2026 HESI Exit Exam
2026 HESI Exit Exam 2 Comprehensive
Simulator with 160 Questions and
Correct Answers with Rationales/ RN
HESI Exit Predictor
In the middle of running a resuscitation for a cardiac arrest the LPN states to the nurse, "What
can I do for your other patients?" The nurse says to the LPN, "Go ahead and start that blood
on the client in 434B. It is primed and ready to go. You have seen me do it a million times. You
can do it." What is the LPN's best response?
A.
"No way am I starting the blood on that client!"
B.
"I am going to tell the manager you asked me to start blood."
C.
A+ TEST BANK 1
, 2026 HESI Exit Exam
"Sure, no problem. I can do that. I have done it before."
D.
"I can take over compressions so you can start the blood." –
Correct Answer :D
Rationale:
The LPN needs to remain professional, and stating "No way ...." is an unprofessional
response. Telling the manager may be appropriate, but it does nothing to help the situation of
needing to start blood and resuscitate a client. Blood administration is the responsibility of
the RN. The LPN can perform compressions.
The nurse is preparing an older client for discharge. Which method is best for the nurse to use
when evaluating the client's ability to perform a dressing change at home?
A.
Determine how the client feels about changing the dressing.
B.
Ask the client to describe the procedure in writing.
C.
Seek a family member's evaluation of the client's ability to change the dressing.
D.
Observe the client change the dressing unassisted. –
Correct Answer :D
Rationale:
A+ TEST BANK 2
, 2026 HESI Exit Exam
Observing the client directly will allow the nurse to determine if mastery of the skill has been
obtained and provide an opportunity to affirm the skill. Option A may be therapeutic but will
not provide an opportunity to evaluate the client's ability to perform the procedure. Option B
may be threatening to an older client and will not determine his ability. Option C is not as
effective as direct observation by the nurse.
The nurse is talking with the spouse of a client admitted to the long-term care center. The
client has end-stage renal cancer and is admitted for palliative care while awaiting hospice
placement. The client often moans and groans, but is otherwise non-communicative and
somnolent. What will the nurse include in the spouse's teaching regarding the care of the
client? (Select all that apply.)
A.
Repositioning every 2 hours
B.
Round-the-clock pain medication administration
C.
Assessment for skin breakdown
D.
Back rubs three times a day
E.
Bathing twice a day –
Correct Answer :A, B, C, D
Rationale:
The nurse must cleanse soiled areas to remove any irritants; a bath twice a day can dry out
the skin. The goal of palliative care is to make the client comfortable, and not treat the cause
of the condition. The client will be on bed rest because of the client's debilitated condition.
Skin breakdown is a nursing concern. Measures to prevent skin breakdown should be
included in this client's plan of care.
A+ TEST BANK 3
, 2026 HESI Exit Exam
The goal is for the client to take in 1500 calories/day administered through by a feeding tube.
The concentration of the feeding is 1.5 calories/mL. How many mL per hour will the nurse
need to set the infusion pump to deliver the feeding over 18 hours? _____ Enter a whole
number. - Correct Answer :56
The nurse is administering the 0900 medications to a client who was admitted during the
night. Which client statement indicates that the nurse should further assess the medication
order?
A.
"At home I take my pills at 8:00 am."
B.
"It costs a lot of money to buy all of these pills."
C.
"I get so tired of taking pills every day."
D.
"This is a new pill I have never taken before." –
Correct Answer :D
Rationale:
The client's recognition of a "new" pill requires further assessment to verify that the
medication is correct, if it is a new prescription or a different manufacturer, or if the client
needs further instruction. The time difference may not be as significant in terms of its effect,
but this should be explained. Although comments about cost should be considered when
developing a discharge plan, option D is a higher priority. The client's feelings C should be
acknowledged, but observation of the five rights of medication administration is most
essential.
A+ TEST BANK 4
2026 HESI Exit Exam 2 Comprehensive
Simulator with 160 Questions and
Correct Answers with Rationales/ RN
HESI Exit Predictor
In the middle of running a resuscitation for a cardiac arrest the LPN states to the nurse, "What
can I do for your other patients?" The nurse says to the LPN, "Go ahead and start that blood
on the client in 434B. It is primed and ready to go. You have seen me do it a million times. You
can do it." What is the LPN's best response?
A.
"No way am I starting the blood on that client!"
B.
"I am going to tell the manager you asked me to start blood."
C.
A+ TEST BANK 1
, 2026 HESI Exit Exam
"Sure, no problem. I can do that. I have done it before."
D.
"I can take over compressions so you can start the blood." –
Correct Answer :D
Rationale:
The LPN needs to remain professional, and stating "No way ...." is an unprofessional
response. Telling the manager may be appropriate, but it does nothing to help the situation of
needing to start blood and resuscitate a client. Blood administration is the responsibility of
the RN. The LPN can perform compressions.
The nurse is preparing an older client for discharge. Which method is best for the nurse to use
when evaluating the client's ability to perform a dressing change at home?
A.
Determine how the client feels about changing the dressing.
B.
Ask the client to describe the procedure in writing.
C.
Seek a family member's evaluation of the client's ability to change the dressing.
D.
Observe the client change the dressing unassisted. –
Correct Answer :D
Rationale:
A+ TEST BANK 2
, 2026 HESI Exit Exam
Observing the client directly will allow the nurse to determine if mastery of the skill has been
obtained and provide an opportunity to affirm the skill. Option A may be therapeutic but will
not provide an opportunity to evaluate the client's ability to perform the procedure. Option B
may be threatening to an older client and will not determine his ability. Option C is not as
effective as direct observation by the nurse.
The nurse is talking with the spouse of a client admitted to the long-term care center. The
client has end-stage renal cancer and is admitted for palliative care while awaiting hospice
placement. The client often moans and groans, but is otherwise non-communicative and
somnolent. What will the nurse include in the spouse's teaching regarding the care of the
client? (Select all that apply.)
A.
Repositioning every 2 hours
B.
Round-the-clock pain medication administration
C.
Assessment for skin breakdown
D.
Back rubs three times a day
E.
Bathing twice a day –
Correct Answer :A, B, C, D
Rationale:
The nurse must cleanse soiled areas to remove any irritants; a bath twice a day can dry out
the skin. The goal of palliative care is to make the client comfortable, and not treat the cause
of the condition. The client will be on bed rest because of the client's debilitated condition.
Skin breakdown is a nursing concern. Measures to prevent skin breakdown should be
included in this client's plan of care.
A+ TEST BANK 3
, 2026 HESI Exit Exam
The goal is for the client to take in 1500 calories/day administered through by a feeding tube.
The concentration of the feeding is 1.5 calories/mL. How many mL per hour will the nurse
need to set the infusion pump to deliver the feeding over 18 hours? _____ Enter a whole
number. - Correct Answer :56
The nurse is administering the 0900 medications to a client who was admitted during the
night. Which client statement indicates that the nurse should further assess the medication
order?
A.
"At home I take my pills at 8:00 am."
B.
"It costs a lot of money to buy all of these pills."
C.
"I get so tired of taking pills every day."
D.
"This is a new pill I have never taken before." –
Correct Answer :D
Rationale:
The client's recognition of a "new" pill requires further assessment to verify that the
medication is correct, if it is a new prescription or a different manufacturer, or if the client
needs further instruction. The time difference may not be as significant in terms of its effect,
but this should be explained. Although comments about cost should be considered when
developing a discharge plan, option D is a higher priority. The client's feelings C should be
acknowledged, but observation of the five rights of medication administration is most
essential.
A+ TEST BANK 4
