Hesi Exit Rn Exam Complete Bundle V1–V7 (Ngn) | Verified Questions & Answers | Newest Updated Version | Guaranteed Pass Study Guide

HESI EXIT RN EXAM COMPLETE BUNDLE V1–
V7 (NGN) | VERIFIED QUESTIONS & ANSWERS |
NEWEST UPDATED VERSION | GUARANTEED
PASS STUDY GUIDE

HESI EXIT RN EXAM — (V1–V7 NGN)

Verified Questions & Answers | CORRECT ANSWER Highlighted |
RATIONALE Included



📘 SECTION 1: FUNDAMENTALS OF NURSING



Q1. A nurse is preparing to perform hand hygiene before a procedure. Which
situation requires the use of soap and water rather than an alcohol-based hand
rub?
A. Before inserting a peripheral IV catheter

B. After removing sterile gloves

C. Before performing a physical assessment

D. After caring for a patient with Clostridioides difficile infection

E. After touching a patient's intact skin

CORRECT ANSWER: D RATIONALE: Alcohol-based hand rubs are NOT
effective against C. difficile spores. Soap and water must be used because the
mechanical action of washing physically removes the spores from the hands.



Q2. The nurse is assessing a patient's skin turgor. Which finding indicates
dehydration?

A. Skin returns to normal position within 1 second

B. Skin feels warm and moist to touch

C. Skin appears flushed and edematous
D. Skin feels smooth and elastic

, E. Skin remains tented for more than 2 seconds after pinching

CORRECT ANSWER: E RATIONALE: Poor skin turgor (tenting) lasting more
than 2 seconds is a classic sign of dehydration. The skin loses its elasticity when the
interstitial fluid is depleted.



Q3. A nurse delegates the task of measuring vital signs to an unlicensed assistive
personnel (UAP). Which instruction is most important to give?

A. Record all vital signs at the end of the shift

B. Measure vital signs only if the patient requests it

C. Report any abnormal findings to the nurse immediately

D. Interpret the findings and document them in the chart
E. Administer PRN medications based on the findings

CORRECT ANSWER: C RATIONALE: UAPs can measure and report vital
signs but cannot interpret or act on findings. The nurse must be informed of
abnormalities immediately to ensure timely clinical decision-making.



Q4. A patient is on contact precautions. Which personal protective equipment
(PPE) must the nurse wear before entering the room?

A. N95 respirator and eye protection

B. Gloves and gown

C. Surgical mask and gloves

D. Face shield and N95 respirator

E. Gloves only

CORRECT ANSWER: B RATIONALE: Contact precautions require gloves and
a gown to prevent transmission of organisms through direct or indirect contact. An N95
is required for airborne precautions, not contact.



Q5. A nurse is caring for a postoperative patient. Which finding requires the most
immediate intervention?

, A. Blood pressure of 118/76 mmHg

B. Oral temperature of 37.4°C

C. Pain rated 4/10 at the surgical site

D. Urine output of 40 mL/hr

E. Respiratory rate of 6 breaths per minute

CORRECT ANSWER: E RATIONALE: A respiratory rate of 6 breaths per
minute indicates respiratory depression, which is life-threatening and requires
immediate intervention. Normal adult respiratory rate is 12–20 breaths per minute.


Q6. The nurse is preparing to administer a medication through a nasogastric (NG)
tube. Which action should the nurse take first?

A. Flush the tube with 30 mL of water after administration
B. Crush all medications and mix them together

C. Verify placement of the NG tube

D. Position the patient supine during administration

E. Dilute all medications with normal saline

CORRECT ANSWER: C RATIONALE: Before administering anything through
an NG tube, placement must be verified to prevent aspiration. Auscultation alone is no
longer considered reliable; aspiration of gastric contents and pH testing or X-ray
confirmation is preferred.



Q7. A nurse is documenting care. Which entry best reflects proper charting
technique?

A. "Patient seems confused and agitated today."

B. "Patient had a bad night and did not rest well."

C. "Patient oriented to person only, restless, attempts to remove IV line at
0200."

D. "Patient appears to be in pain most of the morning."
E. "Family states patient did not sleep."

, CORRECT ANSWER: C RATIONALE: Proper nursing documentation must be
objective, specific, and factual. Option C uses measurable and observable data. Vague
terms like "confused," "bad night," or "appears" are not precise enough for legal and
clinical documentation.


Q8. A patient is at risk for falls. Which nursing intervention is the priority?

A. Apply soft wrist restraints immediately

B. Keep the bed in the lowest position with the call light within reach

C. Administer a sedative medication to keep the patient calm

D. Perform hourly rounding and keep the environment free of hazards

E. Place a "fall risk" sign on the door and leave the patient alone

CORRECT ANSWER: D RATIONALE: Hourly rounding reduces falls by
ensuring the patient's needs are met proactively. Environmental hazard removal is
essential. Restraints are a last resort and sedation increases fall risk.



Q9. When performing a sterile dressing change, the nurse accidentally touches
the sterile field with an ungloved hand. What should the nurse do?

A. Proceed with the dressing change but add more sterile supplies

B. Pour antiseptic over the contaminated area and continue

C. Stop the procedure and set up a new sterile field

D. Inform the patient and document the incident

E. Apply gloves over the ungloved hand and continue

CORRECT ANSWER: C RATIONALE: Once the sterile field is contaminated,
it is no longer sterile. The entire setup must be discarded and a new sterile field
established to prevent infection.


Q10. A nurse is caring for a patient who is immobile. Which intervention prevents
pressure injuries most effectively?
A. Applying barrier cream to all bony prominences every shift