Rn Hesi Exit Versions V3 Practice Test 2026 Solved Questions Premium Review

RN HESI EXIT VERSIONS V3 PRACTICE TEST
2026 SOLVED QUESTIONS PREMIUM REVIEW

◉ The nurse is preparing to administer a new medication through
an existing IV line containing a vasopressor. What action must the
nurse take first?
A.
Flush the line with normal saline at the same rate as the vasopressor.
B.
Administer the medication at the prescribed IV rate.
C.
Start a second IV line to administer the new medication.
D.
Call the health care provider to change the order for the new
medication to po. Answer: A
Rationale: The medication in the IV line between the post and the
patient contains the vasopressor medication. The nurse must
continue to administer the vasopressor medication at the prescribed
rate by injecting normal saline at that rate. Once the line is clear of
the vasopressor medication, then the nurse can inject the new
medication at the prescribed rate. There is no need to start a second
IV or change the route of administration.

,◉ The nurse is working at a community-based clinic. Which client's
spiritual well-being concerns the nurse the most?
A.
Roman Catholic woman considering an abortion
B.
Jewish man considering hospice care for his wife
C.
Seventh-Day Adventist who needs a blood transfusion
D.
Muslim man who needs a total knee replacement Answer: A
Rationale: In the Roman Catholic religion, any type of abortion is
prohibited, so facing this decision may place the client at risk for
spiritual distress. There is no prohibition of hospice care for
members of the Jewish faith. Jehovah's Witnesses, not Seventh-Day
Adventists, prohibit blood transfusions. There is no conflict in the
Muslim faith with regard to joint replacement.


◉ The mental health nurse plans to discuss a client's depression
with the health care provider in the emergency department. There
are two clients sitting across from the emergency department desk.
Which nursing action is best?
A.
Only refer to the client by gender.
B.

,Identify the client only by age.
C.
Avoid using the client's name.
D.
Discuss the client another time. Answer: D
Rationale: The best nursing action is to discuss the client another
time. Confidentiality must be observed at all times, so the nurse
should not discuss the client when the conversation can be
overheard by others. Details of the client can be identified when
referring to the client by gender or age, even when not using the
client's name.


◉ The nurse is teaching a client how to perform progressive muscle
relaxation techniques to relieve insomnia. A week later the client
reports, "I am still unable to sleep, despite following the same
routine every night." Which action should the nurse take next?
A.
Instruct the client to add regular exercise as a daily routine.
B.
Determine if the client has been keeping a sleep diary.
C.
Encourage the client to continue the routine until sleep is achieved.
D.

, Ask the client to describe the routine he is currently following.
Answer: D
Rationale: The nurse should first evaluate whether the client has
been adhering to the original instructions. A verbal report of the
client's routine will provide more specific information than the
client's written diary. The nurse can then determine which changes
need to be made. The routine practiced by the client is clearly
unsuccessful, so encouragement alone is insufficient.


◉ A client is laughing at a television program when the evening
nurse enters the room. The client states, "My foot is hurting. I would
like a pain pill." How should the nurse respond?
A.
Ask the client to rate the pain using a 1 to 10 scale.
B.
Encourage the client to wait until bedtime for the pill.
C.
Attend to an acutely ill client's needs first because this client is
laughing.
D.
Instruct the client in the use of deep breathing exercises for pain
control. Answer: A
Rationale: Obtaining a subjective estimate of the pain experience by
asking the client to rate his pain helps the nurse determine which
pain medication should be administered and also provides a