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HESI RN Exit Exam V1–V7 (2025/2026–2026/2027) Questions & Verified Answers – Comprehensive Study Material

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This document contains a structured compilation of HESI RN Exit Exam versions V1 through V7, updated for 2025–2027. It includes practice questions and verified correct answers covering major nursing domains such as medical-surgical nursing, pharmacology, maternal-newborn care, pediatrics, mental health, leadership, patient safety, and clinical judgment. The material is designed to support NCLEX-RN preparation, strengthen critical thinking skills, and improve readiness for nursing exit examinations across multiple exam versions.

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HESI RN EXIT 2026/2027, HESI EXIT V1, HESI EXIT V2, HESI EXIT V3, HESI EXIT
V5, HESI EXIT RN V4, HESI EXIT V6, HESI EXIT V7 2025/2026 QUESTIONS AND
CORRECT VERIFIED ANSWERS, GRADED A+, HESI EXIT EXAM V1-7


HESI RN EXIT EXAM
1. In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust?
C) Security
HESI RN EXIT EXAM 2022/2023
1. In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust?
C) Security
2. A nurse has just received a medication order which is not legible. Which statement best
reflects assertive communication?
B) "Would you please clarify what you have written so I am sure I am reading it correctly?"
3. What is the most important consideration when teaching parents how to reduce risks in
the home?
D) Age of children in the home
4. A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the
nurse enters the room to request something for pain. The nurse should
C) Administer the prescribed analgesia
4. A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the
nurse enters the room to request something for pain. The nurse should
C) Administer the prescribed analgesia
5. While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?
A) Respiratory rate of 42
6. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following assessment findings?
A) Lethargy
7. The emergency room nurse admits a child who experienced a seizure at school. The
father comments that this is the first occurrence, and denies any family history of epilepsy.
What is the best response by the nurse?
B) "The seizure may or may not mean your child has epilepsy."
7. The emergency room nurse admits a child who experienced a seizure at school. The
father comments that this is the first occurrence, and denies any family history of epilepsy.
What is the best response by the nurse?
B) "The seizure may or may not mean your child has epilepsy."
8. Alcohol and drug abuse impairs judgment and increases risk taking behavior. What
nursing diagnosis best applies?
A) Risk for injury
9. Which these findings would the nurse more closely associate with anemia in a 10 month-
old infant?
B) Pale mucosa of the eyelids and lips
10. The nurse is caring for a client in hypertensive crisis in an intensive care unit. The
priority assessment in the first hour of care is

,D) Pupil responses
10. The nurse is caring for a client in hypertensive crisis in an intensive care unit. The
priority assessment in the first hour of care is
D) Pupil responses
11. Which of these clients who are all in the terminal stage of cancer is least appropriate to
suggest the use of patient controlled analgesia (PCA) with a pump?
D) A preschooler with intermittent episodes of alertness
11. Which of these clients who are all in the terminal stage of cancer is least appropriate to
suggest the use of patient controlled analgesia (PCA) with a pump?
D) A preschooler with intermittent episodes of alertness
12. The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive
(NOFTT). Upon entering the room, the nurse would expect the baby to be
D) Pale, thin arms and legs, uninterested in surroundings
12. The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive
(NOFTT). Upon entering the room, the nurse would expect the baby to be
D) Pale, thin arms and legs, uninterested in surroundings
13. As the nurse is speaking with a group of teens which of these side effects of
chemotherapy for cancer would the nurse expect this group to be more interested in during
the discussion?
D) Hair loss
13. As the nurse is speaking with a group of teens which of these side effects of
chemotherapy for cancer would the nurse expect this group to be more interested in during
the discussion?
D) Hair loss
14. While caring for a client who was admitted with myocardial infarction (MI) 2 days ago,
the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees
Celsius). The appropriate nursing intervention is to
B) Administer acetaminophen as ordered as this is normal at this time
14. While caring for a client who was admitted with myocardial infarction (MI) 2 days ago,
the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees
Celsius). The appropriate nursing intervention is to
B) Administer acetaminophen as ordered as this is normal at this time
15. A client is admitted for first and second degree burns on the face, neck, anterior chest
and hands. The nurse's priority should be
B) Assess for dyspnea or stridor
15. A client is admitted for first and second degree burns on the face, neck, anterior chest
and hands. The nurse's priority should be
B) Assess for dyspnea or stridor
16. Which of these clients who call the community health clinic would the nurse ask to
come in that day to be seen by the health care provider?
D) I went to the bathroom and my urine looked very red and it didn't hurt when I went.
16. Which of these clients who call the community health clinic would the nurse ask to
come in that day to be seen by the health care provider?
D) I went to the bathroom and my urine looked very red and it didn't hurt when I went.
17. Which of these parents' comment for a newborn would most likely reveal an initial
finding of a suspected pyloric stenosis?

