BSN366 EXIT HESI EXAM 2026/2027 | ELSEVIER EVOLVE & NCSBN STANDARDS
ALIGNMENT | COMPLETE PRACTICE TEST BANK QUESTIONS AND ANSWERS |
VERIFIED SOLUTIONS | RN LICENSURE READINESS REVIEW GUIDE
Examiner/Administrator: Elsevier HESI (Health Education Systems, Inc.)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
BSN366 EXIT HESI EXAM
2026/2027 EDITION
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
COMPLETE PRACTICE EXAM
150 MULTIPLE-CHOICE QUESTIONS
PASSING SCORE: 75%
TESTING TIME: 180 MINUTES
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
TABLE OF CONTENTS
Comprehensive Adult Health Nursing
Fundamentals of Nursing Practice
Pharmacology & Medication Administration
Maternal-Newborn Nursing
Pediatric Nursing
Mental Health Nursing
Leadership & Management
Priority Setting & Delegation
Clinical Judgment & Patient Safety
NCLEX-RN Readiness & Professional Practice
ELSEVIER HESI || ALIGNED WITH CURRENT NCSBN CLINICAL JUDGMENT BLUEPRINTS ||
RN LICENSURE READINESS STANDARDS || PROFESSIONAL STUDY GUIDE || 100%
VERIFIED | GRADED A+ || COMPREHENSIVE EXAM PREPARATION || PREPARED FOR
PROFESSIONAL NURSING PRACTICE || EDUCATIONAL REVIEW MATERIAL ONLY
,━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Fundamentals of Nursing Practice (Questions 1–10)
Q1. A nurse is caring for a postoperative client who reports pain rated 8/10 despite
receiving prescribed analgesics 30 minutes ago. Which action should the nurse take
first?
A. Contact the healthcare provider for additional medication orders
B. Reassess the client's pain characteristics and response to treatment
C. Document the client's pain rating in the medical record
D. Teach relaxation techniques to reduce pain perception
Correct Answer: 🔴 B. Reassess the client's pain characteristics and response to
treatment
Explanation: 🔹 Nursing process principles require reassessment before additional
interventions are implemented. The nurse must determine the location, quality,
duration, and effectiveness of prior treatment. Option A may become necessary but
only after assessment. Option C is important but does not address the immediate
clinical need. Option D may help but should follow comprehensive reassessment.
Q2. A nurse observes a colleague preparing to administer a medication without
verifying the client's identity. What is the nurse's priority action?
A. Report the incident after medication administration
B. Immediately intervene and request identity verification
C. Document the observation in the client's chart
D. Notify the nurse manager before administration
Correct Answer: 🔴 B. Immediately intervene and request identity verification
Explanation: 🔹 Patient safety takes priority. Failure to verify identity can result in
serious medication errors. Immediate intervention prevents harm. Reporting and
documentation may occur later if indicated. Waiting to notify management delays
corrective action and increases risk to the client.
,Q3. A nurse receives a report on four clients. Which client should be assessed first?
A. Client with stable angina reporting pain level 2/10
B. Client receiving antibiotics for pneumonia with oxygen saturation of 95%
C. Client with diabetes reporting new onset confusion and diaphoresis
D. Client scheduled for discharge awaiting instructions
Correct Answer: 🔴 C. Client with diabetes reporting new onset confusion and
diaphoresis
Explanation: 🔹 Confusion and diaphoresis suggest hypoglycemia, a potentially life-
threatening condition requiring immediate assessment. The remaining clients are
stable or nonurgent. Prioritization follows ABCs and acute neurological status
changes.
Q4. A client states, “I am afraid my surgery will not be successful.” Which response by
the nurse demonstrates therapeutic communication?
A. “Everything will be fine.”
B. “You shouldn't worry about that.”
C. “Tell me more about your concerns regarding the surgery.”
D. “The surgeon has performed many successful procedures.”
Correct Answer: 🔴 C. Tell me more about your concerns regarding the surgery.
Explanation: 🔹 Therapeutic communication encourages expression of feelings and
exploration of concerns. Options A and B provide false reassurance and minimize
emotions. Option D offers information but does not address the client's feelings
directly.
Q5. Which action best demonstrates adherence to standard precautions?
A. Wearing gloves only when blood is visible
B. Performing hand hygiene before and after client contact
C. Wearing a gown for every client encounter
D. Using sterile gloves during routine vital sign assessment
, Correct Answer: 🔴 B. Performing hand hygiene before and after client contact
Explanation: 🔹 Hand hygiene is the most effective measure for preventing
healthcare-associated infections. Gloves are indicated based on anticipated exposure,
not visible blood alone. Gowns and sterile gloves are used only when clinically
indicated.
Q6. A nurse is documenting a client's condition. Which entry is most appropriate?
A. Client appears much better today
B. Client is cheerful and cooperative
C. Client ambulated 150 feet with minimal assistance and no dyspnea
D. Client had a good morning
Correct Answer: 🔴 C. Client ambulated 150 feet with minimal assistance and no
dyspnea
Explanation: 🔹 Documentation should be objective, measurable, and specific. Option
C contains observable data. The other options contain subjective interpretations and
vague terminology.
Q7. A nurse delegates ambulation of a stable postoperative client to an assistive
personnel (AP). Which responsibility remains with the nurse?
A. Reporting client discomfort
B. Measuring walking distance
C. Assessing client tolerance to ambulation
D. Assisting with transfer techniques
Correct Answer: 🔴 C. Assessing client tolerance to ambulation
Explanation: 🔹 Assessment and clinical judgment cannot be delegated. APs may
assist with routine activities and report findings, but interpretation and evaluation
remain nursing responsibilities.
