2026 HESI RN Exit
2026 HESI RN Exit Exam 1 | NGN Nursing
Questions | 2026 HESI Nursing Exit Exam
Questions (Latest PDF Update)
The nurse finds a client crying behind a locked bathroom door. The client will not open the door.
Which action should the nurse take first?
A.
Instruct an unlicensed assistive personnel (UAP) to stay and keep talking to the client.
B.
Sit quietly in the client's room until the client leaves the bathroom.
A+ TEST BANK 1
, 2026 HESI RN Exit
C.
Allow the client to cry alone and leave the client in the bathroom.
D.
Talk to the client and attempt to find out why the client is crying. –
Correct Answer :D
Rationale:
The nurse's first concern should be for the client's safety, so an immediate assessment of the client's
situation is needed. Option A is incorrect; the nurse should implement the intervention. The nurse may
offer to stay nearby after first assessing the situation more fully. Although option C may be correct,
the nurse should determine if the client's safety is compromised and offer assistance, even if it is
refused.
One week after being told that she has terminal cancer with a life expectancy of 3 weeks, the client
tells the nurse, "I think I will plan a big party for all my friends." How should the nurse respond?
A.
"You may not have enough energy before long to hold a big party."
B.
"Do you mean to say that you want to plan your funeral and wake?"
C.
"Planning a party and thinking about all your friends sounds like fun."
D.
"You should be thinking about spending your last days with your family." –
Correct Answer :C
Rationale:
Setting goals that bring pleasure is appropriate and should be encouraged by the nurse as long as the
nurse does not perpetuate a client's denial. Option A is a negative response, implying that the client
A+ TEST BANK 2
, 2026 HESI RN Exit
should not plan a party. Option B puts words in the client's mouth that may not be accurate. The
nurse should support the client's goals rather than telling the client how to spend her time.
The nurse is working with one LPN and two aides on a 20 bed unit. Which are the appropriate tasks to
delegate to the appropriate person? (Select all that apply.)
A.
Feeding an elderly and confused client to the aide
B.
Toileting the client for the first time after surgery to the LPN
C.
Placing the bathroom supplies in the room of the new admission to the LPN
D.
Reinforcing the discharge teaching instructions to the LPN
E.
Administering a po pain medication to the LPN
F.
Performing the routine dressing change 5 days after surgery to the LPN –
Correct Answer :A, D, E, F
Rationale:
There are 5 rights of delegation: the right task, circumstances, person, direction, and supervision. The
aide can perform routine tasks, the LPN can deliver skilled care, the RN performs the assessment and
does the teaching. Toileting the client for the first time requires the assessment of the RN. The
bathroom supplies can be delegated to the aide. The remaining selections are appropriate. The LPN
can reinforce teaching; the initial teaching must be done by the RN.
The nurse is concerned the client will develop a nosocomial infection. Which nursing action is best for
the nurse to take when providing care for an incontinent client?
A.
Maintain standard precautions.
A+ TEST BANK 3
, 2026 HESI RN Exit
B.
Initiate contact isolation measures.
C.
Insert an indwelling urinary catheter.
D.
Instruct client in the use of adult diapers. –
Correct Answer :A
Rationale:
The best action to decrease the risk of infection in vulnerable clients is handwashing. Option B is not
necessary unless the client has an infection. Option C increases the risk of infection. Option D does not
reduce the risk of infection.
A nurse is working in an occupational health clinic when an employee walks in and states, "I was
walking outside and I believe I was just struck by lightning." The client is alert but reports feeling faint.
Which assessment will the nurse perform first?
A.
Pulse characteristics
B.
Open airway
C.
Entrance and exit wounds
D.
Cervical spine injury –
Correct Answer :A
Rationale:
A+ TEST BANK 4
2026 HESI RN Exit Exam 1 | NGN Nursing
Questions | 2026 HESI Nursing Exit Exam
Questions (Latest PDF Update)
The nurse finds a client crying behind a locked bathroom door. The client will not open the door.
Which action should the nurse take first?
A.
Instruct an unlicensed assistive personnel (UAP) to stay and keep talking to the client.
B.
Sit quietly in the client's room until the client leaves the bathroom.
A+ TEST BANK 1
, 2026 HESI RN Exit
C.
Allow the client to cry alone and leave the client in the bathroom.
D.
Talk to the client and attempt to find out why the client is crying. –
Correct Answer :D
Rationale:
The nurse's first concern should be for the client's safety, so an immediate assessment of the client's
situation is needed. Option A is incorrect; the nurse should implement the intervention. The nurse may
offer to stay nearby after first assessing the situation more fully. Although option C may be correct,
the nurse should determine if the client's safety is compromised and offer assistance, even if it is
refused.
One week after being told that she has terminal cancer with a life expectancy of 3 weeks, the client
tells the nurse, "I think I will plan a big party for all my friends." How should the nurse respond?
A.
"You may not have enough energy before long to hold a big party."
B.
"Do you mean to say that you want to plan your funeral and wake?"
C.
"Planning a party and thinking about all your friends sounds like fun."
D.
"You should be thinking about spending your last days with your family." –
Correct Answer :C
Rationale:
Setting goals that bring pleasure is appropriate and should be encouraged by the nurse as long as the
nurse does not perpetuate a client's denial. Option A is a negative response, implying that the client
A+ TEST BANK 2
, 2026 HESI RN Exit
should not plan a party. Option B puts words in the client's mouth that may not be accurate. The
nurse should support the client's goals rather than telling the client how to spend her time.
The nurse is working with one LPN and two aides on a 20 bed unit. Which are the appropriate tasks to
delegate to the appropriate person? (Select all that apply.)
A.
Feeding an elderly and confused client to the aide
B.
Toileting the client for the first time after surgery to the LPN
C.
Placing the bathroom supplies in the room of the new admission to the LPN
D.
Reinforcing the discharge teaching instructions to the LPN
E.
Administering a po pain medication to the LPN
F.
Performing the routine dressing change 5 days after surgery to the LPN –
Correct Answer :A, D, E, F
Rationale:
There are 5 rights of delegation: the right task, circumstances, person, direction, and supervision. The
aide can perform routine tasks, the LPN can deliver skilled care, the RN performs the assessment and
does the teaching. Toileting the client for the first time requires the assessment of the RN. The
bathroom supplies can be delegated to the aide. The remaining selections are appropriate. The LPN
can reinforce teaching; the initial teaching must be done by the RN.
The nurse is concerned the client will develop a nosocomial infection. Which nursing action is best for
the nurse to take when providing care for an incontinent client?
A.
Maintain standard precautions.
A+ TEST BANK 3
, 2026 HESI RN Exit
B.
Initiate contact isolation measures.
C.
Insert an indwelling urinary catheter.
D.
Instruct client in the use of adult diapers. –
Correct Answer :A
Rationale:
The best action to decrease the risk of infection in vulnerable clients is handwashing. Option B is not
necessary unless the client has an infection. Option C increases the risk of infection. Option D does not
reduce the risk of infection.
A nurse is working in an occupational health clinic when an employee walks in and states, "I was
walking outside and I believe I was just struck by lightning." The client is alert but reports feeling faint.
Which assessment will the nurse perform first?
A.
Pulse characteristics
B.
Open airway
C.
Entrance and exit wounds
D.
Cervical spine injury –
Correct Answer :A
Rationale:
A+ TEST BANK 4
