HESI RN 2026/2027 EXIT EXAM COMPLETE TEST BANK | ALL
350 QUESTIONS & VERIFIED ANSWERS WITH RATIONALES |
RN EXIT EXAM STUDY GUIDE | NGN CLINICAL JUDGMENT
PRACTICE | GRADED A+ | HESI COMPREHENSIVE NURSING
REVIEW
CORE DOMAINS
Fundamentals of Nursing
Medical-Surgical Nursing
Pharmacology and Medication Safety
Maternal and Newborn Nursing
Pediatric Nursing
Mental Health Nursing
Community and Population Health
Leadership and Management
Critical Care and Emergency Nursing
Health Assessment and Documentation
NGN Clinical Judgment and Case Studies
Safety, Ethics, and Legal Principles
INTRODUCTION
This assessment is designed to evaluate the clinical knowledge, critical thinking,
and decision-making required for the HESI RN Exit Exam. It assesses
fundamentals, medical-surgical, pharmacology, maternal-child, pediatric, mental
health, community, leadership, critical care, health assessment, and NGN clinical
judgment. The examination employs multiple-choice and scenario-based
questions emphasizing prioritization, safety, and evidence-based practice.
Candidates must demonstrate comprehensive nursing competency across all
domains to succeed in this credentialing assessment.
SECTION ONE: QUESTIONS 1–350
,1. A nurse is assessing a client with heart failure. Which finding indicates fluid
overload?
A. Decreased urine output
B. Weight loss
C. Jugular venous distention
D. Dry mucous membranes
Correct answer: C. Jugular venous distention
RATIONALE: JVD indicates increased central venous pressure and fluid
overload in heart failure. Decreased urine output, weight loss, and dry mucous
membranes suggest dehydration.
2. A client is prescribed furosemide. Which laboratory value should the nurse
monitor most closely?
A. Potassium
B. Calcium
C. Sodium
D. Magnesium
Correct answer: A. Potassium
RATIONALE: Furosemide is a loop diuretic that causes potassium loss, leading
to hypokalemia. Monitoring potassium is essential to prevent dysrhythmias.
3. A nurse is teaching a client about digoxin. Which statement indicates
understanding?
A. "I should take my pulse before taking the medication."
B. "I can double my dose if I miss one."
C. "I should take this with an antacid."
D. "I should stop taking it if I feel better."
Correct answer: A. "I should take my pulse before taking the medication."
RATIONALE: Clients taking digoxin should monitor their pulse and hold if
below 60 beats per minute. Doubling doses, taking with antacids, or stopping
abruptly can be dangerous.
,4. A client with atrial fibrillation is prescribed warfarin. Which laboratory test
should the nurse monitor?
A. aPTT
B. INR
C. Platelet count
D. Hemoglobin
Correct answer: B. INR
RATIONALE: INR monitors warfarin therapy. aPTT monitors heparin.
5. A nurse is caring for a client with deep vein thrombosis. Which intervention is
contraindicated?
A. Elevating the affected leg
B. Applying warm compresses
C. Massaging the affected leg
D. Administering anticoagulants
Correct answer: C. Massaging the affected leg
RATIONALE: Massaging the affected leg can dislodge a thrombus, leading to
pulmonary embolism.
6. A client is admitted with acute myocardial infarction. Which medication
should the nurse anticipate administering first?
A. Morphine
B. Aspirin
C. Nitroglycerin
D. Beta-blocker
Correct answer: B. Aspirin
RATIONALE: Aspirin is given first to inhibit platelet aggregation and reduce
mortality in acute MI.
7. A nurse is assessing a client with peripheral arterial disease. Which finding is
expected?
, A. Dependent rubor
B. Pitting edema
C. Warm extremities
D. Bounding pulses
Correct answer: A. Dependent rubor
RATIONALE: Dependent rubor is a classic sign of peripheral arterial disease
due to poor perfusion.
8. A client is prescribed metoprolol. Which adverse effect should the nurse
monitor for?
A. Hypertension
B. Bradycardia
C. Tachycardia
D. Hyperglycemia
Correct answer: B. Bradycardia
RATIONALE: Metoprolol is a beta-blocker that can cause bradycardia.
9. A nurse is caring for a client with pneumonia. Which finding indicates
improvement?
A. Increased respiratory rate
B. Decreased oxygen saturation
C. Clear breath sounds
D. Increased crackles
Correct answer: C. Clear breath sounds
RATIONALE: Clear breath sounds indicate resolution of pneumonia.
10. A client with asthma is prescribed albuterol. Which instruction should the
nurse include?
