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HESI Comprehensive Exit Exam 2026 | Questions, Answers & Detailed Rationales Study Guide

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Prepare for the HESI Comprehensive Exit Exam with this comprehensive study guide featuring practice questions, answers, and detailed rationales. Covers essential nursing concepts including medical-surgical nursing, pharmacology, maternal-newborn care, pediatrics, mental health, fundamentals, leadership, prioritization, delegation, and Next Generation NCLEX (NGN) clinical judgment. Designed for nursing students and RN candidates, this resource strengthens critical thinking, improves exam readiness, and supports NCLEX-RN success. Ideal for comprehensive reviews, remediation, practice tests, and structured HESI preparation.

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Institution
Hesi
Course
Hesi

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HESI Comprehensive Exit
Exam 2026 | Questions,
Answers & Detailed
Rationales Study Guide
|Graded A+ | Guaranteed
success|




Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included

,3-A nurse on the evening shift checks a physician's B. Ask the answering service to contact the on-call physician
prescriptions and notes that the dose of a prescribed
medication is higher than the normal dose. The nurse
calls the physician's answering service and is told that the
physician is off for the night and will be available in the
morning. The nurse should:


A. Call the nursing supervisor
B. Ask the answering service to contact the on-call
physician
C. Withhold the medication until the physician can be
reached in the morning
D. Administer the medication but consult the physician
when he becomes available




4.An emergency department (ED) nurse is monitoring a B. Asking the ED physician to check the client
client with suspected acute myocardial infarction (MI)
who is awaiting transfer to the coronary intensive care
unit. The nurse notes the sudden onset of premature
ventricular contractions (PVCs) on the monitor, checks
the client's carotid pulse, and determines that the PVCs
are not resulting in perfusion. The appropriate action by
the nurse is:


A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an
MI


5.NPO status is imposed 8 hours before the procedure A. Administer the antihypertensive with a small sip of water
on a client scheduled to undergo electroconvulsive
therapy (ECT) at 1 p.m. On the morning of the procedure,
the nurse checks the client's record and notes that the
client routinely takes an oral antihypertensive medication
each morning. The nurse should:


A. Administer the antihypertensive with a small sip of
water
B. Withhold the antihypertensive and administer it at
bedtime
C. Administer the medication by way of the intravenous
(IV) route
D. Hold the antihypertensive and resume its
administration on the day after the ECT

, 6 A client who recently underwent coronary artery A. "Tell me more about what you're feeling."
bypass graft surgery comes to the physician's office for a
follow-up visit. On assessment, the client tells the nurse
that he is feeling depressed. Which response by the nurse
is therapeutic?


A. "Tell me more about what you're feeling."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over
this depression."
D. "Every client who has this surgery feels the same way
for about a month."


7 A client in labor experiences spontaneous rupture of A. Contacting the physician Correct
the membranes. The nurse immediately counts the fetal
heart rate (FHR) for 1 full minute and then checks the
amniotic fluid. The nurse notes that the fluid is yellow and
has a strong odor. Which of the following actions should
be the nurse's priority?


A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR


8 A nurse has assisted a physician in inserting a central A. Call the radiography department to obtain a chest x-ray
venous access device into a client with a diagnosis of
severe malnutrition who will be receiving parenteral
nutrition (PN). After insertion of the catheter, the nurse
immediately plans to:


A. Call the radiography department to obtain a chest x-
ray
B. Check the client's blood glucose level to serve as a
baseline measurement
C. Hang the prescribed bag of PN and start the infusion
at the prescribed rate
D. Infuse normal saline solution through the catheter at a
rate of 100 mL/hr to maintain patency


9 A rape victim being treated in the emergency D. "Let's talk about the information that you need to determine your risk of
department says to the nurse, "I'm really worried that I've contracting HIV."
got HIV now." What is the appropriate response by the
nurse?


A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract
HIV."
D. "Let's talk about the information that you need to
determine your risk of contracting HIV."

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Uploaded on
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