HESI RN Exit Exam V2 Comprehensive
Practice Exam – 100 Questions with Detailed
Explanations & Proctored I Net Testing
Experience (2025/2026 Edition)
1. A nurse is preparing to administer medications to a client. Which action should
the nurse take FIRST to ensure client safety?
A. Check the client's allergy band
B. Verify the client's identity using two identifiers
C. Review the medication administration record (MAR)
D. Perform hand hygiene
✔Correct Answer: B. Verify the client's identity using two identifiers
Rationale: According to the National Patient Safety Goals, verifying client identity
using two unique identifiers (e.g., name and date of birth) is the FIRST critical step
before any medication administration to prevent wrong-patient errors. While
hand hygiene (D), checking allergies (A), and reviewing the MAR (C) are essential,
,they occur AFTER confirming you have the right patient. This follows the "Five
Rights" of medication safety sequence.
2. The nurse is caring for a client with a stage 3 pressure injury on the sacrum.
Which finding indicates the wound is healing?
A. Presence of yellow slough in the wound bed
B. Increase in wound drainage amount
C. Formation of granulation tissue
D. Expansion of wound edges
✔Correct Answer: C. Formation of granulation tissue
Rationale: Granulation tissue (beefy red, bumpy tissue) is a key indicator of
wound healing in stage 3 pressure injuries. Yellow slough (A) indicates necrotic
tissue requiring debridement. Increased drainage (B) may signal infection.
Expansion of wound edges (D) suggests wound deterioration, not healing.
3. A client is prescribed 1000 mL of 0.9% sodium chloride to infuse over 8 hours.
The IV tubing has a drop factor of 15 gtt/mL. At how many drops per minute
should the nurse set the infusion?
A. 21 gtt/min
B. 31 gtt/min
C. 42 gtt/min
D. 63 gtt/min
✔Correct Answer: B. 31 gtt/min
,Rationale: Calculation: (Volume in mL × Drop factor) ÷ Time in minutes = (1000 ×
15) ÷ (8 × 60) = 15,000 ÷ 480 = 31.25 → round to 31 gtt/min. Option A is too slow;
C and D would infuse the fluid too rapidly, risking fluid overload.
4. Which action by the nurse demonstrates proper technique when donning
sterile gloves?
A. Touching the outside of the glove with bare hands to adjust fit
B. Picking up the second glove by grasping the folded cuff edge with the gloved
hand
C. Allowing gloved hands to drop below waist level during procedure
D. Using the dominant hand to pick up the first glove by the cuff
✔Correct Answer: B. Picking up the second glove by grasping the folded cuff
edge with the gloved hand
Rationale: When donning sterile gloves, the first glove is picked up by the cuff
(non-sterile edge) with the bare hand. The second glove is then picked up by
sliding gloved fingers under the folded cuff (sterile surface) of the second glove.
Touching the outside sterile surface with bare hands (A) contaminates the glove.
Gloved hands must remain above waist level (C) to maintain sterility. The
nondominant hand typically picks up the first glove (D).
5. A client with dysphagia is prescribed a mechanical soft diet. Which food should
the nurse offer?
A. Whole grapes
B. Chunky peanut butter
, C. Mashed potatoes
D. Raw carrots
✔Correct Answer: C. Mashed potatoes
Rationale: Mechanical soft diets require foods that are soft, moist, and easily
chewed/swallowed. Mashed potatoes meet these criteria. Whole grapes (A),
chunky peanut butter (B), and raw carrots (D) pose aspiration risks due to texture,
stickiness, or hardness.
6. The nurse is assessing a client's pain. Which statement by the client requires
IMMEDIATE intervention?
A. "My pain is a 7 out of 10."
B. "The pain feels like a sharp stabbing in my chest."
C. "I've had this ache for three days."
D. "The medication helps for about 2 hours."
✔Correct Answer: B. "The pain feels like a sharp stabbing in my chest."
Rationale: Sharp, stabbing chest pain may indicate life-threatening conditions like
pulmonary embolism, myocardial infarction, or aortic dissection requiring
immediate assessment and intervention. While pain intensity (A), duration (C),
and medication effectiveness (D) are important, they do not signal an acute
emergency like new-onset chest pain.
7. When teaching a client about incentive spirometry, which instruction is
CORRECT?
