,Contents
HESI RN EXIT EXAM VERSION: V1 .................................................................................................................... 2
HESI RN EXIT EXAM VERSION: V2 ........................................................................................................................ 111
HESI RN EXIT EXAM VERSION: V3 .................................................................................................................... 194
HESI RN EXIT EXAM VERSION: V4 ............................................................................................................................ 281
HESI RN EXIT EXAM VERSION: V5 ........................................................................................................................ 385
HESI RN EXIT EXAM VERSION: V6 .................................................................................................................... 400
HESI RN EXIT EXAM VERSION: V7 ............................................................................................................................ 507
BONUS Past Papers for HESI RN EXIT EXAMS From 2023 – 2025 ............................................................................ 532
HESI RN EXIT EXAM VERSION: V1
Question:
The nurse is ready to insert an indwelling urinary catheter as
seen in the picture. At this point in the procedure, what
actions should the nurse take before inserting the catheter?
(Select all that apply.)
,Options:
A. Ask the client to bear down as if voiding to relax the
sphincter.
B. Complete perianal care with soap and water.
C. Gently palpate the client’s bladder for distention.
D. Hold the catheter 3–4 inches (7.5–10 cm) from its tip.
E. Secure the urinary drainage bag to the bed frame.
Correct Answers: A, B, and D
A. Ask the client to bear down as if voiding to relax the
sphincter.
B. Complete perianal care with soap and water.
D. Hold the catheter 3–4 inches (7.5–10 cm) from its tip.
,Detailed Rationale
A. Correct
Asking the client to bear down gently as if voiding can help
relax the external urethral sphincter, making catheter
insertion easier and reducing discomfort. The nurse should
instruct the client to breathe slowly and relax during
insertion.
B. Correct
Perineal care with soap and water helps remove dirt and
microorganisms from the genital area before catheterization.
The nurse must then perform the appropriate sterile
antiseptic cleansing of the urethral meatus using the sterile
catheterization kit and maintain aseptic technique to reduce
the risk of introducing microorganisms into the urinary tract.
C. Incorrect
Gently palpating the bladder for distention is not a routine
prerequisite immediately before catheter insertion. Bladder
distention may be assessed when clinically indicated, such as
when urinary retention is suspected, but it is not a required
step for every catheterization.
HESI RN EXIT EXAM VERSION: V1 .................................................................................................................... 2
HESI RN EXIT EXAM VERSION: V2 ........................................................................................................................ 111
HESI RN EXIT EXAM VERSION: V3 .................................................................................................................... 194
HESI RN EXIT EXAM VERSION: V4 ............................................................................................................................ 281
HESI RN EXIT EXAM VERSION: V5 ........................................................................................................................ 385
HESI RN EXIT EXAM VERSION: V6 .................................................................................................................... 400
HESI RN EXIT EXAM VERSION: V7 ............................................................................................................................ 507
BONUS Past Papers for HESI RN EXIT EXAMS From 2023 – 2025 ............................................................................ 532
HESI RN EXIT EXAM VERSION: V1
Question:
The nurse is ready to insert an indwelling urinary catheter as
seen in the picture. At this point in the procedure, what
actions should the nurse take before inserting the catheter?
(Select all that apply.)
,Options:
A. Ask the client to bear down as if voiding to relax the
sphincter.
B. Complete perianal care with soap and water.
C. Gently palpate the client’s bladder for distention.
D. Hold the catheter 3–4 inches (7.5–10 cm) from its tip.
E. Secure the urinary drainage bag to the bed frame.
Correct Answers: A, B, and D
A. Ask the client to bear down as if voiding to relax the
sphincter.
B. Complete perianal care with soap and water.
D. Hold the catheter 3–4 inches (7.5–10 cm) from its tip.
,Detailed Rationale
A. Correct
Asking the client to bear down gently as if voiding can help
relax the external urethral sphincter, making catheter
insertion easier and reducing discomfort. The nurse should
instruct the client to breathe slowly and relax during
insertion.
B. Correct
Perineal care with soap and water helps remove dirt and
microorganisms from the genital area before catheterization.
The nurse must then perform the appropriate sterile
antiseptic cleansing of the urethral meatus using the sterile
catheterization kit and maintain aseptic technique to reduce
the risk of introducing microorganisms into the urinary tract.
C. Incorrect
Gently palpating the bladder for distention is not a routine
prerequisite immediately before catheter insertion. Bladder
distention may be assessed when clinically indicated, such as
when urinary retention is suspected, but it is not a required
step for every catheterization.