,C) Mild vomiting that progressed to vomiting shooting across the room.
17. Which of these parents' comment for a newborn would most likely reveal an initial
finding of a suspected pyloric stenosis?
C) Mild vomiting that progressed to vomiting shooting across the room.
18. The nurse is assessing a child for clinical manifestations of iron deficiency anemia.
Which factor would the nurse recognize as cause for the findings?
B) Tissue hypoxia
18. The nurse is assessing a child for clinical manifestations of iron deficiency anemia.
Which factor would the nurse recognize as cause for the findings?
B) Tissue hypoxia
19. The nurse would expect the cystic fibrosis client to receive supplemental pancreatic
enzymes along with a diet
A) High in carbohydrates and proteins
19. The nurse would expect the cystic fibrosis client to receive supplemental pancreatic
enzymes along with a diet
A) High in carbohydrates and proteins
20. In evaluating the growth of a 12 month-old child, which of these findings would the
nurse expect to be present in the infant?
C) Tripled the birth weight
20. In evaluating the growth of a 12 month-old child, which of these findings would the
nurse expect to be present in the infant?
C) Tripled the birth weight
21. A Hispanic client in the postpartum period refuses the hospital food because it is
"cold." The best initial action by the nurse is to
B) Ask the client what foods are acceptable or bad
21. A Hispanic client in the postpartum period refuses the hospital food because it is
"cold." The best initial action by the nurse is to
B) Ask the client what foods are acceptable or bad
22. The father of an 8 month-old infant asks the nurse if his infant's vocalizations are
normal for his age. Which of the following would the nurse expect at this age?
B) Imitation of sounds
22. The father of an 8 month-old infant asks the nurse if his infant's vocalizations are
normal for his age. Which of the following would the nurse expect at this age?
B) Imitation of sounds
23. The nurse should recognize that physical dependence is accompanied by what findings
when alcohol consumption is first reduced or ended?
B) Withdrawal
23. The nurse should recognize that physical dependence is accompanied by what findings
when alcohol consumption is first reduced or ended?
B) Withdrawal
24. Immediately following an acute battering incident in a violent relationship, the batterer
may respond to the partner's injuries by
B) Minimizing the episode and underestimating the victim's injuries
24. Immediately following an acute battering incident in a violent relationship, the batterer
may respond to the partner's injuries by
B) Minimizing the episode and underestimating the victim's injuries

, 26. The nurse is performing an assessment on a client in congestive heart failure.
Auscultation of the heart is most likely to reveal
A) S3 ventricular gallop
26. The nurse is performing an assessment on a client in congestive heart failure.
Auscultation of the heart is most likely to reveal
A) S3 ventricular gallop
27. Which of these observations made by the nurse during an excretory urogram indicate a
complicaton?
B) The client's entire body turns a bright red color
27. Which of these observations made by the nurse during an excretory urogram indicate a
complicaton?
B) The client's entire body turns a bright red color
28. A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a
chest tube. What is the best explanation for the nurse to provide this client?
B) "The tube will remove excess air from your chest."
28. A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a
chest tube. What is the best explanation for the nurse to provide this client?
B) "The tube will remove excess air from your chest."
29. The nurse is reviewing laboratory results on a client with acute renal failure. Which one
of the following should be reported immediately?
D) Serum potassium 6 mEq/L
29. The nurse is reviewing laboratory results on a client with acute renal failure. Which one
of the following should be reported immediately?
D) Serum potassium 6 mEq/L
30. The nurse is caring for a client undergoing the placement of a central venous catheter
line. Which of the following would require the nurse's immediate attention?
C) Dyspnea
30. The nurse is caring for a client undergoing the placement of a central venous catheter
line. Which of the following would require the nurse's immediate attention?
C) Dyspnea
31. The nurse is performing a physical assessment on a client who just had an endotracheal
tube inserted. Which finding would call for immediate action by the nurse?
C) Pulse oximetry of 88
31. The nurse is performing a physical assessment on a client who just had an endotracheal
tube inserted. Which finding would call for immediate action by the nurse?
C) Pulse oximetry of 88
32. A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates
that the client may need suctioning?
D) Restlessness
32. A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates
that the client may need suctioning?
D) Restlessness
33. During the evaluation phase for a client, the nurse should focus on
B) The client's status, progress toward goal achievement, and ongoing re-evaluation
33. During the evaluation phase for a client, the nurse should focus on
B) The client's status, progress toward goal achievement, and ongoing re-evaluation

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