Practice Exam – 100 Questions with Detailed
Explanations & Proctored I Net Testing
Experience (2025/2026 Edition)
1. A nurse is preparing to administer medications to a client. Which action should
the nurse take FIRST to ensure client safety?
A. Check the client's allergy band
B. Verify the client's identity using two identifiers
C. Review the medication administration record (MAR)
D. Perform hand hygiene
✔Correct Answer: B. Verify the client's identity using two identifiers
Rationale: According to the National Patient Safety Goals, verifying client identity
using two unique identifiers (e.g., name and date of birth) is the FIRST critical step
before any medication administration to prevent wrong-patient errors. While
hand hygiene (D), checking allergies (A), and reviewing the MAR (C) are essential,
,they occur AFTER confirming you have the right patient. This follows the "Five
Rights" of medication safety sequence.
2. The nurse is caring for a client with a stage 3 pressure injury on the sacrum.
Which finding indicates the wound is healing?
A. Presence of yellow slough in the wound bed
B. Increase in wound drainage amount
C. Formation of granulation tissue
D. Expansion of wound edges
✔Correct Answer: C. Formation of granulation tissue
Rationale: Granulation tissue (beefy red, bumpy tissue) is a key indicator of
wound healing in stage 3 pressure injuries. Yellow slough (A) indicates necrotic
tissue requiring debridement. Increased drainage (B) may signal infection.
Expansion of wound edges (D) suggests wound deterioration, not healing.
3. A client is prescribed 1000 mL of 0.9% sodium chloride to infuse over 8 hours.
The IV tubing has a drop factor of 15 gtt/mL. At how many drops per minute
should the nurse set the infusion?
A. 21 gtt/min
B. 31 gtt/min
C. 42 gtt/min
D. 63 gtt/min
✔Correct Answer: B. 31 gtt/min
,Rationale: Calculation: (Volume in mL × Drop factor) ÷ Time in minutes = (1000 ×
15) ÷ (8 × 60) = 15,000 ÷ 480 = 31.25 → round to 31 gtt/min. Option A is too slow;
C and D would infuse the fluid too rapidly, risking fluid overload.
4. Which action by the nurse demonstrates proper technique when donning
sterile gloves?
A. Touching the outside of the glove with bare hands to adjust fit
B. Picking up the second glove by grasping the folded cuff edge with the gloved
hand
C. Allowing gloved hands to drop below waist level during procedure
D. Using the dominant hand to pick up the first glove by the cuff
✔Correct Answer: B. Picking up the second glove by grasping the folded cuff
edge with the gloved hand
Rationale: When donning sterile gloves, the first glove is picked up by the cuff
(non-sterile edge) with the bare hand. The second glove is then picked up by
sliding gloved fingers under the folded cuff (sterile surface) of the second glove.
Touching the outside sterile surface with bare hands (A) contaminates the glove.
Gloved hands must remain above waist level (C) to maintain sterility. The
nondominant hand typically picks up the first glove (D).
5. A client with dysphagia is prescribed a mechanical soft diet. Which food should
the nurse offer?
A. Whole grapes
B. Chunky peanut butter
, C. Mashed potatoes
D. Raw carrots
✔Correct Answer: C. Mashed potatoes
Rationale: Mechanical soft diets require foods that are soft, moist, and easily
chewed/swallowed. Mashed potatoes meet these criteria. Whole grapes (A),
chunky peanut butter (B), and raw carrots (D) pose aspiration risks due to texture,
stickiness, or hardness.
6. The nurse is assessing a client's pain. Which statement by the client requires
IMMEDIATE intervention?
A. "My pain is a 7 out of 10."
B. "The pain feels like a sharp stabbing in my chest."
C. "I've had this ache for three days."
D. "The medication helps for about 2 hours."
✔Correct Answer: B. "The pain feels like a sharp stabbing in my chest."
Rationale: Sharp, stabbing chest pain may indicate life-threatening conditions like
pulmonary embolism, myocardial infarction, or aortic dissection requiring
immediate assessment and intervention. While pain intensity (A), duration (C),
and medication effectiveness (D) are important, they do not signal an acute
emergency like new-onset chest pain.
7. When teaching a client about incentive spirometry, which instruction is
CORRECT?
