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HESI RN Exit Exam v1 2026 – Comprehensive Nursing Practice Questions & Verified Answers – RN Exit Preparation

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This document provides a comprehensive set of exam-style questions and verified answers for the HESI RN Exit Exam v1 (2026). It covers critical nursing topics including medical-surgical care, pediatrics, pharmacology, mental health, prioritization, and clinical decision-making, all structured in multiple-choice format to simulate real exam conditions. The content emphasizes clinical reasoning and prioritization skills, with scenarios such as identifying increased intracranial pressure in pediatric patients and managing acute conditions like pancreatitis and heart failure (see pages 1–4). It also includes delegation, patient safety, pharmacology, and emergency interventions, making it a well-rounded resource for final exam preparation. This document is ideal for: Nursing students preparing for the HESI RN Exit Exam NCLEX-RN candidates seeking additional practice Nursing programs and review courses Students strengthening clinical judgment and prioritization skills Keywords: HESI RN exam questions nursing exit exam practice NCLEX style questions clinical decision making nursing prioritization nursing questions pharmacology nursing exam pediatric nursing scenarios adult health nursing questions mental health nursing exam delegation and safety nursing

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HESI RN Exit Exam v1 2026
Exam Questions and Verified
Answers | Already Graded A+



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

A client with acute pancreatitis is admitted with severe, piercing abdominal

pain and an elevated serum amylase. Which additional information is the

client most likely to report to the nurse?

A. Abdominal pain decreases when lying supine

B. Pain lasts an hour and leaves the abdomen tender

C. Right upper quadrant pain refers to right scapula


D. Drinks alcohol until intoxicated at least twice weekly. - 🧠ANSWER ✔✔A.

Abdominal pain decreases when lying supine

A child newly diagnosed with sickle cell anemia (SCA) is being discharged

from the hospital. Which information is most important for the nurse to

provide the parents prior to discharge?

A. Instructions about how much fluid the child should drink daily.

B. Signs of addiction to opioid pain medications

C. Information about non-pharmaceutical pain relief measures

,D. Referral for social services for the child and family - 🧠ANSWER ✔✔A.

Instructions about how much fluid the child should drink daily

To auscultate for a carotid bruit, the nurse places the stethoscope at what

location. (Select the location on the image with a red dot). - 🧠ANSWER ✔✔I

placed the red dot on the base of the neck on the right side

After receiving report on an inpatient acute care unit, which client should

the nurse assess first?

A. The client with an obstruction of the large intestine who is experiencing

abdominal distention

B. The client who had surgery yesterday and is experiencing a paralytic

ileus with absent bowel sounds

C. The client with a small bowel obstruction who has a nasogastric tube

that is draining greenish fluid

D. The client with a bowel obstruction due to a volvulus who is experiencing

abdominal rigidity - 🧠ANSWER ✔✔D. The client with a bowel obstruction

due to a volvulus who is experiencing abdominal rigidity




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, A teenager presents to the emergency department with palpitations after

vaping at a party. The client is anxious, fearful, and hyperventilating. The

nurse anticipates the client developing which acid base imbalance?

A. Respiratory acidosis

B. Metabolic alkalosis

C. Metabolic acidosis


D. Respiratory alkalosis - 🧠ANSWER ✔✔D. Respiratory alkalosis


A client with dyspnea is being admitted to the medical unit. To best prepare

for the client's arrival, the nurse should ensure that the client's bed is in

which position?

A. Supine

B. supine; feet elevated higher than head

C. supine; head elevated higher than feet


D. Fowlers - 🧠ANSWER ✔✔Fowlers


The nurse is taking the blood pressure measurement of a client with

Parkinson's disease. Which information in the client's admission

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