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 Q)
Q1
Which patient should the nurse assess FIRST?
A. Post-op appy, pain 6/10
B. Thyroidectomy 4 h ago reports "choking" sensation
C. Diabetic, glucose 240 mg/dL
D. Elderly needs ambulation
Correct Answer: B
Rationale: "Choking" after thyroidectomy = possible hematoma/airway compromise
(ABC priority).
Q2 (Delegation)
Which task can be delegated to experienced UAP?
A. Obtain urine specimen from stable patient
,B. Evaluate wound healing
C. Teach insulin injection
D. Check NG tube placement
Correct Answer: A
Rationale: Non-invasive, stable patient = UAP scope. Others require nursing judgment.
Q3
Nurse enters room and finds patient on floor. What is FIRST action?
A. Assess for responsiveness & call for help
B. Move patient to bed
C. Fill out incident report
D. Check BP
Correct Answer: A
Rationale: Scene safety + primary assessment precede all else.
Q4
Appropriate injection site for heparin 5,000 units?
A. Dorsogluteal
B. Abdomen 2 in from umbilicus
C. Deltoid
,D. Vastus lateralis
Correct Answer: B
Rationale: Sub-Q heparin → deep subcutaneous abdomen for consistent absorption.
Q5
Patient pulls fire alarm confused. Nurse’s best response?
A. Scold patient
B. Redirect to quiet area, assess cognition
C. Apply restraints immediately
D. Leave to find staff
Correct Answer: B
Rationale: Least-restraint principle; assess underlying cause (hypoxia, meds, etc.).
Q6
Sterile field contaminated—which action?
A. Continue if only corner touched
B. Discard and create new field
C. Wipe with alcohol
D. Cover with sterile drape
Correct Answer: B
, Rationale: Sterility broken → complete redo.
Q7
SBAR “B” stands for:
A. Baseline
B. Background
C. Backup plan
D. Breathing
Correct Answer: B
Rationale: Background = relevant history/data.
Q8
Elderly fall-risk—priority intervention?
A. Bed alarm
B. 4-side rails up
C. Non-skid footwear & call light within reach
D. Sedative at night
Correct Answer: C
Rationale: Environmental modification + patient empowerment; full rails are restraint
(B).
Exam 2026/2027 | NGN Test Bank | Questions with
Verified Answers | 100% Correct | Pass Guaranteed
SECTION 1: Fundamentals & Safety (15 Q)
Q1
Which patient should the nurse assess FIRST?
A. Post-op appy, pain 6/10
B. Thyroidectomy 4 h ago reports "choking" sensation
C. Diabetic, glucose 240 mg/dL
D. Elderly needs ambulation
Correct Answer: B
Rationale: "Choking" after thyroidectomy = possible hematoma/airway compromise
(ABC priority).
Q2 (Delegation)
Which task can be delegated to experienced UAP?
A. Obtain urine specimen from stable patient
,B. Evaluate wound healing
C. Teach insulin injection
D. Check NG tube placement
Correct Answer: A
Rationale: Non-invasive, stable patient = UAP scope. Others require nursing judgment.
Q3
Nurse enters room and finds patient on floor. What is FIRST action?
A. Assess for responsiveness & call for help
B. Move patient to bed
C. Fill out incident report
D. Check BP
Correct Answer: A
Rationale: Scene safety + primary assessment precede all else.
Q4
Appropriate injection site for heparin 5,000 units?
A. Dorsogluteal
B. Abdomen 2 in from umbilicus
C. Deltoid
,D. Vastus lateralis
Correct Answer: B
Rationale: Sub-Q heparin → deep subcutaneous abdomen for consistent absorption.
Q5
Patient pulls fire alarm confused. Nurse’s best response?
A. Scold patient
B. Redirect to quiet area, assess cognition
C. Apply restraints immediately
D. Leave to find staff
Correct Answer: B
Rationale: Least-restraint principle; assess underlying cause (hypoxia, meds, etc.).
Q6
Sterile field contaminated—which action?
A. Continue if only corner touched
B. Discard and create new field
C. Wipe with alcohol
D. Cover with sterile drape
Correct Answer: B
, Rationale: Sterility broken → complete redo.
Q7
SBAR “B” stands for:
A. Baseline
B. Background
C. Backup plan
D. Breathing
Correct Answer: B
Rationale: Background = relevant history/data.
Q8
Elderly fall-risk—priority intervention?
A. Bed alarm
B. 4-side rails up
C. Non-skid footwear & call light within reach
D. Sedative at night
Correct Answer: C
Rationale: Environmental modification + patient empowerment; full rails are restraint
(B).
