2026 HESI RN
EXIT V1
3 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass The Exam Score with Confidence
WHAT YOU WILL GET:
➢ Achieving a 1000+ on the HESI EXIT Exam
➢EACH EXAM SET HAS 160 QUESTIONS
Not affiliated with HESI, ATI or NCLEX. For study purposes only.
, Preview Questions Below
Get the Complete PDF After Purchase
"If you require further clarification or in need of any
study resources, feel free to Message me."
,Table of Contents
SET 1 EXAM ..........................................................2
SET 2 EXAM ........................................................ 75
SET 3 EXAM ...................................................... 183
SET 1 EXAM
QUESTION 1
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic, the client tells the nurse that the usual dosage
taken is different from the dose the nurse is giving. Which action should the
nurse take?
A. Inform the client that he may refuse the medication and document whether or not the
client takes it.
B. Withhold the medication until the dosage can be confirmed.
C. Explain to the client that the dosage has been changed.
D. Tell the client to take the medication, then verify the dosage at the next healthcare
team meeting.
CORRECT ANSWER: B. Withhold the medication until the dosage can be
confirmed.
Rationale: Before administering a medication when a discrepancy is noted—especially
if the client states their "usual dose" does not match the current prescription—nurses
must verify the correctness of the order. Holding the dose ensures client safety and
prevents potential adverse effects or medication errors. Option A does not address the
potential error in the order; the best practice is confirming correct medication and dose
before giving or clarifying with the provider. Option C might be premature until you truly
, confirm with the healthcare provider that a change has been made. Option D could
endanger the client if the prescription was a real error.
QUESTION 2
The charge nurse is making assignments for one Practical Nurse (PN) and three
Registered Nurses (RNs) who are caring for neurologically compromised clients.
Which client with which change in status is best to assign to the PN?
A. A subdural hematoma client whose blood pressure changed from 150/80 to 170/60.
B. A viral meningitis client whose temperature changed from 101.5°F to 102°F.
C. A diabetic ketoacidosis client whose Glasgow Coma Scale (GCS) score changed
from 10 to 7.
D. A myxedema client whose blood pressure changed from 80/50 to 70/40.
CORRECT ANSWER: B. A viral meningitis client whose temperature changed
from 101.5°F to 102°F.
Rationale: A PN can safely monitor a temperature increase in viral meningitis,
continuing routine care and reporting further deviations. Clients with major changes in
neurological status or hemodynamic instability (such as sharp drops in blood pressure
or a drop in GCS) typically require the RN's higher-level critical assessment and
intervention skills. A GCS drop from 10 to 7 is concerning for significant neurological
decline → best handled by an RN. Subdural hematoma with a big blood pressure shift
or a myxedema client with severe hypotension should remain under direct RN
supervision because these changes can be life-threatening.
QUESTION 3
The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi-organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan
of care?
A. Maintain strict intake and output.
B. Keep head of bed raised at 45°.
C. Assess warmth of extremities.
D. Monitor blood glucose.
CORRECT ANSWER: A. Maintain strict intake and output.
EXIT V1
3 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass The Exam Score with Confidence
WHAT YOU WILL GET:
➢ Achieving a 1000+ on the HESI EXIT Exam
➢EACH EXAM SET HAS 160 QUESTIONS
Not affiliated with HESI, ATI or NCLEX. For study purposes only.
, Preview Questions Below
Get the Complete PDF After Purchase
"If you require further clarification or in need of any
study resources, feel free to Message me."
,Table of Contents
SET 1 EXAM ..........................................................2
SET 2 EXAM ........................................................ 75
SET 3 EXAM ...................................................... 183
SET 1 EXAM
QUESTION 1
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic, the client tells the nurse that the usual dosage
taken is different from the dose the nurse is giving. Which action should the
nurse take?
A. Inform the client that he may refuse the medication and document whether or not the
client takes it.
B. Withhold the medication until the dosage can be confirmed.
C. Explain to the client that the dosage has been changed.
D. Tell the client to take the medication, then verify the dosage at the next healthcare
team meeting.
CORRECT ANSWER: B. Withhold the medication until the dosage can be
confirmed.
Rationale: Before administering a medication when a discrepancy is noted—especially
if the client states their "usual dose" does not match the current prescription—nurses
must verify the correctness of the order. Holding the dose ensures client safety and
prevents potential adverse effects or medication errors. Option A does not address the
potential error in the order; the best practice is confirming correct medication and dose
before giving or clarifying with the provider. Option C might be premature until you truly
, confirm with the healthcare provider that a change has been made. Option D could
endanger the client if the prescription was a real error.
QUESTION 2
The charge nurse is making assignments for one Practical Nurse (PN) and three
Registered Nurses (RNs) who are caring for neurologically compromised clients.
Which client with which change in status is best to assign to the PN?
A. A subdural hematoma client whose blood pressure changed from 150/80 to 170/60.
B. A viral meningitis client whose temperature changed from 101.5°F to 102°F.
C. A diabetic ketoacidosis client whose Glasgow Coma Scale (GCS) score changed
from 10 to 7.
D. A myxedema client whose blood pressure changed from 80/50 to 70/40.
CORRECT ANSWER: B. A viral meningitis client whose temperature changed
from 101.5°F to 102°F.
Rationale: A PN can safely monitor a temperature increase in viral meningitis,
continuing routine care and reporting further deviations. Clients with major changes in
neurological status or hemodynamic instability (such as sharp drops in blood pressure
or a drop in GCS) typically require the RN's higher-level critical assessment and
intervention skills. A GCS drop from 10 to 7 is concerning for significant neurological
decline → best handled by an RN. Subdural hematoma with a big blood pressure shift
or a myxedema client with severe hypotension should remain under direct RN
supervision because these changes can be life-threatening.
QUESTION 3
The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi-organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan
of care?
A. Maintain strict intake and output.
B. Keep head of bed raised at 45°.
C. Assess warmth of extremities.
D. Monitor blood glucose.
CORRECT ANSWER: A. Maintain strict intake and output.
