HESI Exit Exam 2026/2027
Enhanced Master Study Guide • Comprehensive Review • Original Exam-Style Practice
Source note: This is an original study guide based on the public preview and topic descriptions of the referenced Stuvia listing. It
does not reproduce paid/locked material, and the practice questions below are not claimed to be actual or leaked HESI questions.
Best use: Study the decision rules, answer practice questions without looking at the rationale, then keep an error log for
concepts you miss.
HESI Exit Exam 2026/2027 • Enhanced Study Guide • Page 1
, 1. Safe & Effective Care Environment
Management of Care
Prioritize using ABCs, acute deterioration, safety threats, and time-sensitive complications. The RN retains assessment, nursing
judgment, teaching, and evaluation. Delegation requires the right task, circumstance, person, direction, and supervision.
Delegation
UAPs commonly perform routine, predictable tasks for stable patients. LPN/LVNs may perform tasks allowed by scope and
policy. Do not delegate assessment, initial teaching, clinical judgment, or evaluation.
Legal & Ethical
Respect autonomy, informed consent, confidentiality, advance directives, and refusal of treatment. A valid living will guides
end-of-life wishes. Family disagreement does not automatically override documented patient preferences.
Incident Reporting
Unexpected events, falls, medication errors, injuries, and near misses may require an occurrence report according to policy.
Chart the patient's clinical facts in the medical record; do not use the chart to document that an incident report was completed.
HESI Exit Exam 2026/2027 • Enhanced Study Guide • Page 2
Enhanced Master Study Guide • Comprehensive Review • Original Exam-Style Practice
Source note: This is an original study guide based on the public preview and topic descriptions of the referenced Stuvia listing. It
does not reproduce paid/locked material, and the practice questions below are not claimed to be actual or leaked HESI questions.
Best use: Study the decision rules, answer practice questions without looking at the rationale, then keep an error log for
concepts you miss.
HESI Exit Exam 2026/2027 • Enhanced Study Guide • Page 1
, 1. Safe & Effective Care Environment
Management of Care
Prioritize using ABCs, acute deterioration, safety threats, and time-sensitive complications. The RN retains assessment, nursing
judgment, teaching, and evaluation. Delegation requires the right task, circumstance, person, direction, and supervision.
Delegation
UAPs commonly perform routine, predictable tasks for stable patients. LPN/LVNs may perform tasks allowed by scope and
policy. Do not delegate assessment, initial teaching, clinical judgment, or evaluation.
Legal & Ethical
Respect autonomy, informed consent, confidentiality, advance directives, and refusal of treatment. A valid living will guides
end-of-life wishes. Family disagreement does not automatically override documented patient preferences.
Incident Reporting
Unexpected events, falls, medication errors, injuries, and near misses may require an occurrence report according to policy.
Chart the patient's clinical facts in the medical record; do not use the chart to document that an incident report was completed.
HESI Exit Exam 2026/2027 • Enhanced Study Guide • Page 2
