HESI RN Exit Exam Version 1 test bank
HESI RN EXIT EXAM VERSION 1 TEST BANK FEATURING UPDATED
QUESTIONS AND VERIFIED ANSWERS ALIGNED WITH CURRENT NCLEX-
RN STANDARDS AND CLINICAL PRACTICE GUIDELINES.
The HESI RN Exit Exam Version 1 Test Bank is a comprehensive study resource designed to help
nursing students confidently prepare for exam success and real-world practice. It covers all
major content areas tested on the HESI RN Exit Exam, including medical-surgical nursing,
pharmacology, fundamentals, pediatrics, maternity, mental health, leadership, and critical care.
Featuring updated questions with verified answers, this test bank is carefully aligned with
current NCLEX-RN standards and evidence-based clinical practice guidelines. It helps students
strengthen critical-thinking skills, identify knowledge gaps, and reinforce safe clinical decision-
making—making it an ideal tool for final review and readiness for both graduation and the
NCLEX-RN.
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs
of impending death. After notifying the family of the client's status, what priority
action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status - ANSWER-C. The
client's need for pain medication should be determined
Which self care measure is most important for the nurse to include in the plan of
care of a client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
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, HESI RN Exit Exam Version 1 test bank
D. A realistic exercise plan - ANSWER-B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During
the assessment, the nurse observes that both breasts are swollen, warm, and
tender on palpation. Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure - ANSWER-
A. Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for
discharge to home. Which recommendations should the nurse provide this client?
(Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water - ANSWER-B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
A toddler presenting with a history of intermittent skin rashes, hives, abdominal
pain, and vomiting that occurs after ingesting of milk products arrives to the clinic
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, HESI RN Exit Exam Version 1 test bank
accompanied by the parents. Which type of testing should the nurse provide
education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge - ANSWER-A. Serum immunoglobulin E (IgE)
A client asks the nurse for information about how to reduce risk factors for benign
prostatic hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test - ANSWER-B. Increase
physical activity
The nurse is completing the admission assessment of a 3-year old who is admitted
with bacterial meningitis and hydrocephalus. Which assessment finding is
evidence that the child is experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - ANSWER-B. Sluggish and unequal
pupillary responses
3|Page
, HESI RN Exit Exam Version 1 test bank
A client who is scheduled for a bronchoscopy in the morning is anxious and asking
the nurse numerous questions about the procedure. In preparing the client for the
procedure, which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack - ANSWER-C. Instruct client to write
down the questions
The nurse assesses a client one hour after starting a transfusion of packed red
blood cells and determines that there are no indications of a transfusion reaction.
What instruction should the nurse provide the unlicensed assistive personnel
(UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client
assessment can be done
B. Continue to measure the client's vital signs every thirty minutes until the
transfusion is complete
C. Monitor the client carefully for the next three hours and report the onset of a
reaction immediately
D. Since a reaction did not occur, the priority is to maintain client comfort during
the transfusion - ANSWER-B. Continue to measure the client's vital signs every
thirty minutes until the transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with multi-organ
failure caused by a ruptured appendix. Which intervention is most important for
the nurse to include in the plan of care?
A. Assess warmth of extremities
4|Page
HESI RN EXIT EXAM VERSION 1 TEST BANK FEATURING UPDATED
QUESTIONS AND VERIFIED ANSWERS ALIGNED WITH CURRENT NCLEX-
RN STANDARDS AND CLINICAL PRACTICE GUIDELINES.
The HESI RN Exit Exam Version 1 Test Bank is a comprehensive study resource designed to help
nursing students confidently prepare for exam success and real-world practice. It covers all
major content areas tested on the HESI RN Exit Exam, including medical-surgical nursing,
pharmacology, fundamentals, pediatrics, maternity, mental health, leadership, and critical care.
Featuring updated questions with verified answers, this test bank is carefully aligned with
current NCLEX-RN standards and evidence-based clinical practice guidelines. It helps students
strengthen critical-thinking skills, identify knowledge gaps, and reinforce safe clinical decision-
making—making it an ideal tool for final review and readiness for both graduation and the
NCLEX-RN.
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs
of impending death. After notifying the family of the client's status, what priority
action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status - ANSWER-C. The
client's need for pain medication should be determined
Which self care measure is most important for the nurse to include in the plan of
care of a client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
1|Page
, HESI RN Exit Exam Version 1 test bank
D. A realistic exercise plan - ANSWER-B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During
the assessment, the nurse observes that both breasts are swollen, warm, and
tender on palpation. Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure - ANSWER-
A. Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for
discharge to home. Which recommendations should the nurse provide this client?
(Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water - ANSWER-B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
A toddler presenting with a history of intermittent skin rashes, hives, abdominal
pain, and vomiting that occurs after ingesting of milk products arrives to the clinic
2|Page
, HESI RN Exit Exam Version 1 test bank
accompanied by the parents. Which type of testing should the nurse provide
education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge - ANSWER-A. Serum immunoglobulin E (IgE)
A client asks the nurse for information about how to reduce risk factors for benign
prostatic hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test - ANSWER-B. Increase
physical activity
The nurse is completing the admission assessment of a 3-year old who is admitted
with bacterial meningitis and hydrocephalus. Which assessment finding is
evidence that the child is experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - ANSWER-B. Sluggish and unequal
pupillary responses
3|Page
, HESI RN Exit Exam Version 1 test bank
A client who is scheduled for a bronchoscopy in the morning is anxious and asking
the nurse numerous questions about the procedure. In preparing the client for the
procedure, which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack - ANSWER-C. Instruct client to write
down the questions
The nurse assesses a client one hour after starting a transfusion of packed red
blood cells and determines that there are no indications of a transfusion reaction.
What instruction should the nurse provide the unlicensed assistive personnel
(UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client
assessment can be done
B. Continue to measure the client's vital signs every thirty minutes until the
transfusion is complete
C. Monitor the client carefully for the next three hours and report the onset of a
reaction immediately
D. Since a reaction did not occur, the priority is to maintain client comfort during
the transfusion - ANSWER-B. Continue to measure the client's vital signs every
thirty minutes until the transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with multi-organ
failure caused by a ruptured appendix. Which intervention is most important for
the nurse to include in the plan of care?
A. Assess warmth of extremities
4|Page