ALIGNMENT | COMPLETE PRACTICE TEST BANK QUESTIONS AND ANSWERS |
VERIFIED SOLUTIONS | RN LICENSURE READINESS REVIEW GUIDE
Examiner/Administrator: Elsevier HESI (Health Education Systems, Inc.)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
BSN366 EXIT HESI EXAM
2026/2027 EDITION
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
COMPLETE PRACTICE EXAM
150 MULTIPLE-CHOICE QUESTIONS
PASSING SCORE: 75%
TESTING TIME: 180 MINUTES
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
TABLE OF CONTENTS
Comprehensive Adult Health Nursing
Fundamentals of Nursing Practice
Pharmacology & Medication Administration
Maternal-Newborn Nursing
Pediatric Nursing
Mental Health Nursing
Leadership & Management
Priority Setting & Delegation
Clinical Judgment & Patient Safety
NCLEX-RN Readiness & Professional Practice
ELSEVIER HESI || ALIGNED WITH CURRENT NCSBN CLINICAL JUDGMENT BLUEPRINTS ||
RN LICENSURE READINESS STANDARDS || PROFESSIONAL STUDY GUIDE || 100%
VERIFIED | GRADED A+ || COMPREHENSIVE EXAM PREPARATION || PREPARED FOR
PROFESSIONAL NURSING PRACTICE || EDUCATIONAL REVIEW MATERIAL ONLY
,━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Fundamentals of Nursing Practice (Questions 1–10)
Q1. A nurse is caring for a postoperative client who reports pain rated 8/10 despite
receiving prescribed analgesics 30 minutes ago. Which action should the nurse take
first?
A. Contact the healthcare provider for additional medication orders
B. Reassess the client's pain characteristics and response to treatment
C. Document the client's pain rating in the medical record
D. Teach relaxation techniques to reduce pain perception
Correct Answer: 🔴 B. Reassess the client's pain characteristics and response to
treatment
Explanation: 🔹 Nursing process principles require reassessment before additional
interventions are implemented. The nurse must determine the location, quality,
duration, and effectiveness of prior treatment. Option A may become necessary but
only after assessment. Option C is important but does not address the immediate
clinical need. Option D may help but should follow comprehensive reassessment.
Q2. A nurse observes a colleague preparing to administer a medication without
verifying the client's identity. What is the nurse's priority action?
A. Report the incident after medication administration
B. Immediately intervene and request identity verification
C. Document the observation in the client's chart
D. Notify the nurse manager before administration
Correct Answer: 🔴 B. Immediately intervene and request identity verification
Explanation: 🔹 Patient safety takes priority. Failure to verify identity can result in
serious medication errors. Immediate intervention prevents harm. Reporting and
documentation may occur later if indicated. Waiting to notify management delays
corrective action and increases risk to the client.
,Q3. A nurse receives a report on four clients. Which client should be assessed first?
A. Client with stable angina reporting pain level 2/10
B. Client receiving antibiotics for pneumonia with oxygen saturation of 95%
C. Client with diabetes reporting new onset confusion and diaphoresis
D. Client scheduled for discharge awaiting instructions
Correct Answer: 🔴 C. Client with diabetes reporting new onset confusion and
diaphoresis
Explanation: 🔹 Confusion and diaphoresis suggest hypoglycemia, a potentially life-
threatening condition requiring immediate assessment. The remaining clients are
stable or nonurgent. Prioritization follows ABCs and acute neurological status
changes.
Q4. A client states, “I am afraid my surgery will not be successful.” Which response by
the nurse demonstrates therapeutic communication?
A. “Everything will be fine.”
B. “You shouldn't worry about that.”
C. “Tell me more about your concerns regarding the surgery.”
D. “The surgeon has performed many successful procedures.”
Correct Answer: 🔴 C. Tell me more about your concerns regarding the surgery.
Explanation: 🔹 Therapeutic communication encourages expression of feelings and
exploration of concerns. Options A and B provide false reassurance and minimize
emotions. Option D offers information but does not address the client's feelings
directly.
Q5. Which action best demonstrates adherence to standard precautions?
A. Wearing gloves only when blood is visible
B. Performing hand hygiene before and after client contact
C. Wearing a gown for every client encounter
D. Using sterile gloves during routine vital sign assessment
, Correct Answer: 🔴 B. Performing hand hygiene before and after client contact
Explanation: 🔹 Hand hygiene is the most effective measure for preventing
healthcare-associated infections. Gloves are indicated based on anticipated exposure,
not visible blood alone. Gowns and sterile gloves are used only when clinically
indicated.
Q6. A nurse is documenting a client's condition. Which entry is most appropriate?
A. Client appears much better today
B. Client is cheerful and cooperative
C. Client ambulated 150 feet with minimal assistance and no dyspnea
D. Client had a good morning
Correct Answer: 🔴 C. Client ambulated 150 feet with minimal assistance and no
dyspnea
Explanation: 🔹 Documentation should be objective, measurable, and specific. Option
C contains observable data. The other options contain subjective interpretations and
vague terminology.
Q7. A nurse delegates ambulation of a stable postoperative client to an assistive
personnel (AP). Which responsibility remains with the nurse?
A. Reporting client discomfort
B. Measuring walking distance
C. Assessing client tolerance to ambulation
D. Assisting with transfer techniques
Correct Answer: 🔴 C. Assessing client tolerance to ambulation
Explanation: 🔹 Assessment and clinical judgment cannot be delegated. APs may
assist with routine activities and report findings, but interpretation and evaluation
remain nursing responsibilities.
