HESI EXIT EXAM (2026 COMPLETE SERIES) VERSIONS V1 -
V7 | VERIFIED Q&A
990+ (Fully Updated 2026) Exam Questions + Verified & Rationalized Answers | A+ Graded
Document Overview
This comprehensive examination package contains 997 expertly curated questions across 7 critical modules : HESI RN
Exit Exam V1, HESI RN Exit Exam V2, HESI RN Exit Exam V3, HESI Exit RN V4, HESI RN Exit Exam V5, HESI RN Exit
Exam V6, HESI Exit V7. Each question is accompanied by verified correct answers and detailed rationales designed to enhance
understanding and retention. This 2026-updated resource provides complete coverage of essential concepts, clinical applications, and
evidence-based practices. Perfect for certification preparation, academic review, and professional development.
Table of Contents
HESI RN Exit Exam V1 .............................................................................................. Q1-160
HESI RN Exit Exam V2 ............................................................................................. Q161-260
HESI RN Exit Exam V3 ............................................................................................. Q261-361
HESI RN Exit Exam V4 ............................................................................................. Q362-521
HESI RN Exit Exam V5 ............................................................................................. Q522-681
HESI RN Exit Exam V6 ............................................................................................. Q682-837
HESI RN Exit Exam V7 ............................................................................................. Q838-997
,HESI RN Exit Exam V1 160 Questions
Question 1 HESI RN Exit Exam V1
The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial meningitis and hydrocephalus.
Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
CORRECT ANSWER
B. Sluggish and unequal pupillary responses
Rationale: Increased intracranial pressure (ICP) causes compression of the third cranial nerve, which controls pupil size, leading to sluggish pupillary
responses. Unequal pupillary responses occur when one pupil is more affected by the compression than the other, making option B the correct answer
as it indicates a specific and localized effect of increased ICP.
Question 2 HESI RN Exit Exam V1
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum amylase. Which additional
information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
CORRECT ANSWER
A. Abdominal pain decreases when lying supine
Rationale: When a client with acute pancreatitis lies supine, the pancreas is no longer compressed by the body's weight, allowing it to rest and
potentially alleviate the pain, making option A the correct answer. This is because the supine position reduces the pressure on the pancreas, providing
temporary relief from the severe, piercing abdominal pain associated with acute pancreatitis.
Question 3 HESI RN Exit Exam V1
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which information is most important for
the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
CORRECT ANSWER
A. Instructions about how much fluid the child should drink daily
Rationale: Dehydration is a significant concern for children with sickle cell anemia as it can trigger vaso-occlusive crises, which are painful episodes
caused by sickle-shaped red blood cells blocking blood flow. By providing instructions on daily fluid intake, the nurse empowers the parents to prevent
dehydration and help manage their child's condition effectively.
,Question 4 HESI RN Exit Exam V1
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the location on the image with a red dot).
CORRECT ANSWER
I placed the red dot on the base of the neck on the right side
Rationale: The nurse places the stethoscope at the base of the neck on the right side to auscultate for a carotid bruit because the carotid arteries,
which are the primary source of the bruit, are located in this area, making it the most effective location for auscultation. By placing the stethoscope at
this location, the nurse can best detect any abnormal sounds, such as a bruit, which may indicate a vascular issue.
Question 5 HESI RN Exit Exam V1
After receiving report on an inpatient acute care unit, which client should the nurse assess first?
A. The client with an obstruction of the large intestine who is experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
CORRECT ANSWER
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
Rationale: The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity should be assessed first because volvulus is a
life-threatening condition that can cause bowel ischemia and necrosis, requiring immediate surgical intervention. Abdominal rigidity is a critical sign that
indicates the client is experiencing severe peritoneal irritation, a hallmark symptom of a volvulus, necessitating prompt assessment and intervention.
