HESI RN Exit Examination Practice
Exam 100 Questions And Correct
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Rationales 2026 Q&A Instant
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1. A nurse receives report on four clients. Which client should the nurse
assess first?
A. A client requesting assistance with bathing
B. A client with new-onset stridor
C. A client reporting chronic knee pain
D. A client awaiting discharge instructions
Answer: B. A client with new-onset stridor
Stridor indicates upper airway obstruction and can rapidly progress to
respiratory failure. This requires immediate assessment using the ABC
(Airway, Breathing, Circulation) prioritization framework.
2. Which intervention is most effective for preventing healthcare-associated
infections?
A. Wearing gloves for every interaction
B. Performing hand hygiene at appropriate times
C. Limiting all visitors
D. Wearing a surgical mask for every client
Answer: B. Performing hand hygiene at appropriate times
,Hand hygiene is the primary measure for reducing transmission of
microorganisms in healthcare settings. It is the single most effective infection
control practice.
3. A client has impaired mobility and is at risk for pressure injury. Which
intervention is most appropriate?
A. Reposition the client regularly
B. Massage reddened bony areas
C. Keep the client in one position
D. Restrict protein intake
Answer: A. Reposition the client regularly
Repositioning relieves prolonged pressure and helps maintain tissue
perfusion. Clients should be repositioned at least every 2 hours. Massaging
reddened areas can damage tissue.
4. Which assessment finding requires immediate intervention?
A. Oxygen saturation 84% with respiratory distress
B. Temperature 37.1°C (98.8°F)
C. Heart rate 76/min
D. Blood pressure 118/70 mm Hg
Answer: A. Oxygen saturation 84% with respiratory distress
Significant hypoxemia with respiratory distress indicates impaired
oxygenation and threatens vital organ function. Normal SpO2 is 95-100%.
5. A client reports severe pain. Which action should the nurse take first?
A. Tell the client pain is expected
B. Assess the pain characteristics
C. Document the pain and wait
D. Encourage the client to sleep
,Answer: B. Assess the pain characteristics
Pain assessment provides the information needed to determine the
appropriate intervention and evaluate treatment response. Assessment
precedes intervention.
6. Which position is most appropriate for a client experiencing dyspnea?
A. High-Fowler's
B. Trendelenburg
C. Flat supine
D. Prone
Answer: A. High-Fowler's
Upright positioning promotes lung expansion and can reduce the work of
breathing by allowing gravity to assist in diaphragm descent.
7. A client begins vomiting while lying in bed. What is the priority
intervention?
A. Offer water
B. Turn the client to the side
C. Document the amount
D. Encourage deep breathing
Answer: B. Turn the client to the side
Side-lying helps protect the airway and reduces aspiration risk. Airway
protection is the priority.
8. A nurse is preparing to administer medications to a client. Which action
should the nurse take FIRST to ensure client safety?
A. Check the client's allergy band
B. Verify the client's identity using two identifiers
, C. Review the medication administration record (MAR)
D. Perform hand hygiene
Answer: B. Verify the client's identity using two identifiers
According to the National Patient Safety Goals, verifying client identity using
two unique identifiers is the FIRST critical step before any medication
administration to prevent wrong-patient errors.
9. The nurse is caring for a client with a stage 3 pressure injury on the sacrum.
Which finding indicates the wound is healing?
A. Presence of yellow slough in the wound bed
B. Increase in wound drainage amount
C. Formation of granulation tissue
D. Expansion of wound edges
Answer: C. Formation of granulation tissue
Granulation tissue (beefy red, bumpy tissue) is a key indicator of wound
healing in stage 3 pressure injuries. Yellow slough indicates necrotic tissue.
10. Which action by the nurse demonstrates proper technique when donning
sterile gloves?
A. Touching the outside of the glove with bare hands to adjust fit
B. Picking up the second glove by grasping the folded cuff edge with the gloved
hand
C. Allowing gloved hands to drop below waist level during procedure
D. Using the dominant hand to pick up the first glove by the cuff
Answer: B. Picking up the second glove by grasping the folded cuff edge with
the gloved hand
The first glove is picked up by the cuff with the bare hand. The second glove is
then picked up by sliding gloved fingers under the folded cuff of the second
glove. Gloved hands must remain above waist level.
