,Automatic Table of Contents
HESI RN EXIT EXAM V1 (VERSION1).................................................................................... 3
HESI RN EXIT EXAM V1 RETAKE ............................................................................ 219
HESI RN Exit EXAM V2..................................................................................... 324
HESI RN EXIT EXAM V2 RETAKE............................................................................................. 436
HESI RN EXIT EXAM V3 ........................................................................................ 501
HESI RN Exit EXAM V3 RETAKE ........................................................................ 589
HESI RN EXIT EXAM V4 ........................................................................................................ 736
HESI RN EXIT EXAM V4 RETAKE ............................................................................ 893
HESI RN Exit EXAM V5....................................................................................1016
HESI RN EXIT EXAM V5 RETAKE........................................................................................... 1167
HESI RN EXIT EXAM V6 .......................................................................................1278
HESI RN Exit EXAM V6 RETAKE .......................................................................1364
HESI RN EXIT EXAM V7 ...................................................................................................... 1481
HESI RN EXIT EXAM V7 RETAKE ...........................................................................1523
HESI RN Exit v1-v7 EXAM MOST TESTED & FREQUENTLY REPEATED QUESTIONS
FROM PAST PAPERS REVIEW ..........................................................................1637
ADDITIONAL PAST PAPERS HESI V1-V7 FULL 900 QUESTIONS WITH ANSWERS,
DIAGRAMS, PICTURES FROM 2018-2025 .................................................................. 1779
,HESI RN EXIT EXAM TESTBANK 2026/2027 VERSIONS 1-7
(V1, V2, V3, V4, V5, V6 & V7) +RETAKES COMPLETE QUESTIONS, ANSWERS WITH
DETAILED RATIONALE + BONUS PAST PAPERS ACTUAL 900 QUESTIONS FROM 2022-
2025 WITH SCREENSHOTS, DIAGRAMS, ILLUSTRATIONS, PICTURES & DETAILED
RATIONALES
GOOD LUCK AS YOU EXPLORE THE BEST GUIDE…………
HESI RN Exit EXAM V1 (VERSION1)
QUESTION 1
Stem:
The nurse is assessing a client's nailbeds. Which appearance indicates further follow-up is needed for problems
associated with chronic hypoxia? (SELECT ALL THAT APPY)
Options - described in detail:
The question shows 4 side-view diagrams of a finger/toe with the nail:
Option A: A nail with a markedly convex, bulbous appearance. The angle between the nail base and the skin is
greater than 180 degrees, and the fingertip looks rounded and enlarged.
Option B: A normal nail. The nail plate is slightly convex, the angle between the nail and the nailbed is
approximately 160 degrees, and the fingertip is not enlarged. This is a normal finding.
Option C: A nail with clubbing. There is loss of the normal 160-degree angle, the nail base feels spongy, the nail is
very rounded, and the distal phalanx is bulbous/enlarged. The profile angle is >180 degrees.
Option D: A flat or slightly concave nail with a normal angle. Some versions show spoon-shaped nail - koilonychia.
Correct Answer:
Option C - Nail Clubbing
, Explanation:
Clubbing of the nails is the appearance that indicates chronic hypoxia. It is characterized by:
• An increase in the angle between the nail and nail base to >180 degrees (normal is 160 degrees)
• Enlarged, bulbous distal phalanx
• Spongy feeling at the base of the nail
Clubbing is associated with chronic hypoxic conditions such as:
• Chronic respiratory diseases - COPD, chronic bronchitis, lung cancer
• Congenital heart disease
• Chronic hypoxemia
Therefore, a client showing clubbing needs further follow-up and assessment of respiratory and cardiac status.
The nurse is completing the admission assessment of a 3-year-old child admitted with bacterial meningitis and
hydrocephalus. Which assessment finding most strongly indicates that the child is experiencing increased
intracranial pressure (ICP)? (SELECT ALL THAT APPY)
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
CORRECT ANSWER: B. Sluggish and unequal pupillary responses
Expert Rationale
Sluggish and unequal pupillary responses are concerning neurological findings that indicate impaired cranial nerve
function and possible compression of brain structures caused by increased ICP. As intracranial pressure rises, the
pressure may affect the oculomotor nerve and brainstem pathways responsible for pupillary constriction, resulting
in unequal pupils, sluggish reaction to light, or fixed and dilated pupils. These findings require immediate
notification of the healthcare provider and continued neurological monitoring.
An increased head circumference and bulging fontanels can indicate increased ICP in infants and young children, but
by 3 years of age, the fontanels should normally be closed. Therefore, this finding is not the most appropriate
expected indicator in this child. Tachycardia and tachypnea are nonspecific findings and may occur with infection,
fever, pain, or respiratory compromise. Blood pressure fluctuations and syncope are not the most reliable early
indicators of increased ICP. Late signs may include hypertension with widened pulse pressure, bradycardia, and
abnormal respirations.
