HESI
HESI RN (Registered Nursing) and HESI PN (Practical Nursing)
HESI Exit Exam
HESI Exit NGN (Next Generation NCLEX) Exams
Course Title and Number: HESI RN and PN Exit Exams
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you
have completed the Exam.
6. This test has a time limit, The test will save and submit
automatically when the time expires
7. This is Exam which will assess your knowledge on the course
Learning Resources.
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RN & PN Exit Exam Review Questions and Answers | 100% Pass
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2025- 2026
HESI RN & PN (Registered and Practical Nursing) Exit Exam
HESI Exit Exam
HESI Exit NGN (Next Generation NCLEX) Exam
HESI - Health Education Systems, Inc.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
The nurse is preparing to administer dalteparin (Fragmin)
subcutaneously to an immobile client who has been receiving
the medication for 5 days. Which finding indicates that the
nurse should hold the prescribed dose?
A.Tachypnea
B.Guaiac-positive stool
C.Multiple small abdominal bruises
D.Dependent pitting edema - =Answer>> B
Fragmin is an anticoagulant used to prevent deep vein
thrombosis (DVT) in the at-risk client. If the client develops
overt signs of bleeding, such as guaiac-positive stool (B) while
receiving an anticoagulant, the medication should be held and
coagulation studies completed. (A) is not an indication to hold
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the medication unless accompanied by signs of bleeding. (C) is
an expected result. (D) is related to fluid volume, rather than
anticoagulant therapy.
The nurse administers levothyroxine (Synthroid) to a client with
hypothyroidism. Which data indicate(s) that the drug is
effective? (Select all that apply.)
A.Increase in T3 and T4
B.Decrease in heart rate
C.Increase in TSH
D.Decrease in urine output
E.Decrease in periorbital edema - =Answer>> ABE
Levothyroxine is a thyroid replacement drug that increases
thyroid hormone levels (T3 [triiodothyronine] and T4
[thyroxine]) and decreases periorbital edema, a symptom of
hypothyroidism (A and E). Decrease in heart rate and an
increased level of thyroid-stimulating hormone (TSH) are not
therapeutic results from taking levothyroxine (Synthroid) (B
and C). Levothyroxine does not affect urine output (D).
The charge nurse overhears a staff member asking for a
doughnut from a client's meal tray. Which action should the
charge nurse implement?
A.Advise the client that food from the meal tray should not be
shared with others.
B.Leave the room and discuss the incident privately with the
staff member.
C.Objectively document the situation as observed on a
variance report.
D.Call the nurse-manager to the client's room immediately. -
=Answer>> B
Discussing the incident privately (B) promotes open
communication between the charge nurse and staff member.
The client is free to share unwanted food (A) with family or
friends, but the employee should not ask for the client's food.
(C) is not necessary, and the charge nurse can respond to this
situation without implementing (D).
A nurse-manager of a long-term care facility learns that the
nursing administrator plans to remove the television from the
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residents' day room because night shift staff members are
sitting around watching television. How should the nurse-
manager respond to this situation?
A.Advocate for the rights of the staff to watch television once
their assignments are complete.
B.Confront the administrator about making a decision that will
negatively affect the residents.
C.Offer to develop an alternate solution so that the residents
can continue to watch television.
D.Remind the administrator that watching television helps the
night shift staff remain awake. - =Answer>> C
The role of the nurse-manager in the mediation process is to
assess the problem, analyze the information, and reframe it in
a manner that might provide compromise (C). The staff do not
have the right to watch television (A) while being paid to work.
(B) challenges the administrator and is likely to alienate the
administrator, causing anger and shutting off further
communication. (D) is not a sound rationale for the use of the
television.
When caring for a postpartum client, which intervention is best
for the nurse to implement to promote increased peripheral
vascular activity?
A.Encourage the client to turn from side to side every 2 hours.
B.Elevate the foot of the client's bed at least 6 inches.
C.Encourage the client to ambulate every 3 hours.
D.Teach the client how to perform leg exercises while in bed. -
=Answer>> C
Ambulation is the best way to increase peripheral vascular
activity (C). (A, B, and D) will increase peripheral vascular
activity but are not as effective as ambulation.
Six hours following thoracic surgery, a client has the following
arterial blood gas (ABG) findings: pH, 7.50; Paco2, 30 mm Hg;
HCO3, 25 mEq/L; Pao2, 96 mm Hg. Which intervention should
the nurse implement based on these results?
A.Increase the oxygen flow rate from 4 to 10 L/min per nasal
cannula.
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