2026 HESI EXIT EXAM TESTBANK WITH 7 ACTUAL UPDATED VERSIONS
(V1,V2,V3,V4,V5,V6,V7)
2026 HESI EXIT EXAM TESTBANK WITH 7 ACTUAL UPDATED
VERSIONS (V1,V2,V3,V4,V5,V6,V7) EACH VERSION COMPLETE
REAL VERIFIED QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH DETAILED RATIONALES
The 2026 HESI Exit Exam Practice Test Bank covers all core areas tested on the
exam, including Adult Medical-Surgical Nursing (cardiac, respiratory,
neurological, endocrine, renal, and GI conditions), Pharmacology (medications,
side effects, calculations, and safety), Maternal-Newborn and Pediatric Nursing,
Mental Health Nursing, Fundamentals of Nursing (prioritization, delegation,
infection control), and Critical Care/Emergency Nursing. All topics are integrated
to build strong clinical judgment, critical thinking, and exam readiness.
An unlicensed assistive personnel (UAP) reports that a client's right hand and
fingers spasms when taking the blood pressure using the same arm. After
confirming the presence of spams what action should the nurse take?
a. Ask the UAP to take the blood pressure in the other arm
b. Tell the UAP to use a different sphygmomanometer.
c. Review the client's serum calcium level
d. Administer PRN antianxiety medication.
Review the client's serum calcium level
Rationale: Trousseau's sign is indicated by spasms in the distal portion of an
extremity that is being used to measure blood pressure and is caused by
hypocalcemia (normal level 9.0-10.5 mg/dl, so C should be implemented.
A 56-years-old man shares with the nurse that he is having difficulty making
decision about terminating life support for his wife. What is the best initial action
1|Page
, 2026 HESI EXIT EXAM TESTBANK WITH 7 ACTUAL UPDATED VERSIONS
(V1,V2,V3,V4,V5,V6,V7)
by the nurse?
a. Provide an opportunity for him to clarify his values related to the decision
b. Encourage him to share memories about his life with his wife and family
c. Advise him to seek several opinions before making decision
d. Offer to contact the hospital chaplain or social worker to offer support.
A
Rationale: When a client is faced with a decisional conflict, the nurse should first
provide opportunities for the client to clarify values important in the decision. The
rest may also be beneficial once the client as clarified the values that are
important to him in the decision-making process.
An adult client experiences a gasoline tank fire when riding a motorcycle and is
admitted to the emergency department (ED) with full thickness burns to all
surfaces of both lower extremities. What percentage of body surface area should
the nurse document in the electronic medical record (EMR)?
A. 9%
B. 18%
C. 36%
D. 45%
36%
Rational: according to the rule of nines, the anterior and posterior surfaces of one
lower extremity is designated as 18 %of total body surface area (TBSA), so both
extremities equal 36% TBSA, other options are incorrect.
A client with hyperthyroidism is receiving propranolol (Inderal). Which finding
indicates that the medication is having the desired effect
2|Page
, 2026 HESI EXIT EXAM TESTBANK WITH 7 ACTUAL UPDATED VERSIONS
(V1,V2,V3,V4,V5,V6,V7)
a. Decrease in serum T4 levels
b. Increase in blood pressure
c. Decrease in pulse rate
d. Goiter no longer palpable.
Decrease in pulse rate
Rationale: Beta blockers such as propranolol help control the symptoms of
hyperthyroidism, such as palpitations or tachycardia, but do not alter thyroid
hormone levels, B is not a desired effect in hyperthyroidism. Beta blocker do not
impact the presence of a goiter.
A client is being discharged home after being treated for heart failure (HF). What
instruction should the nurse include in this client's discharge teaching plan?
a. Weigh every morning
b. Eat a high protein diet
c. Perform range of motion exercises
d. Limit fluid intake to 1,500 ml daily
A
should be instructed to weight each morning before breakfast with approximately
the same clothing. A is not specifically to HF and fluid retention.
A woman just learned that she was infected with Heliobacter pylori. Based on this
finding, which health promotion practice should the nurse suggest?
a. Schedule a colonoscopy within the next month.
b. Encourage screening for a peptic ulcer.
c. Screen all family member for hepatitis A
d. Eat small, frequent meals thought the day.
3|Page
, 2026 HESI EXIT EXAM TESTBANK WITH 7 ACTUAL UPDATED VERSIONS
(V1,V2,V3,V4,V5,V6,V7)
B
Rationale: Helicobacter pylori is a gram- negative organism than can colonize in
the stomach and is associated with peptic ulcers formation.
A child with heart failure is receiving the diuretic furosemide (Lasix) and has serum
potassium level 3.0 mEq/L. Which assessment is most important for the nurse to
obtain?
a. Cardiac rhythm and heart rate.
b. Daily intake of foods rich in potassium.
c. Hourly urinary output
d. Thirst ad skin turgor.
Cardiac rhythm and heart rate
Rationale: Hypokalemia is a side effect of potassium-wasting diuretics, such as
Lasix, and manifest as muscle weakness, hypotension, tachycardia, and cardiac
dysrhythmias, so changes in the child's heart rate and cardiac rhythm should be
reported to the healthcare provider. Although BCD can affect the serum potassium
level, the most important finding is the effect of hypokalemia on the child's
cardiac rate and rhythm.
An older male client with type 2 diabetes mellitus reports that has experiences
legs pain when walking short distances, and that the pain is relieved by rest.
Which client behavior indicates an understanding of healthcare teaching to
promote more effective arterial circulation?
a. Consistently applies TED hose before getting dressed in the morning.
b. Frequently elevated legs thorough the day.
c. Inspect the leg frequently for any irritation or skin breakdown
d. Completely stop cigarette/ cigar smoking.
