HESI RN Exit Exam 2025/2026 –
Updated Real Questions with 100%
Correct Answers | Already Graded A
Question 1
The nurse is called to the waiting room of a pediatric clinic. The frantic mother states, "I think
my 4-month-old baby is choking!" What steps will the nurse take? (Select all that apply.) A.
Compress the chest once between the nipples with two fingers. B. Note any obstruction or
absence of breathing. C. Deliver five backslaps between the shoulder blades. D. Place the infant
over the nurse's arm.
Correct Answer: B, C, D
Rationale: Clinical judgment prioritizes airway assessment (B) and age-appropriate
interventions (C, D) per pediatric BLS guidelines to clear obstruction safely, minimizing injury
risk. A is incorrect as it requires five thrusts, not one. Safety focuses on ABCs; no pharmacology
involved.
Question 2
Which fluid will the nurse select to administer with the prescribed blood transfusion? A. 5%
Dextrose and water B. Normal saline C. Lactated Ringers solution D. 5% Dextrose and lactated
ringers
Correct Answer: B
Rationale: Prioritization ensures compatibility to prevent hemolysis; normal saline (B) is
isotonic and safe. Clinical judgment avoids dextrose (A, D) for clot risk and calcium in C.
Pharmacology emphasizes transfusion safety protocols.
Question 3
When assisting a client from the bed to a chair, which procedure is best for the nurse to follow?
A. Place the chair parallel to the bed, with its back toward the head of the bed and assist the
client in moving to the chair. B. With the nurse's feet spread apart and knees aligned with the
client's knees, stand and pivot the client into the chair. C. Assist the client to a standing position
by gently lifting upward, underneath the axillae. D. Stand beside the client, place the client's
arms around the nurse's neck, and gently move the client to the chair.
Correct Answer: B
,Rationale: Safety via body mechanics (B) prevents falls and injury; wide base and pivot reduce
strain. Clinical judgment avoids axillae lift (C) for nerve damage and neck placement (D) for
risk. No pharmacology.
Question 4
How many mL will the nurse document on the client's intake and output record from the items
listed? _____ mL 1200 mL water 4 ounce container of gelatin 8 ounces of orange juice 355 mL
can of soda 1 cup of soup
Correct Answer: 2155
Rationale: Accurate I&O (2155 mL: conversions 4 oz=120, 8 oz=240, cup=240) supports fluid
balance judgment, prioritizing safety in renal/cardiac clients. No pharmacology.
Question 5
The nurse observes a UAP taking a client's blood pressure in the lower extremity. Which
observation of this procedure requires the nurse to intervene with the UAP's approach? A. The
cuff wraps around the girth of the leg. B. The UAP auscultates the popliteal pulse with the cuff
on the lower leg. C. The client is placed in a prone position. D. The systolic reading is 20 mm Hg
higher than the blood pressure in the client's arm.
Correct Answer: B
Rationale: Intervention for incorrect site (B) ensures accurate BP; thigh cuff for popliteal. D is
normal. Safety prioritizes delegation oversight; no pharmacology.
Question 6
During a clinic visit, the mother of a 7-year-old reports to the nurse that her child is often awake
until midnight playing and is then very difficult to awaken in the morning for school. Which
assessment data should the nurse obtain in response to the mother's concern? A. The occurrence
of any episodes of sleep apnea B. The child's blood pressure, pulse, and respirations C. Length of
rapid eye movement (REM) sleep that the child is experiencing D. Description of the family's
home environment
Correct Answer: D
Rationale: Environmental assessment (D) guides judgment on sleep hygiene; non-invasive
priority. A causes daytime issues; B/C less initial relevance. Safety: holistic family focus.
Question 7
The nurse identifies a potential for infection in a client with partial-thickness (second-degree)
and full-thickness (third-degree) burns. What action has the highest priority in decreasing the
,client's risk of infection? A. Administration of plasma expanders B. Use of careful handwashing
technique C. Application of a topical antibacterial cream D. Limiting visitors to the client with
burns
Correct Answer: B
Rationale: Handwashing (B) is top infection control priority per CDC; clinical judgment uses it
universally. C is adjunct; A unrelated. Pharmacology: antibacterials secondary.
Question 8
The nurse assesses a 2-year-old who is admitted for dehydration and finds that the peripheral IV
rate by gravity has slowed, even though the venous access site is healthy. What should the nurse
do next? A. Apply a warm compress proximal to the site. B. Check for kinks in the tubing and
raise the IV pole. C. Adjust the tape that stabilizes the needle. D. Flush with normal saline and
recount the drop rate.
Correct Answer: B
Rationale: Least invasive troubleshooting (B) prioritizes hydration safety in pediatrics. A next
for spasm; D risks overload. Clinical judgment: gravity factors first.
Question 9
The nurse manager of a skilled nursing (chronic care) unit is instructing UAPs on ways to
prevent complications of immobility. Which action should be included in this instruction? A.
Perform range-of-motion exercises to prevent contractures. B. Decrease the client's fluid intake
to prevent diarrhea. C. Massage the client's legs to reduce embolism occurrence. D. Turn the
client from side to back every shift.
