1
HESI RN EXAM EXIT V1 2026-27 LATEST UPDATED STUDY
GUIDE QUESTIONS AND ANSWERS
Note: this study guide is similar to screenshot exams
• Several clients are admitted to an adult medical unit. The nurse
would ensure airborne precautions for a client with which medical
condition?
A) Autoimmune deficiency syndrome (AIDS) with cytomegalovirus (CMV)
B) A positive purified protein derivative with an abnormal chest x-ray
C) A tentative diagnosis of viral pneumonia with productive brown sputum
D) Advanced carcinoma of the lung with hemoptasis
The correct answer is B: A positive purified protein derivative with an abnormal
chest xray
• A client is scheduled to receive an oral solution of radioactive iodine
(131I). In order to reduce hazards, the priority information for the nurse to
include during the instructions to the client is which of these statements?
A) In the initial 48 hours avoid contact with children and pregnant
women, and after urination or defecation flush the commode twice.
B) Use disposable utensils for 2 days and if vomiting occurs within 10 hours
of the dose, do so in the toilet and flush it twice.
C) Your family can use the same bathroom that you use without any special
precautions.
D) Drink plenty of water and empty your bladder often during the
initial 3 days of therapy.
The correct answer is A: “In the initial 48 hours avoid contact with children and
pregnant women, and after urination or defecation flush the commode twice.”
• Which approach is the best way to prevent infections when providing
care to clients in the home setting?
,2
A) Hand washing before and after examination of clients
B) Wearing non powdered latex free gloves to examine the client
C) Using a barrier between the client's furniture and the nurse's bag
D) Wearing a mask with a shield during any eye/mouth/nose
examination The correct answer is A: Hand washing
• A 10 year-old child has a history of epilepsy with tonic-clonic seizures.
The school nurse should instruct the classroom teacher that if the child
experiences a seizure in the classroom, the most important action during
the seizure would be to
A) Move any chairs or desks at least 3 feet away from the child
B) Note the sequence of movements with the time lapse of the event
C) Provide privacy as much as possible to minimize fighting the other children
D) Place the hands or a folded blanket under the head of the child
The correct answer is D: Place the hands or a folded blanket under the head of the
child
• A mother calls the hospital hot line and is connected to the triage
nurse. The mother proclaims: “I found my child with odd stuff coming from
the mouth and an unmarked bottle nearby.” Which of these
comments would be the best for the nurse to ask the mother to determine if the
child has swallowed a corrosive substance?
A) Ask the child if the mouth is burning or throat pain is present
B) Take the child’s pulse at the wrist and see if the child is has trouble
breathing lying flat.
C) What color is the child’s lips and nails and has the child voided today?
D) Has the child had vomiting or diarrhea or stomach cramps yet?
The correct answer is A: “Ask the child if the mouth is burning or throat pain is
present”
• The nurse is assigned to a client newly diagnosed with active
tuberculosis. Which of these protocols would be a priority for the nurse to
implement?
A) Have the client cough into a tissue and dispose in a separate bag
B) Instruct the client to cover the mouth with a tissue when coughing
C) Reinforce for all to wash their hands before and after entering the room
D) Place client in a negative pressure private room and have all who enter
the room use masks with shields
The correct answer is D: Place client in a negative pressure private room
and have all who enter the room use masks with shields
• The charge nurse is planning assignments on a medical unit. Which
client should be assigned to the PN?
A) Test a stool specimen for occult blood
B) Assist with the ambulation of a client with a chest tube
,3
C) Irrigate and redress a leg wound
D) Admit a client from the emergency room
The correct answer is C: Irrigate and redress a leg wound
• When assessing a client, it is important for the nurse to be informed
about cultural issues related to the client's background because
A) Normal patterns of behavior may be labeled as deviant, immoral, or insane
B) The meaning of the client's behavior can be derived from conventional wisdom
C) Personal values will guide the interaction between persons from 2 cultures
D) The nurse should rely on her knowledge of different developmental mental
stages
, 4
The correct answer is A: Normal patterns of behavior may be labeled as
deviant, immoral, or insane
• The nurse is responsible for several elderly clients, including a client
on bed rest with a skin tear and hematoma from a fall 2 days ago. What is
the best care assignment for this client?
