HESI
HESI RN (Registered Nursing) and HESI PN (Practical Nursing)
HESI Exit Exam
HESI Exit NGN (Next Generation NCLEX) Exams
Course Title and Number: HESI RN and PN Exit Exams
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you
have completed the Exam.
6. This test has a time limit, The test will save and submit
automatically when the time expires
7. This is Exam which will assess your knowledge on the course
Learning Resources.
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HESI RN Exit Version 4 (V4) Updated Exam Review HESI RN
(Registered Nursing) Exit Exam Questions and Answers | 100%
Pass Guaranteed | Graded A+ |
2025- 2026
HESI RN & PN (Registered and Practical Nursing) Exit Exam
HESI Exit Exam
HESI Exit NGN (Next Generation NCLEX) Exam
HESI - Health Education Systems, Inc.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
100. When a client is having a general tonic clonic seizure, the
nurse should
A) Hold the client's arms at their side
B) Place the client on their side
C) Insert a padded tongue blade in client's mouth
D) Elevate the head of the bed - =Answer>> B: Place the
client on their side
101 After talking with her partner, a client voluntarily admitted
herself to the substance abuse unit. After the second day on
the unit the client states to the nurse, "My husband told me to
get treatment or he would divorce me. I don't believe I really
need treatment but I don't want my husband to leave me."
Which response by the nurse would assist the client?
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A) "In early recovery, it's quite common to have mixed feelings,
but unmotivated people can't get well."
B) "In early recovery, it's quite common to have mixed feelings,
but I didn't know you had been pressured to come."
C) "In early recovery it's quite common to have mixed feelings -
=Answer>> D: "In early recovery, it's quite common to have
mixed feelings. Let's discuss the benefits of sobriety for you."
102. A neonate born 12 hours ago to a methadone maintained
woman is exhibiting a hyperactive MORO reflex and slight
tremors. The newborn passes loose, watery stool. Which of
these is a nursing priority?
A) Hold the infant at frequent intervals.
B) Assess for neonatal withdrawal syndrome
C) Offer fluids to prevent dehydration
D) Administer paregoric to stop diarrhea - =Answer>> B:
Assess for neonatal withdrawal syndrome
103. The nurse is caring for a post myocardial infarction client
in an intensive care unit. It is noted that urinary output has
dropped from 60 -70 ml per hour to 30 ml per hour. This
change is most likely due to
A) Dehydration
B) Diminished blood volume
C) Decreased cardiac output
D) Renal failure - =Answer>> C: Decreased cardiac output
104. The primary nursing diagnosis for a client with congestive
heart failure with pulmonary edema is
A) Pain
B) Impaired gas exchange
C) Cardiac output altered: decreased
D) Fluid volume excess - =Answer>> C: Cardiac output
altered decreased
05. The nurse is performing a developmental assessment on an
8 month-old. Which finding should be reported to the health
care provider?
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A) Lifts head from the prone position
B) Rolls from abdomen to back
C) Responds to parents' voices
D) Falls forward when sitting - =Answer>> D: Falls forward
when sitting. Sitting without support is expected at this age.
106. A client has received her first dose of fluphenazine
(Prolixin) 2 hours ago. She suddenly experiences torticollis and
involuntary spastic muscle movement. In addition to
administering the ordered anticholinergic drug, what other
measure should the nurse implement?
A) Have respiratory support equipment available
B) Immediately place her in the seclusion room
C) Assess the client for anxiety and agitation
D) Administer PRN dose of IM antipsychotic medication -
=Answer>> A: Have respiratory support equipment
available
107. The nurse walks into a client's room and finds the client
lying still and silent on the floor. The nurse should first
A) Assess the client's airway
B) Call for help
C) Establish that the client is unresponsive
D) See if anyone saw the client fall - =Answer>> C:
Establish that the client is unresponsive
108. The nurse is caring for a client 2 hours after a right lower
lobectomy. During the evaluation of the water-seal chest
drainage system, it is noted that the fluid level bubbles
constantly in the water seal chamber. On inspection of the
chest dressing and tubing, the nurse does not find any air leaks
in the system. The next best action for the nurse is to
A) Check for subcutaneous emphysema in the upper torso
B) Reposition the client to a position of comfort
C) Call the health care provider as soon as possible
D) Check for any increase in the amount of thoracic drainage -
=Answer>> A: Check for subcutaneous emphysema in the
upper torso
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