H E S I · H E A LT H E D U C AT I O N S Y S T E M S , I N C .
HESI RN Exit Exam
Complete Practice
Question Bank
100+ Exam-Style Practice Questions with Rationales
Topic Focus: NCLEX-RN — Comprehensive Review
Edition 1 · July 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — HESI RN Exit Exam 2
HESI · Health Education Systems, Inc. Page 1
, HESI RN EXIT EXAM PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. These questions are designed to reflect the HESI RN Exit Exam style and content.
Category: HESI RN Exit Exam — Nursing Practice
1 The nurse observes an adolescent client prepare to administer a prescribed
corticosteroid medication using a metered dose inhaler. What action should the
nurse take?
A Remind the client to hold his breath after inhaling the medication
B Confirm that the client has correctly shaken the inhaler
C Affirm that the client has correctly positioned the inhaler
D Ask the client if he has a spacer to use for this medication
Why A is correct: Holding the breath after inhaling a corticosteroid allows the medication
to deposit in the airways. The client should also rinse the mouth after use to prevent oral
candidiasis.
B — Shaking the inhaler is important but the nurse would have observed this prior.
C — Positioning is important but holding breath is the key teaching point.
D — A spacer is helpful but not the immediate observation needed.
HESI RN Exit Exam
Complete Practice
Question Bank
100+ Exam-Style Practice Questions with Rationales
Topic Focus: NCLEX-RN — Comprehensive Review
Edition 1 · July 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — HESI RN Exit Exam 2
HESI · Health Education Systems, Inc. Page 1
, HESI RN EXIT EXAM PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. These questions are designed to reflect the HESI RN Exit Exam style and content.
Category: HESI RN Exit Exam — Nursing Practice
1 The nurse observes an adolescent client prepare to administer a prescribed
corticosteroid medication using a metered dose inhaler. What action should the
nurse take?
A Remind the client to hold his breath after inhaling the medication
B Confirm that the client has correctly shaken the inhaler
C Affirm that the client has correctly positioned the inhaler
D Ask the client if he has a spacer to use for this medication
Why A is correct: Holding the breath after inhaling a corticosteroid allows the medication
to deposit in the airways. The client should also rinse the mouth after use to prevent oral
candidiasis.
B — Shaking the inhaler is important but the nurse would have observed this prior.
C — Positioning is important but holding breath is the key teaching point.
D — A spacer is helpful but not the immediate observation needed.
