2026 HESI Exit Exam
2026 HESI Exit Exam 1 Comprehensive
Simulator with 160 Questions and
Correct Answers with Rationales/ RN
HESI Exit Predictor
The nurse is providing teaching to a client with type two diabetes mellitus about managing
care at home. Which information provided by the client indicates an understanding of the
teaching?
A) Ensure carbohydrate intake to be 35% of total calories.
B) Get an eye examination with an ophthalmologist annually.
C) Using salt, herbs, and spices will improve the flavor of foods.
D) Check blood sugar levels every 4 to 6 hours everyday. –
A+ TEST BANK 1
, 2026 HESI Exit Exam
Correct Answer :B) Get an eye examination with an ophthalmologist annually.
A client with chronic kidney disease reported to the nurse of feeling increasingly tired. The
client receives injections for epoetin alpha three times a week. Which laboratory value should
the nurse review?
A) Platelet count.
B) Liver enzymes.
C) Serum electrolytes.
D) Complete blood count. –
Correct Answer :D) Complete blood count.
This injection stimulates production of RBCs so check for anemia.
The nurse is planning care for a client with chronic kidney disease he was a resident of a long-
term nursing facility. The client is anuric and has hemodialysis three times a week. Which
intervention should the nurse include in the clients plan of care?
A) Initiate toileting schedule.
B) Provide her nails skin barrier cream.
C) Encourage intake of high potassium foods.
D) Monitor for signs of anemia –
Correct Answer :A) Initiate toileting schedule.
????
A+ TEST BANK 2
, 2026 HESI Exit Exam
Client who is having G.I. difficulties is undergoing diagnostic procedures. The client asked the
nurse about the difference between ulcerative colitis and Crohn's disease. Which information
should the nurse offer?
A) Anal abscess and fistula rarely occur in Crohn's disease.
B) Constipation is more common in Crohn's disease.
C) Rectal bleeding is a predominant symptom and ulcerative colitis.
D) Both disorders are distributed along the entire G.I. tract. –
Correct Answer :C) Rectal bleeding is a predominant symptom and ulcerative colitis.
The nurse receives shift report about a client with obsessive-compulsive disorder. The nurse
completes morning rounds and approaches the client who is repeatedly washing the top of
the same table. Which intervention should the nurse implement?
A) Teach the client thought stopping techniques and ways to refocus behaviors.
B) Assist the client to identify stimuli that precipitate the activity.
C) Encourage the client to be calm and relax for a little while.
D) Allow time for the behavior and then redirect the client to other activities. –
Correct Answer :D) Allow time for the behavior and then redirect the client to other activities.
Following morning care, a client with a C5 spinal cord injury who is sitting in a wheelchair
becomes flushed and complains of a headache. Which intervention should the nurse
implement first?
A+ TEST BANK 3
, 2026 HESI Exit Exam
A) Assess the clients blood pressures every 15 minutes.
B) Relieve any kinks or obstruction in the clients Foley tubing.
C) Teach the client to recognize symptoms of dysreflexia.
D) Administer a prescribed PRN dose of hydralazine. –
Correct Answer :A) Assess the clients blood pressures every 15 minutes.
This likely dysreflexia but the BP needs to be monitored first. Dysreflexia is an abnormal
overreaction of the involuntary her nervous system. EXP, change in heart rate, blood
pressure, diaphoretic, skin flushing, throbbing HA, confusion/anxiety
A female client presents in the emergency department and tells the nurse that she was raped
last night. Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department? –
Correct Answer :A. Has she taken a bath since the rape occurred?
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 –
A+ TEST BANK 4
2026 HESI Exit Exam 1 Comprehensive
Simulator with 160 Questions and
Correct Answers with Rationales/ RN
HESI Exit Predictor
The nurse is providing teaching to a client with type two diabetes mellitus about managing
care at home. Which information provided by the client indicates an understanding of the
teaching?
A) Ensure carbohydrate intake to be 35% of total calories.
B) Get an eye examination with an ophthalmologist annually.
C) Using salt, herbs, and spices will improve the flavor of foods.
D) Check blood sugar levels every 4 to 6 hours everyday. –
A+ TEST BANK 1
, 2026 HESI Exit Exam
Correct Answer :B) Get an eye examination with an ophthalmologist annually.
A client with chronic kidney disease reported to the nurse of feeling increasingly tired. The
client receives injections for epoetin alpha three times a week. Which laboratory value should
the nurse review?
A) Platelet count.
B) Liver enzymes.
C) Serum electrolytes.
D) Complete blood count. –
Correct Answer :D) Complete blood count.
This injection stimulates production of RBCs so check for anemia.
The nurse is planning care for a client with chronic kidney disease he was a resident of a long-
term nursing facility. The client is anuric and has hemodialysis three times a week. Which
intervention should the nurse include in the clients plan of care?
A) Initiate toileting schedule.
B) Provide her nails skin barrier cream.
C) Encourage intake of high potassium foods.
D) Monitor for signs of anemia –
Correct Answer :A) Initiate toileting schedule.
????
A+ TEST BANK 2
, 2026 HESI Exit Exam
Client who is having G.I. difficulties is undergoing diagnostic procedures. The client asked the
nurse about the difference between ulcerative colitis and Crohn's disease. Which information
should the nurse offer?
A) Anal abscess and fistula rarely occur in Crohn's disease.
B) Constipation is more common in Crohn's disease.
C) Rectal bleeding is a predominant symptom and ulcerative colitis.
D) Both disorders are distributed along the entire G.I. tract. –
Correct Answer :C) Rectal bleeding is a predominant symptom and ulcerative colitis.
The nurse receives shift report about a client with obsessive-compulsive disorder. The nurse
completes morning rounds and approaches the client who is repeatedly washing the top of
the same table. Which intervention should the nurse implement?
A) Teach the client thought stopping techniques and ways to refocus behaviors.
B) Assist the client to identify stimuli that precipitate the activity.
C) Encourage the client to be calm and relax for a little while.
D) Allow time for the behavior and then redirect the client to other activities. –
Correct Answer :D) Allow time for the behavior and then redirect the client to other activities.
Following morning care, a client with a C5 spinal cord injury who is sitting in a wheelchair
becomes flushed and complains of a headache. Which intervention should the nurse
implement first?
A+ TEST BANK 3
, 2026 HESI Exit Exam
A) Assess the clients blood pressures every 15 minutes.
B) Relieve any kinks or obstruction in the clients Foley tubing.
C) Teach the client to recognize symptoms of dysreflexia.
D) Administer a prescribed PRN dose of hydralazine. –
Correct Answer :A) Assess the clients blood pressures every 15 minutes.
This likely dysreflexia but the BP needs to be monitored first. Dysreflexia is an abnormal
overreaction of the involuntary her nervous system. EXP, change in heart rate, blood
pressure, diaphoretic, skin flushing, throbbing HA, confusion/anxiety
A female client presents in the emergency department and tells the nurse that she was raped
last night. Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department? –
Correct Answer :A. Has she taken a bath since the rape occurred?
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 –
A+ TEST BANK 4
