HESI RN Exit Exam Comprehensive Practice Actual
Exam 2026/2027 | NGN Test Bank | Questions with
Verified Answers | 100% Correct | Pass Guaranteed
SECTION 1: Fundamentals & Safety (15 Questions)
Q1: A nurse is caring for four patients. Which patient should the nurse assess FIRST?
A. A post-op patient with pain rated 7/10
B. A diabetic patient with blood glucose of 210 mg/dL
C. A patient 2 hours post-thyroidectomy complaining of "tightness" in the neck
D. An elderly patient requesting assistance to the bathroom
Correct Answer: C
Rationale: Clinical Judgment Step – Prioritize Hypotheses: Apply ABCs. Neck tightness
after thyroidectomy suggests expanding hematoma risking airway compromise – a
life-threatening emergency. Airway threat (C) precedes pain (A), hyperglycemia (B), and
elimination needs (D).
Q2 (Delegation): Which task can the RN delegate to an experienced UAP?
A. Assist a stable post-op patient with ambulation
B. Assess a new admission’s pain
C. Teach insulin administration
,D. Change a central-line dressing
Correct Answer: A
Rationale: Delegation Principle – Scope of Practice: UAPs may perform routine,
non-invasive tasks for stable patients (ambulation). Pain assessment (B), teaching (C),
and sterile central-line care (D) require nursing judgment and sterile technique – RN
responsibility.
Q3: A nurse notes a broken restraint buckle on an agitated patient. What is the priority
action?
A. Apply a new restraint with intact buckle
B. Remove restraint immediately and reassess patient
C. Document the broken buckle
D. Notify maintenance
Correct Answer: B
Rationale: Safety – Risk Reduction: Broken buckle = device failure → immediate removal
prevents injury. Follow with reassessment (less restrictive alternatives), then apply
intact restraint if indicated and ordered.
Q4: During hand-off, the nurse learns a patient has Bacillus cereus in a wound culture.
Which precaution is required?
A. Standard only
B. Contact precautions
,C. Droplet precautions
D. Airborne precautions
Correct Answer: B
Rationale: Infection Control: B. cereus from wounds indicates healthcare-associated
infection – place on Contact Precautions (gown/gloves) to prevent environmental
spread.
Q5: A nurse is preparing insulin. Which action demonstrates safe medication practice?
A. Double-check dosage with another RN
B. Use the same vial for multiple patients
C. Shake the NPH vial vigorously
D. Inject air into the regular insulin first
Correct Answer: A
Rationale: High-Alert Medication Safety: Insulin requires independent double-check (A)
to prevent errors. Never share vials (B), roll NPH gently (C), and inject air into NPH first
when mixing to avoid contamination (D incorrect sequence).
Q6: A patient’s restraint order expires in 30 minutes. The RN is busy with a code. What
should the charge nurse do?
A. Continue restraint until RN free
B. Assess patient and obtain renewal order now
, C. Remove restraint immediately
D. Ask UAP to monitor
Correct Answer: B
Rationale: Legal Requirement: Restraints must be renewed before expiration. Charge
nurse (RN) can assess and obtain order to avoid unlawful restraint. Removal (C) risks
safety if still indicated.
Q7: Which ethical principle supports a nurse refusing to participate in assisted suicide
where legal?
A. Beneficence
B. Autonomy (professional conscience)
C. Justice
D. Fidelity
Correct Answer: B
Rationale: Ethics: Professional autonomy allows nurses to refuse acts violating
personal moral values while ensuring patient access to alternative providers.
Q8: A nurse hears a loud crash and finds an elderly patient on the floor next to a wet
sign. Priority action?
A. Scold the UAP for not cleaning
B. Assess patient for injury
Exam 2026/2027 | NGN Test Bank | Questions with
Verified Answers | 100% Correct | Pass Guaranteed
SECTION 1: Fundamentals & Safety (15 Questions)
Q1: A nurse is caring for four patients. Which patient should the nurse assess FIRST?
A. A post-op patient with pain rated 7/10
B. A diabetic patient with blood glucose of 210 mg/dL
C. A patient 2 hours post-thyroidectomy complaining of "tightness" in the neck
D. An elderly patient requesting assistance to the bathroom
Correct Answer: C
Rationale: Clinical Judgment Step – Prioritize Hypotheses: Apply ABCs. Neck tightness
after thyroidectomy suggests expanding hematoma risking airway compromise – a
life-threatening emergency. Airway threat (C) precedes pain (A), hyperglycemia (B), and
elimination needs (D).
Q2 (Delegation): Which task can the RN delegate to an experienced UAP?
A. Assist a stable post-op patient with ambulation
B. Assess a new admission’s pain
C. Teach insulin administration
,D. Change a central-line dressing
Correct Answer: A
Rationale: Delegation Principle – Scope of Practice: UAPs may perform routine,
non-invasive tasks for stable patients (ambulation). Pain assessment (B), teaching (C),
and sterile central-line care (D) require nursing judgment and sterile technique – RN
responsibility.
Q3: A nurse notes a broken restraint buckle on an agitated patient. What is the priority
action?
A. Apply a new restraint with intact buckle
B. Remove restraint immediately and reassess patient
C. Document the broken buckle
D. Notify maintenance
Correct Answer: B
Rationale: Safety – Risk Reduction: Broken buckle = device failure → immediate removal
prevents injury. Follow with reassessment (less restrictive alternatives), then apply
intact restraint if indicated and ordered.
Q4: During hand-off, the nurse learns a patient has Bacillus cereus in a wound culture.
Which precaution is required?
A. Standard only
B. Contact precautions
,C. Droplet precautions
D. Airborne precautions
Correct Answer: B
Rationale: Infection Control: B. cereus from wounds indicates healthcare-associated
infection – place on Contact Precautions (gown/gloves) to prevent environmental
spread.
Q5: A nurse is preparing insulin. Which action demonstrates safe medication practice?
A. Double-check dosage with another RN
B. Use the same vial for multiple patients
C. Shake the NPH vial vigorously
D. Inject air into the regular insulin first
Correct Answer: A
Rationale: High-Alert Medication Safety: Insulin requires independent double-check (A)
to prevent errors. Never share vials (B), roll NPH gently (C), and inject air into NPH first
when mixing to avoid contamination (D incorrect sequence).
Q6: A patient’s restraint order expires in 30 minutes. The RN is busy with a code. What
should the charge nurse do?
A. Continue restraint until RN free
B. Assess patient and obtain renewal order now
, C. Remove restraint immediately
D. Ask UAP to monitor
Correct Answer: B
Rationale: Legal Requirement: Restraints must be renewed before expiration. Charge
nurse (RN) can assess and obtain order to avoid unlawful restraint. Removal (C) risks
safety if still indicated.
Q7: Which ethical principle supports a nurse refusing to participate in assisted suicide
where legal?
A. Beneficence
B. Autonomy (professional conscience)
C. Justice
D. Fidelity
Correct Answer: B
Rationale: Ethics: Professional autonomy allows nurses to refuse acts violating
personal moral values while ensuring patient access to alternative providers.
Q8: A nurse hears a loud crash and finds an elderly patient on the floor next to a wet
sign. Priority action?
A. Scold the UAP for not cleaning
B. Assess patient for injury
