HESI EXIT EXAM ||HESI EXIT EXAM V1-V8: 200 Practice
Questions with Rationales BEST [Q AND A] OF 2026
EDITION | Comprehensive RN Exit Exam Practice | 100%
Pass Guaranteed | Graded A+
1. A nurse is caring for a client who is receiving a blood transfusion and
develops fever, chills, and low back pain. Which of the following
actions should the nurse take first?
A. Administer acetaminophen
B. Stop the transfusion
C. Obtain a urine specimen
D. Notify the provider
ANS: B
HESI EXIT EXAM V1-V8: 100 Practice Questions with Rationales BEST
[Q AND A] OF 2026 EDITION : Fever, chills, and low back pain indicate a
hemolytic transfusion reaction. The first action is to stop the transfusion
immediately to prevent further hemolysis. Then the nurse should notify the
provider (D), obtain a urine specimen (C), and administer treatments as
ordered (A).
2. A nurse is assessing a client who has heart failure and is receiving
digoxin. Which of the following findings should the nurse report to
the provider?
A. Heart rate 72/min
B. Blood pressure 120/80 mm Hg
C. Nausea and vomiting
D. Serum potassium 4.0 mEq/L
ANS: C
Explanation: Nausea and vomiting are signs of digoxin toxicity,
especially when accompanied by visual disturbances and bradycardia. A
,heart rate of 72/min, blood pressure of 120/80 mm Hg, and serum
potassium of 4.0 mEq/L are within normal limits.
3. A nurse is preparing to administer heparin subcutaneously. Which of
the following actions should the nurse take?
A. Aspirate before injecting the medication
B. Massage the site after the injection
C. Administer the injection in the abdomen at least 2 inches from the
umbilicus
D. Use a 23-gauge, 1.5-inch needle
ANS: C
Explanation: Subcutaneous heparin should be administered in the
abdomen, at least 2 inches from the umbilicus, to ensure absorption and
avoid irritation. Aspiration (A) is not recommended. Massaging the site (B)
can cause bruising and hematoma. A 25-gauge, 3/8 to 5/8-inch needle (D)
is used for subcutaneous injections.
4. A nurse is assessing a client who has a new onset of confusion. Which
of the following actions should the nurse take first?
A. Determine the client's level of consciousness
B. Check the client's oxygen saturation
C. Review the client's medication list
D. Obtain a blood glucose level
ANS: A
Explanation: The nurse should first assess the client's level of consciousness
to establish a baseline and determine the severity of the confusion.
Checking oxygen saturation, reviewing medications, and obtaining blood
glucose are important but should follow the initial assessment.
, 5. A nurse is providing teaching to a client about the use of a cane.
Which of the following instructions should the nurse include?
A. Hold the cane on the weaker side
B. Move the cane forward 30 to 60 cm with each step
C. Hold the cane on the stronger side
D. Advance the cane and the weaker leg simultaneously
ANS: C
Explanation: The cane should be held on the stronger side to reduce the
load on the weaker side. The cane is moved forward first, then the weaker
leg, followed by the stronger leg. The cane should be moved forward 15 to
30 cm with each step (B).
6. A nurse is caring for a client who has a wound drain. Which of the
following actions should the nurse take when emptying the drain?
A. Remove the drain from the wound
B. Empty the drain when it is half full
C. Use sterile technique when emptying the drain
D. Compress the drain before closing the port
ANS: D
Explanation: The drain should be compressed before closing the port to
create suction. The drain should not be removed from the wound (A). The
drain should be emptied when full or as ordered (B). Clean technique is
typically used for emptying a drain (C).
7. A nurse is assessing a client who has chronic pain. Which of the
following is the most reliable indicator of the client's pain?
A. The client's vital signs
B. The client's self-report of pain
C. The client's facial expression
D. The client's activity level
, ANS: B
Explanation: The client's self-report is the most reliable indicator of pain.
Vital signs (A), facial expression (C), and activity level (D) are objective
signs that may not accurately reflect the client's pain experience.
8. A nurse is providing teaching to a client about the prevention of
urinary tract infections. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I will wipe from back to front after using the toilet"
B. "I will empty my bladder every 4 hours"
C. "I will drink at least 2 liters of fluids per day"
D. "I will take a bubble bath to keep clean"
ANS: C
Explanation: Drinking at least 2 liters of fluids per day helps flush
bacteria from the urinary tract. Wiping from back to front (A) is incorrect;
it should be front to back. Emptying the bladder every 4 hours (B) is too
infrequent. Bubble baths (D) can irritate the urethra.
9. A nurse is caring for a client who has a seizure disorder. Which of the
following actions should the nurse take during a seizure?
A. Insert a bite block into the client's mouth
B. Restrain the client's arms to prevent injury
C. Position the client on the side
D. Administer oral diazepam
ANS: C
Explanation: Positioning the client on the side helps maintain a patent
airway and allows oral secretions to drain. Inserting a bite block (A) is
dangerous. Restraining the client (B) can cause musculoskeletal injury.
