1
HESI EXIT EXAM TEST BANK OFFICIAL PRACTICE
EXAM Actual Exam 2026/2027 – Real-Style Exam Questions
| 100% Correct Answers | Med-Surg | Pharmacology |
Maternity | Mental Health | Detailed Rationales | Graded A+
Verified – Pass Guaranteed – Instant Download
TABLE OF CONTENTS
Section 1 | Safe and Effective Care Environment | Q1 – Q40
Section 2 | Health Promotion and Maintenance | Q41 – Q80
Section 3 | Psychosocial Integrity | Q81 – Q120
Section 4 | Physiological Integrity | Q121 – Q160
Instructions: Choose the single best answer. Pass: 850 scaled score in 240 minutes.
══════════════════════════════════════
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT Q1 – Q40
══════════════════════════════════════
Question 1 of 160
A charge nurse on a medical-surgical unit is making shift assignments. The team includes one
RN, one LPN, and one nursing assistant. Which client should the charge nurse assign to the
LPN?
A. A client who was just admitted with a suspected stroke and needs an assessment
B. A client who is 2 days post-op and requires wound care and a dressing change
C. A client with a new tracheostomy who is suctioned every 2 hours
D. A client receiving a blood transfusion who reports itching
Correct Answer: B
,2
Rationale: The LPN scope of practice includes stable clients with predictable outcomes, such as a
client 2 days post-op requiring standard wound care. The RN should handle the complex
assessments and unstable situations involving new strokes, fresh tracheostomies, or potential
transfusion reactions.
Question 2 of 160
An adult client is admitted to the emergency department after a house fire with burns to the arms
and torso. The client is coughing and has soot around the mouth and nose. What action should
the nurse take first?
A. Insert a large-bore IV catheter and start fluid resuscitation
B. Assess the client’s radial pulses and check for capillary refill
C. Administer 100% humidified oxygen via a non-rebreather mask
D. Obtain a baseline set of vital signs and oxygen saturation
Correct Answer: C
Rationale: Managing the airway and ensuring oxygenation is the highest priority in burn care,
especially with signs of inhalation injury like soot around the face and coughing. While IV fluids
and vital signs are important, they are secondary to securing the airway and treating hypoxia.
Question 3 of 160
A nurse is caring for a client who has a prescription for restraints due to violent behavior. Which
action by the nurse demonstrates compliance with safety regulations?
A. Tying the restraint straps to the side rails of the bed
B. Checking the client's circulation every 15 minutes
C. Applying the restraints tightly to ensure the client cannot escape
D. Leaving the client alone in the room to minimize agitation
Correct Answer: B
,3
Rationale: Restraints must be checked frequently, typically every 15 to 30 minutes, to ensure
adequate circulation and monitor for complications. Restraints should never be tied to side rails
due to the risk of injury if the rails are lowered, they must allow for some movement, and the
client requires continuous monitoring.
Question 4 of 160
During a mass casualty incident, a nurse is performing triage in the field. Which client should be
tagged as "expectant" (black tag)?
A. A conscious client with a compound fracture of the femur
B. An unresponsive client with a penetrating head wound and agonal breathing
C. A client with severe burns to the face and neck but who is breathing independently
D. A client complaining of abdominal pain and a rigid abdomen
Correct Answer: B
Rationale: In a mass casualty incident, clients with injuries that are unsurvivable with limited
resources, such as a penetrating head injury with agonal breathing, are tagged as expectant. The
other clients require immediate or urgent treatment but have a chance of survival.
Question 5 of 160
A nurse is preparing to insert a Foley catheter in a female client. The client asks why the
procedure is necessary since she can walk to the bathroom. Which response by the nurse is most
appropriate?
A. The doctor ordered it to strictly monitor your kidney function
B. It will allow us to measure your urine output accurately every hour
C. You will be on bed rest for the next few days and won't be able to get up
D. It prevents you from having to get up at night to use the bathroom
Correct Answer: B
, 4
Rationale: Accurate hourly output measurement is the primary clinical indication for strict I&O
monitoring, often required for critical clients or those receiving diuretics. Stating the doctor
ordered it without explanation or providing a false reason like bed rest does not address the
client's educational need.
Question 6 of 160
The nurse is reviewing the laboratory results for a client receiving warfarin (Coumadin). Which
result requires immediate intervention by the nurse?
A. International Normalized Ratio (INR) of 1.0
B. International Normalized Ratio (INR) of 5.5
C. Platelet count of 150,000/mm3
D. Partial thromboplastin time (PTT) of 40 seconds
Correct Answer: B
Rationale: An INR of 5.5 is significantly above the therapeutic range (usually 2.0–3.0) and
places the client at high risk for spontaneous bleeding, requiring immediate intervention such as
holding the medication. An INR of 1.0 indicates no anticoagulation effect, while the platelet
count and PTT are within normal limits.
Question 7 of 160
A client diagnosed with tuberculosis is being discharged home. Which statement by the client
indicates a need for further teaching regarding infection control?
