice?
A. Inform the charge nurse of limited orientation and request a patient assignment within her competence
B. Accept any assignment without discussion to avoid appearing difficult
C. Refuse all patients and leave the unit
D. Ask to be the charge nurse for the shift to learn the unit
Correct Answer: A
Rationale:
Nurses must practice within their competence and communicate limitations to the charge nurse.
Q9
A nurse notices that a colleague is documenting assessments that were never performed. Which action is required?
A. Report the concern through the appropriate chain of command or risk-management channel
B. Ignore the behavior because it is not the nurse's responsibility
C. Confront the colleague loudly in the nursing station
D. Alter the colleague's notes to make them accurate
Correct Answer: A
Rationale:
Falsification of the medical record is a serious integrity issue that must be reported.
Q10
A patient with a do-not-resuscitate order experiences respiratory arrest. The family demands that resuscitation begin. Which
response is most appropriate?
A. Explain the existing DNR order and continue comfort measures while offering support to the family
B. Begin full CPR because the family is present and requesting it
C. Leave the room to avoid the conflict
D. Ask the UAP to decide whether to resuscitate
Correct Answer: A
Rationale:
A valid DNR order must be honored; the nurse supports the family while maintaining the plan of care.
2026/2027 HESI EXIT RN V1 Exam with 160 NGN Questions and Revised Correct Answers (Verified 100% Guarantee Pass) 2026/2027 Page 3
, Q11
A nurse is preparing to administer a high-alert medication. Which safety practice is required?
A. Independent double-check by a second qualified nurse before administration
B. Ask any available staff member to glance at the syringe
C. Administer the medication quickly to avoid delay
D. Skip the double-check if the nurse is experienced
Correct Answer: A
Rationale:
High-alert medications require an independent double-check to reduce error risk.
Q12
A nurse is caring for a patient in contact isolation for MRSA. Which personal protective equipment is required upon entering
the room?
A. Gown and gloves for all patient contact and contact with the environment
B. Only a surgical mask
C. No PPE if the nurse will only talk to the patient from the doorway
D. Sterile gloves and a face shield for every entry
Correct Answer: A
Rationale:
Contact precautions require gown and gloves for interaction with the patient or environment.
Q13
A nurse is reviewing a patient's advance directive. The patient is now unresponsive. Which action is correct?
A. Follow the documented wishes regarding life-sustaining treatment
B. Ask the family to create a new directive at the bedside
C. Ignore the advance directive because the patient cannot currently speak
D. Request a court order before following any directive
Correct Answer: A
Rationale:
Valid advance directives guide care when the patient cannot speak for himself.
Q14
A nurse is teaching a group of new graduates about informed consent. Which statement is accurate?
A. The nurse may witness the signature after verifying the patient understands the procedure as explained by the provider
B. The nurse is responsible for explaining the surgical risks in detail
C. Consent is valid even if the patient is heavily sedated
D. Family members may always sign for a competent adult
Correct Answer: A
Rationale:
The provider obtains informed consent; the nurse may witness the signature after confirming understanding.
Q15
A fire alarm sounds on the unit. Which action follows the RACE sequence correctly?
A. Rescue patients in immediate danger, activate the alarm, contain the fire, extinguish if safe
B. Run to the cafeteria, announce the fire, call the operator, evacuate the entire hospital immediately
C. Remove all equipment first, then patients, then activate the alarm
D. Close all doors and wait for the fire department without moving patients
Correct Answer: A
Rationale:
RACE: Rescue, Alarm, Contain, Extinguish/Evacuate.
Q16
A nurse is preparing a sterile field for a dressing change. Which action contaminates the field?
A. Turning her back to the sterile field while reaching for supplies
B. Keeping sterile gloves above the waist and within the field
C. Opening sterile packages away from the body
D. Pouring sterile solution from a height of 6 inches
Correct Answer: A
Rationale:
Turning the back to the sterile field breaks sterility; the field must remain in view.
2026/2027 HESI EXIT RN V1 Exam with 160 NGN Questions and Revised Correct Answers (Verified 100% Guarantee Pass) 2026/2027 Page 4
