HESI RN Exit Exam Comprehensive Review Actual Exam
2026/2027 | NGN Test Bank | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
SECTION 1: Fundamentals & Management of Care (15 Qs)
Q1: A charge nurse must assign four patients. Which patient is MOST appropriate for a
newly-licensed RN on day 3 of orientation?
A. Post-op day 1 lobectomy with chest tube on continuous suction
B. Stable diabetic patient awaiting discharge teaching
C. Acute asthma on continuous albuterol at 8 L/min
D. 2 h post-thyroidectomy with voice change & mild stridor
Correct Answer: B
Rationale:
● Clinical-Judgment Model: Analyze Cues (stable vs unstable) → Generate
Solutions (match acuity to competency).
● HESI Strategy: “New RN” = stable, predictable outcomes; discharge teaching is
within scope.
● Distractors: A/C/D require experienced nurse (airway/respiratory risk, complex
assessments).
,Q2 (NGN – Matrix): Four patients need morning assessment. Assign Highest,
Intermediate, or Lowest priority for RN first visit.
TableCopy
Patient Priority
1. Post-op AAA, 1 h post-extubation, RR 32, SpO₂ 88 % on
Highest (ABCs compromised)
6 L NC
2. Newly admitted CHF, +3 edema, awaiting furosemide Highest (acute fluid overload)
3. Stable COPD, prednisone taper, requesting shower Lowest
Intermediate (risk for
4. TURP patient, continuous bladder irrigation clots noted
retention/bleeding)
Rationale: ABCs & acute physiological changes override comfort/activity needs.
Q3: A patient with active pulmonary TB is being transported to CT. The transporter must
wear:
A. Surgical mask & gown
B. N95 respirator
C. Powered air-purifying respirator (PAPR) only
D. Contact precautions gown & gloves
Correct Answer: B
,Rationale: TB = airborne; minimum N95 for staff during transport. PAPR optional but not
mandatory.
Q4: During hourly rounds a nurse finds an assisted-living resident on the floor, alert but
confused. FIRST action:
A. Log-roll resident onto stretcher
B. Assess airway, breathing, circulation
C. Apply cervical collar
D. Call 911 immediately
Correct Answer: B
Rationale: ABCs first; determine stability before moving.
Q5: A nurse witnesses a colleague documenting vital signs before assessment. MOST
appropriate action:
A. Ignore – common practice
B. Report incident to charge nurse
C. Confront colleague publicly
D. Complete incident report next shift
Correct Answer: B
Rationale: Falsification = legal/ethical breach; follow chain of command.
, Q6 (Cloze): Needlestick protocol – **wash area with ___ and ___; **report to ___ within
___ hours.
Drop-down: soap & water | bleach | employee health | 2 | immediately
Correct Completion: soap & water … employee health … 2
Rationale: OSHA 2026 – no bleach, immediate wash, report ≤ 2 h.
Q7: A newly admitted patient has advance directive “No intubation.” Family insists on
“everything.” BEST initial action:
A. Review directive with family & provider
B. Prepare for emergent intubation
C. Call ethics committee
D. Obtain court order
Correct Answer: A
Rationale: Documented directive supersedes family wishes; education first.
Q8: Delegation – UAP can perform:
A. Assist stable patient to bathroom
B. Assess pain after surgery
C. Teach insulin injection
D. Change central-line dressing
2026/2027 | NGN Test Bank | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
SECTION 1: Fundamentals & Management of Care (15 Qs)
Q1: A charge nurse must assign four patients. Which patient is MOST appropriate for a
newly-licensed RN on day 3 of orientation?
A. Post-op day 1 lobectomy with chest tube on continuous suction
B. Stable diabetic patient awaiting discharge teaching
C. Acute asthma on continuous albuterol at 8 L/min
D. 2 h post-thyroidectomy with voice change & mild stridor
Correct Answer: B
Rationale:
● Clinical-Judgment Model: Analyze Cues (stable vs unstable) → Generate
Solutions (match acuity to competency).
● HESI Strategy: “New RN” = stable, predictable outcomes; discharge teaching is
within scope.
● Distractors: A/C/D require experienced nurse (airway/respiratory risk, complex
assessments).
,Q2 (NGN – Matrix): Four patients need morning assessment. Assign Highest,
Intermediate, or Lowest priority for RN first visit.
TableCopy
Patient Priority
1. Post-op AAA, 1 h post-extubation, RR 32, SpO₂ 88 % on
Highest (ABCs compromised)
6 L NC
2. Newly admitted CHF, +3 edema, awaiting furosemide Highest (acute fluid overload)
3. Stable COPD, prednisone taper, requesting shower Lowest
Intermediate (risk for
4. TURP patient, continuous bladder irrigation clots noted
retention/bleeding)
Rationale: ABCs & acute physiological changes override comfort/activity needs.
Q3: A patient with active pulmonary TB is being transported to CT. The transporter must
wear:
A. Surgical mask & gown
B. N95 respirator
C. Powered air-purifying respirator (PAPR) only
D. Contact precautions gown & gloves
Correct Answer: B
,Rationale: TB = airborne; minimum N95 for staff during transport. PAPR optional but not
mandatory.
Q4: During hourly rounds a nurse finds an assisted-living resident on the floor, alert but
confused. FIRST action:
A. Log-roll resident onto stretcher
B. Assess airway, breathing, circulation
C. Apply cervical collar
D. Call 911 immediately
Correct Answer: B
Rationale: ABCs first; determine stability before moving.
Q5: A nurse witnesses a colleague documenting vital signs before assessment. MOST
appropriate action:
A. Ignore – common practice
B. Report incident to charge nurse
C. Confront colleague publicly
D. Complete incident report next shift
Correct Answer: B
Rationale: Falsification = legal/ethical breach; follow chain of command.
, Q6 (Cloze): Needlestick protocol – **wash area with ___ and ___; **report to ___ within
___ hours.
Drop-down: soap & water | bleach | employee health | 2 | immediately
Correct Completion: soap & water … employee health … 2
Rationale: OSHA 2026 – no bleach, immediate wash, report ≤ 2 h.
Q7: A newly admitted patient has advance directive “No intubation.” Family insists on
“everything.” BEST initial action:
A. Review directive with family & provider
B. Prepare for emergent intubation
C. Call ethics committee
D. Obtain court order
Correct Answer: A
Rationale: Documented directive supersedes family wishes; education first.
Q8: Delegation – UAP can perform:
A. Assist stable patient to bathroom
B. Assess pain after surgery
C. Teach insulin injection
D. Change central-line dressing
