HESI EXIT EXAM — V1 to V7 |500
MCQs With Correct Answers &
Rationales | Latest Update
SUMMARY CHART
Version Focus Areas
V1 Fundamentals, Cardiovascular, Respiratory
V2 Neurological, Gastrointestinal, Endocrine
V3 Renal/GU, Musculoskeletal, Hematology/Oncology
V4 Maternal-Newborn, Pediatrics, Mental Health
V5 Pharmacology, Fluid/Electrolytes, Infection Control
V6 Advanced Med-Surg, Perioperative, Management/Delegation
V7 Comprehensive Mixed Review — All Systems
V1 — FUNDAMENTALS & BASIC CARE
1. A nurse is preparing to administer medications. Which action is the priority
before giving any medication?
A) Check the patient's allergies B) Verify the medication with another nurse C)
Confirm the patient's identity using two identifiers D) Review the patient's last
vital signs
C) Confirm the patient's identity using two identifiers (correct answer)
,Rationale: Patient identification using two identifiers (name and date of birth
or medical record number) is the first and most critical step before any
medication administration to prevent errors.
2. A client is ordered aspirin 650 mg PO. The pharmacy provides 325 mg
tablets. How many tablets should the nurse administer?
A) 1 tablet B) 1.5 tablets C) 2 tablets D) 2.5 tablets
C) 2 tablets (correct answer)
Rationale: 650 mg ÷ 325 mg per tablet = 2 tablets. This is a straightforward
dosage calculation requiring division of desired dose by available dose.
3. Which position is most appropriate for a client experiencing a seizure?
A) Supine with head elevated 30° B) Side-lying (lateral) position C) High Fowler's
position D) Prone position
B) Side-lying (lateral) position (correct answer)
Rationale: The lateral position prevents aspiration of secretions or vomitus
during a seizure. The airway is the priority, and this position keeps it patent.
4. A nurse is caring for a client with a stage II pressure injury. Which finding
is consistent with this stage?
,A) Intact skin with non-blanchable redness B) Partial-thickness skin loss with
exposed dermis C) Full-thickness skin loss with visible fat D) Full-thickness tissue
loss with exposed bone
B) Partial-thickness skin loss with exposed dermis (correct answer)
Rationale: Stage II pressure injuries involve partial-thickness skin loss
presenting as a shallow open ulcer or intact/ruptured blister. Stage I is non-
blanchable erythema; Stage III involves fat visibility; Stage IV involves
bone/tendon exposure.
5. A client has a new order for restraints. Which action is the nurse's priority?
A) Apply the restraints immediately B) Obtain informed consent and a physician's
order C) Notify the family before applying D) Document the reason in the chart
first
B) Obtain informed consent and a physician's order (correct answer)
Rationale: Restraints require a valid physician's order and informed consent.
They are a last resort and must follow institutional policy and legal
requirements to protect patient rights.
6. Which finding in a postoperative patient should the nurse report
immediately?
, A) Pain rated 4/10 at the incision site B) Urine output of 20 mL over 2 hours C)
Blood pressure of 118/74 mmHg D) Temperature of 37.4°C
B) Urine output of 20 mL over 2 hours (correct answer)
Rationale: Urine output should be at least 30 mL/hour. Output of 20 mL over
2 hours (10 mL/hr) indicates oliguria, suggesting renal hypoperfusion or acute
kidney injury requiring immediate intervention.
7. A nurse is performing nasogastric tube feeding. Which action is most
important before initiating the feeding?
A) Warm the formula to room temperature B) Verify tube placement by checking
pH and X-ray confirmation C) Position the client in a low Fowler's position D)
Flush the tube with 30 mL of water
B) Verify tube placement by checking pH and X-ray confirmation (correct
answer)
Rationale: Confirming NG tube placement is essential to prevent aspiration.
X-ray is the gold standard; aspirate pH of ≤5.5 also supports gastric
placement. Auscultation alone is unreliable.
