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 (Registered Nursing) Exam Questions and Answers
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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 finds a pt at 33 wks gestation in cardiac arrest, What
adaptation to CPR should the nurse implement? -
=Answer>> Position a firm wedge to support pelvis and
thorax at 30 degree tilt
When preparing for discharge from the hospital following
cystectomy and a urinary diversion to tx bladder cancer. Which
instructions is most important for the nurse to include in
discharge teaching? - =Answer>> Report any signs of
cloudy urine output
For the past 24 hours, an antidiarrheal agent, diphenoxylate,
has been administered to a bedridden, older client with
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infectious gastroenteritis. Which finding requires the nurse to
take further action? - =Answer>> Tented skin turgor
After repositioning an immobile client, the nurse observes an
area of hyperemia. To assess for blanching, what action should
the nurse take? - =Answer>> Apply light pressure over the
area
The nurse enters a client's room and observes the client's wrist
restraint secures as seen in the picture. Which action should
the nurse take? - =Answer>> Reposition the restraint tie to
the bedframe
A pt with ARDS is chemically paralyzed and sedated while
ventilated. Which assessment finding warrants immediate
intervention by the nurse? - =Answer>> Diminished lung
sounds
The development of atherosclerosis is a process of sequential
events. Arrange the pathophysiological events in order of
occurrence. - =Answer>> 1. Arterial endothelium injury
causes inflammation
2. Macrophages consume LDL, creating foam cells
3. Foam cells release growth factors for smooth muscle cells
4. Smooth muscle grows over fatty streaks creating fibrous
plaque
5. Vessel narrowing results in ischemia
Following a MVA, a pt with a ruptured spleen and a BP of 70/44
had an emergency splenectomy. 12 hours after, her output was
25 mL/hr for the last two hours. What pathophysiological
reason supports the nurses decision to report this finding to the
HCP? - =Answer>> Oliguria signals tubular necrosis r/t
hypoperfusion
A nurse manager is preparing a curricula for a class for charge
nurses. A staffing formula based on what data ensures quality
pt care and is most cost effective? - =Answer>> Skills of
staff and client acuity
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