1
2026 HESI RN Exit Exam | NGN Nursing
Questions | 2026 HESI Nursing Exit Exam
Questions (Latest PDF Update) | Complete
Test Bank V1-V10
DIGITAL DOWNLOAD (PDF). This 2026 HESI RN Exit Exam Prep study resource includes
V1-V10 practice sets with NGN-style questions, case scenarios, and nursing review content
to support focused exam preparation. Designed to help reinforce clinical judgment, test-
taking confidence, and high-yield RN exit exam concepts. Ideal for nursing students
seeking structured practice in a printable PDF format
HESI EXIT V1
1. Which information is a priority for the RN to reinforce to an older
client after intravenous pyelography?
• A) Eat a light diet for the rest of the day
• B) Rest for the next 24 hours since the preparation and the test is
tiring
• C) During waking hours drink at least one 8-ounce glass of fluid
every hour for the next 2 days
• D) Measure the urine output for the next day and immediately notify
the healthcare provider if it should decrease
Correct Answer: D) Measure the urine output for the next day and
immediately notify the healthcare provider if it should decrease
,2
Rationale: Intravenous pyelography (IVP) uses contrast dye that can be
nephrotoxic. The priority is monitoring for decreased urine output, which
may indicate acute kidney injury. Increased fluid intake helps flush the
dye, but urine output monitoring is the priority assessment.
2. A client has altered renal function and is being treated at home.
The nurse recognizes that the most accurate indicator of fluid
balance during weekly visits is:
• A) Difference in the intake and output
• B) Changes in the mucous membranes
• C) Skin turgor
• D) Weekly weight
Correct Answer: D) Weekly weight
Rationale: Daily weight is the most accurate indicator of fluid balance. A
weight change of 1 kg (2.2 lb) equals approximately 1 L of fluid.
Intake/output records are often inaccurate, and mucous membrane
assessment and skin turgor are subjective and less reliable.
3. A client has been diagnosed with Zollinger-Ellison syndrome.
Which information is most important for the nurse to reinforce with
the client?
• A) It is a condition in which one or more tumors called gastrinomas
form in the pancreas or in the upper part of the small intestine
(duodenum)
,3
• B) It is critical to report promptly to your healthcare provider any
findings of peptic ulcers
• C) Treatment consists of medications to reduce acid and heal any
peptic ulcers and, if possible, surgery to remove any tumors
• D) With the average age at diagnosis at 50 years, the peptic ulcers
may occur at unusual areas of the stomach or intestine
Correct Answer: B) It is critical to report promptly to your healthcare
provider any findings of peptic ulcers
Rationale: Zollinger-Ellison syndrome causes gastrin-secreting tumors
that lead to severe peptic ulcer disease. Prompt reporting of ulcer
symptoms (pain, bleeding, perforation) is critical because these ulcers
can be life-threatening.
4. A nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which task is appropriate for the nurse to
delegate?
• A) Assessing a client's pain level
• B) Administering oral medications
• C) Ambulating a stable client
• D) Evaluating the effectiveness of pain medication
Correct Answer: C) Ambulating a stable client
Rationale: Delegation follows the "Five Rights": right task, right
circumstance, right person, right direction/communication, and right
supervision. UAP can ambulate stable clients, assist with activities of
daily living, and obtain vital signs on stable clients. Assessment,
medication administration, and evaluation are the responsibility of the
licensed nurse.
, 4
5. A nurse receives a telephone order from a provider for a client's
pain medication. What is the nurse's priority action?
• A) Implement the order immediately
• B) Write the order in the chart and sign "TO"
• C) Read the order back to the provider for verification
• D) Ask another nurse to listen to the order
Correct Answer: C) Read the order back to the provider for
verification
Rationale: The "read back" process is a critical safety measure that
ensures accurate communication of verbal and telephone orders. The
nurse should write down the order, read it back to the provider, and
obtain confirmation before implementing.
6. A nurse is caring for a client who is post-operative day 2 and has a
platelet count of 20,000/mm³. Which intervention should the nurse
implement?
