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 5 (V5) 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: -
Which client should the nurse assess frequently because of the
risk for overflow incontinence? A client - =Answer>> Who is
confused and frequently forgets to go to the bathroom
While monitoring a client during a seizure, which interventions
should the nurse implement? (Select all that apply)
A.)Move obstacle away from client
B.)Monitor physical movements
C.)Observe for a patent airway
D.)Record the duration of the
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seizure - =Answer>> A,B,C,D
A male client with a long history of alcoholism is admitted
because of mild confusion and fine motor tremors. He reports
that he quit drinking alcohol and stopped smoking cigarettes
one month ago after his brother died of lung cancer. Which
intervention is most important for the nurses to include in the
client's plan of care?
A.)Determine client's level current blood alcohol level.
B.)Observe for changes in level of consciousness.
C.)Involve the client's family in healthcare decisions.
D.)Provide grief counseling for client and his family. -
=Answer>> B
An older adult female admitted to the intensive care unit (ICU)
with a possible stroke is intubated with ventilator setting of
tidal volume 600, PlO2 40%, and respiratory rate of 12
breaths/minute. The arterial blood gas (ABG) results after
intubation are PH 7.31. PaCO2 60, PaO2 104, SPO2 98%, HCO3
23. To normalize the client's ABG finding, which action is
required?
A.)Report the results to the healthcare provider.
B.)Increase ventilator rate.
C.)Administer a dose of sodium carbonate.
D.)Decrease the flow rate of oxygen. - =Answer>> B
The mother of the 12- month-old with cystic fibrosis reports
that her child is experiencing increasing congestion despite the
use of chest physical therapy (CPT) twice a day, and has also
experiences a loss of appetite. What instruction should the
nurse provide?
A.)Perform CPT after meals to increase appetite and improve
food intake.
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B.)CPT should be performed more frequently, but at least an
hour before meals.
C.)Stop using CPT during the daytime until the child has
regained an appetite.
D.)Perform CPT only in the morning, but increase frequency
when appetite improves. - =Answer>> B
The nurse is evaluating the diet teaching of a client with
hypertension. What dinner selection indicates that the client
understands the dietary recommendation for hypertension? -
=Answer>>
A client with type 2 diabetes mellitus is admitted for frequent
hyperglycemic episodes and a glycosylated hemoglobin
(HbA1c) of 10%. Insulin glargine 10 units subcutaneously once
a day at bedtime and a sliding scale with insulin aspart q6h are
prescribed. What action should the nurse include in this client's
plan of care?
A.)Fingerstick glucose assessment q6h with meals
Mix bedtime dose of insulin glargine with insulin aspart sliding
scale dose
B.)Review with the client proper foot care and prevention of
injury
C.)Do not contaminate the insulin aspart so that it is available
for iv use
D.)Coordinate carbohydrate controlled meals at consistent
times and intervals
E.)Teach subcutaneous injection
technique, site rotation and insulin management -
=Answer>> A,B,D,E
Which problem reported by a client taking lovastatin requires
the most immediate fallow up by the nurse?
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