HESI RN Exit Exam Comprehensive Practice Actual Exam
2026/2027 | NGN Test Bank | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
SECTION 1: Fundamentals & Safety (15 Questions)
Q1: A nurse is caring for four patients. Which patient should the nurse assess FIRST?
A. A post-op day 2 patient with pain rated 6/10
B. A diabetic patient with blood glucose of 180 mg/dL
C. A post-op thyroidectomy patient with complaints of "tightness" in the neck
D. An elderly patient requesting assistance to the bathroom
Correct Answer: C
Rationale: Clinical Judgment Model: Prioritize Hypotheses using ABCs (Airway,
Breathing, Circulation).
Analysis: Complaint of "tightness" after thyroidectomy suggests possible hematoma
formation, which can compromise the airway - an immediate threat to life.
Priority Framework: Airway trumps pain (A), hyperglycemia (B), and elimination needs
(D).
Action: Immediate assessment for stridor, respiratory distress, and surgical site
inspection is required.
,Q2 (Delegation): The charge nurse can delegate which task to an experienced UAP
(Unlicensed Assistive Personnel)?
A. Assist a stable patient with ambulation to the bathroom
B. Assess a new post-op patient's pain level
C. Teach a diabetic patient about insulin administration
D. Change a sterile dressing on a central line
Correct Answer: A
Rationale: Delegation Principles: UAPs can perform non-invasive, routine tasks for
stable patients. Ambulation assistance is within their scope.
RN-Only Tasks: Pain assessment (B), patient education (C), and sterile procedures (D)
require nursing judgment and cannot be delegated.
Q3 (NGN - Matrix): A nurse has four patients. Assign priority level (Highest,
Intermediate, Lowest) to each finding:
TableCopy
Patient Finding Priority
1. COPD with SpO₂ 88% on 2L NC Highest
2. Post-op appendectomy temp 38.5°C (101.3°F) Intermediate
, 3. Diabetic fasting glucose 250 mg/dL Lowest
4. Dementia patient climbing out of bed Highest
Rationale: Clinical Judgment: Recognize Cues & Prioritize using ABCs + Safety.
● #1 & #4: Immediate threats (oxygenation/safety)
● #2: Infection risk but stable
● #3: Chronic management, non-acute
Q4: A nurse notes a colleague preparing to insert an IV without gloves. What should the
nurse do?
A. Report the colleague to the supervisor immediately
B. Politely remind the colleague about standard precautions
C. Say nothing - it's not your patient
D. Complete an incident report after the shift
Correct Answer: B
Rationale: Safety & Communication: Immediate gentle reminder prevents exposure.
Supports culture of safety without escalating inappropriately.
Q5: When using restraints, which assessment is required every 2 hours?
A. Circulation and range of motion
B. Nutritional intake
C. Sleep pattern
, D. Family visitation needs
Correct Answer: A
Rationale: Joint Commission Standards: Restraints require circulation, skin integrity,
ROM, hydration, elimination, and psychological needs every 2 hours.
Q6: A patient suddenly becomes confused and agitated. What should the nurse assess
first?
A. Oxygen saturation
B. Last pain medication
C. Family history of dementia
D. Sleep history
Correct Answer: A
Rationale: Acute confusion = hypoxia until proven otherwise. Use ABCs - oxygenation
assessment comes first.
Q7: Which action demonstrates cultural competence?
A. Assuming all patients from the same culture have similar needs
B. Asking the patient about their dietary preferences
C. Avoiding discussion of cultural practices
D. Using family members as interpreters
Correct Answer: B
2026/2027 | NGN Test Bank | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
SECTION 1: Fundamentals & Safety (15 Questions)
Q1: A nurse is caring for four patients. Which patient should the nurse assess FIRST?
A. A post-op day 2 patient with pain rated 6/10
B. A diabetic patient with blood glucose of 180 mg/dL
C. A post-op thyroidectomy patient with complaints of "tightness" in the neck
D. An elderly patient requesting assistance to the bathroom
Correct Answer: C
Rationale: Clinical Judgment Model: Prioritize Hypotheses using ABCs (Airway,
Breathing, Circulation).
Analysis: Complaint of "tightness" after thyroidectomy suggests possible hematoma
formation, which can compromise the airway - an immediate threat to life.
Priority Framework: Airway trumps pain (A), hyperglycemia (B), and elimination needs
(D).
Action: Immediate assessment for stridor, respiratory distress, and surgical site
inspection is required.
,Q2 (Delegation): The charge nurse can delegate which task to an experienced UAP
(Unlicensed Assistive Personnel)?
A. Assist a stable patient with ambulation to the bathroom
B. Assess a new post-op patient's pain level
C. Teach a diabetic patient about insulin administration
D. Change a sterile dressing on a central line
Correct Answer: A
Rationale: Delegation Principles: UAPs can perform non-invasive, routine tasks for
stable patients. Ambulation assistance is within their scope.
RN-Only Tasks: Pain assessment (B), patient education (C), and sterile procedures (D)
require nursing judgment and cannot be delegated.
Q3 (NGN - Matrix): A nurse has four patients. Assign priority level (Highest,
Intermediate, Lowest) to each finding:
TableCopy
Patient Finding Priority
1. COPD with SpO₂ 88% on 2L NC Highest
2. Post-op appendectomy temp 38.5°C (101.3°F) Intermediate
, 3. Diabetic fasting glucose 250 mg/dL Lowest
4. Dementia patient climbing out of bed Highest
Rationale: Clinical Judgment: Recognize Cues & Prioritize using ABCs + Safety.
● #1 & #4: Immediate threats (oxygenation/safety)
● #2: Infection risk but stable
● #3: Chronic management, non-acute
Q4: A nurse notes a colleague preparing to insert an IV without gloves. What should the
nurse do?
A. Report the colleague to the supervisor immediately
B. Politely remind the colleague about standard precautions
C. Say nothing - it's not your patient
D. Complete an incident report after the shift
Correct Answer: B
Rationale: Safety & Communication: Immediate gentle reminder prevents exposure.
Supports culture of safety without escalating inappropriately.
Q5: When using restraints, which assessment is required every 2 hours?
A. Circulation and range of motion
B. Nutritional intake
C. Sleep pattern
, D. Family visitation needs
Correct Answer: A
Rationale: Joint Commission Standards: Restraints require circulation, skin integrity,
ROM, hydration, elimination, and psychological needs every 2 hours.
Q6: A patient suddenly becomes confused and agitated. What should the nurse assess
first?
A. Oxygen saturation
B. Last pain medication
C. Family history of dementia
D. Sleep history
Correct Answer: A
Rationale: Acute confusion = hypoxia until proven otherwise. Use ABCs - oxygenation
assessment comes first.
Q7: Which action demonstrates cultural competence?
A. Assuming all patients from the same culture have similar needs
B. Asking the patient about their dietary preferences
C. Avoiding discussion of cultural practices
D. Using family members as interpreters
Correct Answer: B