• A) Use an electric razor for shaving
• B) Administer IM pain medication
• C) Apply warm compresses to IV sites
• D) Encourage the client to floss teeth daily
Correct Answer: A) Use an electric razor for shaving
Rationale: With severe thrombocytopenia (platelets <50,000), bleeding
precautions should be implemented: electric razor (not straight razor),
2026 HESI RN Exit Exam | NGN Nursing
Questions | 2026 HESI Nursing Exit Exam
Questions (Latest PDF Update) | Complete
Test Bank V1-V10
DIGITAL DOWNLOAD (PDF). This 2026 HESI RN Exit Exam Prep study resource includes
V1-V10 practice sets with NGN-style questions, case scenarios, and nursing review content
to support focused exam preparation. Designed to help reinforce clinical judgment, test-
taking confidence, and high-yield RN exit exam concepts. Ideal for nursing students
seeking structured practice in a printable PDF format
HESI EXIT V1
1. Which information is a priority for the RN to reinforce to an older
client after intravenous pyelography?
• A) Eat a light diet for the rest of the day
• B) Rest for the next 24 hours since the preparation and the test is
tiring
• C) During waking hours drink at least one 8-ounce glass of fluid
every hour for the next 2 days
• D) Measure the urine output for the next day and immediately notify
the healthcare provider if it should decrease
Correct Answer: D) Measure the urine output for the next day and
immediately notify the healthcare provider if it should decrease
,2
Rationale: Intravenous pyelography (IVP) uses contrast dye that can be
nephrotoxic. The priority is monitoring for decreased urine output, which
may indicate acute kidney injury. Increased fluid intake helps flush the
dye, but urine output monitoring is the priority assessment.
2. A client has altered renal function and is being treated at home.
The nurse recognizes that the most accurate indicator of fluid
balance during weekly visits is:
• A) Difference in the intake and output
• B) Changes in the mucous membranes
• C) Skin turgor
• D) Weekly weight
Correct Answer: D) Weekly weight
Rationale: Daily weight is the most accurate indicator of fluid balance. A
weight change of 1 kg (2.2 lb) equals approximately 1 L of fluid.
Intake/output records are often inaccurate, and mucous membrane
assessment and skin turgor are subjective and less reliable.
3. A client has been diagnosed with Zollinger-Ellison syndrome.
Which information is most important for the nurse to reinforce with
the client?
• A) It is a condition in which one or more tumors called gastrinomas
form in the pancreas or in the upper part of the small intestine
(duodenum)
,3
• B) It is critical to report promptly to your healthcare provider any
findings of peptic ulcers
• C) Treatment consists of medications to reduce acid and heal any
peptic ulcers and, if possible, surgery to remove any tumors
• D) With the average age at diagnosis at 50 years, the peptic ulcers
may occur at unusual areas of the stomach or intestine
Correct Answer: B) It is critical to report promptly to your healthcare
provider any findings of peptic ulcers
Rationale: Zollinger-Ellison syndrome causes gastrin-secreting tumors
that lead to severe peptic ulcer disease. Prompt reporting of ulcer
symptoms (pain, bleeding, perforation) is critical because these ulcers
can be life-threatening.
4. A nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which task is appropriate for the nurse to
delegate?
• A) Assessing a client's pain level
• B) Administering oral medications
• C) Ambulating a stable client
• D) Evaluating the effectiveness of pain medication
Correct Answer: C) Ambulating a stable client
Rationale: Delegation follows the "Five Rights": right task, right
circumstance, right person, right direction/communication, and right
supervision. UAP can ambulate stable clients, assist with activities of
daily living, and obtain vital signs on stable clients. Assessment,
medication administration, and evaluation are the responsibility of the
licensed nurse.
, 4
5. A nurse receives a telephone order from a provider for a client's
pain medication. What is the nurse's priority action?
• A) Implement the order immediately
• B) Write the order in the chart and sign "TO"
• C) Read the order back to the provider for verification
• D) Ask another nurse to listen to the order
Correct Answer: C) Read the order back to the provider for
verification
Rationale: The "read back" process is a critical safety measure that
ensures accurate communication of verbal and telephone orders. The
nurse should write down the order, read it back to the provider, and
obtain confirmation before implementing.
6. A nurse is caring for a client who is post-operative day 2 and has a
platelet count of 20,000/mm³. Which intervention should the nurse
implement?
• A) Use an electric razor for shaving
• B) Administer IM pain medication
• C) Apply warm compresses to IV sites
• D) Encourage the client to floss teeth daily
Correct Answer: A) Use an electric razor for shaving
Rationale: With severe thrombocytopenia (platelets <50,000), bleeding
precautions should be implemented: electric razor (not straight razor),
