FINAL HESI EXIT EXAM 2026
COMPREHENSIVE PRACTICE QUESTIONS
AND ANSWERS COMPLETE RN EXIT EXAM
PREPARATION RESOURCE NGN-STYLE
CLINICAL JUDGMENT, DETAILED
RATIONALES, COMPREHENSIVE NURSING
REVIEW, PRACTICE TESTS AND FINAL
STUDY GUIDE
Assessment: outcome priority; must evaluate competency of the UAP;
nurse is accountable for UAP's actions during delegation process
A 12-year-old diagnosed boy with a fractured right femur is placed in
balanced suspension traction with a Thomas splint and Pearson
attachment. The nurse is MOST concerned by which client statement?
1. "I will experience more muscle spasms and pain while my leg is in
traction."
2. "I can lift my body up while I grab the overhead trapeze and bend my left
leg."
3. "The health care provider told me it is okay to move the head of my bed
up and down by myself."
4. "I need to put the phone where I can reach for it without moving onto my
side." - CORRECT ANSWER -1. "I will experience more muscle spasms and
pain while my leg is in traction."
,Implementation: outcome not desired; muscle spasm should decrease with
traction; if muscle spasm pain increases, the amount of traction weight
should be assessed
The nurse prioritizes the needs of a client who has been raped. Which
nursing action is MOST important?
1. Observe the client for withdrawn, tearful behavior.
2. Determine if the client sustained any injuries.
3. Obtain information about events which preceded the rape.4. Accurately
document the client's comments about the rape. - CORRECT ANSWER -
Determine if the client sustained any injuries.
Implementation: outcome priority and desired; diminished pulses indicates
change in circulation
The nurse reviews medications with a 35-year-old female. The client takes
200 mg carbamazepine (Tegretol) orally twice daily. The client asks the
nurse about future pregnancies. Which statement by the nurse is MOST
appropriate?
1. "If you take 5 mg folic acid daily while trying to conceive, you should be
able to get pregnant."
2. "It is recommended that you take carbamazepine suspension instead of
the tablets when trying to get pregnant."
3. "You should contact your health care provider and discuss your concerns
about pregnancy."4. "If you avoid drinking grapefruit juice, there should be
no problem with conception." - CORRECT ANSWER -Auscultate the client's
lungs every 4 hours.
, 3) CORRECT - Assessment: outcome desired and priority; decreased
oxygen levels will increase intracranial pressure, client at high risk for
aspiration
The nurse cares for the client immediately after an ileostomy procedure.
Which is the best INITIAL action for the nurse to take during client
teaching?1. Schedule the teaching demonstrations during family visits.2.
Encourage the client to discuss any concerns and to ask questions.3. Show a
video demonstrating ileostomy care.4. Perform care for the ileostomy until
the client is able to do it herself.
1) Implementation: outcome not desired; must assess client's readiness to
learn first
2) CORRECT - Assessment: outcome desired; ventilate feelings and assess
readiness to learn
3) Implementation: outcome not desired; needs to be ready to learn
4) Implementation: outcome not desired; won't assist in adjustment -
CORRECT ANSWER -Look in the chart at the picture of the client.
4) CORRECT - Implementation: outcome desired; only way to positively
identify client
The nurse performs an assessment of a newborn boy. The nurse is MOST
concerned if which of the by which observation?
1. The respiratory rate is 40 per minute with short periods of apnea.
2. The heart rate is 140 beats per minute with variation during sleeping and
waking states.
COMPREHENSIVE PRACTICE QUESTIONS
AND ANSWERS COMPLETE RN EXIT EXAM
PREPARATION RESOURCE NGN-STYLE
CLINICAL JUDGMENT, DETAILED
RATIONALES, COMPREHENSIVE NURSING
REVIEW, PRACTICE TESTS AND FINAL
STUDY GUIDE
Assessment: outcome priority; must evaluate competency of the UAP;
nurse is accountable for UAP's actions during delegation process
A 12-year-old diagnosed boy with a fractured right femur is placed in
balanced suspension traction with a Thomas splint and Pearson
attachment. The nurse is MOST concerned by which client statement?
1. "I will experience more muscle spasms and pain while my leg is in
traction."
2. "I can lift my body up while I grab the overhead trapeze and bend my left
leg."
3. "The health care provider told me it is okay to move the head of my bed
up and down by myself."
4. "I need to put the phone where I can reach for it without moving onto my
side." - CORRECT ANSWER -1. "I will experience more muscle spasms and
pain while my leg is in traction."
,Implementation: outcome not desired; muscle spasm should decrease with
traction; if muscle spasm pain increases, the amount of traction weight
should be assessed
The nurse prioritizes the needs of a client who has been raped. Which
nursing action is MOST important?
1. Observe the client for withdrawn, tearful behavior.
2. Determine if the client sustained any injuries.
3. Obtain information about events which preceded the rape.4. Accurately
document the client's comments about the rape. - CORRECT ANSWER -
Determine if the client sustained any injuries.
Implementation: outcome priority and desired; diminished pulses indicates
change in circulation
The nurse reviews medications with a 35-year-old female. The client takes
200 mg carbamazepine (Tegretol) orally twice daily. The client asks the
nurse about future pregnancies. Which statement by the nurse is MOST
appropriate?
1. "If you take 5 mg folic acid daily while trying to conceive, you should be
able to get pregnant."
2. "It is recommended that you take carbamazepine suspension instead of
the tablets when trying to get pregnant."
3. "You should contact your health care provider and discuss your concerns
about pregnancy."4. "If you avoid drinking grapefruit juice, there should be
no problem with conception." - CORRECT ANSWER -Auscultate the client's
lungs every 4 hours.
, 3) CORRECT - Assessment: outcome desired and priority; decreased
oxygen levels will increase intracranial pressure, client at high risk for
aspiration
The nurse cares for the client immediately after an ileostomy procedure.
Which is the best INITIAL action for the nurse to take during client
teaching?1. Schedule the teaching demonstrations during family visits.2.
Encourage the client to discuss any concerns and to ask questions.3. Show a
video demonstrating ileostomy care.4. Perform care for the ileostomy until
the client is able to do it herself.
1) Implementation: outcome not desired; must assess client's readiness to
learn first
2) CORRECT - Assessment: outcome desired; ventilate feelings and assess
readiness to learn
3) Implementation: outcome not desired; needs to be ready to learn
4) Implementation: outcome not desired; won't assist in adjustment -
CORRECT ANSWER -Look in the chart at the picture of the client.
4) CORRECT - Implementation: outcome desired; only way to positively
identify client
The nurse performs an assessment of a newborn boy. The nurse is MOST
concerned if which of the by which observation?
1. The respiratory rate is 40 per minute with short periods of apnea.
2. The heart rate is 140 beats per minute with variation during sleeping and
waking states.