Question 6 HESI RN Exit Exam V1
A teenager presents to the emergency department with palpitations after vaping at a party. The client is anxious, fearful, and
hyperventilating. The nurse anticipates the client developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
CORRECT ANSWER
D. Respiratory alkalosis
Rationale: The key concept here is that hyperventilation leads to an excessive loss of carbon dioxide (CO2) from the body, causing a decrease in
blood bicarbonate levels and a subsequent increase in blood pH. This results in a respiratory alkalosis, as the body's ability to regulate CO2 levels
becomes disrupted due to the hyperventilation caused by the vaping.
, Question 7 HESI RN Exit Exam V1
A client with dyspnea is being admitted to the medical unit. To best prepare for the client's arrival, the nurse should ensure that the
client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
CORRECT ANSWER
Fowlers
Rationale: A Fowlers position, named after the physician Samuel Fowlers, is ideal for a client with dyspnea as it elevates both the head and feet,
thereby reducing venous return to the heart and decreasing the workload on the heart, allowing the client to breathe more easily. This position helps to
alleviate respiratory distress by promoting lung expansion and improving gas exchange, making it the most suitable position for a client with dyspnea.
Question 8 HESI RN Exit Exam V1
The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which information in the client's admission
assessment is relevant to the nurse's plan for taking the blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
CORRECT ANSWER
A. Frequent syncope
C. Flat affect
D. Blurred vision
Rationale: Frequent syncope, flat affect, and blurred vision are relevant to the nurse's plan for taking the blood pressure reading because they are
potential symptoms of orthostatic hypotension, which is a common complication in patients with Parkinson's disease. Orthostatic hypotension requires
the nurse to take extra precautions to ensure the client's safety and comfort during the blood pressure measurement, such as having the client sit for a
few minutes before taking the reading and monitoring for signs of dizziness or fainting.
Question 9 HESI RN Exit Exam V1
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to
the healthcare provider, the nurse should review which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level
CORRECT ANSWER
B. Culture for sensitive organisms
Rationale: The nurse should review the culture for sensitive organisms to determine the type of bacteria causing the purulent drainage, which will
inform the choice of antibiotic treatment and guide the healthcare provider's decision-making. This laboratory value is critical in identifying the
causative organism and its susceptibility to various antibiotics, enabling the nurse and healthcare provider to make informed decisions about wound
care and antibiotic therapy.
V7 | VERIFIED Q&A
990+ (Fully Updated 2026) Exam Questions + Verified & Rationalized Answers | A+ Graded
Document Overview
This comprehensive examination package contains 997 expertly curated questions across 7 critical modules : HESI RN
Exit Exam V1, HESI RN Exit Exam V2, HESI RN Exit Exam V3, HESI Exit RN V4, HESI RN Exit Exam V5, HESI RN Exit
Exam V6, HESI Exit V7. Each question is accompanied by verified correct answers and detailed rationales designed to enhance
understanding and retention. This 2026-updated resource provides complete coverage of essential concepts, clinical applications, and
evidence-based practices. Perfect for certification preparation, academic review, and professional development.
Table of Contents
HESI RN Exit Exam V1 .............................................................................................. Q1-160
HESI RN Exit Exam V2 ............................................................................................. Q161-260
HESI RN Exit Exam V3 ............................................................................................. Q261-361
HESI RN Exit Exam V4 ............................................................................................. Q362-521
HESI RN Exit Exam V5 ............................................................................................. Q522-681
HESI RN Exit Exam V6 ............................................................................................. Q682-837
HESI RN Exit Exam V7 ............................................................................................. Q838-997
,HESI RN Exit Exam V1 160 Questions
Question 1 HESI RN Exit Exam V1
The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial meningitis and hydrocephalus.
Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
CORRECT ANSWER
B. Sluggish and unequal pupillary responses
Rationale: Increased intracranial pressure (ICP) causes compression of the third cranial nerve, which controls pupil size, leading to sluggish pupillary
responses. Unequal pupillary responses occur when one pupil is more affected by the compression than the other, making option B the correct answer
as it indicates a specific and localized effect of increased ICP.
Question 2 HESI RN Exit Exam V1
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum amylase. Which additional
information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
CORRECT ANSWER
A. Abdominal pain decreases when lying supine
Rationale: When a client with acute pancreatitis lies supine, the pancreas is no longer compressed by the body's weight, allowing it to rest and
potentially alleviate the pain, making option A the correct answer. This is because the supine position reduces the pressure on the pancreas, providing
temporary relief from the severe, piercing abdominal pain associated with acute pancreatitis.
