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2026 RN HESI EXIT V2 Exam Review Questions and Answers PDF | NCLEX NGN Nursing Practice Test & Study Guide

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Prepare confidently for nursing licensure and exit exams with the 2026 RN HESI EXIT V2 Exam Review Questions and Answers PDF. This comprehensive nursing exam preparation resource includes HESI-style practice questions, verified answers, detailed rationales, SATA questions, prioritization exercises, and NGN (Next Generation NCLEX) case studies designed to help RN nursing students improve clinical judgment and exam performance. Ideal for nursing students in the USA, UK, Canada, Australia, and across Europe, this updated HESI EXIT review guide strengthens understanding of essential nursing concepts commonly tested in RN exit exams and NCLEX preparation.

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Institution
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Course
Nursing course

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2026 HESI EXIT V2


2026 RN HESI EXIT V2 EXAM REVIEW
QUESTIONS AND ANSWERS
1. The nurse knows that which statement by the mother indicates that themother

understands safety precautions with her four month-old infant and her 4
year-old child?

A) "I strap the infant car seat on the front seat to face backwards."
B) "I place my infant in the middle of the living room floor on a blanket to play
with my

4 year old while I make supper in the kitchen."

C) "My sleeping baby lies so cute in the crib with the little buttocks stuckup in
the air

while the four year old naps on the sofa."
D) "I have the 4 year-old hold and help feed the four month-old a bottle inthe
kitchen

while I make supper."

The correct answer is D: "I have the four year-old hold and help feed the
four month-old

a bottle in the kitchen
2. Upon completing the admission documents, the nurse learns that the87
year-old client

does not have an advance directive. What action should the nurse take?

A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary

The correct answer is B: Give information about advance directives
3. A nurse administers the influenza vaccine to a client in a clinic. Within 15
minutes after

, 2026 HESI EXIT V2

the immunization was given, the client complains of itchy and watery
eyes, increased

anxiety, and difficulty breathing. The nurse expects that the first action in
the sequence of

care for this client will be to

A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered

The correct answer is B: Administer epinephrine 1:1000 as ordered .
4. Which of these children at the site of a disaster at a child day carecenter
would the

triage nurse put in the "treat last" category?

A) An infant with intermittent bulging anterior fontanel between crying
episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an upperleg
fracture
D) A school-age child with singed eyebrows and hair on the arms
The correct answer is B: A toddler with severe deep abrasions over 98% of
the body .

5. When admitting a client to an acute care facility, an identificationbracelet
is sent up

with the admission form. In the event these do not match, the nurse’s
best action is to

A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client
The correct answer is C: notify the admissions office and wait to apply the
bracelet

, 2026 HESI EXIT V2

6. The nurse is having difficulty reading the health care provider's writtenorder
that was

written right before the shift change. What action should be taken?

A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification

The correct answer is D: Call the provider for clarification
7. An adult client is found to be unresponsive on morning rounds. After
checking for

responsiveness and calling for help, the next action that should be taken
by the nurse is

to:

A) check the carotid pulse
B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway

The correct answer is D: open the client''s airway
8. A client has an order for 1000 ml of D5W over an 8 hour period. Thenurse
discovers

that 800 ml has been infused after 4 hours. What is the priority nursing
action?

A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
C) Check the vital signs
D) Auscultate the lungs
The correct answer is D: Auscultate the lungs

, 2026 HESI EXIT V2

9. Following change-of-shift report on an orthopedic unit, which clientshould
the nurse

see first?

A) 16 year-old who had an open reduction of a fractured wrist 10 hoursago
B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident
C) 72 year-old recovering from surgery after a hip replacement 2 hoursago
D) 75 year-old who is in skin traction prior to planned hip pinning surgery.The
correct answer is C: 72 year-old recovering from surgery after a hip replacement 2

hours ago
10. A nurse observes a family member administer a rectal suppository byhaving
the

client lie on the left side for the administration. The family member
pushed the

suppository until the finger went up to the second knuckle. After 10
minutes the client

was told by the family member to turn to the right side and the client did
this. What is the

appropriate comment for the nurse to make?

A) Why don’t we now have the client turn back to the left side.
B) That was done correctly. Did you have any problems with the insertion?
C) Let’s check to see if the suppository is in far enough.
D) Did you feel any stool in the intestinal tract?

The correct answer is B: That was done correctly. Did you have any
problems with the

insertion?
11. A client with a diagnosis of Methicillin resistant Staphylococcus aureus(MRSA)
has

died. Which type of precautions is the appropriate type to use when
performing

postmortem care?

A) airborne precautions

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