Correct Answer: A
Rationale: ROM (A) delegated to UAP prevents contractures safely. B risks constipation; C
dislodges clots; D inadequate turning. Prioritization: evidence-based mobility.
Question 10
The nurse administered 10 mg of diazepam to the preoperative client. What steps will the nurse
take next? (Select all that apply.) A. Place the client in the bed next to the nurse's station. B.
Instruct the client not to get out of bed. C. Place the call bell within the client's reach. D. Place
the side rails up, according to institutional policy.
Correct Answer: B, C, D
Rationale: Diazepam sedation requires fall prevention (B, C, D); pharmacology: CNS
depression priority. A unnecessary; safety: monitor respiration.
, Question 11
When preparing to administer a prescribed medication to a homeless client at a community
psychiatric clinic. The client tells the nurse that the usual dosage taken is different from the dose
the nurse is giving. Which action should the nurse take? A. Inform the client that he may refuse
the medication and document whether or not the client takes it. B. Withhold the medication until
the dosage can be confirmed. C. Explain to the client that the dosage has been changed. D. Tell
the client to take the medication then verify the dosage at the next healthcare team meeting.
Correct Answer: B
Rationale: Safety withholds (B) for verification; judgment assesses self-report reliability.
Pharmacology: prevents overdose/toxicity.
Question 12
The charge nurse is making assignments for one practical nurse and three registered nurses who
are caring for neurologically compromised clients. Which client with which change in status is
best to assign to the PN? A. Subdural hematoma whose blood pressure changed from 150/80 to
170/60. B. Viral meningitis whose temperature change from 101 F to 102 F. C. Diabetic keto
acidosis who is Glasgow coma scale score changed from 10 to 7. D. Myxedema, whose blood
pressure change from 80/50 to 70/40.
Correct Answer: B
Rationale: Stable vital changes (B) for PN delegation; unstable neuro (A, C, D) RN priority.
Safety: acuity matching.
Question 13
In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust? A. Food B. Warmth C. Security D. Comfort
Correct Answer: C
Rationale: Erikson's trust vs. mistrust stage prioritizes consistent security (C) for attachment.
Clinical judgment: developmental safety.
Question 14
A nurse has just received a medication order which is not legible. Which statement best reflects
assertive communication? A. "I cannot give this medication as it is written. I have no idea of
what you mean." B. "Would you please clarify what you have written so I am sure I am reading
it correctly?" C. "I am having difficulty reading your handwriting. It would save me time if you
would be more careful." D. "Please print in the future so I do not have to spend extra time
attempting to read your writing."
Updated Real Questions with 100%
Correct Answers | Already Graded A
Question 1
The nurse is called to the waiting room of a pediatric clinic. The frantic mother states, "I think
my 4-month-old baby is choking!" What steps will the nurse take? (Select all that apply.) A.
Compress the chest once between the nipples with two fingers. B. Note any obstruction or
absence of breathing. C. Deliver five backslaps between the shoulder blades. D. Place the infant
over the nurse's arm.
Correct Answer: B, C, D
Rationale: Clinical judgment prioritizes airway assessment (B) and age-appropriate
interventions (C, D) per pediatric BLS guidelines to clear obstruction safely, minimizing injury
risk. A is incorrect as it requires five thrusts, not one. Safety focuses on ABCs; no pharmacology
involved.
Question 2
Which fluid will the nurse select to administer with the prescribed blood transfusion? A. 5%
Dextrose and water B. Normal saline C. Lactated Ringers solution D. 5% Dextrose and lactated
ringers
Correct Answer: B
Rationale: Prioritization ensures compatibility to prevent hemolysis; normal saline (B) is
isotonic and safe. Clinical judgment avoids dextrose (A, D) for clot risk and calcium in C.
Pharmacology emphasizes transfusion safety protocols.
Question 3
When assisting a client from the bed to a chair, which procedure is best for the nurse to follow?
A. Place the chair parallel to the bed, with its back toward the head of the bed and assist the
client in moving to the chair. B. With the nurse's feet spread apart and knees aligned with the
client's knees, stand and pivot the client into the chair. C. Assist the client to a standing position
by gently lifting upward, underneath the axillae. D. Stand beside the client, place the client's
arms around the nurse's neck, and gently move the client to the chair.
Correct Answer: B
,Rationale: Safety via body mechanics (B) prevents falls and injury; wide base and pivot reduce
strain. Clinical judgment avoids axillae lift (C) for nerve damage and neck placement (D) for
risk. No pharmacology.
Question 4
How many mL will the nurse document on the client's intake and output record from the items
listed? _____ mL 1200 mL water 4 ounce container of gelatin 8 ounces of orange juice 355 mL
can of soda 1 cup of soup
Correct Answer: 2155
Rationale: Accurate I&O (2155 mL: conversions 4 oz=120, 8 oz=240, cup=240) supports fluid
balance judgment, prioritizing safety in renal/cardiac clients. No pharmacology.
