HESI RN
Exit Exam V2 2026 | Practice Questions, Correct
Answers & Detailed Rationales | HESI RN V2
Exam Prep
This Exam Includes:
➢ HESI RN Exit Exam V2 practice questions
➢ Correct answers with detailed rationales
➢ 2026-focused HESI RN exam preparation
, HESI RN Exit Exam V2 2026 |
Practice Questions, Correct
Answers & Detailed Rationales |
HESI RN V2
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: When a client reports a discrepancy in medication
dosage, the nurse must withhold the medication and verify the
prescribed dosage with the healthcare provider or the client's
medical record before administration. Administering a
medication without confirming the correct dose could result in
harm to the client. The nurse has a responsibility to ensure
medication safety through the "rights" of medication
administration, including the right dose. Option A is incorrect
because although clients have the right to refuse, the priority is
verification of the correct dose. Option C assumes the dosage was
intentionally changed without verification. Option D delays
verification and risks administering an incorrect dose.
Question 2
The charge nurse is making assignments for one
practical nurse and three registered nurses who are
caring for neurologically compromised clients. Which
client with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure changed from
150/80 to 170/60.
B) Viral meningitis whose temperature change from 101°F to
102°F.
, C) Diabetic ketoacidosis who is Glasgow coma scale score changed
from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to
70/40.
Correct Answer: B) Viral meningitis whose temperature
change from 101°F to 102°F.
Rationale: The practical nurse (PN) should be assigned clients
with stable and predictable conditions. A temperature elevation
from 101°F to 102°F in a client with viral meningitis represents a
predictable change that the PN can manage. Options A, C, and D
represent unstable or deteriorating conditions requiring the
assessment and critical thinking skills of a registered nurse. The
subdural hematoma client with increasing blood pressure may
indicate increased intracranial pressure. The DKA client with a
decreasing GCS indicates neurological deterioration. The
myxedema client with decreasing blood pressure indicates
cardiovascular instability.
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
Exit Exam V2 2026 | Practice Questions, Correct
Answers & Detailed Rationales | HESI RN V2
Exam Prep
This Exam Includes:
➢ HESI RN Exit Exam V2 practice questions
➢ Correct answers with detailed rationales
➢ 2026-focused HESI RN exam preparation
, HESI RN Exit Exam V2 2026 |
Practice Questions, Correct
Answers & Detailed Rationales |
HESI RN V2
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: When a client reports a discrepancy in medication
dosage, the nurse must withhold the medication and verify the
prescribed dosage with the healthcare provider or the client's
medical record before administration. Administering a
medication without confirming the correct dose could result in
harm to the client. The nurse has a responsibility to ensure
medication safety through the "rights" of medication
administration, including the right dose. Option A is incorrect
because although clients have the right to refuse, the priority is
verification of the correct dose. Option C assumes the dosage was
intentionally changed without verification. Option D delays
verification and risks administering an incorrect dose.
Question 2
The charge nurse is making assignments for one
practical nurse and three registered nurses who are
caring for neurologically compromised clients. Which
client with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure changed from
150/80 to 170/60.
B) Viral meningitis whose temperature change from 101°F to
102°F.
, C) Diabetic ketoacidosis who is Glasgow coma scale score changed
from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to
70/40.
Correct Answer: B) Viral meningitis whose temperature
change from 101°F to 102°F.
Rationale: The practical nurse (PN) should be assigned clients
with stable and predictable conditions. A temperature elevation
from 101°F to 102°F in a client with viral meningitis represents a
predictable change that the PN can manage. Options A, C, and D
represent unstable or deteriorating conditions requiring the
assessment and critical thinking skills of a registered nurse. The
subdural hematoma client with increasing blood pressure may
indicate increased intracranial pressure. The DKA client with a
decreasing GCS indicates neurological deterioration. The
myxedema client with decreasing blood pressure indicates
cardiovascular instability.
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
