[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
HESI Exit Exam 2026/2027 Exam
Questions and Verified Answers
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
160 Questions 15 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 160 verified questions with correct answers focused on nursing concepts. Each
question is designed to assess knowledge in various areas, making it suitable for exam preparation and review
for nursing students and professionals pursuing certification.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Pain Assessment and
Management This topic focuses on evaluating and managing pain in clients. 11 Qs 6.9%
This topic explores nursing care and considerations for
Pediatric Considerations pediatric clients. 11 Qs 6.9%
Cardiac and Respiratory This topic addresses nursing care for clients with cardiac and
Conditions respiratory issues. 11 Qs 6.9%
Medication Administration and This topic covers the administration of medications and
Monitoring monitoring for side effects. 11 Qs 6.9%
This topic relates to the assessment and management of
Infection and Wound Care infections and wound care. 11 Qs 6.9%
Mental Health and Behavioral This topic involves assessing and managing mental health
Issues conditions. 11 Qs 6.9%
Nutrition and Dietary This topic explores dietary management and nutrition
Considerations education for various conditions. 11 Qs 6.9%
This topic examines the assessment and management of fluid
Fluid and Electrolyte Balance and electrolyte imbalances. 11 Qs 6.9%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 59
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Discharge Planning and This topic focuses on effective discharge planning and patient
Teaching education. 11 Qs 6.9%
This topic covers various assessment techniques and the
Assessment Techniques interpretation of findings. 11 Qs 6.9%
Emergency and Critical Care This topic addresses nursing interventions in emergency and
Management critical care settings. 10 Qs 6.2%
Patient Safety and Infection This topic emphasizes the importance of safety measures and
Control infection control practices. 10 Qs 6.2%
This topic examines nursing care for clients with chronic
Chronic Conditions Management conditions. 10 Qs 6.2%
Unlicensed Assistive Personnel This topic explores the delegation of tasks to UAP and their
(UAP) Delegation role in patient care. 10 Qs 6.2%
Cultural Competence and This topic focuses on the importance of cultural competence
Community Health and community health initiatives. 10 Qs 6.2%
Total Exam Coverage 15 Integrated Topic Modules 160 Qs 100.0%
TOPIC 1: PAIN ASSESSMENT AND MANAGEMENT
11 Questions • 6.9% of Exam • This topic focuses on evaluating and managing pain in clients.
QUESTION 1
A client presses the call bell and requests pain medication for a severe
headache. To assess the quality of the client's pain, which approach should the nurse
use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale
Answer: A. Ask the client to describe the pain.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 59
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 2
A young male client is admitted to rehabilitation following a right aboveknee
amputation (AKA) for a severe traumatic injury. He is in the commons room and
anxiously calls out to the nurse, stating that his "right foot is aching". The nurse offers
reassurance and support. Which additional intervention is most important for the nurse
to implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
D. Offer to assist the client to a quieter location so he can relax
Answer: A. Encourage discussion of feelings about the loss of his limb.
QUESTION 3
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an
elevated serum amylase. Which additional information is the client most likely to report
to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
Answer: A. Abdominal pain decreases when lying supine.
QUESTION 4
The nurse is demonstrating correct transfer procedures to the unlicensed assistive
personnel (UAP) working on a rehabilitation unit.
The UAP asks the nurse how to safely move a physically disabled client from the
wheelchair to a bed. Which action should the nurse recommend?
A. apply a gait belt around the client's waist once a standing position has been assumed
B. Place the client's locked wheelchair on the client's strong side next to the bed
C. Pull the client into position by reaching from the opposite side of the bed
D. Hold the client at arm's length while transferring to better distribute the body weight
Answer: B. Place the client's locked wheelchair on the client's strong side next to the bed.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 59
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 5
The nurse is managing the care of a client with Cushing's syndrome.
Which interventions should the nurse delegate to the unlicensed assistive personnel
(UAP)? (Select all that apply)
A. Report any client complaint of pain or discomfort
B. Evaluate the client for sleep disturbances
C. Assess the client for weakness and fatigue
D. Weigh the client and report any weight gain
E. Note and report the client's food and liquid intake during meals and snacks
Answer: A. Report any client complaint of pain or discomfort
D. Weigh the client and report any weight gain
E. Note and report the client's food and liquid intake during meals and snacks.
QUESTION 6
A client who recently received a prescription for ramelteon to treat sleep deprivation
reports experiencing several side effects since taking the
drug. Which side effect should the nurse report to the healthcare provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism
Answer: D. Somnambulism.
QUESTION 7
The nurse is feeding an older adult who was admitted with aspiration
pneumonia. The client is weak and begins coughing while attempting to drink through a
straw. Which intervention should the nurse implement?
