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HESI RN Exit Exam 2025/2026 Test
Bank | 100 Verified Questions &
Answers with Detailed Rationales |
Guaranteed A+ Pass
1. Which of the following is not a core competency of APRNs?
– ANS ✔Delegated Practice is not a core competency of the APRN. The nurse
practitioner may delegate individual tasks but not the practice. The APRN must
demonstrate competency in technology and information literacy, health delivery
systems, ethical principles, and decision-making.
2. Which of the following is characteristic of the leadership competency for
APRNs?
– ANS ✔Participating in a community-focused program that promotes mental
, 2
health exemplifies a leadership competency. Evaluating the appropriate use of
seclusion and restraints, developing an age-appropriate treatment plan, and
modifying the treatment plan based on client needs are clinical competencies.
Page | 2
3. All of the following are characteristics of the independent practice
competency except:
– ANS ✔Taking opportunities to influence health policy and reduce stigma of
mental health services exemplifies health policy competency. Considering
differential diagnoses, conducting psychotherapy, and implementing plans to
minimize comorbidity are examples of practicing with full practice authority at
the top of the professional license.
4. Which electrolyte imbalance is most associated with digoxin toxicity?
– ANS ✔Hypokalemia increases the risk of digoxin toxicity because low
potassium enhances the drug’s effect on cardiac tissue, potentially causing life-
threatening arrhythmias.
5. What is the priority nursing intervention for a patient experiencing an
anaphylactic reaction?
– ANS ✔Administer epinephrine immediately. Epinephrine is the first-line
treatment to reverse airway constriction, vasodilation, and hypotension.
6. Which finding indicates fluid volume overload in a patient receiving IV
fluids?
– ANS ✔Crackles in the lungs suggest pulmonary edema and fluid
accumulation, which are signs of fluid overload and require immediate nursing
attention.
7. What is the most important assessment before administering morphine?
– ANS ✔Respiratory rate should be assessed first because morphine can cause
respiratory depression. Holding the dose if respirations are below 12/min is
critical.
Page | 1
HESI RN Exit Exam 2025/2026 Test
Bank | 100 Verified Questions &
Answers with Detailed Rationales |
Guaranteed A+ Pass
1. Which of the following is not a core competency of APRNs?
– ANS ✔Delegated Practice is not a core competency of the APRN. The nurse
practitioner may delegate individual tasks but not the practice. The APRN must
demonstrate competency in technology and information literacy, health delivery
systems, ethical principles, and decision-making.
2. Which of the following is characteristic of the leadership competency for
APRNs?
– ANS ✔Participating in a community-focused program that promotes mental
, 2
health exemplifies a leadership competency. Evaluating the appropriate use of
seclusion and restraints, developing an age-appropriate treatment plan, and
modifying the treatment plan based on client needs are clinical competencies.
Page | 2
3. All of the following are characteristics of the independent practice
competency except:
– ANS ✔Taking opportunities to influence health policy and reduce stigma of
mental health services exemplifies health policy competency. Considering
differential diagnoses, conducting psychotherapy, and implementing plans to
minimize comorbidity are examples of practicing with full practice authority at
the top of the professional license.
4. Which electrolyte imbalance is most associated with digoxin toxicity?
– ANS ✔Hypokalemia increases the risk of digoxin toxicity because low
potassium enhances the drug’s effect on cardiac tissue, potentially causing life-
threatening arrhythmias.
5. What is the priority nursing intervention for a patient experiencing an
anaphylactic reaction?
– ANS ✔Administer epinephrine immediately. Epinephrine is the first-line
treatment to reverse airway constriction, vasodilation, and hypotension.
6. Which finding indicates fluid volume overload in a patient receiving IV
fluids?
– ANS ✔Crackles in the lungs suggest pulmonary edema and fluid
accumulation, which are signs of fluid overload and require immediate nursing
attention.
7. What is the most important assessment before administering morphine?
– ANS ✔Respiratory rate should be assessed first because morphine can cause
respiratory depression. Holding the dose if respirations are below 12/min is
critical.
