HESI 700 Comprehensive Exit Exam 2026/2027:
100 High Yield Verified Practice Questions &
Detailed Rationales HESI Exit Exam, Nursing
Practice Test, Management of Care, Safety,
Pharmacology, Physiological Adaptation, NCLEX
Prep, 2026/2027 Verified Q
Management of Care
1. A nurse is caring for four clients. Which task should be delegated to the UAP?
A. Assess a new admission's fall risk
B. Administer a PRN antiemetic
C. Obtain vital signs on a stable post-op client
D. Teach a client about a new insulin regimen
Answer: C. Stable vitals are within UAP scope. Assessment, meds, and teaching
are RN-only.
2. A nurse receives four handoff reports. Which client should be assessed first?
A. Client with COPD reporting shortness of breath
B. Client requesting pain medication
C. Client asking for a phone charger
D. Client with a healed incision requesting discharge papers
Answer: A. Airway/breathing always first.
3. Which action best demonstrates client advocacy?
A. Documenting a provider's order without question
B. Questioning an order that appears unsafe
C. Delegating teaching to the UAP
D. Delaying a client's discharge to finish charting
Answer: B. Advocacy = protecting the client from harm.
4. A nurse is assigning clients. Which client should be assigned to the LPN?
A. Newly admitted client with chest pain
B. Stable client with a urinary catheter and dressing change
C. Client on a heparin drip
,D. Client with new-onset confusion
Answer: B. Stable, predictable tasks fit LPN scope.
5. The nurse is preparing to discharge a client. Which action is priority?
A. Confirm the client has a ride home
B. Verify the client understands medication instructions
C. Give the client a copy of the chart
D. Schedule a follow-up appointment
Answer: B. Teaching/understanding prevents harm after discharge.
6. Which situation requires the nurse to notify the provider immediately?
A. Client's IV site with slight bruising
B. Client reporting chest pain with diaphoresis
C. Client refusing a bath
D. Client requesting a snack
Answer: B. Chest pain + diaphoresis = possible MI.
7. A nurse is reviewing informed consent. Which statement is correct?
A. The nurse explains the procedure to the client
B. The provider obtains the consent
C. The UAP witnesses the signature
D. The nurse may sign if the client is asleep
Answer: B. Provider explains and obtains consent; nurse witnesses.
8. Which client should the nurse see first?
A. Client with a BP of 150/90
B. Client with a potassium of 6.8 mEq/L
C. Client with a temperature of 99.8°F
D. Client with a pain level of 4/10
Answer: B. K⁺ 6.8 = life-threatening hyperkalemia.
9. The nurse is delegating to the UAP. Which instruction is appropriate?
A. "Assess the client's lung sounds."
B. "Report any change in the client's condition."
C. "Decide if the client needs pain medication."
D. "Adjust the client's oxygen flow rate."
Answer: B. Reporting changes is within UAP scope.
, 10. Which action reflects the ethical principle of veracity?
A. Keeping a client's diagnosis confidential
B. Telling the client the truth about a procedure
C. Providing equal care to all clients
D. Allowing the client to refuse treatment
Answer: B. Veracity = truthfulness.
11. A nurse is caring for a client who speaks limited English. Priority action?
A. Ask a family member to interpret
B. Use a certified medical interpreter
C. Speak louder and slower
D. Provide written instructions only
Answer: B. Certified interpreters prevent errors and protect confidentiality.
12. Which client is at highest risk for an adverse event during shift change?
A. Client receiving a blood transfusion
B. Client awaiting discharge
C. Client with a healed wound
D. Client requesting a blanket
Answer: A. High-risk therapy requires careful handoff.
13. The nurse is reviewing a medication order that seems incorrect. Best action?
A. Administer as ordered
B. Clarify with the provider
C. Ask the UAP
D. Skip the dose
Answer: B. Always clarify questionable orders.
14. Which task can be delegated to the UAP?
A. Inserting a urinary catheter
B. Ambulating a stable client
C. Administering an enema
D. Teaching a client about a new diet
Answer: B. Ambulating stable clients is UAP-appropriate.
