[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
HESI RN Exit Exam 2026/2027 V1 V7
Updated Exam Prep Questions and
Verified Answers
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
283 Questions 12 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 283 verified questions with correct answers and detailed rationales covering nursing
fundamentals. Each item integrates essential clinical knowledge and scenarios, making it suitable for NCLEX
preparation, course review, and certification exam readiness.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus
Chronic Obstructive Pulmonary Focuses on the management and care strategies for patients with chronic obstructive
Disease pulmonary disease.
Examines the scope of responsibilities and tasks that can be delegated to unlicensed
Unlicensed Assistive Personnel Roles assistive personnel in clinical settings.
Implementing Nursing Interventions Covers the application of various nursing interventions in patient care scenarios.
Details the proper techniques and protocols for performing surgical hand scrubs to maintain
Surgical Hand Scrub Techniques asepsis.
Explores the pathophysiology and management of acute respiratory distress syndrome in
Acute Respiratory Distress Syndrome patients.
Postoperative Care for Gastric Bypass
Surgery Addresses critical care considerations and complications following gastric bypass surgery.
Pain Management Strategies Reviews various pain management techniques employed in nursing practice.
Medication Administration Protocols Focuses on safe and effective medication administration practices within nursing.
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 68
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Patient Education and Health
Promotion Emphasizes the importance of patient education in promoting health and wellness.
Emergency Response Procedures Discusses protocols for responding to emergencies in clinical settings.
Assessment and Diagnostic Skills Covers essential assessment techniques and diagnostic skills necessary for nursing.
Clinical Decision Making Explores the process of clinical decision making in nursing practice.
Total Exam Coverage 12 Integrated Topic Modules • 283 Examination Questions
QUESTION 1
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
What is the best follow-up action by the nurse?
Answer: Review with the client the need to avoid foods that are rich in milk and cream.
QUESTION 2
A male client with hypertension, who received new antihypertensive prescriptions at
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
His BP is 158/106 and he admits that he has not been taking the prescribed medication
because the drugs make him "feel bad". In explaining the need for hypertension
control, the nurse should stress that an elevated BP places the client at risk for which
pathophysiological condition?
Answer: Stroke secondary to hemorrhage.
QUESTION 3
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is placing
soft pillows along the side rails. What action should the nurse implement?
Answer: Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 68
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 4
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta)
for the past 12 days. Which assessment finding requires immediate follow-up?
Answer: Describes life without purpose.
QUESTION 5
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer. Her
Papanicolau (Pap) smear results are negative. What information should the nurse
include in the client's teaching plan?
Answer: Further evaluation involving surgery may be needed.
QUESTION 6
A client who recently underwear a tracheostomy is being prepared for discharge to
home.
Which instructions is most important for the nurse to include in the discharge plan?
Answer: Teach tracheal suctioning techniques.
QUESTION 7
In assessing an adult client with a partial rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate completely during inspiration and the client's
respiratory rate is 14 breaths / minute. What action should the nurse implem
Answer: Document the assessment data.
QUESTION 8
During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which client alarm should the nurse investigate first?
Answer: Respiratory apnea of 30 seconds.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 68
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 9
During a home visit, the nurse observed an elderly client with diabetes slip and fall.
What action should the nurse take first?
Answer: Check the client for lacerations or fractures.
QUESTION 10
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section),
the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to
avoid getting a headache. Which action should the nurse take first?
Answer: Inform the anesthesia care provider.
QUESTION 11
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart
sounds. To determine if an S3 heart sound is present, what action should the nurse
take first
Answer: Listen with the bell at the same location.
QUESTION 12
A 66-year-old woman is retiring and will no longer have a health insurance through her
place of employment. Which agency should the client be referred to by the employee
health nurse for health insurance needs
Answer: Medicare.
QUESTION 13
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
What snack should the nurse instruct the client to take with the tetracycline?
