HESI EXIT EXAM 2026
MIXED REVIEW – MATERNITY,
PEDIATRICS, FUNDAMENTALS & MED-SURG
ACTUAL PROCTORED EXAM | LATEST
VERIFIED EXAM
300 ORIGINAL QUESTIONS WITH
DETAILED RATIONALES
SCORED 100% | PASS GUARANTEED
CHAMBERLAIN UNIVERSITY
Course Code: HESI PN
Course Title: Exit Exam – Comprehensive Review
Document Type: Actual Exam Screenshots + Complete Rationales
Total Questions: 300 (Randomized Topics)
Prepared By: Nursingsolutions
Disclaimer: This is a legit exam and contains officially sanctioned
examination content. Updated for 2026 NGN-style testing. All rationales
are evidence-based.
,Your Success, Our Priority
Date: ______________________
TABLE OF CONTENTS
Mixed Topic Review – Part 1 — Q 1–50
Mixed Topic Review – Part 2 — Q 51–100
Mixed Topic Review – Part 3 — Q 101–150
Mixed Topic Review – Part 4 — Q 151–200
Mixed Topic Review – Part 5 — Q 201–250
Mixed Topic Review – Part 6 — Q 251–300
Pediatric Nursing
Questions 1–50
QUESTION 1
A child with type 1 diabetes is lethargic, has a fruity breath odor, and a
blood glucose of 450 mg/dL. What is the priority intervention?
A. Give orange juice
B. Administer insulin
C. Notify the provider
,D. Check urine ketones
E. Offer water
CORRECT ANSWER: B. Administer insulin
RATIONALE: Fruity breath and high glucose indicate diabetic
ketoacidosis. Insulin is needed to correct hyperglycemia and ketosis. IV
fluids and electrolytes are also required.
QUESTION 2
A client at 36 weeks gestation with preeclampsia reports a severe
headache and visual changes. What is the priority action?
A. Administer acetaminophen
B. Check blood pressure
C. Offer a cool cloth
D. Encourage rest
E. Perform a fundal massage
CORRECT ANSWER: B. Check blood pressure
RATIONALE: Headache and visual changes are signs of severe
preeclampsia. The priority is to check blood pressure. If elevated, the
provider must be notified immediately.
QUESTION 3
A 2-year-old child with a barking cough and stridor at rest is brought to
the ED. What is the priority action?
, A. Administer oral steroids
B. Prepare for intubation
C. Administer nebulized epinephrine
D. Apply a cool mist
E. Obtain a throat culture
CORRECT ANSWER: C. Administer nebulized epinephrine
RATIONALE: Stridor at rest indicates moderate to severe croup.
Nebulized epinephrine reduces airway edema. Steroids are given, but
epinephrine is the immediate treatment for respiratory distress.
QUESTION 4
A client with a history of stroke is being discharged. Which instruction
is most important?
A. Take medications as prescribed
B. Follow up with the provider
C. Report worsening symptoms
D. Maintain a healthy diet
E. All of the above
CORRECT ANSWER: E. All of the above
MIXED REVIEW – MATERNITY,
PEDIATRICS, FUNDAMENTALS & MED-SURG
ACTUAL PROCTORED EXAM | LATEST
VERIFIED EXAM
300 ORIGINAL QUESTIONS WITH
DETAILED RATIONALES
SCORED 100% | PASS GUARANTEED
CHAMBERLAIN UNIVERSITY
Course Code: HESI PN
Course Title: Exit Exam – Comprehensive Review
Document Type: Actual Exam Screenshots + Complete Rationales
Total Questions: 300 (Randomized Topics)
Prepared By: Nursingsolutions
Disclaimer: This is a legit exam and contains officially sanctioned
examination content. Updated for 2026 NGN-style testing. All rationales
are evidence-based.
,Your Success, Our Priority
Date: ______________________
TABLE OF CONTENTS
Mixed Topic Review – Part 1 — Q 1–50
Mixed Topic Review – Part 2 — Q 51–100
Mixed Topic Review – Part 3 — Q 101–150
Mixed Topic Review – Part 4 — Q 151–200
Mixed Topic Review – Part 5 — Q 201–250
Mixed Topic Review – Part 6 — Q 251–300
Pediatric Nursing
Questions 1–50
QUESTION 1
A child with type 1 diabetes is lethargic, has a fruity breath odor, and a
blood glucose of 450 mg/dL. What is the priority intervention?
A. Give orange juice
B. Administer insulin
C. Notify the provider
,D. Check urine ketones
E. Offer water
CORRECT ANSWER: B. Administer insulin
RATIONALE: Fruity breath and high glucose indicate diabetic
ketoacidosis. Insulin is needed to correct hyperglycemia and ketosis. IV
fluids and electrolytes are also required.
QUESTION 2
A client at 36 weeks gestation with preeclampsia reports a severe
headache and visual changes. What is the priority action?
A. Administer acetaminophen
B. Check blood pressure
C. Offer a cool cloth
D. Encourage rest
E. Perform a fundal massage
CORRECT ANSWER: B. Check blood pressure
RATIONALE: Headache and visual changes are signs of severe
preeclampsia. The priority is to check blood pressure. If elevated, the
provider must be notified immediately.
QUESTION 3
A 2-year-old child with a barking cough and stridor at rest is brought to
the ED. What is the priority action?
, A. Administer oral steroids
B. Prepare for intubation
C. Administer nebulized epinephrine
D. Apply a cool mist
E. Obtain a throat culture
CORRECT ANSWER: C. Administer nebulized epinephrine
RATIONALE: Stridor at rest indicates moderate to severe croup.
Nebulized epinephrine reduces airway edema. Steroids are given, but
epinephrine is the immediate treatment for respiratory distress.
QUESTION 4
A client with a history of stroke is being discharged. Which instruction
is most important?
A. Take medications as prescribed
B. Follow up with the provider
C. Report worsening symptoms
D. Maintain a healthy diet
E. All of the above
CORRECT ANSWER: E. All of the above
