2025/26 HESI RN Exit Exam Versions 1 - 7 Multiple
Choice Questions & Answers (Verified Answers), 100%
Guaranteed Pass ||Complete A+ Guide - PDF
HESI-Style RN Exit Practice Exam
Part 1: Fundamentals of Nursing (Questions 1–20)
Question 1
A nurse is caring for a client with bacterial pneumonia. Which assessment finding
requires immediate intervention?
A. Temperature of 38.2°C (100.8°F)
B. Respiratory rate of 32 breaths/min with oxygen saturation of 86%
C. Productive cough with yellow sputum
D. White blood cell count of 14,000/mm³
Answer: B
Rationale: A low oxygen saturation with tachypnea indicates impaired oxygenation
and is the priority. Fever, productive sputum, and an elevated WBC count are expected
findings with bacterial pneumonia.
Question 2
Which action demonstrates proper hand hygiene?
A. Wash hands for 5 seconds with warm water.
B. Use alcohol-based hand rub only when hands are visibly soiled.
C. Rub hands with soap and water for at least 20 seconds.
D. Wear gloves instead of washing hands.
Answer: C
Rationale: Soap and water should be used for at least 20 seconds. Alcohol-based hand
rubs are appropriate when hands are not visibly soiled. Gloves do not replace hand
hygiene.
,Question 3
Which client should the nurse assess first?
A. Client with chronic arthritis reporting pain of 6/10.
B. Client receiving IV antibiotics with a rash and wheezing.
C. Client requesting assistance to the bathroom.
D. Client awaiting discharge instructions.
Answer: B
Rationale: Rash and wheezing during IV antibiotic therapy suggest a possible
anaphylactic reaction, which is life-threatening and requires immediate intervention.
Question 4
A nurse identifies a medication error before administering a drug. What is the nurse's
first action?
A. Notify the provider.
B. Complete an incident report.
C. Withhold the medication and verify the prescription.
D. Inform the client's family.
Answer: C
Rationale: The priority is preventing harm. The nurse should withhold the medication
and verify the order before taking additional steps.
Question 5
Which client is at the highest risk for developing a pressure injury?
A. Ambulatory client with hypertension.
B. Client on bed rest with urinary incontinence.
C. Client with seasonal allergies.
D. Client with controlled diabetes who walks daily.
, Answer: B
Rationale: Immobility and moisture significantly increase the risk of pressure injuries.
Question 6
A nurse is preparing to administer insulin. Which action is appropriate?
A. Verify the dose with another licensed nurse if required by policy.
B. Shake the insulin vial vigorously.
C. Administer insulin without checking blood glucose.
D. Mix glargine with regular insulin.
Answer: A
Rationale: Independent verification helps prevent insulin administration errors.
Glargine should not be mixed with other insulins.
Question 7
A postoperative client reports sudden shortness of breath and chest pain. Which action
should the nurse take first?
A. Encourage deep breathing exercises.
B. Notify the healthcare provider.
C. Assess airway, breathing, and circulation while applying oxygen.
D. Administer pain medication.
Answer: C
Rationale: Using the ABC priority framework, assess and support airway and breathing
immediately. These symptoms may indicate a pulmonary embolism.
Question 8
Which statement by a client indicates understanding of fall prevention?
A. "I'll get out of bed by myself if I feel steady."
B. "I'll call for assistance before walking."
Choice Questions & Answers (Verified Answers), 100%
Guaranteed Pass ||Complete A+ Guide - PDF
HESI-Style RN Exit Practice Exam
Part 1: Fundamentals of Nursing (Questions 1–20)
Question 1
A nurse is caring for a client with bacterial pneumonia. Which assessment finding
requires immediate intervention?
A. Temperature of 38.2°C (100.8°F)
B. Respiratory rate of 32 breaths/min with oxygen saturation of 86%
C. Productive cough with yellow sputum
D. White blood cell count of 14,000/mm³
Answer: B
Rationale: A low oxygen saturation with tachypnea indicates impaired oxygenation
and is the priority. Fever, productive sputum, and an elevated WBC count are expected
findings with bacterial pneumonia.
Question 2
Which action demonstrates proper hand hygiene?
A. Wash hands for 5 seconds with warm water.
B. Use alcohol-based hand rub only when hands are visibly soiled.
C. Rub hands with soap and water for at least 20 seconds.
D. Wear gloves instead of washing hands.
Answer: C
Rationale: Soap and water should be used for at least 20 seconds. Alcohol-based hand
rubs are appropriate when hands are not visibly soiled. Gloves do not replace hand
hygiene.
,Question 3
Which client should the nurse assess first?
A. Client with chronic arthritis reporting pain of 6/10.
B. Client receiving IV antibiotics with a rash and wheezing.
C. Client requesting assistance to the bathroom.
D. Client awaiting discharge instructions.
Answer: B
Rationale: Rash and wheezing during IV antibiotic therapy suggest a possible
anaphylactic reaction, which is life-threatening and requires immediate intervention.
Question 4
A nurse identifies a medication error before administering a drug. What is the nurse's
first action?
A. Notify the provider.
B. Complete an incident report.
C. Withhold the medication and verify the prescription.
D. Inform the client's family.
Answer: C
Rationale: The priority is preventing harm. The nurse should withhold the medication
and verify the order before taking additional steps.
Question 5
Which client is at the highest risk for developing a pressure injury?
A. Ambulatory client with hypertension.
B. Client on bed rest with urinary incontinence.
C. Client with seasonal allergies.
D. Client with controlled diabetes who walks daily.
, Answer: B
Rationale: Immobility and moisture significantly increase the risk of pressure injuries.
Question 6
A nurse is preparing to administer insulin. Which action is appropriate?
A. Verify the dose with another licensed nurse if required by policy.
B. Shake the insulin vial vigorously.
C. Administer insulin without checking blood glucose.
D. Mix glargine with regular insulin.
Answer: A
Rationale: Independent verification helps prevent insulin administration errors.
Glargine should not be mixed with other insulins.
Question 7
A postoperative client reports sudden shortness of breath and chest pain. Which action
should the nurse take first?
A. Encourage deep breathing exercises.
B. Notify the healthcare provider.
C. Assess airway, breathing, and circulation while applying oxygen.
D. Administer pain medication.
Answer: C
Rationale: Using the ABC priority framework, assess and support airway and breathing
immediately. These symptoms may indicate a pulmonary embolism.
Question 8
Which statement by a client indicates understanding of fall prevention?
A. "I'll get out of bed by myself if I feel steady."
B. "I'll call for assistance before walking."
