HESI EXIT RN 2026 VERSION 1 LATEST 2026 UPDATE FAST
REVIWED FROM ACTUAL TEST 100 QUESTIONS AND 100%
VERIFIED ANSWERS| A+ GRADE Q&A | INSTANT DOWNLOAD PDF
Table of Contents
1. Fundamentals of Nursing – Q1–10
2. Medical-Surgical Nursing – Q11–20
3. Pharmacology – Q21–25
4. Maternal-Newborn Nursing – Q26–30
5. Pediatric Nursing – Q31–35
6. Mental Health Nursing – Q36–40
7. Leadership & Management – Q41–45
8. Critical Thinking & NCLEX-style – Q46–50
Questions and Answers
Fundamentals of Nursing (Q1–10)
1. A client with COPD is experiencing dyspnea. What is the priority intervention?
Encourage the client to use the tripod position and pursed-lip breathing.
This optimizes lung expansion and promotes effective exhalation, improving oxygenation.
2. A nurse finds a patient on the floor. What is the first action?
Assess the patient for injury and responsiveness.
Immediate assessment determines the urgency of care and prevents further harm.
3. How should a nurse prevent catheter-associated urinary tract infections?
Maintain sterile technique during insertion and proper catheter care.
Prevention reduces infection risk, which is common in catheterized patients.
4. Which vital sign change is an early indicator of hypovolemic shock?
Increased heart rate.
Tachycardia is an early compensatory mechanism before blood pressure drops.
5. A patient refuses medication for religious reasons. What should the nurse do?
Respect the patient’s decision and document the refusal.
Patient autonomy is a legal and ethical right.
6. How should the nurse position a patient with suspected air embolism?
Place the patient in left lateral Trendelenburg position.
This helps trap air in the right atrium and prevents it from entering pulmonary circulation.
, 7. What is the primary purpose of incentive spirometry postoperatively?
Prevent atelectasis and improve lung expansion.
Deep breathing exercises reduce risk of postoperative pulmonary complications.
8. When teaching a diabetic patient about insulin administration, which site is preferred?
Abdomen.
The abdomen provides consistent absorption and is easy to access.
9. A patient has an NG tube connected to suction. How should the nurse maintain patency?
Irrigate as prescribed and monitor for blockages.
Maintains effective decompression and prevents complications.
10. What is the appropriate action if a patient has a seizure?
Protect the patient from injury and maintain airway.
Safety is the priority during seizure activity.
Medical-Surgical Nursing (Q11–20)
11. Which lab result indicates risk for infection in a patient with leukemia?
Absolute neutrophil count (ANC) of 400/mm³.
ANC < 500/mm³ indicates neutropenia and high infection risk.
12. A patient with heart failure reports shortness of breath. What assessment is most
important?
Assess for pulmonary edema and oxygen saturation.
Fluid overload affects gas exchange, making early detection critical.
13. After a myocardial infarction, what is the priority nursing action?
Administer prescribed oxygen and monitor cardiac rhythm.
Early intervention prevents complications like arrhythmias.
14. A post-op patient develops sudden chest pain and dyspnea. What should the nurse
suspect?
Pulmonary embolism.
Prompt recognition and reporting are crucial to prevent fatal outcomes.
15. Which electrolyte imbalance is a priority in a patient on loop diuretics?
Hypokalemia.
Loop diuretics increase potassium excretion, increasing risk for arrhythmias.
16. A patient has Clostridium difficile infection. Which precaution is necessary?
Contact precautions including gloves and gown.
Prevents transmission via fecal-oral route.
REVIWED FROM ACTUAL TEST 100 QUESTIONS AND 100%
VERIFIED ANSWERS| A+ GRADE Q&A | INSTANT DOWNLOAD PDF
Table of Contents
1. Fundamentals of Nursing – Q1–10
2. Medical-Surgical Nursing – Q11–20
3. Pharmacology – Q21–25
4. Maternal-Newborn Nursing – Q26–30
5. Pediatric Nursing – Q31–35
6. Mental Health Nursing – Q36–40
7. Leadership & Management – Q41–45
8. Critical Thinking & NCLEX-style – Q46–50
Questions and Answers
Fundamentals of Nursing (Q1–10)
1. A client with COPD is experiencing dyspnea. What is the priority intervention?
Encourage the client to use the tripod position and pursed-lip breathing.
This optimizes lung expansion and promotes effective exhalation, improving oxygenation.
2. A nurse finds a patient on the floor. What is the first action?
Assess the patient for injury and responsiveness.
Immediate assessment determines the urgency of care and prevents further harm.
3. How should a nurse prevent catheter-associated urinary tract infections?
Maintain sterile technique during insertion and proper catheter care.
Prevention reduces infection risk, which is common in catheterized patients.
4. Which vital sign change is an early indicator of hypovolemic shock?
Increased heart rate.
Tachycardia is an early compensatory mechanism before blood pressure drops.
5. A patient refuses medication for religious reasons. What should the nurse do?
Respect the patient’s decision and document the refusal.
Patient autonomy is a legal and ethical right.
6. How should the nurse position a patient with suspected air embolism?
Place the patient in left lateral Trendelenburg position.
This helps trap air in the right atrium and prevents it from entering pulmonary circulation.
, 7. What is the primary purpose of incentive spirometry postoperatively?
Prevent atelectasis and improve lung expansion.
Deep breathing exercises reduce risk of postoperative pulmonary complications.
8. When teaching a diabetic patient about insulin administration, which site is preferred?
Abdomen.
The abdomen provides consistent absorption and is easy to access.
9. A patient has an NG tube connected to suction. How should the nurse maintain patency?
Irrigate as prescribed and monitor for blockages.
Maintains effective decompression and prevents complications.
10. What is the appropriate action if a patient has a seizure?
Protect the patient from injury and maintain airway.
Safety is the priority during seizure activity.
Medical-Surgical Nursing (Q11–20)
11. Which lab result indicates risk for infection in a patient with leukemia?
Absolute neutrophil count (ANC) of 400/mm³.
ANC < 500/mm³ indicates neutropenia and high infection risk.
12. A patient with heart failure reports shortness of breath. What assessment is most
important?
Assess for pulmonary edema and oxygen saturation.
Fluid overload affects gas exchange, making early detection critical.
13. After a myocardial infarction, what is the priority nursing action?
Administer prescribed oxygen and monitor cardiac rhythm.
Early intervention prevents complications like arrhythmias.
14. A post-op patient develops sudden chest pain and dyspnea. What should the nurse
suspect?
Pulmonary embolism.
Prompt recognition and reporting are crucial to prevent fatal outcomes.
15. Which electrolyte imbalance is a priority in a patient on loop diuretics?
Hypokalemia.
Loop diuretics increase potassium excretion, increasing risk for arrhythmias.
16. A patient has Clostridium difficile infection. Which precaution is necessary?
Contact precautions including gloves and gown.
Prevents transmission via fecal-oral route.