15. Which is the priority when a nurse is floated to an unfamiliar unit?
A. Refuse the assignment
B. Identify the charge nurse and unit resources
100 High Yield Verified Practice Questions &
Detailed Rationales HESI Exit Exam, Nursing
Practice Test, Management of Care, Safety,
Pharmacology, Physiological Adaptation, NCLEX
Prep, 2026/2027 Verified Q
Management of Care
1. A nurse is caring for four clients. Which task should be delegated to the UAP?
A. Assess a new admission's fall risk
B. Administer a PRN antiemetic
C. Obtain vital signs on a stable post-op client
D. Teach a client about a new insulin regimen
Answer: C. Stable vitals are within UAP scope. Assessment, meds, and teaching
are RN-only.
2. A nurse receives four handoff reports. Which client should be assessed first?
A. Client with COPD reporting shortness of breath
B. Client requesting pain medication
C. Client asking for a phone charger
D. Client with a healed incision requesting discharge papers
Answer: A. Airway/breathing always first.
3. Which action best demonstrates client advocacy?
A. Documenting a provider's order without question
B. Questioning an order that appears unsafe
C. Delegating teaching to the UAP
D. Delaying a client's discharge to finish charting
Answer: B. Advocacy = protecting the client from harm.
4. A nurse is assigning clients. Which client should be assigned to the LPN?
A. Newly admitted client with chest pain
B. Stable client with a urinary catheter and dressing change
C. Client on a heparin drip
,D. Client with new-onset confusion
Answer: B. Stable, predictable tasks fit LPN scope.
5. The nurse is preparing to discharge a client. Which action is priority?
A. Confirm the client has a ride home
B. Verify the client understands medication instructions
C. Give the client a copy of the chart
D. Schedule a follow-up appointment
Answer: B. Teaching/understanding prevents harm after discharge.
6. Which situation requires the nurse to notify the provider immediately?
A. Client's IV site with slight bruising
B. Client reporting chest pain with diaphoresis
C. Client refusing a bath
D. Client requesting a snack
Answer: B. Chest pain + diaphoresis = possible MI.
7. A nurse is reviewing informed consent. Which statement is correct?
A. The nurse explains the procedure to the client
B. The provider obtains the consent
C. The UAP witnesses the signature
D. The nurse may sign if the client is asleep
Answer: B. Provider explains and obtains consent; nurse witnesses.
8. Which client should the nurse see first?
A. Client with a BP of 150/90
B. Client with a potassium of 6.8 mEq/L
C. Client with a temperature of 99.8°F
D. Client with a pain level of 4/10
Answer: B. K⁺ 6.8 = life-threatening hyperkalemia.
9. The nurse is delegating to the UAP. Which instruction is appropriate?
A. "Assess the client's lung sounds."
B. "Report any change in the client's condition."
C. "Decide if the client needs pain medication."
D. "Adjust the client's oxygen flow rate."
Answer: B. Reporting changes is within UAP scope.
, 10. Which action reflects the ethical principle of veracity?
A. Keeping a client's diagnosis confidential
B. Telling the client the truth about a procedure
C. Providing equal care to all clients
D. Allowing the client to refuse treatment
Answer: B. Veracity = truthfulness.
11. A nurse is caring for a client who speaks limited English. Priority action?
A. Ask a family member to interpret
B. Use a certified medical interpreter
C. Speak louder and slower
D. Provide written instructions only
Answer: B. Certified interpreters prevent errors and protect confidentiality.
12. Which client is at highest risk for an adverse event during shift change?
A. Client receiving a blood transfusion
B. Client awaiting discharge
C. Client with a healed wound
D. Client requesting a blanket
Answer: A. High-risk therapy requires careful handoff.
13. The nurse is reviewing a medication order that seems incorrect. Best action?
A. Administer as ordered
B. Clarify with the provider
C. Ask the UAP
D. Skip the dose
Answer: B. Always clarify questionable orders.
14. Which task can be delegated to the UAP?
A. Inserting a urinary catheter
B. Ambulating a stable client
C. Administering an enema
D. Teaching a client about a new diet
Answer: B. Ambulating stable clients is UAP-appropriate.
15. Which is the priority when a nurse is floated to an unfamiliar unit?
A. Refuse the assignment
B. Identify the charge nurse and unit resources
