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RN HESI Exit Exam V1–V10 2026 | 1,000+ NCLEX-Style Questions & Answers | Medical-Surgical, Pediatrics, Maternity, Mental Health, Pharmacology & Critical Care

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Prepare for success on the RN HESI Exit Examination with this comprehensive collection of more than 1,000 NCLEX-style questions, multiple-choice answers, and detailed rationales covering the full spectrum of nursing concepts tested in HESI Exit Exams, nursing school comprehensive assessments, and NCLEX-RN preparation. This extensive study guide combines ten HESI Exit Exam versions into one resource, providing broad exposure to high-yield clinical scenarios, prioritization questions, delegation principles, pharmacology, pathophysiology, patient safety, leadership, critical care nursing, and evidence-based nursing interventions. The material delivers in-depth coverage of Medical-Surgical Nursing concepts, including cardiovascular disorders, heart failure, myocardial infarction, peripheral arterial disease, respiratory disorders, COPD, pulmonary embolism, tuberculosis, pancreatitis, liver disease, endocrine disorders, thyroid dysfunction, diabetes mellitus, diabetic ketoacidosis, kidney disease, electrolyte imbalances, neurological emergencies, stroke management, increased intracranial pressure, meningitis, seizure precautions, and postoperative complications. Students will strengthen clinical judgment and prioritization skills through realistic patient-care scenarios commonly tested on HESI and NCLEX examinations. A significant portion of the document focuses on advanced Pharmacology and Medication Administration, including insulin therapy, anticoagulants, antiplatelet medications, antihypertensives, beta blockers, diuretics, anticonvulsants, psychiatric medications, antibiotics, proton pump inhibitors, and emergency medications. Detailed medication-related questions reinforce nursing responsibilities, adverse effect monitoring, laboratory interpretation, dosage calculations, therapeutic outcomes, and safe administration practices. The guide also provides extensive review of Maternal-Newborn Nursing, Obstetric Care, and Pediatric Nursing. Topics include fetal monitoring, labor and delivery emergencies, postpartum care, hyperemesis gravidarum, breastfeeding and bottle-feeding management, congenital heart defects, sickle cell anemia, autism screening, developmental milestones, pediatric infections, tetanus, meningitis, respiratory distress, and family-centered nursing interventions. These questions help nursing students integrate pediatric and maternity concepts frequently encountered on comprehensive nursing examinations. Mental Health Nursing and Psychiatric Nursing content includes depression, bipolar disorder, schizophrenia, suicide assessment, anxiety disorders, defense mechanisms, therapeutic communication, behavioral health interventions, crisis management, and psychiatric medication monitoring. Students gain valuable practice applying psychosocial nursing principles while prioritizing patient safety and therapeutic outcomes. The resource further emphasizes Leadership, Delegation, Prioritization, Infection Control, Client Education, Evidence-Based Practice, Ethical Decision-Making, Care Coordination, SBAR Communication, Quality Improvement, and NCLEX Next Generation clinical judgment concepts. Numerous prioritization and delegation scenarios challenge students to apply nursing process principles, determine appropriate interventions, and identify high-risk situations requiring immediate action. This resource is especially valuable for: RN HESI Exit Exam candidates NCLEX-RN candidates Associate Degree Nursing (ADN) students Bachelor of Science in Nursing (BSN) students Accelerated BSN (ABSN) students Senior Nursing Students Capstone Nursing Course students Comprehensive Nursing Assessment candidates ATI Comprehensive Predictor students Nursing Remediation students New Graduate Nurses Internationally Educated Nurses preparing for U.S. licensure The content aligns with leading nursing education and clinical practice references, including: Elsevier HESI Comprehensive Review for the NCLEX-RN® Examination. Saunders Comprehensive Review for the NCLEX-RN® Examination. Ignatavicius, D. D., Workman, M. L., & Rebar, C. R. Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care. Lewis, S. L., Bucher, L., Heitkemper, M. M., & Harding, M. Medical-Surgical Nursing: Assessment and Management of Clinical Problems. Lilley, L. L., Collins, S. R., & Snyder, J. S. Pharmacology and the Nursing Process. ATI Nursing Education Review Modules. National Council of State Boards of Nursing (NCSBN). NCLEX-RN Test Plan. American Nurses Association (ANA) Nursing Practice Standards. By reviewing these comprehensive HESI Exit Exam questions and rationales, nursing students can strengthen clinical judgment, improve prioritization and delegation skills, reinforce pharmacology knowledge, master nursing interventions, and build confidence for the HESI Exit Exam, NCLEX-RN licensure examination, comprehensive nursing assessments, and entry into professional nursing practice. Keywords RN HESI Exit Exam 2026, HESI Exit Exam V1 V10, HESI Exit Questions and Answers, NCLEX RN Review, Comprehensive Nursing Exam, Medical Surgical Nursing, Pharmacology Nursing Review, Pediatric Nursing Questions, Maternity Nursing Review, Mental Health Nursing, Critical Care Nursing, Prioritization Questions, Delegation Nursing Questions, Client Education Nursing, Evidence Based Practice Nursing, Diabetes Mellitus Nursing, Diabetic Ketoacidosis, Heart Failure Nursing, Myocardial Infarction, Peripheral Arterial Disease, COPD Nursing, Pulmonary Embolism, Tuberculosis Nursing, Neurological Disorders Nursing, Increased Intracranial Pressure, Meningitis Nursing, Seizure Precautions, Postoperative Nursing Care, Maternal Newborn Nursing, Pediatric Assessment, Autism Screening, Sickle Cell Anemia Nursing, Hyperemesis Gravidarum, Psychiatric Nursing, Bipolar Disorder Nursing, Schizophrenia Nursing, Suicide Risk Assessment, Infection Control Nursing, SBAR Communication, NCLEX Style Questions, HESI Comprehensive Review, Nursing Leadership, Nursing Management, Clinical Judgment Nursing, Next Generation NCLEX, RN Licensure Preparation

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RN HESI EXIT EXAM VERSIONS
V1-V10 (2026) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!

The nurse is completing the admission assessment of a 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 - ANSWER ✔✔B.

Sluggish and unequal pupillary responses

A client with acute pancreatitis is admitted with severe, 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. - ANSWER

✔✔A. Abdominal pain decreases when lying supine


A child newly diagnosed with sickle cell anemia (SCA) 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 - ANSWER

✔✔A. Instructions about how much fluid the child should drink daily


To auscultate for a carotid bruit, the nurse places the stethoscope at

what location. (Select the location on the image with a red dot). -

ANSWER ✔✔I placed the red dot on the base of the neck on the right

side

After receiving report on an inpatient acute care unit, which client should

the nurse assess first?

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 - ANSWER ✔✔D. The client with a

bowel obstruction due to a volvulus who is experiencing abdominal

rigidity




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, A teenager presents to the emergency department 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 - ANSWER ✔✔D. Respiratory alkalosis


A client with dyspnea is being admitted to the medical 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 - ANSWER ✔✔Fowlers


The nurse is taking the blood pressure measurement of a client with

Parkinson's disease. Which information in the client's admission

assessment is relevant to the nurse's plan for taking the blood pressure

reading? (Select all the apply)

A. Frequent syncope

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