HESI RN Exit Exam Review
Comprehensive Practice Examination
75 Multiple-Choice Questions Across 8 Client Needs Domains
Aligned with NCSBN NCLEX-RN Test Plan 2023-2026
and HESI Evolve Review Content Areas
Prepared for RN Nursing Students
Academic Review Year 2026
, Abstract
This document presents a comprehensive 75-question multiple-choice review examination
designed to prepare nursing students for the HESI RN Exit Examination. The questions are
distributed across eight client needs domains as defined by the NCSBN NCLEX-RN Test Plan
2023-2026: Management of Care (11 questions), Safety and Infection Control (10 questions),
Health Promotion and Maintenance (8 questions), Psychosocial Integrity (8 questions), Basic
Care and Comfort (9 questions), Pharmacological Therapies (10 questions), Reduction of Risk
Potential (10 questions), and Physiological Adaptation (9 questions). Each question includes a
detailed rationale with citations from authoritative nursing and medical sources to facilitate
evidence-based learning and clinical reasoning development.
Keywords
HESI RN Exit Exam, NCLEX-RN preparation, nursing review, client needs domains, clinical reasoning,
prioritization, delegation, patient safety, pharmacological therapies, physiological adaptation, evidence-
based practice
, Table of Contents
1. Domain Distribution Summary
2. Questions by Domain
2.1 Management of Care (Q1-Q11)
2.2 Safety and Infection Control (Q12-Q21)
2.3 Health Promotion and Maintenance (Q22-Q29)
2.4 Psychosocial Integrity (Q30-Q37)
2.5 Basic Care and Comfort (Q38-Q46)
2.6 Pharmacological Therapies (Q47-Q56)
2.7 Reduction of Risk Potential (Q57-Q66)
2.8 Physiological Adaptation (Q67-Q75)
3. Answer Key Quick Reference
4. References
5. Ethical Disclaimer
, 1. Domain Distribution Summary
# Domain Questions Weight
1 Management of Care 11 14.7%
2 Safety and Infection 10 13.3%
Control
3 Health Promotion and 8 10.7%
Maintenance
4 Psychosocial Integrity 8 10.7%
5 Basic Care and Comfort 9 12.0%
6 Pharmacological 10 13.3%
Therapies
7 Reduction of Risk 10 13.3%
Potential
8 Physiological Adaptation 9 12.0%
TOTAL 75 100%
Comprehensive Practice Examination
75 Multiple-Choice Questions Across 8 Client Needs Domains
Aligned with NCSBN NCLEX-RN Test Plan 2023-2026
and HESI Evolve Review Content Areas
Prepared for RN Nursing Students
Academic Review Year 2026
, Abstract
This document presents a comprehensive 75-question multiple-choice review examination
designed to prepare nursing students for the HESI RN Exit Examination. The questions are
distributed across eight client needs domains as defined by the NCSBN NCLEX-RN Test Plan
2023-2026: Management of Care (11 questions), Safety and Infection Control (10 questions),
Health Promotion and Maintenance (8 questions), Psychosocial Integrity (8 questions), Basic
Care and Comfort (9 questions), Pharmacological Therapies (10 questions), Reduction of Risk
Potential (10 questions), and Physiological Adaptation (9 questions). Each question includes a
detailed rationale with citations from authoritative nursing and medical sources to facilitate
evidence-based learning and clinical reasoning development.
Keywords
HESI RN Exit Exam, NCLEX-RN preparation, nursing review, client needs domains, clinical reasoning,
prioritization, delegation, patient safety, pharmacological therapies, physiological adaptation, evidence-
based practice
, Table of Contents
1. Domain Distribution Summary
2. Questions by Domain
2.1 Management of Care (Q1-Q11)
2.2 Safety and Infection Control (Q12-Q21)
2.3 Health Promotion and Maintenance (Q22-Q29)
2.4 Psychosocial Integrity (Q30-Q37)
2.5 Basic Care and Comfort (Q38-Q46)
2.6 Pharmacological Therapies (Q47-Q56)
2.7 Reduction of Risk Potential (Q57-Q66)
2.8 Physiological Adaptation (Q67-Q75)
3. Answer Key Quick Reference
4. References
5. Ethical Disclaimer
, 1. Domain Distribution Summary
# Domain Questions Weight
1 Management of Care 11 14.7%
2 Safety and Infection 10 13.3%
Control
3 Health Promotion and 8 10.7%
Maintenance
4 Psychosocial Integrity 8 10.7%
5 Basic Care and Comfort 9 12.0%
6 Pharmacological 10 13.3%
Therapies
7 Reduction of Risk 10 13.3%
Potential
8 Physiological Adaptation 9 12.0%
TOTAL 75 100%