A. "Use this medication daily for prevention."
B. "Take this medication before exercise if prescribed."
C. "This medication will cure your asthma."
D. "Stop using this if you feel better."
350 QUESTIONS & VERIFIED ANSWERS WITH RATIONALES |
RN EXIT EXAM STUDY GUIDE | NGN CLINICAL JUDGMENT
PRACTICE | GRADED A+ | HESI COMPREHENSIVE NURSING
REVIEW
CORE DOMAINS
Fundamentals of Nursing
Medical-Surgical Nursing
Pharmacology and Medication Safety
Maternal and Newborn Nursing
Pediatric Nursing
Mental Health Nursing
Community and Population Health
Leadership and Management
Critical Care and Emergency Nursing
Health Assessment and Documentation
NGN Clinical Judgment and Case Studies
Safety, Ethics, and Legal Principles
INTRODUCTION
This assessment is designed to evaluate the clinical knowledge, critical thinking,
and decision-making required for the HESI RN Exit Exam. It assesses
fundamentals, medical-surgical, pharmacology, maternal-child, pediatric, mental
health, community, leadership, critical care, health assessment, and NGN clinical
judgment. The examination employs multiple-choice and scenario-based
questions emphasizing prioritization, safety, and evidence-based practice.
Candidates must demonstrate comprehensive nursing competency across all
domains to succeed in this credentialing assessment.
SECTION ONE: QUESTIONS 1–350
,1. A nurse is assessing a client with heart failure. Which finding indicates fluid
overload?
A. Decreased urine output
B. Weight loss
C. Jugular venous distention
D. Dry mucous membranes
Correct answer: C. Jugular venous distention
RATIONALE: JVD indicates increased central venous pressure and fluid
overload in heart failure. Decreased urine output, weight loss, and dry mucous
membranes suggest dehydration.
2. A client is prescribed furosemide. Which laboratory value should the nurse
monitor most closely?
A. Potassium
B. Calcium
C. Sodium
D. Magnesium
Correct answer: A. Potassium
RATIONALE: Furosemide is a loop diuretic that causes potassium loss, leading
to hypokalemia. Monitoring potassium is essential to prevent dysrhythmias.
3. A nurse is teaching a client about digoxin. Which statement indicates
understanding?
A. "I should take my pulse before taking the medication."
B. "I can double my dose if I miss one."
C. "I should take this with an antacid."
D. "I should stop taking it if I feel better."
Correct answer: A. "I should take my pulse before taking the medication."
RATIONALE: Clients taking digoxin should monitor their pulse and hold if
below 60 beats per minute. Doubling doses, taking with antacids, or stopping
abruptly can be dangerous.
,4. A client with atrial fibrillation is prescribed warfarin. Which laboratory test
should the nurse monitor?
A. aPTT
B. INR
C. Platelet count
D. Hemoglobin
Correct answer: B. INR
RATIONALE: INR monitors warfarin therapy. aPTT monitors heparin.
5. A nurse is caring for a client with deep vein thrombosis. Which intervention is
contraindicated?
A. Elevating the affected leg
B. Applying warm compresses
C. Massaging the affected leg
D. Administering anticoagulants
Correct answer: C. Massaging the affected leg
RATIONALE: Massaging the affected leg can dislodge a thrombus, leading to
pulmonary embolism.
6. A client is admitted with acute myocardial infarction. Which medication
should the nurse anticipate administering first?
A. Morphine
B. Aspirin
C. Nitroglycerin
D. Beta-blocker
Correct answer: B. Aspirin
RATIONALE: Aspirin is given first to inhibit platelet aggregation and reduce
mortality in acute MI.
7. A nurse is assessing a client with peripheral arterial disease. Which finding is
expected?
, A. Dependent rubor
B. Pitting edema
C. Warm extremities
D. Bounding pulses
Correct answer: A. Dependent rubor
RATIONALE: Dependent rubor is a classic sign of peripheral arterial disease
due to poor perfusion.
8. A client is prescribed metoprolol. Which adverse effect should the nurse
monitor for?
A. Hypertension
B. Bradycardia
C. Tachycardia
D. Hyperglycemia
Correct answer: B. Bradycardia
RATIONALE: Metoprolol is a beta-blocker that can cause bradycardia.
9. A nurse is caring for a client with pneumonia. Which finding indicates
improvement?
A. Increased respiratory rate
B. Decreased oxygen saturation
C. Clear breath sounds
D. Increased crackles
Correct answer: C. Clear breath sounds
RATIONALE: Clear breath sounds indicate resolution of pneumonia.
10. A client with asthma is prescribed albuterol. Which instruction should the
nurse include?
A. "Use this medication daily for prevention."
B. "Take this medication before exercise if prescribed."
C. "This medication will cure your asthma."
D. "Stop using this if you feel better."
