HESI RN COMPREHENSIVE EXIT EXAM ACCURATE
COMPREHENSIVE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
QUESTION 1
The nurse is caring for a client who has a new diagnosis of diabetes
mellitus. Which action demonstrates the nurse's role in client
advocacy?
A) Providing educational materials about diabetes management
B) Ensuring the client's dietary preferences are respected
C) Administering insulin as prescribed
D) Documenting blood glucose levels
,Correct Answer: B) Ensuring the client's dietary preferences are
respected
Rationale: Advocacy involves speaking up for and protecting the
client's rights and preferences. Ensuring dietary preferences are
respected is a direct example of advocacy. Providing education,
administering medications, and documenting are nursing
responsibilities but are not specifically advocacy actions.
QUESTION 2
The nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which task is appropriate to delegate?
A) Assessing a client's surgical wound
B) Administering oral medications
C) Assisting a client with ambulation
D) Creating a nursing care plan
Correct Answer: C) Assisting a client with ambulation
Rationale: The RN can delegate tasks that do not require nursing
judgment to UAPs, such as assisting with ambulation, bathing,
feeding, and vital signs. Assessment, medication administration, and
care planning require nursing judgment and cannot be delegated.
QUESTION 3
A client who is NPO and receiving IV fluids is being assessed. Which
finding indicates fluid volume excess?
A) Decreased blood pressure
, B) Crackles in the lungs
C) Dry skin
D) Decreased urine output
Correct Answer: B) Crackles in the lungs
Rationale: Crackles (rales) in the lungs indicate pulmonary congestion
from fluid overload. Other signs include hypertension, jugular vein
distension, and edema. Decreased blood pressure, dry skin, and
decreased urine output indicate fluid volume deficit.
QUESTION 4
A client with a pressure injury on the coccyx has a wound measuring 3
cm × 4 cm with visible adipose tissue, but no bone is exposed. How
should the nurse document this wound?
A) Stage 1 pressure injury
B) Stage 2 pressure injury
C) Stage 3 pressure injury
D) Stage 4 pressure injury
Correct Answer: C) Stage 3 pressure injury
Rationale: Stage 3 pressure injuries involve full-thickness tissue loss
with visible adipose tissue (fat). Stage 1 is non-blanchable erythema,
Stage 2 involves partial-thickness skin loss, and Stage 4 involves
exposed bone, tendon, or muscle.
QUESTION 5
, An 87-year-old client does not have an advance directive upon
admission. What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes to be a full code
D) Contact the client's family for a decision
Correct Answer: B) Give information about advance directives
Rationale: The nurse should provide information about advance
directives to all adult clients upon admission. The Patient Self-
Determination Act requires healthcare facilities to inform clients of
their rights to make healthcare decisions. The client has the right to
make their own decision, not the family.
QUESTION 6
Which information is a priority 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 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
COMPREHENSIVE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
QUESTION 1
The nurse is caring for a client who has a new diagnosis of diabetes
mellitus. Which action demonstrates the nurse's role in client
advocacy?
A) Providing educational materials about diabetes management
B) Ensuring the client's dietary preferences are respected
C) Administering insulin as prescribed
D) Documenting blood glucose levels
,Correct Answer: B) Ensuring the client's dietary preferences are
respected
Rationale: Advocacy involves speaking up for and protecting the
client's rights and preferences. Ensuring dietary preferences are
respected is a direct example of advocacy. Providing education,
administering medications, and documenting are nursing
responsibilities but are not specifically advocacy actions.
QUESTION 2
The nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which task is appropriate to delegate?
A) Assessing a client's surgical wound
B) Administering oral medications
C) Assisting a client with ambulation
D) Creating a nursing care plan
Correct Answer: C) Assisting a client with ambulation
Rationale: The RN can delegate tasks that do not require nursing
judgment to UAPs, such as assisting with ambulation, bathing,
feeding, and vital signs. Assessment, medication administration, and
care planning require nursing judgment and cannot be delegated.
QUESTION 3
A client who is NPO and receiving IV fluids is being assessed. Which
finding indicates fluid volume excess?
A) Decreased blood pressure
, B) Crackles in the lungs
C) Dry skin
D) Decreased urine output
Correct Answer: B) Crackles in the lungs
Rationale: Crackles (rales) in the lungs indicate pulmonary congestion
from fluid overload. Other signs include hypertension, jugular vein
distension, and edema. Decreased blood pressure, dry skin, and
decreased urine output indicate fluid volume deficit.
QUESTION 4
A client with a pressure injury on the coccyx has a wound measuring 3
cm × 4 cm with visible adipose tissue, but no bone is exposed. How
should the nurse document this wound?
A) Stage 1 pressure injury
B) Stage 2 pressure injury
C) Stage 3 pressure injury
D) Stage 4 pressure injury
Correct Answer: C) Stage 3 pressure injury
Rationale: Stage 3 pressure injuries involve full-thickness tissue loss
with visible adipose tissue (fat). Stage 1 is non-blanchable erythema,
Stage 2 involves partial-thickness skin loss, and Stage 4 involves
exposed bone, tendon, or muscle.
QUESTION 5
, An 87-year-old client does not have an advance directive upon
admission. What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes to be a full code
D) Contact the client's family for a decision
Correct Answer: B) Give information about advance directives
Rationale: The nurse should provide information about advance
directives to all adult clients upon admission. The Patient Self-
Determination Act requires healthcare facilities to inform clients of
their rights to make healthcare decisions. The client has the right to
make their own decision, not the family.
QUESTION 6
Which information is a priority 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 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
