HESI Exit Exam Practice Questions and Correct
Answers | A Review of Real Past Exam
Questions | 2026-2027 Edition
This comprehensive study guide contains 360 verified
questions and answers from real HESI Exit Exam versions,
including V1, V2, V7, V8, and NGN-style questions. Designed for
nursing students (RN and PN) preparing for graduation and
NCLEX success, this resource reflects the latest 2026/2027
Elsevier HESI testing standards and incorporates Next
Generation NCLEX (NGN) item types . Each question is
accompanied by detailed rationales to reinforce learning and
ensure exam readiness .
Note: The HESI Exit Exam is one of the most challenging nursing
school exams, and thorough preparation is essential for
success. Research demonstrates that students scoring 850 or
higher have a 95-99% probability of passing NCLEX on their first
attempt .
,Content Area Overview
Content Area Questions Key Topics
Prioritization & Clinical Delegation, triage, ABCD, Maslow, advocacy, NGN
1-60
Judgment case studies
Cardiac, respiratory, GI, renal, endocrine, neuro,
Medical-Surgical Nursing 61-150
musculoskeletal
Pharmacology & Dosage calc, drug actions, side effects, interactio
151-200
Medication Safety administration
Prenatal, labor/delivery, postpartum, newborn,
Maternal-Newborn Nursing 201-240
complications
Growth/development, illnesses, immunizations,
Pediatric Nursing 241-280
emergencies
Psychiatric disorders, therapeutic communication
Mental Health Nursing 281-320
medications, crisis
Leadership & Professional Delegation, legal/ethical, management, quality
321-360
Issues improvement
, SECTION 1: PRIORITIZATION & CLINICAL JUDGMENT (Questions 1-60)
Question 1: In planning care for a 6-month-old infant, what must the nurse
provide to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
Answer: C) Security
Rationale: According to Erikson, the developmental task of infancy (birth-18
months) is trust vs. mistrust. Consistent, predictable care that provides security
promotes trust. Security encompasses all the other options and represents the
foundation of trust development .
Question 2: A nurse has just received a medication order which is not legible.
Which statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to
read your writing."
Answer: B) "Would you please clarify what you have written so I am sure I am
reading it correctly?"
Rationale: Assertive communication is direct, honest, and respectful. Option B
seeks clarification without blaming or criticizing, maintaining professional
relationships while ensuring patient safety .
Question 3: The home health nurse visits an elderly female client who had a brain
attack three months ago and is now able to ambulate with the assistance of a
quad cane. Which assessment finding has the greatest implications for this client's
care?
Answers | A Review of Real Past Exam
Questions | 2026-2027 Edition
This comprehensive study guide contains 360 verified
questions and answers from real HESI Exit Exam versions,
including V1, V2, V7, V8, and NGN-style questions. Designed for
nursing students (RN and PN) preparing for graduation and
NCLEX success, this resource reflects the latest 2026/2027
Elsevier HESI testing standards and incorporates Next
Generation NCLEX (NGN) item types . Each question is
accompanied by detailed rationales to reinforce learning and
ensure exam readiness .
Note: The HESI Exit Exam is one of the most challenging nursing
school exams, and thorough preparation is essential for
success. Research demonstrates that students scoring 850 or
higher have a 95-99% probability of passing NCLEX on their first
attempt .
,Content Area Overview
Content Area Questions Key Topics
Prioritization & Clinical Delegation, triage, ABCD, Maslow, advocacy, NGN
1-60
Judgment case studies
Cardiac, respiratory, GI, renal, endocrine, neuro,
Medical-Surgical Nursing 61-150
musculoskeletal
Pharmacology & Dosage calc, drug actions, side effects, interactio
151-200
Medication Safety administration
Prenatal, labor/delivery, postpartum, newborn,
Maternal-Newborn Nursing 201-240
complications
Growth/development, illnesses, immunizations,
Pediatric Nursing 241-280
emergencies
Psychiatric disorders, therapeutic communication
Mental Health Nursing 281-320
medications, crisis
Leadership & Professional Delegation, legal/ethical, management, quality
321-360
Issues improvement
, SECTION 1: PRIORITIZATION & CLINICAL JUDGMENT (Questions 1-60)
Question 1: In planning care for a 6-month-old infant, what must the nurse
provide to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
Answer: C) Security
Rationale: According to Erikson, the developmental task of infancy (birth-18
months) is trust vs. mistrust. Consistent, predictable care that provides security
promotes trust. Security encompasses all the other options and represents the
foundation of trust development .
Question 2: A nurse has just received a medication order which is not legible.
Which statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to
read your writing."
Answer: B) "Would you please clarify what you have written so I am sure I am
reading it correctly?"
Rationale: Assertive communication is direct, honest, and respectful. Option B
seeks clarification without blaming or criticizing, maintaining professional
relationships while ensuring patient safety .
Question 3: The home health nurse visits an elderly female client who had a brain
attack three months ago and is now able to ambulate with the assistance of a
quad cane. Which assessment finding has the greatest implications for this client's
care?
