, RN HESI EXIT EXAM VERSIONS V1-V10 (2026/2027) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & R…
RN HESI EXIT EXAM VERSIONS V1-V10 (2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE CHOICES
|VERIFIED & REVISED ANSWERS (NEW)!!
The nurse is completing the admission assessment of a B. Sluggish and unequal pupillary responses 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 client with acute pancreatitis is admitted with severe, A. Abdominal pain decreases when lying supine 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.
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, RN HESI EXIT EXAM VERSIONS V1-V10 (2025/2026) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & R…
A child newly diagnosed with sickle cell anemia (SCA) A. Instructions about how much fluid the child should drink daily 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
To auscultate for a carotid bruit, the nurse places the I placed the red dot on the base of the neck on the right side stethoscope at
what location. (Select the location on
the image with a red dot).
After receiving report on an inpatient acute care unit, D. The client with a bowel obstruction due to a volvulus who is experiencing which client
should the nurse assess first? abdominal rigidity
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
A teenager presents to the emergency department D. Respiratory alkalosis
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
A client with dyspnea is being admitted to the medical Fowlers
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
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, RN HESI EXIT EXAM VERSIONS V1-V10 (2025/2026) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & R…
The nurse is taking the blood pressure measurement of A. Frequent syncope a
client with Parkinson's disease. Which information in C. Flat affect
the client's admission assessment is relevant to the D. Blurred vision
nurse's plan for taking the blood pressure reading?
(Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
While caring for a client's postoperative dressing, the B. Culture for sensitive organisms nurse
observes purulent drainage at the wound. Before
reporting this finding to the healthcare provider, the nurse
should review which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level
A preschool-aged boy is admitted to the pediatric unit B. Ask the older brother how he felt during the incident following
successful resuscitation from a near-
drowning incident. While providing care to the child, the nurse
begins talking with his preadolescent brother who rescued the
child from the swimming pool and initiated resuscitation. The
nurse notices the older boy becomes withdrawn when asked about
what happened. Which action should the nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions
A male client with cirrhosis has jaundice and pruritus. A. Encourage the client to use cooler water and apply calamine lotion after He tells the nurse
that he has been soaking in hot baths soaking
at night with no relief of his discomfort. Which action should the
nurse take?
A. Encourage the client to use cooler water and apply calamine
lotion after soaking
B. Obtain a PRN prescription for an analgesic that the client can
use for symptom relief
C. Suggest that the client take brief showers and apply oil-based
lotion after showering
D. Explain that the symptoms are caused by liver damage
and cannot be relieved
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RN HESI EXIT EXAM VERSIONS V1-V10 (2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE CHOICES
|VERIFIED & REVISED ANSWERS (NEW)!!
The nurse is completing the admission assessment of a B. Sluggish and unequal pupillary responses 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 client with acute pancreatitis is admitted with severe, A. Abdominal pain decreases when lying supine 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.
rn-hesi-exit-exam-versions-v1-v10-20262027-updateexam-questions-with-multiple-choices-verified-revised-answers-n… 1/24
, RN HESI EXIT EXAM VERSIONS V1-V10 (2025/2026) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & R…
A child newly diagnosed with sickle cell anemia (SCA) A. Instructions about how much fluid the child should drink daily 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
To auscultate for a carotid bruit, the nurse places the I placed the red dot on the base of the neck on the right side stethoscope at
what location. (Select the location on
the image with a red dot).
After receiving report on an inpatient acute care unit, D. The client with a bowel obstruction due to a volvulus who is experiencing which client
should the nurse assess first? abdominal rigidity
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
A teenager presents to the emergency department D. Respiratory alkalosis
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
A client with dyspnea is being admitted to the medical Fowlers
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
rn-hesi-exit-exam-versions-v1-v10-20252026-updateexam-questions-with-multiple-choices-verified-revised-answers-n… 2/24
, RN HESI EXIT EXAM VERSIONS V1-V10 (2025/2026) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & R…
The nurse is taking the blood pressure measurement of A. Frequent syncope a
client with Parkinson's disease. Which information in C. Flat affect
the client's admission assessment is relevant to the D. Blurred vision
nurse's plan for taking the blood pressure reading?
(Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
While caring for a client's postoperative dressing, the B. Culture for sensitive organisms nurse
observes purulent drainage at the wound. Before
reporting this finding to the healthcare provider, the nurse
should review which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level
A preschool-aged boy is admitted to the pediatric unit B. Ask the older brother how he felt during the incident following
successful resuscitation from a near-
drowning incident. While providing care to the child, the nurse
begins talking with his preadolescent brother who rescued the
child from the swimming pool and initiated resuscitation. The
nurse notices the older boy becomes withdrawn when asked about
what happened. Which action should the nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions
A male client with cirrhosis has jaundice and pruritus. A. Encourage the client to use cooler water and apply calamine lotion after He tells the nurse
that he has been soaking in hot baths soaking
at night with no relief of his discomfort. Which action should the
nurse take?
A. Encourage the client to use cooler water and apply calamine
lotion after soaking
B. Obtain a PRN prescription for an analgesic that the client can
use for symptom relief
C. Suggest that the client take brief showers and apply oil-based
lotion after showering
D. Explain that the symptoms are caused by liver damage
and cannot be relieved
rn-hesi-exit-exam-versions-v1-v10-20252026-updateexam-questions-with-multiple-choices-verified-revised-answers-n… 3/24
