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 Comprehensive Exam 1 Review HESI RN & PN Exit
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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: -
1. After receiving report, the nurse prioritizes the client
care assignment. Which client should the nurse assess
first?
a. The client who has a new onset of difficult
breathing.
b. An anxious client who is 3 days post myocardial
infarction.
c. The client with type 2 diabetes mellitus who has a
call light on.
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d. A client whose blood transfusion is near
completion.: A
(Based on Maslow's hierarchy of needs and the need to address
airway, breathing, and circulation (ABCs), the client with a new
onset of difficulty breathing should be
assessed first. The other clients need care but are not the
priority of over a client who needs airway/breathing assessment
and management.)
2. When engaging in planned change on the unit, what
should the nurse-manager establish first?
a. Goals for achieving the change are established.
b. Options for accomplishing the change are explored.
c. Resources needed for the change are available.
d. Staff members are aware of the need for change.: D
(The first step in planned change involves establishing a
relationship with those involved in the change process and
instilling knowledge and awareness of the need for change. The
nurse-manager should next implement looking at resources
needed, and then set goals and options on how to accomplish
the change.)
3. When meeting with the client and the family, which
nursing intervention demonstrates the nurse's role as
collaborator of care?
a. Coordinating and educating about multidisciplinary
services.
b. Providing information on financial assistance
programs.
c. Referring and consulting with other healthcare
specialities.
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d. Informing about the findings that determine clinical
diagnosis.: A
(Clinical decisions to achieve client outcomes require
collaborative efforts between the interdisciplinary team and the
client-family cooperation. The nurse's role as collaborator of
care is best displayed by coordinating and educating the client
and family about multidisciplinary services. Information about
financial assistance pro- grams is most often a role of social
services. Although the nurse refers and consults with the
healthcare team, client-focus care is best identified within a
collaborative nurse-client-family relationship. Informing the
client about a clinical diagnosis is the responsibility of the
healthcare provider.)
4. Lasix 20 mg PO is prescribed for a client at 0600. The
medication is available in a scored tablet of 40 mg.
Before breaking the tablet, what action should the
nurse take?
a. Apply non-sterile gloves.
b. Perform hand hygiene.
c. Consult with the pharmacist.
d. Chart "half tablet administered.": B
(Before breaking a scored tablet, the nurse should perform
hand hygiene to ensure medical asepsis. Putting on gloves or
consulting a pharmacist are both unnecessary. The nurse
should administer the medication before charting.)
5. The scope of professional nursing practice is
determined by rules pro- mulgated by which
organization?
a. State's Board of Nursing.
b. State Nursing Associations.
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