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HESI RN Exit Exam Complete Test Bank Questions and Answers with Solution 2025/ 2026

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Comprehensive HESI RN Exit Exam Test Bank with solution, featuring updated multiple-choice questions, detailed rationales, and verified answers. Covers all major nursing topics including medical-surgical, pediatric, psychiatric, maternal-newborn, pharmacology, and patient care management. This 2025/ 2026 edition helps nursing students review effectively, strengthen clinical reasoning, and achieve higher exam scores with confidence.

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January 26, 2026
Number of pages
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Written in
2025/2026
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HESI RN Exit 2025, HESI nursing exam, RN exit exam
questions, NCLEX prep, clinical judgment test, HESI
answers 2025, nursing exit exam




The nurse is assigning rooms for four clients, each newly
diagnosed, and being admitted to the acute neuro unit for
treatment. The client with which condition should be assigned
the only private room available?
A. Bacterial meningitis
B. Viral encephalitis
C. Septic shock
D. Brain abscess - ANSWER-A. Bacterial meningitis


A male client on the psychiatric unit is making sexual advances
towards a female nurse. Which action should this nurse
implement first?
A. Document as specifically as possible the client's behavior in
the nurse's notes
B. Discuss with the client why he is making sexual advances
toward the nurse




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C. Tell the client in a matter-of-fact manner to stop the sexual
advances
D. Request an immediate team meeting to discuss the
inappropriate behavior - ANSWER-C. Tell the client in a matter-
of-fact manner to stop the sexual advances


After several months of chronic fatigue, morning stiffness, and
joint pain, a young adult is diagnosed with rheumatoid arthritis,
and the healthcare provider prescribes prednisone. Which
education should the nurse provide the client with regard to
taking prednisone?
A. Take prednisone doses before meals on an empty stomach
B. Wear sunglasses when exposed to bring sunlight
C. If sequential doses are missed, notify the healthcare provider
D. Schedule a monthly laboratory visit for a complete blood
count - ANSWER-C. If sequential doses are missed, notify the
healthcare provider


The nurse is caring for four clients. Client A, who has
emphysema and whose oxygen saturation is 94%; Client B, with
a postoperative hemoglobin of 8.2 mg/dL; Client C, newly
admitted with a potassium level of 3.8 mEq/L; and Client D,
scheduled for an appendectomy who has a white blood cell




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count of 14,000 mm3. Which intervention should the nurse
implement?
A. Move Client D into an isolation room 24 hours before
surgery
B. Increase Client A's oxygen to 4 liters a minute per cannula
C. Ask the dietician to add a banana to Client C's breakfast tray
D. Verify that Client B has two units of packed cells available -
ANSWER-D. Verify that Client B has two units of packed cells
available


Which laboratory results should the nurse closely monitor in a
client who has end-stage renal disease (ESRD)?
A. Leukocytes, neutrophils, and thyroxine
B. Serum potassium, calcium, and phosphorus
C. Blood pressure, heart rate, and temperatue
D. Erythrocytes, hemoglobin, and hematocrit - ANSWER-B.
Serum potassium, calcium, and phosphorus


The psychiatric nurse is caring for clients on an adolescent unit.
Which client requires the nurse's immediate action?
A. A 16-year-old client diagnosed with major depression who
refuses to participate in group




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B. A 14-year-old with anorexia nervosa who is refusing to eat
the evening snack
C. An 18-year-old client with antisocial behavior who is being
yelled at by other clients
D. A 17-year-old client diagnosed with bipolar disorder who is
pacing around the lobby - ANSWER-C. An 18-year-old client
with antisocial behavior who is being yelled at by other clients


An older male was recently admitted to the rehabilitation unit
with unilateral neglect syndrome as the result of a
cerebrovascular accident (CVA). Which action should the nurse
include in the plan of care?
A. Use hand and arm gestures to improve communication and
comprehension
B. Provide additional light in the room to promote sensory
stimulation
C. Place a clock and calendar in the room to improve orientation
D. Teach the client to turn his head from side to side for visual
scanning - ANSWER-D. Teach the client to turn his head from
side to side for visual scanning




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