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 Exit RN (Registered Nursing) Exam Questions with
Answers and Rationales | 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: -
An older adult male is admitted with complications related to
chronic obstructive pulmonary disease (COPD). He reports
progressive dyspnea that worsens on exertion and his
weakness has increased over the past month. The nurse notes
that he has dependent edema in both lower legs. Based on
these assessment findings, which dietary instruction should the
nurse provide?
a. Limit the intake of high calorie foods.
b. Eat meals at the same time daily.
c. Maintain a low protein diet.
d. Restrict daily fluid intake. - =Answer>> Restrict daily fluid
intake.
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Rationale: the client is exhibiting signs of Cor pulmonale, a
complication of COPD that causes the right side of the heart to
fail. Restricting fluid intake to 1000 to 2000 ml/day, eating a
high-calorie diet at small frequent meals with foods that are
high in protein and low in sodium can help relieve the edema
and decrease workload on the right-side of the heart.
The nurse inserts an indwelling urinary catheter as seen in the
video what action should the nurse take next?
a. Remove the catheter and insert into urethral opening
b. Observe for urine flow and then inflate the balloon.
c. Insert the catheter further and observe for discomfort.
d. Leave the catheter in place and obtain a sterile catheter. -
=Answer>> Leave the catheter in place and obtain a sterile
catheter.
A client with coronary artery disease who is experiencing
syncopal episodes is admitted for an electrophysiology study
(EPS) and possible cardiac ablation therapy. Which intervention
should the nurse delegate to the unlicensed assistive personnel
(UAP)?
a. Prepare the skin for procedure.
b. Identify client's pulse points
c. Witness consent for procedure
d. Check telemetry monitoring - =Answer>> Prepare the
skin for procedure.
Following an outbreak of measles involving 5 students in an
elementary school, which action is most important for the
school nurse to take?
a. Review the immunization records of all children in the
elementary school
b. Report the measles outbreak to all community health
organizations
c. Schedule a mobile public health vehicle to offer measles
inoculations to unvaccinated children.
d. Restrict unvaccinated children from attending school until
measles outbreak is resolved. - =Answer>> Restrict
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unvaccinated children from attending school until measles
outbreak is resolved.
A preeclamptic client who delivered 24h ago remains in the
labor and delivery recovery room. She continues to receive
magnesium sulfate at 2 grams per hour. Her total input is
limited to 125 ml per hour, and her urinary output for the last
hour was 850 ml. What intervention should the nurse
implement?
a. discontinue the magnesium sulfate immediately
b. Decrease the client's iv rate to 50 ml per hour
c. Continue with the plan of care for this client
d. Change the client's to NPO status - =Answer>> c.
Continue with the plan of care for this client
Rationale: continue with the plan. Diuresis in 24 to 48h after
birth is a sign of improvement in the preeclamptic client. As
relaxation of arteriolar spasms occurs, kidney perfusion
increases. With improvement perfusion, fluid is drawn into the
intravascular bed from the interstitial tissue and then cleared
by the kidneys
The nurse is planning care for a client who admits having
suicidal thoughts. Which client behavior indicates the highest
risk for the client acting on these suicidal thoughts?
a. Express feelings of sadness and loneliness
b. Neglects personal hygiene and has no appetite
c. Lacks interest in the activity of the family and friends
d. Begin to show signs of improvement in affect -
=Answer>> Begin to show signs of improvement in affect
When assessing a multigravida the first postpartum day, the
nurse finds a moderate amount of lochia rubra, with the uterus
firm, and three fingerbreadths above the umbilicus. What
action should the nurse implement first?
a. Massage the uterus to decrease atony
b. Check for a distended bladder
c. Increase intravenous infusion
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