1
HESI RN Exit Exam 2025/2026 – Legacy
V2 Full Version with Actual Questions
and 100% Verified Answers | Graded A+
Questions
Management of Care
1. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
a. A client with a blood pressure of 120/80 mmHg
b. A client reporting chest pain and diaphoresis
c. A client awaiting discharge instructions
d. A client with a scheduled dressing change
Rationale: Chest pain and diaphoresis indicate a potential acute cardiac event, requiring
immediate assessment to prevent life-threatening complications.
2. The charge nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate to delegate?
a. Administering oral medications
b. Assisting a stable client with ambulation
c. Performing a sterile dressing change
d. Assessing a client’s pain level
Rationale: Assisting with ambulation for a stable client is within the UAP’s scope,
whereas administering medications, sterile procedures, and assessments require a
licensed nurse.
3. A nurse is serving on a quality improvement committee. Which action best promotes
client safety?
a. Reducing staff training hours
b. Implementing a fall prevention protocol
c. Decreasing documentation requirements
d. Limiting family visitation hours
Rationale: A fall prevention protocol directly addresses client safety by reducing injury
risk, a priority in quality improvement.
4. A nurse is resolving a conflict between two staff members. Which approach is most
effective?
a. Ignoring the conflict
b. Facilitating a private discussion to address concerns
c. Reprimanding both staff members publicly
d. Reassigning one staff member to another unit
Rationale: Facilitating a private discussion promotes collaboration and resolves conflict
constructively, maintaining a professional environment.
, 2
5. A client refuses a prescribed treatment. What is the nurse’s best response?
a. Administer the treatment anyway
b. Document the refusal and inform the healthcare provider
c. Convince the client to accept the treatment
d. Ignore the refusal and proceed with care
Rationale: Respecting client autonomy requires documenting refusal and notifying the
provider to ensure proper follow-up.
6. A nurse is managing a client with a new diagnosis of diabetes. Which action
demonstrates client advocacy?
a. Administering insulin without explanation
b. Educating the client on self-management techniques
c. Limiting family involvement in care
d. Scheduling follow-up without client input
Rationale: Advocacy involves empowering clients through education to promote
independence and informed decision-making.
7. Which client should the nurse assign to a private room?
a. A client with hypertension
b. A client with active tuberculosis
c. A client with a fractured femur
d. A client post-appendectomy
Rationale: Active tuberculosis requires airborne precautions, including a private room
with negative pressure to prevent transmission.
8. A nurse is reviewing a client’s advance directive. What is the nurse’s primary
responsibility?
a. Encourage the client to revise the directive
b. Ensure the directive is followed during care
c. Modify the directive based on family input
d. Ignore the directive if it conflicts with treatment
Rationale: The nurse must honor the client’s advance directive to respect their wishes
and ensure ethical care.
Safety and Infection Control
9. A nurse is preparing to enter a room with a client on contact precautions. What is the first
action?
a. Perform hand hygiene after entering
b. Perform hand hygiene before entering
c. Apply gloves after touching the client
d. Remove gown before hand hygiene
Rationale: Hand hygiene before entering prevents introducing pathogens into the client’s
environment.
10. Which action best prevents catheter-associated urinary tract infections (CAUTIs)?
a. Emptying the catheter bag weekly
b. Maintaining a closed drainage system
c. Irrigating the catheter daily
HESI RN Exit Exam 2025/2026 – Legacy
V2 Full Version with Actual Questions
and 100% Verified Answers | Graded A+
Questions
Management of Care
1. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
a. A client with a blood pressure of 120/80 mmHg
b. A client reporting chest pain and diaphoresis
c. A client awaiting discharge instructions
d. A client with a scheduled dressing change
Rationale: Chest pain and diaphoresis indicate a potential acute cardiac event, requiring
immediate assessment to prevent life-threatening complications.
2. The charge nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate to delegate?
a. Administering oral medications
b. Assisting a stable client with ambulation
c. Performing a sterile dressing change
d. Assessing a client’s pain level
Rationale: Assisting with ambulation for a stable client is within the UAP’s scope,
whereas administering medications, sterile procedures, and assessments require a
licensed nurse.
3. A nurse is serving on a quality improvement committee. Which action best promotes
client safety?
a. Reducing staff training hours
b. Implementing a fall prevention protocol
c. Decreasing documentation requirements
d. Limiting family visitation hours
Rationale: A fall prevention protocol directly addresses client safety by reducing injury
risk, a priority in quality improvement.
4. A nurse is resolving a conflict between two staff members. Which approach is most
effective?
a. Ignoring the conflict
b. Facilitating a private discussion to address concerns
c. Reprimanding both staff members publicly
d. Reassigning one staff member to another unit
Rationale: Facilitating a private discussion promotes collaboration and resolves conflict
constructively, maintaining a professional environment.
, 2
5. A client refuses a prescribed treatment. What is the nurse’s best response?
a. Administer the treatment anyway
b. Document the refusal and inform the healthcare provider
c. Convince the client to accept the treatment
d. Ignore the refusal and proceed with care
Rationale: Respecting client autonomy requires documenting refusal and notifying the
provider to ensure proper follow-up.
6. A nurse is managing a client with a new diagnosis of diabetes. Which action
demonstrates client advocacy?
a. Administering insulin without explanation
b. Educating the client on self-management techniques
c. Limiting family involvement in care
d. Scheduling follow-up without client input
Rationale: Advocacy involves empowering clients through education to promote
independence and informed decision-making.
7. Which client should the nurse assign to a private room?
a. A client with hypertension
b. A client with active tuberculosis
c. A client with a fractured femur
d. A client post-appendectomy
Rationale: Active tuberculosis requires airborne precautions, including a private room
with negative pressure to prevent transmission.
8. A nurse is reviewing a client’s advance directive. What is the nurse’s primary
responsibility?
a. Encourage the client to revise the directive
b. Ensure the directive is followed during care
c. Modify the directive based on family input
d. Ignore the directive if it conflicts with treatment
Rationale: The nurse must honor the client’s advance directive to respect their wishes
and ensure ethical care.
Safety and Infection Control
9. A nurse is preparing to enter a room with a client on contact precautions. What is the first
action?
a. Perform hand hygiene after entering
b. Perform hand hygiene before entering
c. Apply gloves after touching the client
d. Remove gown before hand hygiene
Rationale: Hand hygiene before entering prevents introducing pathogens into the client’s
environment.
10. Which action best prevents catheter-associated urinary tract infections (CAUTIs)?
a. Emptying the catheter bag weekly
b. Maintaining a closed drainage system
c. Irrigating the catheter daily