A) Assign an RN to provide total care of the client
B) Assign a nursing assistant to help the client with self-care activities
C) Delegate complete care to an unlicensed assistive personnel
D) Supervise a nursing assistant for skin care
The correct answer is D: Supervise a nursing assistant for skin care.
• The nursing student is discussing with a preceptor the delegation of
tasks to an unlicensed assistive personnel (UAP). Which tasks, delegated
to a UAP, indicates the student needs further teaching about the
delegation process?
A) Assist a client post cerebral vascular accident to ambulate
B) Feed a 2 year-old in balanced skeletal traction
C) Care for a client with discharge orders
D) Collect a sputum specimen for acid fast bacillus
The correct answer is C: Care for a client with discharge orders
• After working with a very demanding client, an unlicensed assistive
personnel (UAP) tells the nurse, "I have had it with that client. I just can’t
do anything that pleases him. I’m not going in there again." The nurse
should respond by saying
A) ”He has a lot of problems. You need to have patience with him."
B) ”I will talk with him and try to figure out what to do."
C) ”He is scared and taking it out on you. Let's talk to figure out what to do."
D) ”Ignore him and get the rest of your work done. Someone else can take
care of him for the rest of the day."
The correct answer is C: "He is scared and taking it out on you. Let''s talk
to figure out what to do."
• A client with a diagnosis of bipolar disorder has been referred to a
local boarding home for consideration for placement. The social worker
telephoned the hospital unit for information about the client’s mental
status and adjustment. The appropriate response of the nurse should be
which of these statements?
A) I am sorry. Referral information can only be provided by the client’s
health care providers.
B) “I can never give any information out by telephone. How do I know who you
are?"
C) Since this is a referral, I can give you the this information.
D) I need to get the client’s written consent before I release any
HESI RN EXAM EXIT V1 2026-27 LATEST UPDATED STUDY
GUIDE QUESTIONS AND ANSWERS
Note: this study guide is similar to screenshot exams
• Several clients are admitted to an adult medical unit. The nurse
would ensure airborne precautions for a client with which medical
condition?
A) Autoimmune deficiency syndrome (AIDS) with cytomegalovirus (CMV)
B) A positive purified protein derivative with an abnormal chest x-ray
C) A tentative diagnosis of viral pneumonia with productive brown sputum
D) Advanced carcinoma of the lung with hemoptasis
The correct answer is B: A positive purified protein derivative with an abnormal
chest xray
• A client is scheduled to receive an oral solution of radioactive iodine
(131I). In order to reduce hazards, the priority information for the nurse to
include during the instructions to the client is which of these statements?
A) In the initial 48 hours avoid contact with children and pregnant
women, and after urination or defecation flush the commode twice.
B) Use disposable utensils for 2 days and if vomiting occurs within 10 hours
of the dose, do so in the toilet and flush it twice.
C) Your family can use the same bathroom that you use without any special
precautions.
D) Drink plenty of water and empty your bladder often during the
initial 3 days of therapy.
The correct answer is A: “In the initial 48 hours avoid contact with children and
pregnant women, and after urination or defecation flush the commode twice.”
• Which approach is the best way to prevent infections when providing
care to clients in the home setting?
,2
A) Hand washing before and after examination of clients
B) Wearing non powdered latex free gloves to examine the client
C) Using a barrier between the client's furniture and the nurse's bag
D) Wearing a mask with a shield during any eye/mouth/nose
examination The correct answer is A: Hand washing
• A 10 year-old child has a history of epilepsy with tonic-clonic seizures.
