HESI
HESI RN (Registered Nursing) and HESI PN (Practical Nursing)
HESI Exit Exam
HESI Exit NGN (Next Generation NCLEX) Exams
Course Title and Number: HESI RN and PN Exit Exams
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you
have completed the Exam.
6. This test has a time limit, The test will save and submit
automatically when the time expires
7. This is Exam which will assess your knowledge on the course
Learning Resources.
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HESI Exit Version 1 (V1) Updated Exam Review HESI Exit RN &
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2025- 2026
HESI RN & PN (Registered and Practical Nursing) Exit Exam
HESI Exit Exam
HESI Exit NGN (Next Generation NCLEX) Exam
HESI - Health Education Systems, Inc.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
The practical nurse (PN) is preparing a client for a lumbar
puncture. The nurse observes the PN turning the client on the
side with the leg straight and the head of the bed in semi-
Fowler's position. Which action should the nurse implement?
a. Arrange for an unlicensed assistive personnel to assist the
PN during the procedure
b. Acknowledged that the PN has positioned the client safely
and correctly
c. Assume care of the client and assign the PN to care of a
different client
d. Demonstrates the PN how to position the client more
effectively for the procedure - =Answer>> d. Demonstrates
the PN how to position the client more effectively for the
procedure
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The nurse knows that several complications can occur with the
administration of blood. Which finding is an indication of an air
emboli?
a. Chills and tremors
b. Nausea and vomiting
c. Increased blood pressure
d. Difficulty breathing - =Answer>> d. Difficulty breathing
An older adult client is admitted to the stroke unit after
recovery from the acute phase of an ischemic cerebral vascular
accident (CVA). Which intervention should the nurse include in
the plan of care during convalescence and rehabilitation?
a. Encourage family to participate in the client's care
b. Play classical music in room while client is awake
c. Suction oral cavity every four hours
d. Place a bedside commode next to bed
e. Measure neurological vital signs every four hours -
=Answer>> a. Encourage family to participate in the client's
care
e. Measure neurological vital signs every four hours
A client with generalized anxiety disorder does not want to
communicate with friends, smokes 2 to 3 packages of
cigarettes a day, and describes difficulty in concentrating at
work. Which coping strategy should the nurse include in the
plan of care?
A. Analyze past hurts and resentments to identify the source
B. Focus on small achievable tasks, not taxing problems
C. Concentrate on and ventilate emotions when distressed
D. Relax and reduce the amount of effort to solve the problem -
=Answer>> B. Focus on small achievable tasks, not taxing
problems
An unconscious client is admitted to the intensive care unit and
is placed on a ventilator. The ventilator alarms continuously
and the client's oxygen saturation level is 62%. Which action
should the nurse take first?
a. Call respiratory therapy
b. Monitor oxygen saturation levels every five minutes
c. Silence the alarm and call the technician
d. Begin manual ventilation immediately - =Answer>> d.
Begin manual ventilation immediately
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An older resident of an extended care facility has recurrent
urinary tract infections. The nursing care plan includes the goal
"increase daily intake of fluids." What nursing intervention is
most useful in assisting the resident to meet this goal?
a. Increase fluids provided with the client's meals
b. Record the client's intake and output every shift
c. Offer a glass of fluid every hour while awake
d. Maintain a full pitcher of water at the bedside -
=Answer>> c. Offer a glass of fluid every hour while awake
The home health nurse is scheduling visits for clients with
diabetes who need blood glucose measurements, one
postoperative client who needs wound care, and two clients
who need admission assessments and care plans established.
Staffing includes one nurse (RN) and two licensed practical
nurses (PN). Which is the best home visit assignment?
a. RN completes the two admission assessments. 1 PN
completes the blood glucose measurements, and 1 PN
completes the post-operative visit
b. RN completes the postoperative visit in two blood glucose
measurements. Each PN completes one admission assessment
c. RN completes 1 admission and the postoperative visit. 1 PN
completes the blood glucose measurements, 1 PN completes
an admission assessment
d. RN completes the postoperative visit. Each PN completes one
admission assessment and one blood glucose measurement -
=Answer>> a. RN completes the two admission
assessments. 1 PN completes the blood glucose
measurements, and 1 PN completes the post-operative visit
The nurse is assessing a 4-year-old child with eczema. The child
skin is dry and scaly, in the mother reports that the child
frequently scratches the lesions on the skin to the point of
causing bleeding. Which guideline is indicated for care of this
child?
a. Be the child daily with bath oil
b. Apply baby lotion to the skin twice daily
c. Keep the nails trimmed short
d. Allow the child to wear only 100% cotton clothing -
=Answer>> c. Keep the nails trimmed short
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