A. Teach coughing and deep breathing exercises
B. Assess the client's oral cavity for ulcerations
C. Request thick nectar liquids for the client
D. Monitor the client when using a straw for liquids
Answer: A. Teach coughing and deep breathing exercises.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 59
HESI Exit Exam 2026/2027 Exam
Questions and Verified Answers
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
160 Questions 15 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 160 verified questions with correct answers focused on nursing concepts. Each
question is designed to assess knowledge in various areas, making it suitable for exam preparation and review
for nursing students and professionals pursuing certification.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Pain Assessment and
Management This topic focuses on evaluating and managing pain in clients. 11 Qs 6.9%
This topic explores nursing care and considerations for
Pediatric Considerations pediatric clients. 11 Qs 6.9%
Cardiac and Respiratory This topic addresses nursing care for clients with cardiac and
Conditions respiratory issues. 11 Qs 6.9%
Medication Administration and This topic covers the administration of medications and
Monitoring monitoring for side effects. 11 Qs 6.9%
This topic relates to the assessment and management of
Infection and Wound Care infections and wound care. 11 Qs 6.9%
Mental Health and Behavioral This topic involves assessing and managing mental health
Issues conditions. 11 Qs 6.9%
Nutrition and Dietary This topic explores dietary management and nutrition
Considerations education for various conditions. 11 Qs 6.9%
This topic examines the assessment and management of fluid
Fluid and Electrolyte Balance and electrolyte imbalances. 11 Qs 6.9%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 59
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Discharge Planning and This topic focuses on effective discharge planning and patient
Teaching education. 11 Qs 6.9%
This topic covers various assessment techniques and the
Assessment Techniques interpretation of findings. 11 Qs 6.9%
Emergency and Critical Care This topic addresses nursing interventions in emergency and
Management critical care settings. 10 Qs 6.2%
Patient Safety and Infection This topic emphasizes the importance of safety measures and
Control infection control practices. 10 Qs 6.2%
This topic examines nursing care for clients with chronic
Chronic Conditions Management conditions. 10 Qs 6.2%
Unlicensed Assistive Personnel This topic explores the delegation of tasks to UAP and their
(UAP) Delegation role in patient care. 10 Qs 6.2%
Cultural Competence and This topic focuses on the importance of cultural competence
Community Health and community health initiatives. 10 Qs 6.2%
Total Exam Coverage 15 Integrated Topic Modules 160 Qs 100.0%
TOPIC 1: PAIN ASSESSMENT AND MANAGEMENT
11 Questions • 6.9% of Exam • This topic focuses on evaluating and managing pain in clients.
QUESTION 1
A client presses the call bell and requests pain medication for a severe
headache. To assess the quality of the client's pain, which approach should the nurse
use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale
Answer: A. Ask the client to describe the pain.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 59
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 2
A young male client is admitted to rehabilitation following a right aboveknee
amputation (AKA) for a severe traumatic injury. He is in the commons room and
anxiously calls out to the nurse, stating that his "right foot is aching". The nurse offers
reassurance and support. Which additional intervention is most important for the nurse
to implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
D. Offer to assist the client to a quieter location so he can relax
Answer: A. Encourage discussion of feelings about the loss of his limb.
QUESTION 3
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an
elevated serum amylase. Which additional information is the client most likely to report
to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
Answer: A. Abdominal pain decreases when lying supine.
QUESTION 4
The nurse is demonstrating correct transfer procedures to the unlicensed assistive
personnel (UAP) working on a rehabilitation unit.
The UAP asks the nurse how to safely move a physically disabled client from the
wheelchair to a bed. Which action should the nurse recommend?
A. apply a gait belt around the client's waist once a standing position has been assumed
B. Place the client's locked wheelchair on the client's strong side next to the bed
C. Pull the client into position by reaching from the opposite side of the bed
D. Hold the client at arm's length while transferring to better distribute the body weight
Answer: B. Place the client's locked wheelchair on the client's strong side next to the bed.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 59
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 5
The nurse is managing the care of a client with Cushing's syndrome.
Which interventions should the nurse delegate to the unlicensed assistive personnel
(UAP)? (Select all that apply)
A. Report any client complaint of pain or discomfort
B. Evaluate the client for sleep disturbances
C. Assess the client for weakness and fatigue
D. Weigh the client and report any weight gain
E. Note and report the client's food and liquid intake during meals and snacks
Answer: A. Report any client complaint of pain or discomfort
D. Weigh the client and report any weight gain
E. Note and report the client's food and liquid intake during meals and snacks.
QUESTION 6
A client who recently received a prescription for ramelteon to treat sleep deprivation
reports experiencing several side effects since taking the
drug. Which side effect should the nurse report to the healthcare provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism
Answer: D. Somnambulism.
QUESTION 7
The nurse is feeding an older adult who was admitted with aspiration
pneumonia. The client is weak and begins coughing while attempting to drink through a
straw. Which intervention should the nurse implement?
A. Teach coughing and deep breathing exercises
B. Assess the client's oral cavity for ulcerations
C. Request thick nectar liquids for the client
D. Monitor the client when using a straw for liquids
Answer: A. Teach coughing and deep breathing exercises.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 59
