HESI RN EXIT EXAM 2026/2027 - V1 V2 V3 V4 - 350 VERIFIED QUESTIONS WITH
ANSWERS & DETAILED RATIONALES | A+ GRADED | NGN FORMAT
Course: HESI RN Exit Exam 2026/2027 - All Versions | 350 Questions
About: Complete HESI RN Exit Exam 2026/2027 bundle covering all 4 versions. Includes Med-Surg, Pharmacology, Fundamentals,
Maternal, Peds, Mental Health with NGN clinical judgment.
Original content created for 2026/2027 academic year based on HESI, ATI, NCSBN NGN standards, Lewis, Saunders. Not copied from official exams.
[1] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action?
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[2] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge
Chest pain client - ABCs unstable first
Stable post-op
Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[3] HESI Pharmacology: Digoxin toxicity antidote?
Digoxin immune Fab (Digibind)
Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[4] HESI Fundamentals: Which action prevents CAUTI?
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
Rationale: CAUTI prevention: sterile insertion, closed system, keep bag below bladder, no dependent loops, daily necessity review, perineal
hygiene.
[5] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action? - Variant Case 5 2026/2027
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[6] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge -
Variant Case 6 2026/2027
Chest pain client - ABCs unstable first
Stable post-op
Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[7] HESI Pharmacology: Digoxin toxicity antidote? - Variant Case 7 2026/2027
Digoxin immune Fab (Digibind)
, Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[8] HESI Fundamentals: Which action prevents CAUTI? - Variant Case 8 2026/2027
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
Rationale: CAUTI prevention: sterile insertion, closed system, keep bag below bladder, no dependent loops, daily necessity review, perineal
hygiene.
[9] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action? - Variant Case 9 2026/2027
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[10] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge -
Variant Case 10 2026/2027
Chest pain client - ABCs unstable first
Stable post-op
Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[11] HESI Pharmacology: Digoxin toxicity antidote? - Variant Case 11 2026/2027
Digoxin immune Fab (Digibind)
Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[12] HESI Fundamentals: Which action prevents CAUTI? - Variant Case 12 2026/2027
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
Rationale: CAUTI prevention: sterile insertion, closed system, keep bag below bladder, no dependent loops, daily necessity review, perineal
hygiene.
[13] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action? - Variant Case 13 2026/2027
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[14] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge -
Variant Case 14 2026/2027
Chest pain client - ABCs unstable first
Stable post-op
, Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[15] HESI Pharmacology: Digoxin toxicity antidote? - Variant Case 15 2026/2027
Digoxin immune Fab (Digibind)
Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[16] HESI Fundamentals: Which action prevents CAUTI? - Variant Case 16 2026/2027
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
Rationale: CAUTI prevention: sterile insertion, closed system, keep bag below bladder, no dependent loops, daily necessity review, perineal
hygiene.
[17] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action? - Variant Case 17 2026/2027
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[18] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge -
Variant Case 18 2026/2027
Chest pain client - ABCs unstable first
Stable post-op
Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[19] HESI Pharmacology: Digoxin toxicity antidote? - Variant Case 19 2026/2027
Digoxin immune Fab (Digibind)
Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[20] HESI Fundamentals: Which action prevents CAUTI? - Variant Case 20 2026/2027
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
Rationale: CAUTI prevention: sterile insertion, closed system, keep bag below bladder, no dependent loops, daily necessity review, perineal
hygiene.
[21] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action? - Variant Case 21 2026/2027
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
, Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[22] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge -
Variant Case 22 2026/2027
Chest pain client - ABCs unstable first
Stable post-op
Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[23] HESI Pharmacology: Digoxin toxicity antidote? - Variant Case 23 2026/2027
Digoxin immune Fab (Digibind)
Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[24] HESI Fundamentals: Which action prevents CAUTI? - Variant Case 24 2026/2027
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
Rationale: CAUTI prevention: sterile insertion, closed system, keep bag below bladder, no dependent loops, daily necessity review, perineal
hygiene.
[25] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action? - Variant Case 25 2026/2027
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[26] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge -
Variant Case 26 2026/2027
Chest pain client - ABCs unstable first
Stable post-op
Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[27] HESI Pharmacology: Digoxin toxicity antidote? - Variant Case 27 2026/2027
Digoxin immune Fab (Digibind)
Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[28] HESI Fundamentals: Which action prevents CAUTI? - Variant Case 28 2026/2027
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
ANSWERS & DETAILED RATIONALES | A+ GRADED | NGN FORMAT
Course: HESI RN Exit Exam 2026/2027 - All Versions | 350 Questions
About: Complete HESI RN Exit Exam 2026/2027 bundle covering all 4 versions. Includes Med-Surg, Pharmacology, Fundamentals,
Maternal, Peds, Mental Health with NGN clinical judgment.
Original content created for 2026/2027 academic year based on HESI, ATI, NCSBN NGN standards, Lewis, Saunders. Not copied from official exams.
