,HESI RN Exit Exam 2026 – Version 1
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Safety & Fundamentals
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Q1.
A nurse is caring for a client on fall precautions. Which intervention has the
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highest priority? ma
A. Keep the bed in the lowest position.
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B. Place non-slip socks on the client.
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C. Remove clutter from the room. ma ma ma ma
D. Keep the call light within reach.
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Answer: A. Keep the bed in the lowest position.
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a
Rationale: While all options reduce fall risk, the lowest bed position most directly pre
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vents injury if the client does fall or attempts to get out of bed unsafely.
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Q2.
A nurse receives a client from PACU who is drowsy but arousable. What is the
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first action?
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A. Monitor vital signs. ma ma
B. Assess airway patency. ma ma
C. Check IV site. ma ma
D. Review intake and output. ma ma ma
,Answer: B. Assess airway patency.
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Rationale: Airway is always the priority in post-
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anesthesia care (ABCs). Monitoring vital signs follows after airway is confirmed
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.
Q3.
A nurse prepares to administer digoxin. The apical pulse is 56 bpm. What should t
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he nurse do?
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A. Administer the dose. ma ma
B. Hold the medication and notify the provider.
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C. Document the pulse and reassess in 30 minutes. ma ma ma ma ma ma ma
D. Give half the dose.
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Answer: B. Hold the medication and notify the provider.
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Rationale: Digoxin can cause bradycardia. The safe hold parameter is HR <60 bp
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m.
Q4.
A confused elderly client keeps trying to pull out their IV. What is the best nursi
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ng intervention?
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A. Apply wrist restraints.
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B. Cover the IV site with a protective sleeve.
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C. Remove the IV. ma ma
D. Ask family to stay with the client.
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, Answer: B. Cover the IV site with a protective sleeve.
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Rationale: The least restrictive option that still protects the client should always be ch
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osen before restraints.
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Q5.
The nurse finds a fire in a client’s room. Which action should the nurse take first?
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A. Pull the fire alarm.
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B. Attempt to extinguish the fire.ma ma ma ma
C. Rescue the client from the room.
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D. Close the door. ma ma
Answer: C. Rescue the client from the room.
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Rationale: Follow RACE (Rescue, Alarm, Contain, Extinguish). Safety of the clie
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nt comes first.
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Q6.
The nurse is caring for four clients. Which client should be seen first?
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A. Client with a temperature of 100.8°F and productive cough.
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B. Client with O₂ saturation of 85% on room air.
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C. Client requesting pain medication rated 7/10.
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D. Client with blood glucose of 180 mg/dL.
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Answer: B. Client with O₂ saturation of 85% on room air.
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Rationale: Hypoxemia is life- ma ma ma
threatening and must be addressed before pain or fever. Prioritization uses ABCs.
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ma ma ma ma ma ma ma
Safety & Fundamentals
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Q1.
A nurse is caring for a client on fall precautions. Which intervention has the
ma ma ma ma ma ma ma ma ma ma ma m a ma
highest priority? ma
A. Keep the bed in the lowest position.
ma ma ma ma ma ma
B. Place non-slip socks on the client.
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a ma
C. Remove clutter from the room. ma ma ma ma
D. Keep the call light within reach.
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Answer: A. Keep the bed in the lowest position.
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a
Rationale: While all options reduce fall risk, the lowest bed position most directly pre
m
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vents injury if the client does fall or attempts to get out of bed unsafely.
ma m a ma ma m a ma ma ma ma ma ma ma ma ma
Q2.
A nurse receives a client from PACU who is drowsy but arousable. What is the
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a ma ma ma ma
first action?
ma
A. Monitor vital signs. ma ma
B. Assess airway patency. ma ma
C. Check IV site. ma ma
D. Review intake and output. ma ma ma
,Answer: B. Assess airway patency.
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Rationale: Airway is always the priority in post-
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anesthesia care (ABCs). Monitoring vital signs follows after airway is confirmed
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.
Q3.
A nurse prepares to administer digoxin. The apical pulse is 56 bpm. What should t
ma ma ma ma m a ma ma ma ma ma ma ma ma ma
he nurse do?
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A. Administer the dose. ma ma
B. Hold the medication and notify the provider.
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C. Document the pulse and reassess in 30 minutes. ma ma ma ma ma ma ma
D. Give half the dose.
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Answer: B. Hold the medication and notify the provider.
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a ma ma ma
Rationale: Digoxin can cause bradycardia. The safe hold parameter is HR <60 bp
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m.
Q4.
A confused elderly client keeps trying to pull out their IV. What is the best nursi
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ng intervention?
ma
A. Apply wrist restraints.
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B. Cover the IV site with a protective sleeve.
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C. Remove the IV. ma ma
D. Ask family to stay with the client.
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, Answer: B. Cover the IV site with a protective sleeve.
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Rationale: The least restrictive option that still protects the client should always be ch
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osen before restraints.
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Q5.
The nurse finds a fire in a client’s room. Which action should the nurse take first?
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A. Pull the fire alarm.
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B. Attempt to extinguish the fire.ma ma ma ma
C. Rescue the client from the room.
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D. Close the door. ma ma
Answer: C. Rescue the client from the room.
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Rationale: Follow RACE (Rescue, Alarm, Contain, Extinguish). Safety of the clie
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nt comes first.
ma ma
Q6.
The nurse is caring for four clients. Which client should be seen first?
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A. Client with a temperature of 100.8°F and productive cough.
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B. Client with O₂ saturation of 85% on room air.
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C. Client requesting pain medication rated 7/10.
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D. Client with blood glucose of 180 mg/dL.
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Answer: B. Client with O₂ saturation of 85% on room air.
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Rationale: Hypoxemia is life- ma ma ma
threatening and must be addressed before pain or fever. Prioritization uses ABCs.
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