Oral diazepam (D) should not be administered during a seizure.
Questions with Rationales BEST [Q AND A] OF 2026
EDITION | Comprehensive RN Exit Exam Practice | 100%
Pass Guaranteed | Graded A+
1. A nurse is caring for a client who is receiving a blood transfusion and
develops fever, chills, and low back pain. Which of the following
actions should the nurse take first?
A. Administer acetaminophen
B. Stop the transfusion
C. Obtain a urine specimen
D. Notify the provider
ANS: B
HESI EXIT EXAM V1-V8: 100 Practice Questions with Rationales BEST
[Q AND A] OF 2026 EDITION : Fever, chills, and low back pain indicate a
hemolytic transfusion reaction. The first action is to stop the transfusion
immediately to prevent further hemolysis. Then the nurse should notify the
provider (D), obtain a urine specimen (C), and administer treatments as
ordered (A).
2. A nurse is assessing a client who has heart failure and is receiving
digoxin. Which of the following findings should the nurse report to
the provider?
A. Heart rate 72/min
B. Blood pressure 120/80 mm Hg
C. Nausea and vomiting
D. Serum potassium 4.0 mEq/L
ANS: C
Explanation: Nausea and vomiting are signs of digoxin toxicity,
especially when accompanied by visual disturbances and bradycardia. A
,heart rate of 72/min, blood pressure of 120/80 mm Hg, and serum
potassium of 4.0 mEq/L are within normal limits.
3. A nurse is preparing to administer heparin subcutaneously. Which of
the following actions should the nurse take?
A. Aspirate before injecting the medication
B. Massage the site after the injection
C. Administer the injection in the abdomen at least 2 inches from the
umbilicus
D. Use a 23-gauge, 1.5-inch needle
ANS: C
Explanation: Subcutaneous heparin should be administered in the
abdomen, at least 2 inches from the umbilicus, to ensure absorption and
avoid irritation. Aspiration (A) is not recommended. Massaging the site (B)
can cause bruising and hematoma. A 25-gauge, 3/8 to 5/8-inch needle (D)
is used for subcutaneous injections.
4. A nurse is assessing a client who has a new onset of confusion. Which
of the following actions should the nurse take first?
A. Determine the client's level of consciousness
B. Check the client's oxygen saturation
C. Review the client's medication list
D. Obtain a blood glucose level
ANS: A
Explanation: The nurse should first assess the client's level of consciousness
to establish a baseline and determine the severity of the confusion.
Checking oxygen saturation, reviewing medications, and obtaining blood
glucose are important but should follow the initial assessment.
, 5. A nurse is providing teaching to a client about the use of a cane.
Which of the following instructions should the nurse include?
A. Hold the cane on the weaker side
B. Move the cane forward 30 to 60 cm with each step
C. Hold the cane on the stronger side
D. Advance the cane and the weaker leg simultaneously
ANS: C
Explanation: The cane should be held on the stronger side to reduce the
load on the weaker side. The cane is moved forward first, then the weaker
leg, followed by the stronger leg. The cane should be moved forward 15 to
30 cm with each step (B).
6. A nurse is caring for a client who has a wound drain. Which of the
following actions should the nurse take when emptying the drain?
A. Remove the drain from the wound
B. Empty the drain when it is half full
C. Use sterile technique when emptying the drain
D. Compress the drain before closing the port
ANS: D
Explanation: The drain should be compressed before closing the port to
create suction. The drain should not be removed from the wound (A). The
drain should be emptied when full or as ordered (B). Clean technique is
typically used for emptying a drain (C).
7. A nurse is assessing a client who has chronic pain. Which of the
following is the most reliable indicator of the client's pain?
A. The client's vital signs
B. The client's self-report of pain
C. The client's facial expression
D. The client's activity level
, ANS: B
Explanation: The client's self-report is the most reliable indicator of pain.
Vital signs (A), facial expression (C), and activity level (D) are objective
signs that may not accurately reflect the client's pain experience.
8. A nurse is providing teaching to a client about the prevention of
urinary tract infections. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I will wipe from back to front after using the toilet"
B. "I will empty my bladder every 4 hours"
C. "I will drink at least 2 liters of fluids per day"
D. "I will take a bubble bath to keep clean"
ANS: C
Explanation: Drinking at least 2 liters of fluids per day helps flush
bacteria from the urinary tract. Wiping from back to front (A) is incorrect;
it should be front to back. Emptying the bladder every 4 hours (B) is too
infrequent. Bubble baths (D) can irritate the urethra.
9. A nurse is caring for a client who has a seizure disorder. Which of the
following actions should the nurse take during a seizure?
A. Insert a bite block into the client's mouth
B. Restrain the client's arms to prevent injury
C. Position the client on the side
D. Administer oral diazepam
ANS: C
Explanation: Positioning the client on the side helps maintain a patent
airway and allows oral secretions to drain. Inserting a bite block (A) is
dangerous. Restraining the client (B) can cause musculoskeletal injury.
Oral diazepam (D) should not be administered during a seizure.