Exam 100 Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A Instant
Download Pdf
1. A nurse receives report on four clients. Which client should the nurse
assess first?
A. A client requesting assistance with bathing
B. A client with new-onset stridor
C. A client reporting chronic knee pain
D. A client awaiting discharge instructions
Answer: B. A client with new-onset stridor
Stridor indicates upper airway obstruction and can rapidly progress to
respiratory failure. This requires immediate assessment using the ABC
(Airway, Breathing, Circulation) prioritization framework.
2. Which intervention is most effective for preventing healthcare-associated
infections?
A. Wearing gloves for every interaction
B. Performing hand hygiene at appropriate times
C. Limiting all visitors
D. Wearing a surgical mask for every client
Answer: B. Performing hand hygiene at appropriate times
,Hand hygiene is the primary measure for reducing transmission of
microorganisms in healthcare settings. It is the single most effective infection
control practice.
3. A client has impaired mobility and is at risk for pressure injury. Which
intervention is most appropriate?
A. Reposition the client regularly
B. Massage reddened bony areas
C. Keep the client in one position
D. Restrict protein intake
Answer: A. Reposition the client regularly
Repositioning relieves prolonged pressure and helps maintain tissue
perfusion. Clients should be repositioned at least every 2 hours. Massaging
reddened areas can damage tissue.
4. Which assessment finding requires immediate intervention?
A. Oxygen saturation 84% with respiratory distress
B. Temperature 37.1°C (98.8°F)
C. Heart rate 76/min
D. Blood pressure 118/70 mm Hg
Answer: A. Oxygen saturation 84% with respiratory distress
Significant hypoxemia with respiratory distress indicates impaired
oxygenation and threatens vital organ function. Normal SpO2 is 95-100%.
5. A client reports severe pain. Which action should the nurse take first?
A. Tell the client pain is expected
B. Assess the pain characteristics
C. Document the pain and wait
D. Encourage the client to sleep
,Answer: B. Assess the pain characteristics
Pain assessment provides the information needed to determine the
appropriate intervention and evaluate treatment response. Assessment
precedes intervention.
6. Which position is most appropriate for a client experiencing dyspnea?
A. High-Fowler's
B. Trendelenburg
C. Flat supine
D. Prone
Answer: A. High-Fowler's
Upright positioning promotes lung expansion and can reduce the work of
breathing by allowing gravity to assist in diaphragm descent.
7. A client begins vomiting while lying in bed. What is the priority
intervention?
A. Offer water
B. Turn the client to the side
C. Document the amount
D. Encourage deep breathing
Answer: B. Turn the client to the side
Side-lying helps protect the airway and reduces aspiration risk. Airway
protection is the priority.
8. A nurse is preparing to administer medications to a client. Which action
should the nurse take FIRST to ensure client safety?
A. Check the client's allergy band
B. Verify the client's identity using two identifiers
, C. Review the medication administration record (MAR)
D. Perform hand hygiene
Answer: B. Verify the client's identity using two identifiers
According to the National Patient Safety Goals, verifying client identity using
two unique identifiers is the FIRST critical step before any medication
administration to prevent wrong-patient errors.
9. The nurse is caring for a client with a stage 3 pressure injury on the sacrum.
Which finding indicates the wound is healing?
A. Presence of yellow slough in the wound bed
B. Increase in wound drainage amount
C. Formation of granulation tissue
D. Expansion of wound edges
Answer: C. Formation of granulation tissue
Granulation tissue (beefy red, bumpy tissue) is a key indicator of wound
healing in stage 3 pressure injuries. Yellow slough indicates necrotic tissue.
10. Which action by the nurse demonstrates proper technique when donning
sterile gloves?
A. Touching the outside of the glove with bare hands to adjust fit
B. Picking up the second glove by grasping the folded cuff edge with the gloved
hand
C. Allowing gloved hands to drop below waist level during procedure
D. Using the dominant hand to pick up the first glove by the cuff
Answer: B. Picking up the second glove by grasping the folded cuff edge with
the gloved hand
The first glove is picked up by the cuff with the bare hand. The second glove is
then picked up by sliding gloved fingers under the folded cuff of the second
glove. Gloved hands must remain above waist level.
