HESI Comprehensive Exit Exam – Practice Questions with Answers and
Rationales Exam (Latest 2026), (A+ Guarantee) LATEST UPDATE
1. A patient is admitted with dehydration. Which nursing action takes priority?
A) Assess skin turgor
B) Measure intake and output
✔ C) Administer IV fluids as ordered
D) Encourage oral fluids
Rationale: Administering IV fluids addresses the immediate physiological deficit. Assessment
alone does not correct dehydration.
2. The nurse observes a new graduate performing hand hygiene incorrectly. Which is the
best approach?
A) Ignore it; they will learn eventually
✔ B) Immediately correct them and explain proper technique
C) Document without intervening
D) Ask another nurse to intervene
Rationale: Patient safety is a priority; immediate correction prevents infection and provides a
teaching moment.
1
3. Which patient should the nurse assess first?
Page
A) A patient with stable angina complaining of mild chest discomfort
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, B) A patient with COPD who is slightly dyspneic
✔ C) A post-op patient 1 day out with saturated dressing
D) A patient requesting pain medication for chronic back pain
Rationale: Prioritization follows ABCs (Airway, Breathing, Circulation). Saturated post-op
dressing may indicate hemorrhage.
4. Which of the following demonstrates correct implementation of the nursing process?
A) Administering medication without assessment
✔ B) Completing an assessment, then planning interventions based on data
C) Writing a care plan without evaluating patient outcomes
D) Documenting only abnormal findings
Rationale: The nursing process requires assessment first, then planning, implementation, and
evaluation.
5. A nurse is evaluating the effectiveness of patient teaching about insulin administration.
Which outcome indicates success?
A) Patient lists possible side effects of insulin
✔ B) Patient demonstrates proper injection technique
C) Patient verbalizes fear of injections
D) Patient can recall insulin names
Rationale: Learning is demonstrated through observable behavior; performing the injection
correctly shows mastery.
6. A patient refuses medication. What is the nurse’s best initial action?
A) Force the patient to take it
B) Document refusal only
✔ C) Explain risks and document refusal
D) Call the physician immediately
Rationale: Patient autonomy must be respected, but the nurse must educate and document
refusal.
7. Which action demonstrates the nurse’s role as a patient advocate?
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Page
A) Administering medication on schedule
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Rationales Exam (Latest 2026), (A+ Guarantee) LATEST UPDATE
1. A patient is admitted with dehydration. Which nursing action takes priority?
A) Assess skin turgor
B) Measure intake and output
✔ C) Administer IV fluids as ordered
D) Encourage oral fluids
Rationale: Administering IV fluids addresses the immediate physiological deficit. Assessment
alone does not correct dehydration.
2. The nurse observes a new graduate performing hand hygiene incorrectly. Which is the
best approach?
A) Ignore it; they will learn eventually
✔ B) Immediately correct them and explain proper technique
C) Document without intervening
D) Ask another nurse to intervene
Rationale: Patient safety is a priority; immediate correction prevents infection and provides a
teaching moment.
1
3. Which patient should the nurse assess first?
Page
A) A patient with stable angina complaining of mild chest discomfort
EXAMPREPMASTER
, B) A patient with COPD who is slightly dyspneic
✔ C) A post-op patient 1 day out with saturated dressing
D) A patient requesting pain medication for chronic back pain
Rationale: Prioritization follows ABCs (Airway, Breathing, Circulation). Saturated post-op
dressing may indicate hemorrhage.
4. Which of the following demonstrates correct implementation of the nursing process?
A) Administering medication without assessment
✔ B) Completing an assessment, then planning interventions based on data
C) Writing a care plan without evaluating patient outcomes
D) Documenting only abnormal findings
Rationale: The nursing process requires assessment first, then planning, implementation, and
evaluation.
5. A nurse is evaluating the effectiveness of patient teaching about insulin administration.
Which outcome indicates success?
A) Patient lists possible side effects of insulin
✔ B) Patient demonstrates proper injection technique
C) Patient verbalizes fear of injections
D) Patient can recall insulin names
Rationale: Learning is demonstrated through observable behavior; performing the injection
correctly shows mastery.
6. A patient refuses medication. What is the nurse’s best initial action?
A) Force the patient to take it
B) Document refusal only
✔ C) Explain risks and document refusal
D) Call the physician immediately
Rationale: Patient autonomy must be respected, but the nurse must educate and document
refusal.
7. Which action demonstrates the nurse’s role as a patient advocate?
2
Page
A) Administering medication on schedule
EXAMPREPMASTER