Answer: Toasted wheat bread and jelly.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 68
HESI RN Exit Exam 2026/2027 V1 V7
Updated Exam Prep Questions and
Verified Answers
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
283 Questions 12 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 283 verified questions with correct answers and detailed rationales covering nursing
fundamentals. Each item integrates essential clinical knowledge and scenarios, making it suitable for NCLEX
preparation, course review, and certification exam readiness.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus
Chronic Obstructive Pulmonary Focuses on the management and care strategies for patients with chronic obstructive
Disease pulmonary disease.
Examines the scope of responsibilities and tasks that can be delegated to unlicensed
Unlicensed Assistive Personnel Roles assistive personnel in clinical settings.
Implementing Nursing Interventions Covers the application of various nursing interventions in patient care scenarios.
Details the proper techniques and protocols for performing surgical hand scrubs to maintain
Surgical Hand Scrub Techniques asepsis.
Explores the pathophysiology and management of acute respiratory distress syndrome in
Acute Respiratory Distress Syndrome patients.
Postoperative Care for Gastric Bypass
Surgery Addresses critical care considerations and complications following gastric bypass surgery.
Pain Management Strategies Reviews various pain management techniques employed in nursing practice.
Medication Administration Protocols Focuses on safe and effective medication administration practices within nursing.
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 68
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Patient Education and Health
Promotion Emphasizes the importance of patient education in promoting health and wellness.
Emergency Response Procedures Discusses protocols for responding to emergencies in clinical settings.
Assessment and Diagnostic Skills Covers essential assessment techniques and diagnostic skills necessary for nursing.
Clinical Decision Making Explores the process of clinical decision making in nursing practice.
Total Exam Coverage 12 Integrated Topic Modules • 283 Examination Questions
QUESTION 1
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
What is the best follow-up action by the nurse?
Answer: Review with the client the need to avoid foods that are rich in milk and cream.
QUESTION 2
A male client with hypertension, who received new antihypertensive prescriptions at
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
His BP is 158/106 and he admits that he has not been taking the prescribed medication
because the drugs make him "feel bad". In explaining the need for hypertension
control, the nurse should stress that an elevated BP places the client at risk for which
pathophysiological condition?
Answer: Stroke secondary to hemorrhage.
QUESTION 3
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is placing
soft pillows along the side rails. What action should the nurse implement?
Answer: Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 68
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 4
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta)
for the past 12 days. Which assessment finding requires immediate follow-up?
Answer: Describes life without purpose.
QUESTION 5
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer. Her
Papanicolau (Pap) smear results are negative. What information should the nurse
include in the client's teaching plan?
Answer: Further evaluation involving surgery may be needed.
QUESTION 6
A client who recently underwear a tracheostomy is being prepared for discharge to
home.
Which instructions is most important for the nurse to include in the discharge plan?
Answer: Teach tracheal suctioning techniques.
QUESTION 7
In assessing an adult client with a partial rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate completely during inspiration and the client's
respiratory rate is 14 breaths / minute. What action should the nurse implem
Answer: Document the assessment data.
QUESTION 8
During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which client alarm should the nurse investigate first?
Answer: Respiratory apnea of 30 seconds.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 68
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 9
During a home visit, the nurse observed an elderly client with diabetes slip and fall.
What action should the nurse take first?
Answer: Check the client for lacerations or fractures.
QUESTION 10
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section),
the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to
avoid getting a headache. Which action should the nurse take first?
Answer: Inform the anesthesia care provider.
QUESTION 11
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart
sounds. To determine if an S3 heart sound is present, what action should the nurse
take first
Answer: Listen with the bell at the same location.
QUESTION 12
A 66-year-old woman is retiring and will no longer have a health insurance through her
place of employment. Which agency should the client be referred to by the employee
health nurse for health insurance needs
Answer: Medicare.
QUESTION 13
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
What snack should the nurse instruct the client to take with the tetracycline?
Answer: Toasted wheat bread and jelly.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 68