Question 3 HESI RN Exit Exam V1
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which information is most important for
the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
CORRECT ANSWER
A. Instructions about how much fluid the child should drink daily
Rationale: Dehydration is a significant concern for children with sickle cell anemia as it can trigger vaso-occlusive crises, which are painful episodes
caused by sickle-shaped red blood cells blocking blood flow. By providing instructions on daily fluid intake, the nurse empowers the parents to prevent
dehydration and help manage their child's condition effectively.
,Question 4 HESI RN Exit Exam V1
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the location on the image with a red dot).
CORRECT ANSWER
I placed the red dot on the base of the neck on the right side
Rationale: The nurse places the stethoscope at the base of the neck on the right side to auscultate for a carotid bruit because the carotid arteries,
which are the primary source of the bruit, are located in this area, making it the most effective location for auscultation. By placing the stethoscope at
this location, the nurse can best detect any abnormal sounds, such as a bruit, which may indicate a vascular issue.
Question 5 HESI RN Exit Exam V1
After receiving report on an inpatient acute care unit, which client should the nurse assess first?
A. The client with an obstruction of the large intestine who is experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
CORRECT ANSWER
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
Rationale: The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity should be assessed first because volvulus is a
life-threatening condition that can cause bowel ischemia and necrosis, requiring immediate surgical intervention. Abdominal rigidity is a critical sign that
indicates the client is experiencing severe peritoneal irritation, a hallmark symptom of a volvulus, necessitating prompt assessment and intervention.
Question 6 HESI RN Exit Exam V1
A teenager presents to the emergency department with palpitations after vaping at a party. The client is anxious, fearful, and
hyperventilating. The nurse anticipates the client developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
CORRECT ANSWER
D. Respiratory alkalosis
Rationale: The key concept here is that hyperventilation leads to an excessive loss of carbon dioxide (CO2) from the body, causing a decrease in
blood bicarbonate levels and a subsequent increase in blood pH. This results in a respiratory alkalosis, as the body's ability to regulate CO2 levels
becomes disrupted due to the hyperventilation caused by the vaping.
, Question 7 HESI RN Exit Exam V1
A client with dyspnea is being admitted to the medical unit. To best prepare for the client's arrival, the nurse should ensure that the
client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
CORRECT ANSWER
Fowlers
Rationale: A Fowlers position, named after the physician Samuel Fowlers, is ideal for a client with dyspnea as it elevates both the head and feet,
thereby reducing venous return to the heart and decreasing the workload on the heart, allowing the client to breathe more easily. This position helps to
alleviate respiratory distress by promoting lung expansion and improving gas exchange, making it the most suitable position for a client with dyspnea.
Question 8 HESI RN Exit Exam V1
The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which information in the client's admission
assessment is relevant to the nurse's plan for taking the blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
CORRECT ANSWER
A. Frequent syncope
C. Flat affect
D. Blurred vision
Rationale: Frequent syncope, flat affect, and blurred vision are relevant to the nurse's plan for taking the blood pressure reading because they are
potential symptoms of orthostatic hypotension, which is a common complication in patients with Parkinson's disease. Orthostatic hypotension requires
the nurse to take extra precautions to ensure the client's safety and comfort during the blood pressure measurement, such as having the client sit for a
few minutes before taking the reading and monitoring for signs of dizziness or fainting.
Question 9 HESI RN Exit Exam V1
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to
the healthcare provider, the nurse should review which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level
CORRECT ANSWER
B. Culture for sensitive organisms
Rationale: The nurse should review the culture for sensitive organisms to determine the type of bacteria causing the purulent drainage, which will
inform the choice of antibiotic treatment and guide the healthcare provider's decision-making. This laboratory value is critical in identifying the
causative organism and its susceptibility to various antibiotics, enabling the nurse and healthcare provider to make informed decisions about wound
care and antibiotic therapy.
