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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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 knows that lab values sometimes vary for the older
client. Which data should the nurse expect to find when
reviewing laboratory values of an 80-year-old male?
A) Increased WBC, decreased RBC.
B) Increased serum bilirubin, slightly increased liver enzymes.
C) Increased protein in the urine, slightly increased serum
glucose levels.
D) Decreased serum sodium, an increased urine specific
gravity. - =Answer>> c
Which postmenopausal client's complaint should the nurse
refer to the healthcare provider?
A) Breasts feel lumpy when palpated.
B) History of white nipple discharge.
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C) Episodes of vaginal bleeding.
D) Excessive diaphoresis occurs at night. - =Answer>> c
The nurse is assisting a client out of bed for the first time after
surgery. What action should the nurse do first?
A) Place a chair at a right angle to the bedside.
B) Encourage deep breathing prior to standing.
C) Help the client to sit and dangle legs on the side of the bed.
D) Allow the client to sit with the bed in a high Fowler's
position. - =Answer>> d
The nurse is receiving report from surgery about a client with a
penrose drain who is to be admitted to the postoperative unit.
Before choosing a room for this client, which information is
most important for the nurse to obtain?
A) If suctioning will be needed for drainage of the wound.
B) If the family would prefer a private or semi-private room.
C) If the client also has a Hemovac® in place.
D) If the client's wound is infected. - =Answer>> d
A patient admitted for a head injusry develops dry skin and
urine output of 600 mL/hr. Which of the following interventions
should the nurse perform first?
a) Assess the patient's urine specific gravity
b) Slow IV fluid infusion rate
c) Assess the patient's level of conciousness
d) Notify the physician - =Answer>> a
A patient is prescribed dexamethasone (Decadron) to reduce
cerebral edema after a motor vehicle accident. Which of the
following assessment findings should the nurse expect if this
treatment is effective?
a) Increased response to stimuli
b) decreased urine output
c) respiration rate of 12
d) Increased blood pressure - =Answer>> a
The nurse is assessing a client who is bedfast and refuses to
turn or move from a supine position. How should the nurse
assess the client for possible dependent edema?
A) Compress the flank and upper buttocks.
B) Measure the client's abdominal girth.
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C) Gently palpate the lower abdomen.
D) Apply light pressure over the shins. - =Answer>> a
A male client with chronic atrial fibrillation and a slow
ventricular response is scheduled for surgical placement of a
permanent pacemaker. The client asks the nurse how this
devise will help him. How should the nurse explain the action of
a synchronous pacemaker?
A) Ventricular irritability is prevented by the constant rate
setting of pacemaker.
B) Ectopic stimulus in the atria is suppressed by the device
usurping depolarization.
C) An impulse is fired every second to maintain a heart rate of
60 beats per minute.
D) An electrical stimulus is discharged when no ventricular
response is sensed. - =Answer>> d
The unlicensed assistive personnel (UAP) reports that an 87-
year-old female client who is sitting in a chair at the bedside
has an oral temperature of 97.2° F. Which intervention should
the nurse implement?
A) Document the temperature reading on the vital sign graphic
sheet.
B) Report the temperature to the healthcare provider
immediately.
C) Instruct the UAP to take the client's temperature again in 30
minutes.
D) Advise the UAP to assist the client in returning to her bed. -
=Answer>> a
The nurse is completing the health assessment of a 79-year-old
male client who denies any significant health problems. Which
finding requires the most immediate follow-up assessment?
A) Kyphosis with a reduction in height.
B) Dilated superficial veins on both legs.
C) External hemorrhoids with itching.
D) Yellowish discoloration of the sclerae. - =Answer>> d
Which finding should the nurse report to the healthcare
provider for a client with a circumferential extremity burn?
A) Full thickness burns rather than partial thickness.
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