Question 5
The nurse observes a UAP taking a client's blood pressure in the lower extremity. Which
observation of this procedure requires the nurse to intervene with the UAP's approach? A. The
cuff wraps around the girth of the leg. B. The UAP auscultates the popliteal pulse with the cuff
on the lower leg. C. The client is placed in a prone position. D. The systolic reading is 20 mm Hg
higher than the blood pressure in the client's arm.
Correct Answer: B
Rationale: Intervention for incorrect site (B) ensures accurate BP; thigh cuff for popliteal. D is
normal. Safety prioritizes delegation oversight; no pharmacology.
Question 6
During a clinic visit, the mother of a 7-year-old reports to the nurse that her child is often awake
until midnight playing and is then very difficult to awaken in the morning for school. Which
assessment data should the nurse obtain in response to the mother's concern? A. The occurrence
of any episodes of sleep apnea B. The child's blood pressure, pulse, and respirations C. Length of
rapid eye movement (REM) sleep that the child is experiencing D. Description of the family's
home environment
Correct Answer: D
Rationale: Environmental assessment (D) guides judgment on sleep hygiene; non-invasive
priority. A causes daytime issues; B/C less initial relevance. Safety: holistic family focus.
Question 7
The nurse identifies a potential for infection in a client with partial-thickness (second-degree)
and full-thickness (third-degree) burns. What action has the highest priority in decreasing the
,client's risk of infection? A. Administration of plasma expanders B. Use of careful handwashing
technique C. Application of a topical antibacterial cream D. Limiting visitors to the client with
burns
Correct Answer: B
Rationale: Handwashing (B) is top infection control priority per CDC; clinical judgment uses it
universally. C is adjunct; A unrelated. Pharmacology: antibacterials secondary.
Question 8
The nurse assesses a 2-year-old who is admitted for dehydration and finds that the peripheral IV
rate by gravity has slowed, even though the venous access site is healthy. What should the nurse
do next? A. Apply a warm compress proximal to the site. B. Check for kinks in the tubing and
raise the IV pole. C. Adjust the tape that stabilizes the needle. D. Flush with normal saline and
recount the drop rate.
Correct Answer: B
Rationale: Least invasive troubleshooting (B) prioritizes hydration safety in pediatrics. A next
for spasm; D risks overload. Clinical judgment: gravity factors first.
Question 9
The nurse manager of a skilled nursing (chronic care) unit is instructing UAPs on ways to
prevent complications of immobility. Which action should be included in this instruction? A.
Perform range-of-motion exercises to prevent contractures. B. Decrease the client's fluid intake
to prevent diarrhea. C. Massage the client's legs to reduce embolism occurrence. D. Turn the
client from side to back every shift.
Correct Answer: A
Rationale: ROM (A) delegated to UAP prevents contractures safely. B risks constipation; C
dislodges clots; D inadequate turning. Prioritization: evidence-based mobility.
Question 10
The nurse administered 10 mg of diazepam to the preoperative client. What steps will the nurse
take next? (Select all that apply.) A. Place the client in the bed next to the nurse's station. B.
Instruct the client not to get out of bed. C. Place the call bell within the client's reach. D. Place
the side rails up, according to institutional policy.
Correct Answer: B, C, D
Rationale: Diazepam sedation requires fall prevention (B, C, D); pharmacology: CNS
depression priority. A unnecessary; safety: monitor respiration.
, Question 11
When preparing to administer a prescribed medication to a homeless client at a community
psychiatric clinic. The client tells the nurse that the usual dosage taken is different from the dose
the nurse is giving. Which action should the nurse take? A. Inform the client that he may refuse
the medication and document whether or not the client takes it. B. Withhold the medication until
the dosage can be confirmed. C. Explain to the client that the dosage has been changed. D. Tell
the client to take the medication then verify the dosage at the next healthcare team meeting.
Correct Answer: B
Rationale: Safety withholds (B) for verification; judgment assesses self-report reliability.
Pharmacology: prevents overdose/toxicity.
Question 12
The charge nurse is making assignments for one practical nurse and three registered nurses who
are caring for neurologically compromised clients. Which client with which change in status is
best to assign to the PN? A. Subdural hematoma whose blood pressure changed from 150/80 to
170/60. B. Viral meningitis whose temperature change from 101 F to 102 F. C. Diabetic keto
acidosis who is Glasgow coma scale score changed from 10 to 7. D. Myxedema, whose blood
pressure change from 80/50 to 70/40.
Correct Answer: B
Rationale: Stable vital changes (B) for PN delegation; unstable neuro (A, C, D) RN priority.
Safety: acuity matching.
Question 13
In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust? A. Food B. Warmth C. Security D. Comfort
Correct Answer: C
Rationale: Erikson's trust vs. mistrust stage prioritizes consistent security (C) for attachment.
Clinical judgment: developmental safety.
Question 14
A nurse has just received a medication order which is not legible. Which statement best reflects
assertive communication? A. "I cannot give this medication as it is written. I have no idea of
what you mean." B. "Would you please clarify what you have written so I am sure I am reading
it correctly?" C. "I am having difficulty reading your handwriting. It would save me time if you
would be more careful." D. "Please print in the future so I do not have to spend extra time
attempting to read your writing."
