HESI COMPREHENSIVE EXIT EXAM (2026-
2027) NEWEST UPDATED COMPLETE
APPROVED \ HESI COMPREHENSIVE EXIT
EXAM WITH PREMIUM EXAM TYPE - ORIGINAL
PRACTICE QUESTIONS WITH ANSWERS AND
RATIONALES| CURRENTLY #
SECTION I: FUNDAMENTALS OF NURSING
Question 1
A nurse is preparing to administer oral medication to a client. Which
action is most important before giving the medication?
A. Ask the client whether the medication tastes good
B. Verify the client's identity using two identifiers
C. Place all medications at the bedside
D. Ask another nurse to administer the medication
Answer: B. Verify the client's identity using two identifiers
Rationale: Correct client identification is a fundamental medication-
safety measure and helps prevent medication errors.
,Question 2
A client who has limited mobility is at increased risk for pressure injury.
Which intervention is most appropriate?
A. Massage reddened areas
B. Reposition the client regularly
C. Restrict oral fluids
D. Keep the head of bed elevated continuously
Answer: B. Reposition the client regularly
Rationale: Regular repositioning reduces prolonged pressure and
supports tissue perfusion.
Question 3
A nurse is caring for a client with dysphagia. Which action reduces the
risk of aspiration?
A. Place the client flat after meals
B. Encourage rapid eating
C. Position the client upright during meals
D. Give thin liquids exclusively
Answer: C. Position the client upright during meals
,Rationale: Upright positioning promotes safer swallowing and
decreases aspiration risk.
Question 4
A postoperative client reports sudden severe pain. What should the
nurse do first?
A. Document the finding
B. Assess the client's pain characteristics and vital signs
C. Tell the client that pain is expected
D. Encourage ambulation
Answer: B. Assess the client's pain characteristics and vital signs
Rationale: Assessment is the first step in determining the cause and
severity of acute postoperative pain.
Question 5
Which finding requires immediate nursing intervention?
A. Temperature of 37.1°C
B. Respiratory rate of 8/min
C. Pulse of 78/min
D. Blood pressure of 124/76 mmHg
Answer: B. Respiratory rate of 8/min
, Rationale: Significant respiratory depression can compromise
oxygenation and requires prompt intervention.
Question 6
A nurse is preparing to transfer a client from bed to wheelchair. Which
action is appropriate?
A. Leave the wheelchair unlocked
B. Position the wheelchair close to the bed and lock the wheels
C. Pull the client by the arms
D. Ask the client to stand without assistance
Answer: B. Position the wheelchair close to the bed and lock the
wheels
Rationale: Proper positioning and locked wheels reduce the risk of
falls during transfer.
Question 7
A client receiving oxygen by nasal cannula asks why oxygen is being
administered. What is the best response?
A. "It will cure your illness."
B. "It increases the amount of oxygen available to your body."
C. "It prevents all respiratory infections."
D. "It replaces the need for medication."
2027) NEWEST UPDATED COMPLETE
APPROVED \ HESI COMPREHENSIVE EXIT
EXAM WITH PREMIUM EXAM TYPE - ORIGINAL
PRACTICE QUESTIONS WITH ANSWERS AND
RATIONALES| CURRENTLY #
SECTION I: FUNDAMENTALS OF NURSING
Question 1
A nurse is preparing to administer oral medication to a client. Which
action is most important before giving the medication?
A. Ask the client whether the medication tastes good
B. Verify the client's identity using two identifiers
C. Place all medications at the bedside
D. Ask another nurse to administer the medication
Answer: B. Verify the client's identity using two identifiers
Rationale: Correct client identification is a fundamental medication-
safety measure and helps prevent medication errors.
,Question 2
A client who has limited mobility is at increased risk for pressure injury.
Which intervention is most appropriate?
A. Massage reddened areas
B. Reposition the client regularly
C. Restrict oral fluids
D. Keep the head of bed elevated continuously
Answer: B. Reposition the client regularly
Rationale: Regular repositioning reduces prolonged pressure and
supports tissue perfusion.
Question 3
A nurse is caring for a client with dysphagia. Which action reduces the
risk of aspiration?
A. Place the client flat after meals
B. Encourage rapid eating
C. Position the client upright during meals
D. Give thin liquids exclusively
Answer: C. Position the client upright during meals
,Rationale: Upright positioning promotes safer swallowing and
decreases aspiration risk.
Question 4
A postoperative client reports sudden severe pain. What should the
nurse do first?
A. Document the finding
B. Assess the client's pain characteristics and vital signs
C. Tell the client that pain is expected
D. Encourage ambulation
Answer: B. Assess the client's pain characteristics and vital signs
Rationale: Assessment is the first step in determining the cause and
severity of acute postoperative pain.
Question 5
Which finding requires immediate nursing intervention?
A. Temperature of 37.1°C
B. Respiratory rate of 8/min
C. Pulse of 78/min
D. Blood pressure of 124/76 mmHg
Answer: B. Respiratory rate of 8/min
, Rationale: Significant respiratory depression can compromise
oxygenation and requires prompt intervention.
Question 6
A nurse is preparing to transfer a client from bed to wheelchair. Which
action is appropriate?
A. Leave the wheelchair unlocked
B. Position the wheelchair close to the bed and lock the wheels
C. Pull the client by the arms
D. Ask the client to stand without assistance
Answer: B. Position the wheelchair close to the bed and lock the
wheels
Rationale: Proper positioning and locked wheels reduce the risk of
falls during transfer.
Question 7
A client receiving oxygen by nasal cannula asks why oxygen is being
administered. What is the best response?
A. "It will cure your illness."
B. "It increases the amount of oxygen available to your body."
C. "It prevents all respiratory infections."
D. "It replaces the need for medication."
