HESI RN COMPLETE BUNDLE 2026
EXIT EXAM + FUNDAMENTALS — 2-IN-1 STUDY PACKAGE
105 Total NCLEX-Style Questions | Verified Answers | Detailed Rationales
Bundle Includes BOTH Complete Guides Below
2 Full Guides 105 Questions 35 Pages Total Graded A+ Best Value
This BUNDLE combines two complete, best-selling HESI exam preparation guides into a single, comprehensive
package at a discounted bundle price. Together, they cover the two most heavily tested HESI exams in nursing
programs nationwide: the HESI RN Exit Exam (comprehensive, cross-content) and the HESI Fundamentals of
Nursing Exit Exam (foundational nursing concepts). Every question includes a verified answer with a detailed,
NCLEX-style rationale.
GUIDE 1: HESI RN EXIT EXAM 2026/2027
55 Q&A; | 17 Pages | Med-Surg - Pharmacology - Mental Health
• Section 1: Medical-Surgical Nursing (Q1-20) — heart failure, COPD, DKA, DVT, ICP, pneumothorax
• Section 2: Pharmacology (Q21-38) — digoxin, warfarin, heparin, insulin, antidotes
• Section 3: Mental Health (Q39-55) — suicide risk, NMS, OCD, PTSD, MAOI diet, therapeutic comm.
GUIDE 2: HESI FUNDAMENTALS OF NURSING EXIT EXAM 2026/2027
50 Q&A; | 18 Pages | Vital Signs - Safety - Infection Control - Nursing Process
• Section 1: Vital Signs (Q1-13) — temp, pulse, RR, BP, pain scale, pulse oximetry
• Section 2: Patient Safety (Q14-26) — falls, restraints, fire safety, medication rights
• Section 3: Infection Control (Q27-38) — precaution types, sterile technique, CAUTI/CLABSI
• Section 4: Nursing Process/ADPIE (Q39-50) — assessment, diagnosis, SMART goals, Maslow's
BUNDLE VALUE
Individual price: Exit Exam $20 + Fundamentals $18 = $38 separately
Bundle price: $28-$35 — Save up to 25% buying both together!
Table of Contents:
Page 3: HESI RN Exit Exam 2026/2027 (begins)
Page 20: HESI Fundamentals of Nursing Exit Exam 2026/2027 (begins)
,Both full guides are included in their entirety on the following pages.
, HESI RN EXIT EXAM
— COMPREHENSIVE Q&A; GUIDE
VERSION 1 | 50+ NCLEX-Style Questions | Verified Answers + Rationales
Topics Covered: Med-Surg • Pharmacology • Mental Health
Graded A+ | Updated for NGN Format
■ 50+ Questions ■ Verified Answers ■ 3 Core Topics ■ NCLEX-Style Format
This guide contains 50+ high-yield HESI RN Exit Exam questions with detailed rationales covering Medical-Surgical Nursing,
Pharmacology, and Mental Health Nursing. Each question mirrors the NCLEX-style format tested on the HESI Exit Exam and
includes priority nursing actions, medication safety alerts, and critical-thinking rationales to help you achieve a passing score.
How to Use This Guide
1. Read each question carefully — treat it like a real exam question.
2. Select your answer BEFORE reading the rationale.
3. Focus on PRIORITY, SAFETY, and ABCs when in doubt.
4. Review NCLEX ALERTS — these are tested frequently!
, SECTION 1: MEDICAL-SURGICAL NURSING (Q1 – Q20)
■ NCLEX ALERT: Always follow ABCs (Airway → Breathing → Circulation) and Maslow's hierarchy when prioritizing
nursing actions.
Q1. A nurse is caring for a patient with left-sided heart failure. Which assessment finding requires
immediate intervention?
A. Mild ankle edema
B. Crackles in the lung bases bilaterally
C. Blood pressure 138/88 mmHg
D. Heart rate 88 beats/min
■ ANSWER: B. Crackles in the lung bases bilaterally
Rationale: Left-sided heart failure causes fluid to back up into the pulmonary circulation, resulting in pulmonary edema.
