HESI NURSING EXIT EXAM 2026
COMPREHENSIVE PRACTICE QUESTIONS AND
ANSWERS COMPLETE RN EXIT EXAM
PREPARATION RESOURCE NGN
STYLE CLINICAL JUDGMENT, DETAILED
RATIONALES, COMPREHENSIVE NURSING
REVIEW, PRACTICE TESTS AND FINAL EXAM
STUDY GUIDE
List in order how to correctly perform a Respiratory Assessment - CORRECT
ANSWER -inspection, palpation, percussion, then auscultation
If the pt has an allergy to PCN, he may also have an allergy to - CORRECT
ANSWER -Cephalosporins, such as Ceftriaxone & Cefepine
An elderly man comes to the ED complaining of SOB. The HCP determines
that the pt has pneumonia. The pt's condition deteriorates in the ED, & he
now has impending respiratory failure. What would his ABG results look
like? - CORRECT ANSWER -pH 7.30 paCO2 52 paO2 56 HCO3- 26;
Respiratory failure must have a paO2 of <60
THEOPHYLLINE - CORRECT ANSWER -Medication used for Asthma,
COPD, Bronchitis & Emphysema; can be administered q4h PO, IV, IM &
,Inhaled; does NOT LIKE 1) Seniors 2) if you eat BBQ 3) St. John's Wort &
4) MAOIs
In a Peak Flow Meter reading, when should a pt go to the hospital? -
CORRECT ANSWER -When the results are in the RED, < 50%
The nurse palpates a crackling sensation of the skin around the insertion
site of a chest tube in a pt who has had thoracic surgery. What action should
the nurse take? - CORRECT ANSWER -This finding is indicative of Crepitus.
The nurse should draw around insertion site of the chest tube the diameter
of where the Crepitus ends, then continue to monitor the insertion site
The nurse is preparing to administer a PPD to a pt who is entering nursing
school. Which action by the nurse is of highest priority? - CORRECT
ANSWER -Inquire as to whether the nursing student has ever had the BCG
vaccine; this vaccine will always cause a Positive PPD test; the nursing
student will need to get a CXR every 2 years to prove they're not infected
with TB; a Quantiferon test can also rule out active or latent TB
Collaborative Management for TB - CORRECT ANSWER -+Airborne
precautions
+Private room with negative pressure
+HEPA masks for medical staff
+Goggles & gloves for everyone
+pt is cleared for work with 3 negative sputum samples
+Four-drug therapy for 2 months of Isoniazid, Rifampin, Ethambutol, &
Pyrazinamide
, Warfarin is _____________________________ to pregnant women -
CORRECT ANSWER -teratogenic
The charge nurse is planning pt assignments for the unit. The collaborative
care team consists of an RN, an LPN, snd UAPs. Which pts should be
assigned to the RN? - CORRECT ANSWER -+A pt pending a blood
transfusion from chronic gastrointestinal bleeding with an Hgb of 7.0
mg/dL
+A pt with resolving sickle cell crisis awaiting IV fluid conversion to saline
lock
We give washed PRBCs with no ___________________ & no
___________________ - CORRECT ANSWER -antigens, plasma
A pt who is receiving a transfusion of PRBCs has an inflamed IV site. What
action should the nurse take? - CORRECT ANSWER -Immediately start a
new IV at another site & resume the transfusion at the new site
The Number 1 cause of a stroke is? - CORRECT ANSWER -Non-compliance
Which pt should be assigned to the RN? - CORRECT ANSWER -A pt with an
acute deep vein thrombosis who requires a Heparin hourly infusion
Is the leading cause of death in the U.S. - CORRECT ANSWER -Coronary
artery disease
COMPREHENSIVE PRACTICE QUESTIONS AND
ANSWERS COMPLETE RN EXIT EXAM
PREPARATION RESOURCE NGN
STYLE CLINICAL JUDGMENT, DETAILED
RATIONALES, COMPREHENSIVE NURSING
REVIEW, PRACTICE TESTS AND FINAL EXAM
STUDY GUIDE
List in order how to correctly perform a Respiratory Assessment - CORRECT
ANSWER -inspection, palpation, percussion, then auscultation
If the pt has an allergy to PCN, he may also have an allergy to - CORRECT
ANSWER -Cephalosporins, such as Ceftriaxone & Cefepine
An elderly man comes to the ED complaining of SOB. The HCP determines
that the pt has pneumonia. The pt's condition deteriorates in the ED, & he
now has impending respiratory failure. What would his ABG results look
like? - CORRECT ANSWER -pH 7.30 paCO2 52 paO2 56 HCO3- 26;
Respiratory failure must have a paO2 of <60
THEOPHYLLINE - CORRECT ANSWER -Medication used for Asthma,
COPD, Bronchitis & Emphysema; can be administered q4h PO, IV, IM &
,Inhaled; does NOT LIKE 1) Seniors 2) if you eat BBQ 3) St. John's Wort &
4) MAOIs
In a Peak Flow Meter reading, when should a pt go to the hospital? -
CORRECT ANSWER -When the results are in the RED, < 50%
The nurse palpates a crackling sensation of the skin around the insertion
site of a chest tube in a pt who has had thoracic surgery. What action should
the nurse take? - CORRECT ANSWER -This finding is indicative of Crepitus.
The nurse should draw around insertion site of the chest tube the diameter
of where the Crepitus ends, then continue to monitor the insertion site
The nurse is preparing to administer a PPD to a pt who is entering nursing
school. Which action by the nurse is of highest priority? - CORRECT
ANSWER -Inquire as to whether the nursing student has ever had the BCG
vaccine; this vaccine will always cause a Positive PPD test; the nursing
student will need to get a CXR every 2 years to prove they're not infected
with TB; a Quantiferon test can also rule out active or latent TB
Collaborative Management for TB - CORRECT ANSWER -+Airborne
precautions
+Private room with negative pressure
+HEPA masks for medical staff
+Goggles & gloves for everyone
+pt is cleared for work with 3 negative sputum samples
+Four-drug therapy for 2 months of Isoniazid, Rifampin, Ethambutol, &
Pyrazinamide
, Warfarin is _____________________________ to pregnant women -
CORRECT ANSWER -teratogenic
The charge nurse is planning pt assignments for the unit. The collaborative
care team consists of an RN, an LPN, snd UAPs. Which pts should be
assigned to the RN? - CORRECT ANSWER -+A pt pending a blood
transfusion from chronic gastrointestinal bleeding with an Hgb of 7.0
mg/dL
+A pt with resolving sickle cell crisis awaiting IV fluid conversion to saline
lock
We give washed PRBCs with no ___________________ & no
___________________ - CORRECT ANSWER -antigens, plasma
A pt who is receiving a transfusion of PRBCs has an inflamed IV site. What
action should the nurse take? - CORRECT ANSWER -Immediately start a
new IV at another site & resume the transfusion at the new site
The Number 1 cause of a stroke is? - CORRECT ANSWER -Non-compliance
Which pt should be assigned to the RN? - CORRECT ANSWER -A pt with an
acute deep vein thrombosis who requires a Heparin hourly infusion
Is the leading cause of death in the U.S. - CORRECT ANSWER -Coronary
artery disease