The school nurse should instruct the classroom teacher that if the child
experiences a seizure in the classroom, the most important action during
the seizure would be to
A) Move any chairs or desks at least 3 feet away from the child
B) Note the sequence of movements with the time lapse of the event
C) Provide privacy as much as possible to minimize fighting the other children
D) Place the hands or a folded blanket under the head of the child
The correct answer is D: Place the hands or a folded blanket under the head of the
child
• A mother calls the hospital hot line and is connected to the triage
nurse. The mother proclaims: “I found my child with odd stuff coming from
the mouth and an unmarked bottle nearby.” Which of these
comments would be the best for the nurse to ask the mother to determine if the
child has swallowed a corrosive substance?
A) Ask the child if the mouth is burning or throat pain is present
B) Take the child’s pulse at the wrist and see if the child is has trouble
breathing lying flat.
C) What color is the child’s lips and nails and has the child voided today?
D) Has the child had vomiting or diarrhea or stomach cramps yet?
The correct answer is A: “Ask the child if the mouth is burning or throat pain is
present”
• The nurse is assigned to a client newly diagnosed with active
tuberculosis. Which of these protocols would be a priority for the nurse to
implement?
A) Have the client cough into a tissue and dispose in a separate bag
B) Instruct the client to cover the mouth with a tissue when coughing
C) Reinforce for all to wash their hands before and after entering the room
D) Place client in a negative pressure private room and have all who enter
the room use masks with shields
The correct answer is D: Place client in a negative pressure private room
and have all who enter the room use masks with shields
• The charge nurse is planning assignments on a medical unit. Which
client should be assigned to the PN?
A) Test a stool specimen for occult blood
B) Assist with the ambulation of a client with a chest tube
,3
C) Irrigate and redress a leg wound
D) Admit a client from the emergency room
The correct answer is C: Irrigate and redress a leg wound
• When assessing a client, it is important for the nurse to be informed
about cultural issues related to the client's background because
A) Normal patterns of behavior may be labeled as deviant, immoral, or insane
B) The meaning of the client's behavior can be derived from conventional wisdom
C) Personal values will guide the interaction between persons from 2 cultures
D) The nurse should rely on her knowledge of different developmental mental
stages
, 4
The correct answer is A: Normal patterns of behavior may be labeled as
deviant, immoral, or insane
• The nurse is responsible for several elderly clients, including a client
on bed rest with a skin tear and hematoma from a fall 2 days ago. What is
the best care assignment for this client?
A) Assign an RN to provide total care of the client
B) Assign a nursing assistant to help the client with self-care activities
C) Delegate complete care to an unlicensed assistive personnel
D) Supervise a nursing assistant for skin care
The correct answer is D: Supervise a nursing assistant for skin care.
• The nursing student is discussing with a preceptor the delegation of
tasks to an unlicensed assistive personnel (UAP). Which tasks, delegated
to a UAP, indicates the student needs further teaching about the
delegation process?
A) Assist a client post cerebral vascular accident to ambulate
B) Feed a 2 year-old in balanced skeletal traction
C) Care for a client with discharge orders
D) Collect a sputum specimen for acid fast bacillus
The correct answer is C: Care for a client with discharge orders
• After working with a very demanding client, an unlicensed assistive
personnel (UAP) tells the nurse, "I have had it with that client. I just can’t
do anything that pleases him. I’m not going in there again." The nurse
should respond by saying
A) ”He has a lot of problems. You need to have patience with him."
B) ”I will talk with him and try to figure out what to do."
C) ”He is scared and taking it out on you. Let's talk to figure out what to do."
D) ”Ignore him and get the rest of your work done. Someone else can take
care of him for the rest of the day."
The correct answer is C: "He is scared and taking it out on you. Let''s talk
to figure out what to do."
• A client with a diagnosis of bipolar disorder has been referred to a
local boarding home for consideration for placement. The social worker
telephoned the hospital unit for information about the client’s mental
status and adjustment. The appropriate response of the nurse should be
which of these statements?
A) I am sorry. Referral information can only be provided by the client’s
health care providers.
B) “I can never give any information out by telephone. How do I know who you
are?"
C) Since this is a referral, I can give you the this information.
D) I need to get the client’s written consent before I release any