A. I will take my medication for exactly 6 months as prescribed
B. I need to keep my windows open to let fresh air into my room
C. I will cover my mouth and nose when I cough or sneeze
D. My family doesn't need to wear masks because I'm already on medication
Correct Answer: D
HESI EXIT EXAM TEST BANK OFFICIAL PRACTICE
EXAM Actual Exam 2026/2027 – Real-Style Exam Questions
| 100% Correct Answers | Med-Surg | Pharmacology |
Maternity | Mental Health | Detailed Rationales | Graded A+
Verified – Pass Guaranteed – Instant Download
TABLE OF CONTENTS
Section 1 | Safe and Effective Care Environment | Q1 – Q40
Section 2 | Health Promotion and Maintenance | Q41 – Q80
Section 3 | Psychosocial Integrity | Q81 – Q120
Section 4 | Physiological Integrity | Q121 – Q160
Instructions: Choose the single best answer. Pass: 850 scaled score in 240 minutes.
══════════════════════════════════════
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT Q1 – Q40
══════════════════════════════════════
Question 1 of 160
A charge nurse on a medical-surgical unit is making shift assignments. The team includes one
RN, one LPN, and one nursing assistant. Which client should the charge nurse assign to the
LPN?
A. A client who was just admitted with a suspected stroke and needs an assessment
B. A client who is 2 days post-op and requires wound care and a dressing change
C. A client with a new tracheostomy who is suctioned every 2 hours
D. A client receiving a blood transfusion who reports itching
Correct Answer: B
,2
Rationale: The LPN scope of practice includes stable clients with predictable outcomes, such as a
client 2 days post-op requiring standard wound care. The RN should handle the complex
assessments and unstable situations involving new strokes, fresh tracheostomies, or potential
transfusion reactions.
Question 2 of 160
An adult client is admitted to the emergency department after a house fire with burns to the arms
and torso. The client is coughing and has soot around the mouth and nose. What action should
the nurse take first?
A. Insert a large-bore IV catheter and start fluid resuscitation
B. Assess the client’s radial pulses and check for capillary refill
C. Administer 100% humidified oxygen via a non-rebreather mask
D. Obtain a baseline set of vital signs and oxygen saturation
Correct Answer: C
Rationale: Managing the airway and ensuring oxygenation is the highest priority in burn care,
especially with signs of inhalation injury like soot around the face and coughing. While IV fluids
and vital signs are important, they are secondary to securing the airway and treating hypoxia.
Question 3 of 160
A nurse is caring for a client who has a prescription for restraints due to violent behavior. Which
action by the nurse demonstrates compliance with safety regulations?
A. Tying the restraint straps to the side rails of the bed
B. Checking the client's circulation every 15 minutes
C. Applying the restraints tightly to ensure the client cannot escape
D. Leaving the client alone in the room to minimize agitation
Correct Answer: B
,3
Rationale: Restraints must be checked frequently, typically every 15 to 30 minutes, to ensure
adequate circulation and monitor for complications. Restraints should never be tied to side rails
due to the risk of injury if the rails are lowered, they must allow for some movement, and the
client requires continuous monitoring.
Question 4 of 160
During a mass casualty incident, a nurse is performing triage in the field. Which client should be
tagged as "expectant" (black tag)?
A. A conscious client with a compound fracture of the femur
B. An unresponsive client with a penetrating head wound and agonal breathing
C. A client with severe burns to the face and neck but who is breathing independently
D. A client complaining of abdominal pain and a rigid abdomen
Correct Answer: B
Rationale: In a mass casualty incident, clients with injuries that are unsurvivable with limited
resources, such as a penetrating head injury with agonal breathing, are tagged as expectant. The
other clients require immediate or urgent treatment but have a chance of survival.
Question 5 of 160
A nurse is preparing to insert a Foley catheter in a female client. The client asks why the
procedure is necessary since she can walk to the bathroom. Which response by the nurse is most
appropriate?
A. The doctor ordered it to strictly monitor your kidney function
B. It will allow us to measure your urine output accurately every hour
C. You will be on bed rest for the next few days and won't be able to get up
D. It prevents you from having to get up at night to use the bathroom
Correct Answer: B
, 4
Rationale: Accurate hourly output measurement is the primary clinical indication for strict I&O
monitoring, often required for critical clients or those receiving diuretics. Stating the doctor
ordered it without explanation or providing a false reason like bed rest does not address the
client's educational need.
Question 6 of 160
The nurse is reviewing the laboratory results for a client receiving warfarin (Coumadin). Which
result requires immediate intervention by the nurse?
A. International Normalized Ratio (INR) of 1.0
B. International Normalized Ratio (INR) of 5.5
C. Platelet count of 150,000/mm3
D. Partial thromboplastin time (PTT) of 40 seconds
Correct Answer: B
Rationale: An INR of 5.5 is significantly above the therapeutic range (usually 2.0–3.0) and
places the client at high risk for spontaneous bleeding, requiring immediate intervention such as
holding the medication. An INR of 1.0 indicates no anticoagulation effect, while the platelet
count and PTT are within normal limits.
Question 7 of 160
A client diagnosed with tuberculosis is being discharged home. Which statement by the client
indicates a need for further teaching regarding infection control?
A. I will take my medication for exactly 6 months as prescribed
B. I need to keep my windows open to let fresh air into my room
C. I will cover my mouth and nose when I cough or sneeze
D. My family doesn't need to wear masks because I'm already on medication
Correct Answer: D