[1] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action?
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[2] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge
Chest pain client - ABCs unstable first
Stable post-op
Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[3] HESI Pharmacology: Digoxin toxicity antidote?
Digoxin immune Fab (Digibind)
Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[4] HESI Fundamentals: Which action prevents CAUTI?
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
Rationale: CAUTI prevention: sterile insertion, closed system, keep bag below bladder, no dependent loops, daily necessity review, perineal
hygiene.
[5] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action? - Variant Case 5 2026/2027
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[6] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge -
Variant Case 6 2026/2027
Chest pain client - ABCs unstable first
Stable post-op
Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[7] HESI Pharmacology: Digoxin toxicity antidote? - Variant Case 7 2026/2027
Digoxin immune Fab (Digibind)
, Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[8] HESI Fundamentals: Which action prevents CAUTI? - Variant Case 8 2026/2027
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
Rationale: CAUTI prevention: sterile insertion, closed system, keep bag below bladder, no dependent loops, daily necessity review, perineal
hygiene.
[9] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action? - Variant Case 9 2026/2027
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[10] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge -
Variant Case 10 2026/2027
Chest pain client - ABCs unstable first
Stable post-op
Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[11] HESI Pharmacology: Digoxin toxicity antidote? - Variant Case 11 2026/2027
Digoxin immune Fab (Digibind)
Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[12] HESI Fundamentals: Which action prevents CAUTI? - Variant Case 12 2026/2027
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
Rationale: CAUTI prevention: sterile insertion, closed system, keep bag below bladder, no dependent loops, daily necessity review, perineal
hygiene.
[13] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action? - Variant Case 13 2026/2027
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[14] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge -
Variant Case 14 2026/2027
Chest pain client - ABCs unstable first
Stable post-op
, Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[15] HESI Pharmacology: Digoxin toxicity antidote? - Variant Case 15 2026/2027
Digoxin immune Fab (Digibind)
Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[16] HESI Fundamentals: Which action prevents CAUTI? - Variant Case 16 2026/2027
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
Rationale: CAUTI prevention: sterile insertion, closed system, keep bag below bladder, no dependent loops, daily necessity review, perineal
hygiene.
[17] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action? - Variant Case 17 2026/2027
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[18] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge -
Variant Case 18 2026/2027
Chest pain client - ABCs unstable first
Stable post-op
Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[19] HESI Pharmacology: Digoxin toxicity antidote? - Variant Case 19 2026/2027
Digoxin immune Fab (Digibind)
Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[20] HESI Fundamentals: Which action prevents CAUTI? - Variant Case 20 2026/2027
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
Rationale: CAUTI prevention: sterile insertion, closed system, keep bag below bladder, no dependent loops, daily necessity review, perineal
hygiene.
[21] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action? - Variant Case 21 2026/2027
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
, Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[22] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge -
Variant Case 22 2026/2027
Chest pain client - ABCs unstable first
Stable post-op
Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[23] HESI Pharmacology: Digoxin toxicity antidote? - Variant Case 23 2026/2027
Digoxin immune Fab (Digibind)
Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[24] HESI Fundamentals: Which action prevents CAUTI? - Variant Case 24 2026/2027
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
Rationale: CAUTI prevention: sterile insertion, closed system, keep bag below bladder, no dependent loops, daily necessity review, perineal
hygiene.
[25] A client with HF has gained 2 kg in 2 days, crackles, JVD. Priority nursing action? - Variant Case 25 2026/2027
Assess lung sounds, daily weights, restrict fluids, notify provider, prepare diuretics
Encourage fluids
Give high sodium diet
Ambulate
Answer: A
Rationale: Fluid overload signs in HF: weight gain, crackles, JVD, edema. Interventions: daily weights same time, I&O;, low Na diet,
diuretics, monitor K+.
[26] NGN Bow-tie: HESI prioritization - 4 clients, which to see first? Chest pain, stable post-op, constipation, awaiting discharge -
Variant Case 26 2026/2027
Chest pain client - ABCs unstable first
Stable post-op
Constipation
Discharge
Answer: A
Rationale: HESI/NGN prioritization: ABCs, unstable before stable, acute before chronic, new changes first. Chest pain is life-threatening.
[27] HESI Pharmacology: Digoxin toxicity antidote? - Variant Case 27 2026/2027
Digoxin immune Fab (Digibind)
Naloxone
Vitamin K
Protamine
Answer: A
Rationale: Digoxin toxicity: hold drug, check K+, Mg2+, dig level, ECG bradycardia. Antidote Digoxin immune Fab. Monitor for hyperkalemia.
[28] HESI Fundamentals: Which action prevents CAUTI? - Variant Case 28 2026/2027
Maintain closed drainage system, sterile technique, perineal hygiene, remove catheter ASAP
Open system
Dependent loop
No hygiene
Answer: A
