BSN 366 EXIT HESI V1–V7: 900 Practice Questions with Answers, Rationales, and Full Exam Structure for the RN Exit Exam (2026) latest update this year Download now and pass first try!

BSN 366 EXIT HESI V1–V7: 900 Practice Questions with
Answers, Rationales, and Full Exam Structure for the RN
Exit Exam (2026) latest update this year Download now and
pass first try!



EXAM OVERVIEW

Feature Details
Course BSN 366
Exam Name HESI RN Exit Exam
Total Questions per 160 questions
Version
Versions Available V1, V2, V3, V4, V5, V6, V7 (all versions are comparable in difficulty)
Question Format Multiple-choice, Select-All-That-Apply (SATA), Ordered Response,
NGN-Style Case Studies
Time Allowed 3 hours (180 minutes)
Passing Score Typically 850+ (scaled score varies by version)
Scoring Range 0 – 1500 (scaled)
Proctoring In-person or remote proctoring through Elsevier/Evolve




TIMELINE & VERSIONS

Version Focus Areas
V1 Cardiovascular, Respiratory, Pharmacology, Prioritization
V2 Maternal-Newborn, Pediatrics, GI, Renal

, V3 Psychiatric, Leadership, Delegation, Legal/Ethical
V4 Critical Care, NGN-Style Case Studies, Emergency Nursing
V5 Med-Surg Comprehensive Review
V6 Maternal-Newborn & Pediatrics Deep Dive
V7 Comprehensive Review & NGN Focus

Exam Structure: Each HESI Exit Exam version contains 160 questions. This bank

provides 900 questions across V1–V7, covering all core content areas: Medical-Surgical,

Pharmacology, Maternal-Newborn, Pediatrics, Psychiatric Nursing,

Leadership/Management, and NGN-style clinical judgment.




VERSION 1: MEDICAL-SURGICAL & PHARMACOLOGY FOCUS (Questions 1-160)



Cardiovascular & Respiratory (1-30)


1. A client with heart failure reports sudden onset of dyspnea, orthopnea, and pink

frothy sputum. Which action should the nurse take first?


 A) Administer furosemide IV push

 B) Place the client in high-Fowler's position

 C) Apply oxygen via non-rebreather mask

 D) Notify the provider immediately

, Answer: B. High-Fowler's position reduces venous return to the heart and decreases

pulmonary congestion. While oxygen and furosemide are important, positioning is the

immediate priority to improve ventilation.


2. A client with coronary artery disease is prescribed atorvastatin. Which laboratory

value should the nurse monitor?


 A) Serum potassium

 B) Liver function tests (ALT, AST)

 C) Serum creatinine

 D) Hemoglobin A1C


Answer: B. Statins can cause hepatotoxicity. Liver function tests should be monitored

before and during therapy. Muscle pain should also be reported as it may indicate

rhabdomyolysis.


3. A client is 2 hours post-cardiac catheterization via the femoral artery. The nurse

notes the insertion site is bleeding. What is the priority action?


 A) Apply a pressure dressing

 B) Apply direct pressure 1 inch above the site

 C) Apply direct pressure directly over the site

 D) Notify the provider

, Answer: C. Direct pressure over the insertion site is the priority to control bleeding.

Pressure should be maintained for at least 5-10 minutes while assessing for hematoma

formation.


4. A nurse is teaching a client with angina about sublingual nitroglycerin. Which

instruction should the nurse include?


 A) "Take one tablet every 15 minutes up to 3 doses."

 B) "Take one tablet every 5 minutes up to 3 doses."

 C) "Take one tablet every 10 minutes up to 5 doses."

 D) "Take one tablet every 30 minutes up to 2 doses."


Answer: B. Nitroglycerin should be taken every 5 minutes up to 3 doses. If chest pain

persists after 3 doses, the client should call 911 immediately.


5. A client with hypertension is prescribed lisinopril. Which side effect should the

nurse monitor for?


 A) Hyperkalemia

 B) Hypokalemia

 C) Tachycardia

 D) Weight gain