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HESI Exit Exam 1 (2026) – 160+ Q&A | NCLEX Priorities, Pharmacology, Med-Surg & Pediatrics

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This document contains an extensive collection of over 160 exam-style questions with verified answers designed for HESI Exit Exam 1 preparation. It covers a wide range of nursing topics including prioritization frameworks (ABCs, safety, urgent vs non-urgent), pharmacology, medical-surgical nursing, pediatrics, obstetrics, mental health, and critical care concepts. As demonstrated across pages 1–41 of , the content integrates real clinical scenarios with evidence-based answers, helping students develop strong clinical judgment and decision-making skills. The material is aligned with HESI Comprehensive Review for the NCLEX-RN Examination and standard nursing curricula used in BSN and ADN programs. It emphasizes high-yield exam content such as airway management, medication administration, electrolyte imbalances, prioritization of care, delegation, and emergency interventions. The inclusion of case-based questions, calculation problems, and critical thinking scenarios closely reflects the structure and difficulty level of both HESI and NCLEX exams. This document is ideal for: Nursing students preparing for the HESI Exit Exam NCLEX-RN and NCLEX-PN candidates Students in BSN and ADN nursing programs Health sciences and pre-nursing students Nursing graduates reviewing for licensure exams It can be used as a complete exam preparation guide, a high-yield revision resource, or a practice test bank to identify weak areas and improve performance. The variety of clinical scenarios and prioritization questions makes it especially valuable for mastering real-world nursing decision-making and achieving exam success. Keywords: HESI exit exam, NCLEX prep, nursing prioritization, pharmacology nursing, med surg nursing, pediatric nursing, obstetrics nursing, mental health nursing, clinical judgment, nursing scenarios, delegation nursing, airway management, electrolyte imbalance, emergency nursing, nursing calculations, exam questions nursing

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Cat Exam 1 Hesi Exit 2026 Exam
Questions and Verified Answers
| Already Graded A+


A client is comatose upon arrival to the emergency department after falling

a roof. The client flexes with painful stimuli, and the nurse determines the

client's Glasgow Coma Scale (GCS) is 6. Which intervention should the

nurse prepare to implement to maintain the client's airway? - 🧠 ANSWER

✔✔A nasopharyngeal tube

,A client is receiving a continuous half strength tube feeding at 50 ml/hr. To

prepare enough of the solution for eight hours, how many ml of full strength

feeding will the nurse need? - 🧠 ANSWER ✔✔Answer: 200




25 ml x 8hrs = 200

The alarm of a client's pulse oximeter sounds and the nurse notes that the

oxygen saturation rate is indicated at 85%. What action should the nurse

take first? - 🧠 ANSWER ✔✔Check the probe position


A client is known to have an irregular respiratory rate with periods of apnea

lasting 10 to 15 seconds. Currently, the nurse counts 22 respiratory cycles

in a 30-second interval followed by an apneic period. What intervention

should the nurse implement? - 🧠 ANSWER ✔✔Reassess the respiratory

rate, counting for one full minute

A retiree with depression complains of feeling "lonely and having no

purpose" in life.Based on Erikson's developmental theory, which questions

suggest that the nurse understands the client's most important emotional

need? - 🧠 ANSWER ✔✔"What about your life makes you proud?"

,Following a precipitous labor, a client has a continuous trickling of bright

red blood from her vagina. Her uterus is firm and her vital signs are within

normal limits. The

nurse determines that the client's symptoms may indicate which condition?

- 🧠 ANSWER ✔✔A cervical laceration


In preparing assignments for the shift, which client is best for the charge

nurse to assign to a practical nurse? - 🧠 ANSWER ✔✔An elderly client with

Alzheimer's disease complicated by dysphagia

The healthcare provider prescribes oxygen per nasal cannula at 2 L/min.

Which action has the highest priority when the nurse implements this

prescription? - 🧠 ANSWER ✔✔Set the flow meter


9. A nurse who is new to the pediatric unit is positioning a 6-month-old for

an injection of penicillin V (Pen V) in the dorsogluteal muscle. Which action

should the nurse-manager who is supervising this nurse take first? - 🧠

ANSWER ✔✔C. Instruct the nurse to select another injection site


10. After diagnosis and initial treatment of a 3-year-old child with cystic

fibrosis, the nurse provides home care instructions to the mother. Which

statement by the child's mother indicates that she understands home care


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, treatment to promote pulmonary function? - 🧠 ANSWER ✔✔"Chest

physiotherapy should be performed at least twice a day"

The nurse is preparing a community education program on osteoporosis.

Which instruction is helpful in preventing bone loss and promoting bone

formation? - 🧠 ANSWER ✔✔Encourage physical activity


The nurse reviews the signs of hypoglycemia with the parents of a child

with Type 1 diabetes mellitus. The parents correctly understands signs of

hypoglycemia if they include which symptom? - 🧠 ANSWER ✔✔Sweating


The nurse observes a 2 cm area nonblanchable erythema on the sacrum of

an immobile client. What documentation of this finding is best for the nurse

to enter into the client's record? - 🧠 ANSWER ✔✔Stage 1 pressure ulcer on

sacrum

When assessing a 7-year-old girl, the nurse notes that she has multiple

bruises on her back and upper arms. The child's aunt tells the nurse that

the child's parents abuse drugs and alcohol. What intervention is most

essential for the nurse to implement? - 🧠 ANSWER ✔✔Report assessment

findings to the proper legal authorities

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