HESI RN Exit
Exam |
Comprehensive |
Complete Test
Bank | All
Domains | Latest
2025/2026
,Table of Contents
HESI RN Exit Exam | Comprehensive | Complete Test Bank | All Domains | Latest
2025/2026.............................................................................................................................................. 1
Domain 1: Fundamentals of Nursing (12 questions) ..................................................................... 2
Domain 1 Key Takeaways.............................................................................................................. 14
Domain 2: Medical-Surgical Nursing (12 questions) ................................................................... 14
Domain 2 Key Takeaways.............................................................................................................. 25
Domain 3: Pharmacology (12 questions) ....................................................................................... 26
Domain 3 Key Takeaways.............................................................................................................. 37
Domain 4: Maternal-Newborn Nursing (12 questions) ............................................................... 37
Domain 4 Key Takeaways.............................................................................................................. 49
Domain 5: Pediatric Nursing (12 questions) ................................................................................. 49
Domain 5 Key Takeaways.............................................................................................................. 60
Domain 6: Mental Health Nursing (12 questions) ........................................................................ 61
Domain 6 Key Takeaways.............................................................................................................. 71
Domain 7: Leadership & Management (12 questions) ................................................................ 72
Domain 7 Key Takeaways.............................................................................................................. 83
Domain 8: Community Health Nursing (12 questions) ............................................................... 83
Domain 8 Key Takeaways.............................................................................................................. 94
Domain 9: Pathophysiology (12 questions)................................................................................... 94
Domain 9 Key Takeaways............................................................................................................ 105
Domain 10: Research & Evidence-Based Practice (12 questions) .......................................... 105
Domain 10 Key Takeaways ......................................................................................................... 115
Domain 1: Fundamentals of Nursing (12 questions)
,Question 1
A nurse is caring for a client who is postoperative day 1 following abdominal
surgery. Which finding should the nurse report to the provider immediately?
A) Heart rate 88 bpm
B) Blood pressure 118/76 mmHg
C) Temperature 38.8°C (101.8°F)
D) Respiratory rate 18 breaths/min
Correct Answer: C
Rationale:
Correct (C): A temperature of 38.8°C (101.8°F) on postoperative day 1
may indicate infection (wound, urinary, respiratory) or an inflammatory
response requiring evaluation. Fever in the postoperative period should be
promptly assessed.
Incorrect (A): Heart rate 88 is within normal range (60-100).
Incorrect (B): Blood pressure 118/76 is within normal range.
Incorrect (D): Respiratory rate 18 is within normal range (12-20).
Study Tip: "Postoperative fever = possible infection. Report temperature
>38.3°C (101°F) immediately."
Question 2
A nurse is preparing to insert a nasogastric tube for gastric decompression.
Which action by the nurse demonstrates proper technique?
, A) Measure the tube from the nose to the earlobe to the xiphoid process
B) Lubricate the tube with petroleum jelly before insertion
C) Have the client lie supine with head hyperextended
D) Advance the tube quickly to minimize gagging
Correct Answer: A
Rationale:
Correct (A): Correct measurement for NG tube insertion is from the tip of
the nose to the earlobe to the xiphoid process (NEX). This approximates the
distance to the stomach.
Incorrect (B): Water-soluble lubricant should be used, not petroleum jelly
(which can cause lipoid pneumonia if aspirated).
Incorrect (C): Client should be in high Fowler's position with head slightly
flexed (not hyperextended) to close the trachea.
Incorrect (D): Advancement should be slow and steady, allowing the client
to swallow, not rapid.
Study Tip: "NG tube measurement = NEX (Nose to Earlobe to Xiphoid). Water-
soluble lube only!"
Question 3
A nurse is assessing a client's peripheral intravenous (IV) site. Which finding
indicates phlebitis?
Exam |
Comprehensive |
Complete Test
Bank | All
Domains | Latest
2025/2026
,Table of Contents
HESI RN Exit Exam | Comprehensive | Complete Test Bank | All Domains | Latest
2025/2026.............................................................................................................................................. 1
Domain 1: Fundamentals of Nursing (12 questions) ..................................................................... 2
Domain 1 Key Takeaways.............................................................................................................. 14
Domain 2: Medical-Surgical Nursing (12 questions) ................................................................... 14
Domain 2 Key Takeaways.............................................................................................................. 25
Domain 3: Pharmacology (12 questions) ....................................................................................... 26
Domain 3 Key Takeaways.............................................................................................................. 37
Domain 4: Maternal-Newborn Nursing (12 questions) ............................................................... 37
Domain 4 Key Takeaways.............................................................................................................. 49
Domain 5: Pediatric Nursing (12 questions) ................................................................................. 49
Domain 5 Key Takeaways.............................................................................................................. 60
Domain 6: Mental Health Nursing (12 questions) ........................................................................ 61
Domain 6 Key Takeaways.............................................................................................................. 71
Domain 7: Leadership & Management (12 questions) ................................................................ 72
Domain 7 Key Takeaways.............................................................................................................. 83
Domain 8: Community Health Nursing (12 questions) ............................................................... 83
Domain 8 Key Takeaways.............................................................................................................. 94
Domain 9: Pathophysiology (12 questions)................................................................................... 94
Domain 9 Key Takeaways............................................................................................................ 105
Domain 10: Research & Evidence-Based Practice (12 questions) .......................................... 105
Domain 10 Key Takeaways ......................................................................................................... 115
Domain 1: Fundamentals of Nursing (12 questions)
,Question 1
A nurse is caring for a client who is postoperative day 1 following abdominal
surgery. Which finding should the nurse report to the provider immediately?
A) Heart rate 88 bpm
B) Blood pressure 118/76 mmHg
C) Temperature 38.8°C (101.8°F)
D) Respiratory rate 18 breaths/min
Correct Answer: C
Rationale:
Correct (C): A temperature of 38.8°C (101.8°F) on postoperative day 1
may indicate infection (wound, urinary, respiratory) or an inflammatory
response requiring evaluation. Fever in the postoperative period should be
promptly assessed.
Incorrect (A): Heart rate 88 is within normal range (60-100).
Incorrect (B): Blood pressure 118/76 is within normal range.
Incorrect (D): Respiratory rate 18 is within normal range (12-20).
Study Tip: "Postoperative fever = possible infection. Report temperature
>38.3°C (101°F) immediately."
Question 2
A nurse is preparing to insert a nasogastric tube for gastric decompression.
Which action by the nurse demonstrates proper technique?
, A) Measure the tube from the nose to the earlobe to the xiphoid process
B) Lubricate the tube with petroleum jelly before insertion
C) Have the client lie supine with head hyperextended
D) Advance the tube quickly to minimize gagging
Correct Answer: A
Rationale:
Correct (A): Correct measurement for NG tube insertion is from the tip of
the nose to the earlobe to the xiphoid process (NEX). This approximates the
distance to the stomach.
Incorrect (B): Water-soluble lubricant should be used, not petroleum jelly
(which can cause lipoid pneumonia if aspirated).
Incorrect (C): Client should be in high Fowler's position with head slightly
flexed (not hyperextended) to close the trachea.
Incorrect (D): Advancement should be slow and steady, allowing the client
to swallow, not rapid.
Study Tip: "NG tube measurement = NEX (Nose to Earlobe to Xiphoid). Water-
soluble lube only!"
Question 3
A nurse is assessing a client's peripheral intravenous (IV) site. Which finding
indicates phlebitis?
