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Exam (elaborations)

HESI RN Exit Exam V1–V7 – Practice Questions & Verified Answers | 2026 | Graded A+

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This document provides practice questions with verified answers covering HESI RN Exit Exam Versions 1–7, updated for 2026. It is designed to help nursing students reinforce essential concepts, assess exam readiness across multiple versions, and prepare confidently for the RN exit assessment. The material is clearly organized to support efficient study and comprehensive exam preparation.

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HESI RN Exit Exam V1–V7 – Practice Questions &
Verified Answers | 2026 | Graded A+
1. What is the primary treatment recommended for eliminating lice?

Hair cutting

Use of essential oils

Daily shampooing

Application of pediculicides

2. What is a common behavioral indicator of a manic episode in clients?

Depression

Anxiety

Grandiosity

Withdrawal

3. Describe the expected behavior of a 6-month-old child diagnosed with nonorganic
failure-to-thrive (NOFTT) during a nursing assessment.

The child is likely to be uninterested in surroundings and exhibit signs of
malnutrition.

The child will show signs of being well-fed and healthy.

The child will be sleeping soundly and appear content.

The child will be actively engaging with toys and smiling.

4. In a scenario where a patient with an endotracheal tube shows a pulse oximetry
reading of 88, what should the nurse's first action be?

, Adjust the endotracheal tube position without further assessment.

Administer supplemental oxygen and reassess the patient.

Document the finding and continue monitoring.

Call the physician without taking any immediate action.

5. In the context of nursing practice, why is it important to recognize and address
prejudiced attitudes among healthcare providers?

Prejudiced attitudes can enhance team dynamics in healthcare settings.

Prejudice is only relevant in social settings, not in healthcare.

Healthcare providers should ignore personal biases to focus on clinical skills.

Recognizing and addressing prejudiced attitudes is crucial to ensure equitable
and respectful care for all patients.

6. What is a common physical characteristic of a child with nonorganic failureto-thrive
(NOFTT)?

Bright, rosy cheeks

Pale, thin arms and legs

Well-nourished body

Active and playful demeanor

7. In a scenario where multiple patients require immediate care after an accident,
which task would be appropriate for a UAP to perform under the supervision of a
nurse?

Make decisions about patient discharge.

Assist with basic first aid measures.

Administer intravenous medications.

, Conduct a full medical assessment.


8. The hospital staff is participating in a disaster drill, and the nurse is assigned to
organize personnel who are called in from home. Which task would be appropriate
to delegate to an unlicensed assistive personnel (UAP) who usually works in the
labor and delivery area?

Care for and support the 'green tag' patients.

Obtain vital signs of the 'yellow tag' patients.

Talk to the families of the 'red tag' patients.

Stay with 'black tag' patients in the holding area.

9. The nurse has inserted a nasogastric tube in a client per orders. Which action will
the nurse accomplish next?

Observe for immediate drainage from the tube

Test the pH of aspirated content.

Ask about stomach distention and fullness.

Obtain an abdominal ultrasound.

10. Why is weekly weight considered the most accurate indicator of fluid balance in
patients with altered renal function?

Daily urine output provides a more immediate assessment of fluid balance.

Heart rate changes are the primary concern in fluid management.

Blood pressure readings are more relevant to renal function than weight.

Weekly weight reflects changes in fluid retention or loss, which is critical for
managing renal function.

, 11. If a nurse finds that the pH of the aspirate is consistently high (above 6), what should
be the nurse's next step in managing the patient's nasogastric feeding?

Change the type of feeding formula

Document the findings and continue feeding

Increase the feeding rate to compensate

Reassess the tube placement and consult with the healthcare provider

12. If a client with Zollinger-Ellison syndrome reports abdominal pain and discomfort,
what should the nurse's immediate action be?

Schedule a follow-up appointment in a week.

Advise the client to take over-the-counter antacids.

Assess the client for signs of peptic ulcers and notify the healthcare provider.

Ignore the symptoms as they are common in this syndrome.

13. Why is it important for the nurse to lower the oxygen rate in a patient with COPD
who has a low respiratory rate?

Lowering the oxygen rate will help the patient feel more comfortable.

Lowering the oxygen rate increases the patient's respiratory drive.

Lowering the oxygen rate is not necessary in this situation.

Lowering the oxygen rate prevents oxygen toxicity and allows the patient to
breathe more effectively.

14. While admitting a patient with a religious preference, the nurse comments to
another nurse, 'This is going to be a pain. This kind of patient always has a

million family members in and out, and they're always so noisy and demanding.' This
illustrates:

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