HESI RN Exit Practice Exam Test
Bank Complete Actual Exam Questions
with Verified Correct Answers and
Detailed Rationales Latest Update
HESI RN Exit Practice Exam Test Bank | Comprehensive
Examination
HESI RN Exit Practice Exam Test Bank Complete Actual
Exam Questions with Verified Correct Answers and Detailed
Rationales Latest Update (New 2026/2027 Edition) Already
INTRODUCTION
This document is an important and very helpful preparation
resource for HESI RN Exit Practice Exam Test Bank Complete
Actual Exam Questions with Verified Correct Answers and
Detailed Rationales Latest Update (New 2026/2027 Edition)
Already Graded A+. Every item uses a focused exam stem, four
response options, a keyed response, and a clear rationale,
making it easier to understand the subject, spot distractors, and
build real exam confidence.
Page 1
, Question 1
A patient with acute decompensated heart failure is receiving IV furosemide.
Which assessment finding best indicates that the medication has been
effective?
A. Urine output of 40 mL/hr with decreased dyspnea
B. Serum potassium of 3.2 mEq/L
C. Weight loss of 0.5 kg in 24 hours
D. Bilateral crackles auscultated at lung bases
Correct Answer: A - Urine output of 40 mL/hr with decreased
dyspnea
RATIONALE
Effective diuresis is evidenced by adequate urine output and reduced
pulmonary congestion (decreased dyspnea). Hypokalemia (B) is an
adverse effect, not efficacy. A 0.5 kg weight loss is minimal; expected
is 1-2 kg/day. Crackles (D) indicate fluid overload, not improvement.
Question 2
A nurse is calculating the dose of IV heparin for a patient with a pulmonary
embolism. The order is for a bolus of 80 units/kg. The patient weighs 70 kg.
The heparin vial is labeled 10,000 units/mL. How many mL should the nurse
administer for the bolus?
A. 0.56 mL
B. 0.8 mL
C. 1.2 mL
D. 0.35 mL
Correct Answer: A - 0.56 mL
RATIONALE
80 units/kg × 70 kg = 5,600 units. 5,600 units ÷ 10,000 units/mL =
0.56 mL. Options B, C, and D are incorrect calculations.
Page 2
, Question 3
Which action by the nurse best demonstrates the ethical principle of veracity
when caring for a patient with a terminal illness?
A. Withholding a poor prognosis to prevent emotional distress
B. Telling the patient that everything will be fine
C. Honestly answering the patient's questions about their condition
D. Delegating the discussion of prognosis to the family
Correct Answer: C - Honestly answering the patient's questions
about their condition
RATIONALE
Veracity is the duty to tell the truth. Honest communication respects
patient autonomy and builds trust. Withholding information (A) or
giving false reassurance (B) violates veracity. Delegating to family
(D) may breach confidentiality and patient rights.
Question 4
A community health nurse is planning a primary prevention program. Which
activity should the nurse prioritize?
A. Providing influenza vaccinations at a senior center
B. Screening for hypertension at a health fair
C. Teaching a diabetic patient about foot care
D. Referring a patient to cardiac rehabilitation
Correct Answer: A - Providing influenza vaccinations at a senior
center
RATIONALE
Primary prevention aims to prevent disease before it occurs;
vaccination is a classic example. Screening (B) is secondary
prevention. Teaching foot care for diabetics (C) and cardiac rehab
referral (D) are tertiary prevention (managing existing disease).
Page 3
Bank Complete Actual Exam Questions
with Verified Correct Answers and
Detailed Rationales Latest Update
HESI RN Exit Practice Exam Test Bank | Comprehensive
Examination
HESI RN Exit Practice Exam Test Bank Complete Actual
Exam Questions with Verified Correct Answers and Detailed
Rationales Latest Update (New 2026/2027 Edition) Already
INTRODUCTION
This document is an important and very helpful preparation
resource for HESI RN Exit Practice Exam Test Bank Complete
Actual Exam Questions with Verified Correct Answers and
Detailed Rationales Latest Update (New 2026/2027 Edition)
Already Graded A+. Every item uses a focused exam stem, four
response options, a keyed response, and a clear rationale,
making it easier to understand the subject, spot distractors, and
build real exam confidence.
Page 1
, Question 1
A patient with acute decompensated heart failure is receiving IV furosemide.
Which assessment finding best indicates that the medication has been
effective?
A. Urine output of 40 mL/hr with decreased dyspnea
B. Serum potassium of 3.2 mEq/L
C. Weight loss of 0.5 kg in 24 hours
D. Bilateral crackles auscultated at lung bases
Correct Answer: A - Urine output of 40 mL/hr with decreased
dyspnea
RATIONALE
Effective diuresis is evidenced by adequate urine output and reduced
pulmonary congestion (decreased dyspnea). Hypokalemia (B) is an
adverse effect, not efficacy. A 0.5 kg weight loss is minimal; expected
is 1-2 kg/day. Crackles (D) indicate fluid overload, not improvement.
Question 2
A nurse is calculating the dose of IV heparin for a patient with a pulmonary
embolism. The order is for a bolus of 80 units/kg. The patient weighs 70 kg.
The heparin vial is labeled 10,000 units/mL. How many mL should the nurse
administer for the bolus?
A. 0.56 mL
B. 0.8 mL
C. 1.2 mL
D. 0.35 mL
Correct Answer: A - 0.56 mL
RATIONALE
80 units/kg × 70 kg = 5,600 units. 5,600 units ÷ 10,000 units/mL =
0.56 mL. Options B, C, and D are incorrect calculations.
Page 2
, Question 3
Which action by the nurse best demonstrates the ethical principle of veracity
when caring for a patient with a terminal illness?
A. Withholding a poor prognosis to prevent emotional distress
B. Telling the patient that everything will be fine
C. Honestly answering the patient's questions about their condition
D. Delegating the discussion of prognosis to the family
Correct Answer: C - Honestly answering the patient's questions
about their condition
RATIONALE
Veracity is the duty to tell the truth. Honest communication respects
patient autonomy and builds trust. Withholding information (A) or
giving false reassurance (B) violates veracity. Delegating to family
(D) may breach confidentiality and patient rights.
Question 4
A community health nurse is planning a primary prevention program. Which
activity should the nurse prioritize?
A. Providing influenza vaccinations at a senior center
B. Screening for hypertension at a health fair
C. Teaching a diabetic patient about foot care
D. Referring a patient to cardiac rehabilitation
Correct Answer: A - Providing influenza vaccinations at a senior
center
RATIONALE
Primary prevention aims to prevent disease before it occurs;
vaccination is a classic example. Screening (B) is secondary
prevention. Teaching foot care for diabetics (C) and cardiac rehab
referral (D) are tertiary prevention (managing existing disease).
Page 3
