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HESI Comprehensive Exit Exam Prep
(Original NCLEX-Style)
INTRODUCTION
HESI Comprehensive Exit Exam Prep (2026/2027)
Chapters
Chapter 1: HESI Exit Exam Overview
Chapter 2: NCLEX-RN Test Plan Framework
Chapter 3: Clinical Judgment Model (NGN)
,Chapter 4: Patient Safety and Infection Control
Chapter 5: Basic Care and Comfort
Chapter 6: Health Promotion and Maintenance
Chapter 7: Pharmacological and Parenteral Therapies
Chapter 8: Reduction of Risk Potential
Chapter 9: Physiological Adaptation
Chapter 10: Safe and Effective Care Environment
Chapter 11: Psychosocial Integrity
Chapter 12: Priority Setting and Triage
Chapter 13: Delegation and Assignment
Chapter 14: Nursing Process Application
Chapter 15: Vital Signs and Clinical Assessment
Chapter 16: Fluid and Electrolyte Balance
Chapter 17: Acid–Base Balance
Chapter 18: Cardiovascular System Nursing
Chapter 19: Respiratory System Nursing
Chapter 20: Neurological System Nursing
Chapter 21: Endocrine System Nursing
Chapter 22: Renal and Urinary System Nursing
Chapter 23: Gastrointestinal System Nursing
Chapter 24: Musculoskeletal System Nursing
Chapter 25: Hematology and Immune System Nursing
Chapter 26: Infection and Sepsis Management
Chapter 27: Emergency and Critical Care Nursing
Chapter 28: Perioperative Nursing Care
Chapter 29: Maternal and Pediatric Nursing Review
Chapter 30: Mental Health and Psychiatric Nursing
Chapter 31: Ethics and Legal Issues in Nursing
Chapter 32: Leadership and Management Principles
Chapter 33: Disaster and Mass Casualty Nursing
Chapter 34: Comprehensive NCLEX Review Integration
Chapter 35: Final Exam Simulation Strategies
HESI Comprehensive Exit Exam Prep (Original NCLEX-Style)
_______________________________________________
Question 1
A client with heart failure reports sudden shortness of breath. What is the nurse’s first action?
A. Administer prescribed diuretic
B. Place client in high-Fowler’s position
C. Notify the healthcare provider
D. Obtain oxygen saturation
Correct Answer: B
Rationale: Positioning improves breathing immediately and is the priority intervention.
,Question 2
Which finding indicates hypoglycemia?
A. Fruity breath odor
B. Cold, clammy skin
C. Slow deep respirations
D. Hypertension
Correct Answer: B
Rationale: Hypoglycemia causes sympathetic activation → diaphoresis and clammy skin.
Question 3
A postoperative client is receiving morphine. Which assessment requires immediate action?
A. Respiratory rate 10/min
B. Pain score 6/10
C. Urine output 30 mL/hr
D. Blood pressure 110/70
Correct Answer: A
Rationale: Opioids can cause respiratory depression; RR 10 is critical.
Question 4
Which client should the nurse assess first?
A. Client with diabetes and glucose 180 mg/dL
B. Client reporting chest pain and nausea
C. Client scheduled for discharge
D. Client requesting pain medication
Correct Answer: B
Rationale: Chest pain suggests possible myocardial infarction (priority).
, Question 5
A nurse is teaching about infection prevention. Which action is most effective?
A. Wearing gloves when touching all patients
B. Hand hygiene before and after patient contact
C. Using masks for all procedures
D. Sterilizing equipment after each use
Correct Answer: B
Rationale: Hand hygiene is the single most effective infection control measure.
Question 6
Which electrolyte imbalance is most dangerous?
A. Sodium 135 mEq/L
B. Potassium 6.5 mEq/L
C. Calcium 9.0 mg/dL
D. Magnesium 1.8 mg/dL
Correct Answer: B
Rationale: Hyperkalemia can cause fatal dysrhythmias.
Question 7
A client is receiving IV potassium. What is the priority nursing action?
A. Administer IV push slowly
B. Monitor cardiac rhythm
C. Encourage oral fluids
D. Assess bowel sounds
Correct Answer: B
Rationale: Potassium affects cardiac conduction.
