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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RN & PN Exit Exam Review 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: -
When caring for a client hospitalized with Guillain-Barré
syndrome, which information is most important for the nurse to
report to the primary health care provider?
A.Ascending numbness from the feet to the knees
B.Decrease in cognitive status of the client
C.Blurred vision and sensation changesD.
Persistent unilateral headache - =Answer>> B
Rationale:
A decline in cognitive status in a client is indicative of
symptoms of hypoxia and a possible need to assist the client
with mechanical ventilation. A primary health care provider will
need to be contacted immediately (B). (A, C, and D) are
findings associated with Guillain-Barré syndrome that should
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also be reported, but are not as critical as the client's hypoxic
status.
The nurse is assessing suicide risk for a client recently admitted
to the acute psychiatric unit. Which finding is the most
significant risk factor?
A.High level of anxiety present
B.History of previous suicide attempt
C.Family history of depression
D.Self-care deficit is noted - =Answer>> B
Rationale:
A previous history of a suicide attempt is the most significant
risk factor for future suicide attempts because the client has
previously implemented a plan (B). The others (A, C, and D)
may also be risk factors but are not as significant as a history of
previous attempts.
A client who is first day postoperative after a mastectomy
becomes increasingly restless and agitated. Vital signs are
temperature, 100° F; pulse, 98 beats/min; respirations,
24/breaths/min; and blood pressure, 120/80 mm Hg. Which
intervention should the nurse implement first?
A.Administer a PRN dose of a prescribed analgesic.
B.Assess the incision for any drainage or redness
C.Instruct the UAP to take vital signs hourly.
D.Assist the client to a more comfortable position. -
=Answer>> B
Rationale:
The nurse's priority is to observe for possible hemorrhage (B).
The client is at high risk for hypovolemic shock and is exhibiting
early symptoms of shock. Remember, in early shock the blood
pressure may be stable or increase slightly as a compensatory
mechanism. If there is no obvious indication of bleeding, the
client should then be assessed for the need of an analgesic (A,
C, and D) should be implemented.
The nurse assesses a client who is taking indomethacin
(Indocin) for arthritic pain. Which of the following is most
important to report to the primary health care provider?
A.Takes medication with milk
B.Blood pressure, 104/64 mm Hg
C.Elevated liver enzyme levels
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D.Hemoglobin level, 13 g/dL - =Answer>> C
Rationale:
Indomethacin is an antiinflammatory drug and can cause liver
damage. Elevated liver enzyme levels indicate a complication
with the drug (C). This medication should be taken with food or
milk to reduce gastrointestinal (GI) side effects (A). (B and D)
are normal findings.
Which statement by the U.S. Food and Drug Administration
(FDA) is an example of a black box or black label warning for
the drug clopidogrel (Plavix)?
A.This drug could cause heart attack or stroke when taken by
patients with certain genetic conditions.
B.Clopidogrel helps prevent platelets from sticking together
and forming clots in the blood.
C.This drug can be taken in combination with aspirin to reduce
the risk of acute coronary syndrome.
D.Clopidogrel can reduce the risk of a future heart attack when
taken by patients with peripheral artery disease. -
=Answer>> A
Rationale:
A black box warning is a notice required by the FDA on a
prescription drug that warns of potentially dangerous side
effects (A). (B, C, and D) are all desired effects of the drug.
A primipara presents to the perinatal unit describing rupture of
the membranes (ROM), which occurred 12 hours prior to
coming to the hospital. An oxytocin (Pitocin) infusion is begun,
and 8 hours later the client's contractions are irregular and
mild. What vital sign should the nurse monitor with greater
frequency than the typical unit protocol?
A.Maternal temperature
B.Fetal blood pressure
C.Maternal respiratory rate
D.Fetal heart rate - =Answer>> A
Rationale:
Maternal temperature (A) should be monitored frequently as a
primary indicator of infection. This client's rupture of
membranes (ROM) occurred at least 20 hours ago (12 hours
before coming to the hospital, in addition to 8 hours since
hospital admission). Delivery is not imminent, and there is an
increased risk of the development of infection 24 hours after
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