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 2 (V2) Exam Review HESI RN (Registered
Nursing) Exit Exam Questions and Answers | 100% Pass
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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: -
The nurse is caring for a client who is having a sickle cell crisis.
What intervention should the nurse include in this client's plan
of care?
A. Ensure adequate IV and oral fluid intake
B. Provide ice packs to major joint areas
C. Space analgesics to prevent addiction to narcotics
D. Re-enforce the importance of nutritional balance -
=Answer>> A. Ensure adequate IV and oral fluid intake
The nurse is preparing to administer an IV dose of ciprofloxacin
to a client with a urinary tract infection. Which client data
requires the most immediate intervention by the nurse?
A. Urine culture positive for MRSA
B. Serum creatinine of 4.5 mg/dL
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C. Serum sodium of 145 mEq/L
D. White blood cell count of 12,000mm3 - =Answer>> B.
Serum creatinine of 4.5mg/dL
A client with atrial fibrillation receives a new prescription for
dabigatran etexilate. Which instruction is important for the
nurse to emphasize when teaching the client about this
medication?
A. Monitor your blood pressure regularly
B. Report unusual bruising or bleeding
C. Elevate your feet if swelling occurs
D. Check your pulse rate every day - =Answer>> B. Report
unusual bruising or bleeding
Which snack selection indicates to the nurse that a school-age
boy with gastroesophageal reflux understands his dietary
restrictions?
A. Sugar cookies
B. Pizza
C. Chocolate milkshake
D. Tacos - =Answer>> A. Sugar cookies
After placement of a left subclavian central venous catheter
(CVC), the nurse receives report of the X-ray findings that
indicate the CVC tip is in the client's superior vena cava. Which
action should the nurse implement?
A. Notify the healthcare provider of the need to reposition the
catheter
B. Remove the catheter and apply direct pressure for 5 minutes
C. Secure the catheter using aseptic techniques
D. Initiate intravenous fluids as prescribed - =Answer>> D.
Initiate intravenous fluids as prescribed
The nurse is caring for a client admitted for evaluation of a
descending aortic aneurysm. While outside the room
documenting, the nurse hears the client screaming. The client
tells the nurse that the pain is "sharp, like something inside is
ripping and tearing." The client also reports dizziness. Which of
the following is the likely cause?
A. Impending rupture of the aneurysm
B. The client is having a panic attack
C. Clotting of the aneurysm
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D. The client is hallucinating from the opioids - =Answer>>
A. Impending rupture of the aneurysm
The nurse is teaching a primigravida about preeclampsia.
Which findings are indicators of preeclampsia and should be
reported to the healthcare provider?
A. Blurred vision
B. Headache
C. Lack of appetite
D. Urinary frequency
E. Chills and fever
F. Swollen hands - =Answer>> A. Blurred vision
B. Headache
F. Swollen hands
After removing a client's dressing that is saturated with
sanguineous drainage, where should the nurse place the
dressing? - =Answer>> red bin
An older adult male who had an abdominal cholecystectomy
has become increasingly confused and disoriented over the
past 24 hours. He found wandering into another client's room
and is returned to his room by the unlicensed assistive
personnel (UAP). Which actions should the nurse take?
A. Review the client's most recent serum electrolyte values
B. Assign the UAP to re-assess the client's risk for falls
C. Report mental status changes to the healthcare provider
D. Apply soft upper limb restraints and raise all four bed rails
E. Assess the client's breath sounds and oxygen saturation -
=Answer>> A. Review the client's most recent serum
electrolyte values
C. Report mental status change to the healthcare provider
E. Assess the client's breath sounds and oxygen saturation
A client is admitted with an exacerbation of heart failure
secondary to COPD. Which observations by the nurse require
immediate intervention to reduce the likelihood of harm to this
client?
A. A bedside commode is positioned near the bed
B. A saline lock is present in the right forearm
C. A full pitcher of water is on the bedside table
D. A low sodium diet tray was brought to the room
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