HESI EXIT EXAM PAPER 1 (FOUNDATION LEVEL) – 40
QUESTIONS WITH VERIFIED ANSWERS & DETAILED
EXPLANATIONS | TEST BANK 2026
COURSE NAME
HESI Exit Examination
LEVEL
Foundation Level
SHORT INTRODUCTION
This foundation-level HESI Exit Exam Paper is designed to assess
essential nursing knowledge and clinical judgment across major nursing
content areas, including medical-surgical nursing, pharmacology,
maternal-newborn nursing, pediatric nursing, mental health nursing,
leadership, infection control, and patient safety. Each question is
followed immediately by the correct answer and a detailed explanation
to reinforce learning and prepare students for the HESI Exit
Examination and NCLEX-RN.
INSTRUCTIONS
Answer all 40 questions.
Section A: Multiple Choice Questions.
Section B: Short Answer Questions.
Section C: Clinical Scenario Questions.
, Section D: Critical Thinking Questions.
Each question includes the correct answer followed by an
Explanation written in italics.
Suggested time: 2 hours.
Use this paper for revision, self-assessment, and examination
preparation.
SECTION A: MULTIPLE CHOICE QUESTIONS (1–15)
1. Which patient should the nurse assess first?
A. A patient requesting pain medication
B. A patient with sudden chest pain and shortness of breath
C. A patient waiting for discharge
D. A patient requesting assistance with meals
Answer: B
Explanation: A patient experiencing sudden chest pain and shortness of
breath may be having a life-threatening cardiac event that requires
immediate assessment.
2. Which electrolyte imbalance places a patient at the greatest risk for
cardiac dysrhythmias?
A. Hypernatremia
B. Hypokalemia
C. Hypermagnesemia
QUESTIONS WITH VERIFIED ANSWERS & DETAILED
EXPLANATIONS | TEST BANK 2026
COURSE NAME
HESI Exit Examination
LEVEL
Foundation Level
SHORT INTRODUCTION
This foundation-level HESI Exit Exam Paper is designed to assess
essential nursing knowledge and clinical judgment across major nursing
content areas, including medical-surgical nursing, pharmacology,
maternal-newborn nursing, pediatric nursing, mental health nursing,
leadership, infection control, and patient safety. Each question is
followed immediately by the correct answer and a detailed explanation
to reinforce learning and prepare students for the HESI Exit
Examination and NCLEX-RN.
INSTRUCTIONS
Answer all 40 questions.
Section A: Multiple Choice Questions.
Section B: Short Answer Questions.
Section C: Clinical Scenario Questions.
, Section D: Critical Thinking Questions.
Each question includes the correct answer followed by an
Explanation written in italics.
Suggested time: 2 hours.
Use this paper for revision, self-assessment, and examination
preparation.
SECTION A: MULTIPLE CHOICE QUESTIONS (1–15)
1. Which patient should the nurse assess first?
A. A patient requesting pain medication
B. A patient with sudden chest pain and shortness of breath
C. A patient waiting for discharge
D. A patient requesting assistance with meals
Answer: B
Explanation: A patient experiencing sudden chest pain and shortness of
breath may be having a life-threatening cardiac event that requires
immediate assessment.
2. Which electrolyte imbalance places a patient at the greatest risk for
cardiac dysrhythmias?
A. Hypernatremia
B. Hypokalemia
C. Hypermagnesemia