Completely stop cigarette/ cigar smoking
4|Page
(V1,V2,V3,V4,V5,V6,V7)
2026 HESI EXIT EXAM TESTBANK WITH 7 ACTUAL UPDATED
VERSIONS (V1,V2,V3,V4,V5,V6,V7) EACH VERSION COMPLETE
REAL VERIFIED QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH DETAILED RATIONALES
The 2026 HESI Exit Exam Practice Test Bank covers all core areas tested on the
exam, including Adult Medical-Surgical Nursing (cardiac, respiratory,
neurological, endocrine, renal, and GI conditions), Pharmacology (medications,
side effects, calculations, and safety), Maternal-Newborn and Pediatric Nursing,
Mental Health Nursing, Fundamentals of Nursing (prioritization, delegation,
infection control), and Critical Care/Emergency Nursing. All topics are integrated
to build strong clinical judgment, critical thinking, and exam readiness.
An unlicensed assistive personnel (UAP) reports that a client's right hand and
fingers spasms when taking the blood pressure using the same arm. After
confirming the presence of spams what action should the nurse take?
a. Ask the UAP to take the blood pressure in the other arm
b. Tell the UAP to use a different sphygmomanometer.
c. Review the client's serum calcium level
d. Administer PRN antianxiety medication.
Review the client's serum calcium level
Rationale: Trousseau's sign is indicated by spasms in the distal portion of an
extremity that is being used to measure blood pressure and is caused by
hypocalcemia (normal level 9.0-10.5 mg/dl, so C should be implemented.
A 56-years-old man shares with the nurse that he is having difficulty making
decision about terminating life support for his wife. What is the best initial action
1|Page
, 2026 HESI EXIT EXAM TESTBANK WITH 7 ACTUAL UPDATED VERSIONS
(V1,V2,V3,V4,V5,V6,V7)
by the nurse?
a. Provide an opportunity for him to clarify his values related to the decision
b. Encourage him to share memories about his life with his wife and family
c. Advise him to seek several opinions before making decision
d. Offer to contact the hospital chaplain or social worker to offer support.
A
Rationale: When a client is faced with a decisional conflict, the nurse should first
provide opportunities for the client to clarify values important in the decision. The
rest may also be beneficial once the client as clarified the values that are
important to him in the decision-making process.
An adult client experiences a gasoline tank fire when riding a motorcycle and is
admitted to the emergency department (ED) with full thickness burns to all
surfaces of both lower extremities. What percentage of body surface area should
the nurse document in the electronic medical record (EMR)?
A. 9%
B. 18%
C. 36%
D. 45%
36%
Rational: according to the rule of nines, the anterior and posterior surfaces of one
lower extremity is designated as 18 %of total body surface area (TBSA), so both
extremities equal 36% TBSA, other options are incorrect.
A client with hyperthyroidism is receiving propranolol (Inderal). Which finding
indicates that the medication is having the desired effect
2|Page
, 2026 HESI EXIT EXAM TESTBANK WITH 7 ACTUAL UPDATED VERSIONS
(V1,V2,V3,V4,V5,V6,V7)
a. Decrease in serum T4 levels
b. Increase in blood pressure
c. Decrease in pulse rate
d. Goiter no longer palpable.
Decrease in pulse rate
Rationale: Beta blockers such as propranolol help control the symptoms of
hyperthyroidism, such as palpitations or tachycardia, but do not alter thyroid
hormone levels, B is not a desired effect in hyperthyroidism. Beta blocker do not
impact the presence of a goiter.
A client is being discharged home after being treated for heart failure (HF). What
instruction should the nurse include in this client's discharge teaching plan?
a. Weigh every morning
b. Eat a high protein diet
c. Perform range of motion exercises
d. Limit fluid intake to 1,500 ml daily
A
should be instructed to weight each morning before breakfast with approximately
the same clothing. A is not specifically to HF and fluid retention.
A woman just learned that she was infected with Heliobacter pylori. Based on this
finding, which health promotion practice should the nurse suggest?
a. Schedule a colonoscopy within the next month.
b. Encourage screening for a peptic ulcer.
c. Screen all family member for hepatitis A
d. Eat small, frequent meals thought the day.
3|Page
, 2026 HESI EXIT EXAM TESTBANK WITH 7 ACTUAL UPDATED VERSIONS
(V1,V2,V3,V4,V5,V6,V7)
B
Rationale: Helicobacter pylori is a gram- negative organism than can colonize in
the stomach and is associated with peptic ulcers formation.
A child with heart failure is receiving the diuretic furosemide (Lasix) and has serum
potassium level 3.0 mEq/L. Which assessment is most important for the nurse to
obtain?
a. Cardiac rhythm and heart rate.
b. Daily intake of foods rich in potassium.
c. Hourly urinary output
d. Thirst ad skin turgor.
Cardiac rhythm and heart rate
Rationale: Hypokalemia is a side effect of potassium-wasting diuretics, such as
Lasix, and manifest as muscle weakness, hypotension, tachycardia, and cardiac
dysrhythmias, so changes in the child's heart rate and cardiac rhythm should be
reported to the healthcare provider. Although BCD can affect the serum potassium
level, the most important finding is the effect of hypokalemia on the child's
cardiac rate and rhythm.
An older male client with type 2 diabetes mellitus reports that has experiences
legs pain when walking short distances, and that the pain is relieved by rest.
Which client behavior indicates an understanding of healthcare teaching to
promote more effective arterial circulation?
a. Consistently applies TED hose before getting dressed in the morning.
b. Frequently elevated legs thorough the day.
c. Inspect the leg frequently for any irritation or skin breakdown
d. Completely stop cigarette/ cigar smoking.
Completely stop cigarette/ cigar smoking
4|Page