Crackles (rales) indicate fluid in the alveoli and represent an immediate airway/breathing emergency requiring oxygen
administration and provider notification. Mild ankle edema and slightly elevated BP are expected findings in HF and are not
immediately life-threatening.
■■ LEFT HF = Lung problems. RIGHT HF = Body/peripheral edema.
Q2. A patient with COPD is receiving supplemental oxygen. The nurse notes the respiratory rate has
dropped from 18 to 8 breaths/min. What is the priority action?
A. Increase oxygen flow rate
B. Decrease the oxygen flow rate and notify the provider
C. Document findings and continue monitoring
D. Administer a bronchodilator
■ ANSWER: B. Decrease the oxygen flow rate and notify the provider
Rationale: COPD patients rely on a hypoxic drive to breathe (low O2 stimulates breathing instead of high CO2). High-flow
oxygen suppresses this drive, causing respiratory depression. Reducing the O2 flow rate and notifying the provider is the
priority. Target SpO2 for COPD is 88–92%.
Q3. A nurse is caring for a post-operative patient 24 hours after abdominal surgery. The patient reports
sudden onset of chest pain and dyspnea. Oxygen saturation is 89%. What is the FIRST nursing action?
A. Obtain a 12-lead ECG
B. Administer oxygen
C. Call the provider
D. Elevate the head of the bed
■ ANSWER: B. Administer oxygen
Rationale: The patient is showing signs of pulmonary embolism (PE) — chest pain + dyspnea + low O2 sat after surgery.
Airway and oxygenation are always the first priority (ABCs). Apply oxygen immediately, then call the provider and obtain an
ECG. Positioning (elevate HOB) can follow oxygen administration.
■■ Administer oxygen FIRST before calling the provider in respiratory emergencies.
Q4. Which electrolyte imbalance is MOST concerning in a patient receiving furosemide (Lasix)?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
■ ANSWER: B. Hypokalemia
EXIT EXAM + FUNDAMENTALS — 2-IN-1 STUDY PACKAGE
105 Total NCLEX-Style Questions | Verified Answers | Detailed Rationales
Bundle Includes BOTH Complete Guides Below
2 Full Guides 105 Questions 35 Pages Total Graded A+ Best Value
This BUNDLE combines two complete, best-selling HESI exam preparation guides into a single, comprehensive
package at a discounted bundle price. Together, they cover the two most heavily tested HESI exams in nursing
programs nationwide: the HESI RN Exit Exam (comprehensive, cross-content) and the HESI Fundamentals of
Nursing Exit Exam (foundational nursing concepts). Every question includes a verified answer with a detailed,
NCLEX-style rationale.
GUIDE 1: HESI RN EXIT EXAM 2026/2027
55 Q&A; | 17 Pages | Med-Surg - Pharmacology - Mental Health
• Section 1: Medical-Surgical Nursing (Q1-20) — heart failure, COPD, DKA, DVT, ICP, pneumothorax
• Section 2: Pharmacology (Q21-38) — digoxin, warfarin, heparin, insulin, antidotes
• Section 3: Mental Health (Q39-55) — suicide risk, NMS, OCD, PTSD, MAOI diet, therapeutic comm.
GUIDE 2: HESI FUNDAMENTALS OF NURSING EXIT EXAM 2026/2027
50 Q&A; | 18 Pages | Vital Signs - Safety - Infection Control - Nursing Process
• Section 1: Vital Signs (Q1-13) — temp, pulse, RR, BP, pain scale, pulse oximetry
• Section 2: Patient Safety (Q14-26) — falls, restraints, fire safety, medication rights
• Section 3: Infection Control (Q27-38) — precaution types, sterile technique, CAUTI/CLABSI
• Section 4: Nursing Process/ADPIE (Q39-50) — assessment, diagnosis, SMART goals, Maslow's
BUNDLE VALUE
Individual price: Exit Exam $20 + Fundamentals $18 = $38 separately
Bundle price: $28-$35 — Save up to 25% buying both together!