8. A client's pulse oximetry reads 91%. What is the nurse's first action?
A) Call the physician immediately B) Administer oxygen and reassess C)
Document and continue monitoring D) Reposition the pulse oximeter probe
MCQs With Correct Answers &
Rationales | Latest Update
SUMMARY CHART
Version Focus Areas
V1 Fundamentals, Cardiovascular, Respiratory
V2 Neurological, Gastrointestinal, Endocrine
V3 Renal/GU, Musculoskeletal, Hematology/Oncology
V4 Maternal-Newborn, Pediatrics, Mental Health
V5 Pharmacology, Fluid/Electrolytes, Infection Control
V6 Advanced Med-Surg, Perioperative, Management/Delegation
V7 Comprehensive Mixed Review — All Systems
V1 — FUNDAMENTALS & BASIC CARE
1. A nurse is preparing to administer medications. Which action is the priority
before giving any medication?
A) Check the patient's allergies B) Verify the medication with another nurse C)
Confirm the patient's identity using two identifiers D) Review the patient's last
vital signs
C) Confirm the patient's identity using two identifiers (correct answer)
,Rationale: Patient identification using two identifiers (name and date of birth
or medical record number) is the first and most critical step before any
medication administration to prevent errors.
2. A client is ordered aspirin 650 mg PO. The pharmacy provides 325 mg
tablets. How many tablets should the nurse administer?
A) 1 tablet B) 1.5 tablets C) 2 tablets D) 2.5 tablets
C) 2 tablets (correct answer)
Rationale: 650 mg ÷ 325 mg per tablet = 2 tablets. This is a straightforward
dosage calculation requiring division of desired dose by available dose.
3. Which position is most appropriate for a client experiencing a seizure?
A) Supine with head elevated 30° B) Side-lying (lateral) position C) High Fowler's
position D) Prone position
B) Side-lying (lateral) position (correct answer)
Rationale: The lateral position prevents aspiration of secretions or vomitus
during a seizure. The airway is the priority, and this position keeps it patent.
4. A nurse is caring for a client with a stage II pressure injury. Which finding
is consistent with this stage?
,A) Intact skin with non-blanchable redness B) Partial-thickness skin loss with
exposed dermis C) Full-thickness skin loss with visible fat D) Full-thickness tissue
loss with exposed bone
B) Partial-thickness skin loss with exposed dermis (correct answer)
Rationale: Stage II pressure injuries involve partial-thickness skin loss
presenting as a shallow open ulcer or intact/ruptured blister. Stage I is non-
blanchable erythema; Stage III involves fat visibility; Stage IV involves
bone/tendon exposure.
5. A client has a new order for restraints. Which action is the nurse's priority?
A) Apply the restraints immediately B) Obtain informed consent and a physician's
order C) Notify the family before applying D) Document the reason in the chart
first
B) Obtain informed consent and a physician's order (correct answer)
Rationale: Restraints require a valid physician's order and informed consent.
They are a last resort and must follow institutional policy and legal
requirements to protect patient rights.
6. Which finding in a postoperative patient should the nurse report
immediately?
, A) Pain rated 4/10 at the incision site B) Urine output of 20 mL over 2 hours C)
Blood pressure of 118/74 mmHg D) Temperature of 37.4°C
B) Urine output of 20 mL over 2 hours (correct answer)
Rationale: Urine output should be at least 30 mL/hour. Output of 20 mL over
2 hours (10 mL/hr) indicates oliguria, suggesting renal hypoperfusion or acute
kidney injury requiring immediate intervention.
7. A nurse is performing nasogastric tube feeding. Which action is most
important before initiating the feeding?
A) Warm the formula to room temperature B) Verify tube placement by checking
pH and X-ray confirmation C) Position the client in a low Fowler's position D)
Flush the tube with 30 mL of water
B) Verify tube placement by checking pH and X-ray confirmation (correct
answer)
Rationale: Confirming NG tube placement is essential to prevent aspiration.
X-ray is the gold standard; aspirate pH of ≤5.5 also supports gastric
placement. Auscultation alone is unreliable.
8. A client's pulse oximetry reads 91%. What is the nurse's first action?
A) Call the physician immediately B) Administer oxygen and reassess C)
Document and continue monitoring D) Reposition the pulse oximeter probe
