[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
HESI Exit Exam V1 V7 2026/2027 Fully
Updated Exam Questions with
Verified and Rationalized Answers
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
818 Questions 12 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 818 verified questions with correct answers and rationales focused on nursing
concepts. It serves as a comprehensive resource for understanding critical areas in nursing practice, making it
ideal for exam preparation, review, and certification study.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus
Chronic Obstructive Pulmonary
Disease Explores the management and treatment strategies for patients with COPD.
Role of Unlicensed Assistive Covers the responsibilities and scope of practice for unlicensed assistive personnel in
Personnel healthcare settings.
Details the proper procedures for performing surgical hand scrubs to ensure aseptic
Surgical Hand Scrub Techniques technique.
Medical Records Management Discusses the importance of accurate medical record keeping and its impact on patient care.
Focuses on methods and best practices for assessing and interpreting blood pressure
Blood Pressure Monitoring readings.
Pharmacology in Nursing Examines the principles of pharmacology and its application in nursing practice.
Patient Assessment Techniques Covers essential assessment skills necessary for effective nursing care.
Nutrition in Nursing Explores the role of nutrition in patient care and health promotion.
Emergency Care Protocols Discusses critical interventions and protocols for managing emergency situations.
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 339
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Chronic Disease Management Focuses on strategies for managing chronic illnesses and improving patient outcomes.
Infection Control Practices Covers essential infection control measures to prevent healthcare-associated infections.
Patient Safety and Quality Care Examines the principles of patient safety and quality improvement in nursing.
Total Exam Coverage 12 Integrated Topic Modules • 818 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?
a. Remind the client that it is also important to switch to decaffeinated coffee and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might select.
Answer: Review with the client the need to avoid foods that are rich in milk and cream.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be avoided.
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?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
Answer: Stroke secondary to hemorrhage.
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled hypertension.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 339
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
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?
a. Ensure that the UAP has placed the pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
c. Assume responsibility for placing the pillows while the UAP completes another task.
d. Ask the UAP to use some of the pillows to prop the client in a side lying position.
Answer: Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
Rationale: The nurse should instruct the UAP to pad the side rails with soft blankest because the use of pillows could result
in suffocation and would need to be removed at the onset of the seizure. The nurse can delegate paddling the side rails to
the UAP.
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
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
Answer: Describes life without purpose.
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor that is known to increase the risk of
suicidal thinking in adolescents and young adults with major depressive disorder. B, C and D are side effects.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 339
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
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
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
Answer: Further evaluation involving surgery may be needed.
Rationale: An abdominal mass in a client with a family history for ovarian cancer should be evaluated carefully.
QUESTION 6
A client who recently underwent a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the nurse to include in the discharge
plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
Answer: Teach tracheal suctioning techniques.
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is critical.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 339
HESI Exit Exam V1 V7 2026/2027 Fully
Updated Exam Questions with
Verified and Rationalized Answers
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
818 Questions 12 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 818 verified questions with correct answers and rationales focused on nursing
concepts. It serves as a comprehensive resource for understanding critical areas in nursing practice, making it
ideal for exam preparation, review, and certification study.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus
Chronic Obstructive Pulmonary
Disease Explores the management and treatment strategies for patients with COPD.
Role of Unlicensed Assistive Covers the responsibilities and scope of practice for unlicensed assistive personnel in
Personnel healthcare settings.
Details the proper procedures for performing surgical hand scrubs to ensure aseptic
Surgical Hand Scrub Techniques technique.
Medical Records Management Discusses the importance of accurate medical record keeping and its impact on patient care.
Focuses on methods and best practices for assessing and interpreting blood pressure
Blood Pressure Monitoring readings.
Pharmacology in Nursing Examines the principles of pharmacology and its application in nursing practice.
Patient Assessment Techniques Covers essential assessment skills necessary for effective nursing care.
Nutrition in Nursing Explores the role of nutrition in patient care and health promotion.
Emergency Care Protocols Discusses critical interventions and protocols for managing emergency situations.
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 339
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Chronic Disease Management Focuses on strategies for managing chronic illnesses and improving patient outcomes.
Infection Control Practices Covers essential infection control measures to prevent healthcare-associated infections.
Patient Safety and Quality Care Examines the principles of patient safety and quality improvement in nursing.
Total Exam Coverage 12 Integrated Topic Modules • 818 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?
a. Remind the client that it is also important to switch to decaffeinated coffee and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might select.
Answer: Review with the client the need to avoid foods that are rich in milk and cream.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be avoided.
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?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
Answer: Stroke secondary to hemorrhage.
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled hypertension.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 339
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
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?
a. Ensure that the UAP has placed the pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
c. Assume responsibility for placing the pillows while the UAP completes another task.
d. Ask the UAP to use some of the pillows to prop the client in a side lying position.
Answer: Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
Rationale: The nurse should instruct the UAP to pad the side rails with soft blankest because the use of pillows could result
in suffocation and would need to be removed at the onset of the seizure. The nurse can delegate paddling the side rails to
the UAP.
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
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
Answer: Describes life without purpose.
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor that is known to increase the risk of
suicidal thinking in adolescents and young adults with major depressive disorder. B, C and D are side effects.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 339
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
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
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
Answer: Further evaluation involving surgery may be needed.
Rationale: An abdominal mass in a client with a family history for ovarian cancer should be evaluated carefully.
QUESTION 6
A client who recently underwent a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the nurse to include in the discharge
plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
Answer: Teach tracheal suctioning techniques.
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is critical.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 339
