,Test Bank For HESI RN Exit
Exam 2026/2027 Versions 1–7
& Past Papers For HESI RN
Exit Exams From 2018
Question 1
A nurse is caring for a client with heart failure who reports shortness
of breath when lying flat. Which intervention should the nurse
implement first?
A. Administer prescribed diuretic
B. Elevate the head of the bed
C. Restrict oral fluids
D. Notify the healthcare provider
Answer: B. Elevate the head of the bed
Rationale: Positioning the client upright improves lung expansion and
decreases venous return, providing immediate relief of dyspnea.
Question 2
A client with diabetes mellitus is scheduled for surgery and is NPO.
Which insulin order should the nurse question?
A. Sliding-scale regular insulin
B. Basal insulin glargine
C. NPH insulin at bedtime
D. Rapid-acting insulin before meals
Answer: D. Rapid-acting insulin before meals
,Rationale: Rapid-acting insulin is given with meals. Since the client is
NPO, administering it increases the risk of hypoglycemia.
Question 3
Which assessment finding requires immediate intervention in a
postoperative client?
A. Temperature 100.4°F (38°C)
B. Urine output 20 mL/hr
C. Pain rating 6/10
D. Slight incisional drainage
Answer: B. Urine output 20 mL/hr
Rationale: Urine output less than 30 mL/hr indicates possible renal
hypoperfusion or shock and requires immediate action.
Question 4
A nurse is teaching a client newly diagnosed with hypertension.
Which statement indicates understanding?
A. “I will stop medication once my BP improves.”
B. “I will check my BP only when I feel bad.”
C. “I will reduce salt intake in my diet.”
D. “I will avoid exercise.”
Answer: C. “I will reduce salt intake in my diet.”
Rationale: Sodium restriction helps control hypertension by reducing
fluid retention.
Question 5
, A client with COPD is receiving oxygen therapy. Which oxygen
delivery method is most appropriate?
A. Non-rebreather mask
B. Nasal cannula at 2 L/min
C. Simple face mask at 10 L/min
D. Venturi mask at 15 L/min
Answer: B. Nasal cannula at 2 L/min
Rationale: Clients with COPD require low-flow oxygen to prevent
suppression of respiratory drive.
Question 6
A nurse is caring for a client receiving heparin therapy. Which lab
value should be monitored?
A. INR
B. PT
C. aPTT
D. Platelet count only
Answer: C. aPTT
Rationale: Activated partial thromboplastin time monitors the
effectiveness of heparin therapy.
Question 7
A client reports chest pain unrelieved by nitroglycerin. What is the
nurse’s priority action?
A. Administer morphine
B. Notify the healthcare provider
C. Obtain vital signs
D. Prepare for ECG
Exam 2026/2027 Versions 1–7
& Past Papers For HESI RN
Exit Exams From 2018
Question 1
A nurse is caring for a client with heart failure who reports shortness
of breath when lying flat. Which intervention should the nurse
implement first?
A. Administer prescribed diuretic
B. Elevate the head of the bed
C. Restrict oral fluids
D. Notify the healthcare provider
Answer: B. Elevate the head of the bed
Rationale: Positioning the client upright improves lung expansion and
decreases venous return, providing immediate relief of dyspnea.
Question 2
A client with diabetes mellitus is scheduled for surgery and is NPO.
Which insulin order should the nurse question?
A. Sliding-scale regular insulin
B. Basal insulin glargine
C. NPH insulin at bedtime
D. Rapid-acting insulin before meals
Answer: D. Rapid-acting insulin before meals
,Rationale: Rapid-acting insulin is given with meals. Since the client is
NPO, administering it increases the risk of hypoglycemia.
Question 3
Which assessment finding requires immediate intervention in a
postoperative client?
A. Temperature 100.4°F (38°C)
B. Urine output 20 mL/hr
C. Pain rating 6/10
D. Slight incisional drainage
Answer: B. Urine output 20 mL/hr
Rationale: Urine output less than 30 mL/hr indicates possible renal
hypoperfusion or shock and requires immediate action.
Question 4
A nurse is teaching a client newly diagnosed with hypertension.
Which statement indicates understanding?
A. “I will stop medication once my BP improves.”
B. “I will check my BP only when I feel bad.”
C. “I will reduce salt intake in my diet.”
D. “I will avoid exercise.”
Answer: C. “I will reduce salt intake in my diet.”
Rationale: Sodium restriction helps control hypertension by reducing
fluid retention.
Question 5
, A client with COPD is receiving oxygen therapy. Which oxygen
delivery method is most appropriate?
A. Non-rebreather mask
B. Nasal cannula at 2 L/min
C. Simple face mask at 10 L/min
D. Venturi mask at 15 L/min
Answer: B. Nasal cannula at 2 L/min
Rationale: Clients with COPD require low-flow oxygen to prevent
suppression of respiratory drive.
Question 6
A nurse is caring for a client receiving heparin therapy. Which lab
value should be monitored?
A. INR
B. PT
C. aPTT
D. Platelet count only
Answer: C. aPTT
Rationale: Activated partial thromboplastin time monitors the
effectiveness of heparin therapy.
Question 7
A client reports chest pain unrelieved by nitroglycerin. What is the
nurse’s priority action?
A. Administer morphine
B. Notify the healthcare provider
C. Obtain vital signs
D. Prepare for ECG