DIF: Cognitive Level: Apply
TOP: Increased Intracranial Pressure
MSC: Pediatric Nursing; Physiological Integrity
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum amylase
level. Which additional information is the client most likely to report to the nurse? (SELECT ALL THAT APPY)
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
HESI RN EXIT EXAM V1 (VERSION1).................................................................................... 3
HESI RN EXIT EXAM V1 RETAKE ............................................................................ 219
HESI RN Exit EXAM V2..................................................................................... 324
HESI RN EXIT EXAM V2 RETAKE............................................................................................. 436
HESI RN EXIT EXAM V3 ........................................................................................ 501
HESI RN Exit EXAM V3 RETAKE ........................................................................ 589
HESI RN EXIT EXAM V4 ........................................................................................................ 736
HESI RN EXIT EXAM V4 RETAKE ............................................................................ 893
HESI RN Exit EXAM V5....................................................................................1016
HESI RN EXIT EXAM V5 RETAKE........................................................................................... 1167
HESI RN EXIT EXAM V6 .......................................................................................1278
HESI RN Exit EXAM V6 RETAKE .......................................................................1364
HESI RN EXIT EXAM V7 ...................................................................................................... 1481
HESI RN EXIT EXAM V7 RETAKE ...........................................................................1523
HESI RN Exit v1-v7 EXAM MOST TESTED & FREQUENTLY REPEATED QUESTIONS
FROM PAST PAPERS REVIEW ..........................................................................1637
ADDITIONAL PAST PAPERS HESI V1-V7 FULL 900 QUESTIONS WITH ANSWERS,
DIAGRAMS, PICTURES FROM 2018-2025 .................................................................. 1779
,HESI RN EXIT EXAM TESTBANK 2026/2027 VERSIONS 1-7
(V1, V2, V3, V4, V5, V6 & V7) +RETAKES COMPLETE QUESTIONS, ANSWERS WITH
DETAILED RATIONALE + BONUS PAST PAPERS ACTUAL 900 QUESTIONS FROM 2022-
2025 WITH SCREENSHOTS, DIAGRAMS, ILLUSTRATIONS, PICTURES & DETAILED
RATIONALES
GOOD LUCK AS YOU EXPLORE THE BEST GUIDE…………
HESI RN Exit EXAM V1 (VERSION1)
QUESTION 1
Stem:
The nurse is assessing a client's nailbeds. Which appearance indicates further follow-up is needed for problems
associated with chronic hypoxia? (SELECT ALL THAT APPY)
Options - described in detail:
The question shows 4 side-view diagrams of a finger/toe with the nail:
Option A: A nail with a markedly convex, bulbous appearance. The angle between the nail base and the skin is
greater than 180 degrees, and the fingertip looks rounded and enlarged.
Option B: A normal nail. The nail plate is slightly convex, the angle between the nail and the nailbed is
approximately 160 degrees, and the fingertip is not enlarged. This is a normal finding.
Option C: A nail with clubbing. There is loss of the normal 160-degree angle, the nail base feels spongy, the nail is
very rounded, and the distal phalanx is bulbous/enlarged. The profile angle is >180 degrees.
Option D: A flat or slightly concave nail with a normal angle. Some versions show spoon-shaped nail - koilonychia.
Correct Answer:
Option C - Nail Clubbing
, Explanation:
Clubbing of the nails is the appearance that indicates chronic hypoxia. It is characterized by:
• An increase in the angle between the nail and nail base to >180 degrees (normal is 160 degrees)
• Enlarged, bulbous distal phalanx
• Spongy feeling at the base of the nail
Clubbing is associated with chronic hypoxic conditions such as:
• Chronic respiratory diseases - COPD, chronic bronchitis, lung cancer
• Congenital heart disease
• Chronic hypoxemia
Therefore, a client showing clubbing needs further follow-up and assessment of respiratory and cardiac status.
The nurse is completing the admission assessment of a 3-year-old child admitted with bacterial meningitis and
hydrocephalus. Which assessment finding most strongly indicates that the child is experiencing increased
intracranial pressure (ICP)? (SELECT ALL THAT APPY)
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
CORRECT ANSWER: B. Sluggish and unequal pupillary responses
Expert Rationale
Sluggish and unequal pupillary responses are concerning neurological findings that indicate impaired cranial nerve
function and possible compression of brain structures caused by increased ICP. As intracranial pressure rises, the
pressure may affect the oculomotor nerve and brainstem pathways responsible for pupillary constriction, resulting
in unequal pupils, sluggish reaction to light, or fixed and dilated pupils. These findings require immediate
notification of the healthcare provider and continued neurological monitoring.
An increased head circumference and bulging fontanels can indicate increased ICP in infants and young children, but
by 3 years of age, the fontanels should normally be closed. Therefore, this finding is not the most appropriate
expected indicator in this child. Tachycardia and tachypnea are nonspecific findings and may occur with infection,
fever, pain, or respiratory compromise. Blood pressure fluctuations and syncope are not the most reliable early
indicators of increased ICP. Late signs may include hypertension with widened pulse pressure, bradycardia, and
abnormal respirations.
DIF: Cognitive Level: Apply
TOP: Increased Intracranial Pressure
MSC: Pediatric Nursing; Physiological Integrity
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum amylase
level. Which additional information is the client most likely to report to the nurse? (SELECT ALL THAT APPY)
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