Question 8
____________________________________
HESI Comprehensive Exit Exam Prep
(Original NCLEX-Style)
INTRODUCTION
HESI Comprehensive Exit Exam Prep (2026/2027)
Chapters
Chapter 1: HESI Exit Exam Overview
Chapter 2: NCLEX-RN Test Plan Framework
Chapter 3: Clinical Judgment Model (NGN)
,Chapter 4: Patient Safety and Infection Control
Chapter 5: Basic Care and Comfort
Chapter 6: Health Promotion and Maintenance
Chapter 7: Pharmacological and Parenteral Therapies
Chapter 8: Reduction of Risk Potential
Chapter 9: Physiological Adaptation
Chapter 10: Safe and Effective Care Environment
Chapter 11: Psychosocial Integrity
Chapter 12: Priority Setting and Triage
Chapter 13: Delegation and Assignment
Chapter 14: Nursing Process Application
Chapter 15: Vital Signs and Clinical Assessment
Chapter 16: Fluid and Electrolyte Balance
Chapter 17: Acid–Base Balance
Chapter 18: Cardiovascular System Nursing
Chapter 19: Respiratory System Nursing
Chapter 20: Neurological System Nursing
Chapter 21: Endocrine System Nursing
Chapter 22: Renal and Urinary System Nursing
Chapter 23: Gastrointestinal System Nursing
Chapter 24: Musculoskeletal System Nursing
Chapter 25: Hematology and Immune System Nursing
Chapter 26: Infection and Sepsis Management
Chapter 27: Emergency and Critical Care Nursing
Chapter 28: Perioperative Nursing Care
Chapter 29: Maternal and Pediatric Nursing Review
Chapter 30: Mental Health and Psychiatric Nursing
Chapter 31: Ethics and Legal Issues in Nursing
Chapter 32: Leadership and Management Principles
Chapter 33: Disaster and Mass Casualty Nursing
Chapter 34: Comprehensive NCLEX Review Integration
Chapter 35: Final Exam Simulation Strategies
HESI Comprehensive Exit Exam Prep (Original NCLEX-Style)
_______________________________________________
Question 1
A client with heart failure reports sudden shortness of breath. What is the nurse’s first action?
A. Administer prescribed diuretic
B. Place client in high-Fowler’s position
C. Notify the healthcare provider
D. Obtain oxygen saturation
Correct Answer: B
Rationale: Positioning improves breathing immediately and is the priority intervention.
,Question 2
Which finding indicates hypoglycemia?
A. Fruity breath odor
B. Cold, clammy skin
C. Slow deep respirations
D. Hypertension
Correct Answer: B
Rationale: Hypoglycemia causes sympathetic activation → diaphoresis and clammy skin.
Question 3
A postoperative client is receiving morphine. Which assessment requires immediate action?
A. Respiratory rate 10/min
B. Pain score 6/10
C. Urine output 30 mL/hr
D. Blood pressure 110/70
Correct Answer: A
Rationale: Opioids can cause respiratory depression; RR 10 is critical.
Question 4
Which client should the nurse assess first?
A. Client with diabetes and glucose 180 mg/dL
B. Client reporting chest pain and nausea
C. Client scheduled for discharge
D. Client requesting pain medication
Correct Answer: B
Rationale: Chest pain suggests possible myocardial infarction (priority).
, Question 5
A nurse is teaching about infection prevention. Which action is most effective?
A. Wearing gloves when touching all patients
B. Hand hygiene before and after patient contact
C. Using masks for all procedures
D. Sterilizing equipment after each use
Correct Answer: B
Rationale: Hand hygiene is the single most effective infection control measure.
Question 6
Which electrolyte imbalance is most dangerous?
A. Sodium 135 mEq/L
B. Potassium 6.5 mEq/L
C. Calcium 9.0 mg/dL
D. Magnesium 1.8 mg/dL
Correct Answer: B
Rationale: Hyperkalemia can cause fatal dysrhythmias.
Question 7
A client is receiving IV potassium. What is the priority nursing action?
A. Administer IV push slowly
B. Monitor cardiac rhythm
C. Encourage oral fluids
D. Assess bowel sounds
Correct Answer: B
Rationale: Potassium affects cardiac conduction.
Question 8