Table of Contents:
Page 3: HESI RN Exit Exam 2026/2027 (begins)
Page 20: HESI Fundamentals of Nursing Exit Exam 2026/2027 (begins)
,Both full guides are included in their entirety on the following pages.
, HESI RN EXIT EXAM
— COMPREHENSIVE Q&A; GUIDE
VERSION 1 | 50+ NCLEX-Style Questions | Verified Answers + Rationales
Topics Covered: Med-Surg • Pharmacology • Mental Health
Graded A+ | Updated for NGN Format
■ 50+ Questions ■ Verified Answers ■ 3 Core Topics ■ NCLEX-Style Format
This guide contains 50+ high-yield HESI RN Exit Exam questions with detailed rationales covering Medical-Surgical Nursing,
Pharmacology, and Mental Health Nursing. Each question mirrors the NCLEX-style format tested on the HESI Exit Exam and
includes priority nursing actions, medication safety alerts, and critical-thinking rationales to help you achieve a passing score.
How to Use This Guide
1. Read each question carefully — treat it like a real exam question.
2. Select your answer BEFORE reading the rationale.
3. Focus on PRIORITY, SAFETY, and ABCs when in doubt.
4. Review NCLEX ALERTS — these are tested frequently!
, SECTION 1: MEDICAL-SURGICAL NURSING (Q1 – Q20)
■ NCLEX ALERT: Always follow ABCs (Airway → Breathing → Circulation) and Maslow's hierarchy when prioritizing
nursing actions.
Q1. A nurse is caring for a patient with left-sided heart failure. Which assessment finding requires
immediate intervention?
A. Mild ankle edema
B. Crackles in the lung bases bilaterally
C. Blood pressure 138/88 mmHg
D. Heart rate 88 beats/min
■ ANSWER: B. Crackles in the lung bases bilaterally
Rationale: Left-sided heart failure causes fluid to back up into the pulmonary circulation, resulting in pulmonary edema.
Crackles (rales) indicate fluid in the alveoli and represent an immediate airway/breathing emergency requiring oxygen
administration and provider notification. Mild ankle edema and slightly elevated BP are expected findings in HF and are not
immediately life-threatening.
■■ LEFT HF = Lung problems. RIGHT HF = Body/peripheral edema.
Q2. A patient with COPD is receiving supplemental oxygen. The nurse notes the respiratory rate has
dropped from 18 to 8 breaths/min. What is the priority action?
A. Increase oxygen flow rate
B. Decrease the oxygen flow rate and notify the provider
C. Document findings and continue monitoring
D. Administer a bronchodilator
■ ANSWER: B. Decrease the oxygen flow rate and notify the provider
Rationale: COPD patients rely on a hypoxic drive to breathe (low O2 stimulates breathing instead of high CO2). High-flow
oxygen suppresses this drive, causing respiratory depression. Reducing the O2 flow rate and notifying the provider is the
priority. Target SpO2 for COPD is 88–92%.
Q3. A nurse is caring for a post-operative patient 24 hours after abdominal surgery. The patient reports
sudden onset of chest pain and dyspnea. Oxygen saturation is 89%. What is the FIRST nursing action?
A. Obtain a 12-lead ECG
B. Administer oxygen
C. Call the provider
D. Elevate the head of the bed
■ ANSWER: B. Administer oxygen
Rationale: The patient is showing signs of pulmonary embolism (PE) — chest pain + dyspnea + low O2 sat after surgery.
Airway and oxygenation are always the first priority (ABCs). Apply oxygen immediately, then call the provider and obtain an
ECG. Positioning (elevate HOB) can follow oxygen administration.
■■ Administer oxygen FIRST before calling the provider in respiratory emergencies.
Q4. Which electrolyte imbalance is MOST concerning in a patient receiving furosemide (Lasix)?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
■ ANSWER: B. Hypokalemia
