PREPARED BY HealthStudyPro
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HESI RN Exit Exam 2025/2026 – 1000 NCLEX-
Style Practice Questions + Detailed Rationales |
Guaranteed Pass
Question 1
A nurse is caring for a client who has a new colostomy. Which action demonstrates appropriate
stoma care?
A. Cleaning the stoma with alcohol-based wipes
B. Applying lotion to the skin around the stoma
C. Using warm water to clean the stoma and surrounding skin
D. Placing a cold compress directly on the stoma
✅ Correct Answer: C
Rationale: The stoma and peristomal skin should be cleaned with warm water and patted dry.
, Alcohol and lotions can irritate the skin. Cold compresses are unnecessary and may damage the
tissue.
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Question 2
The nurse prepares to administer a scheduled oral medication but finds the patient is vomiting.
What is the most appropriate action?
A. Hold the dose and document as refused
B. Administer the medication rectally
C. Notify the healthcare provider for alternative route
D. Crush the tablet and give with food
✅ Correct Answer: C
Rationale: If a client is vomiting, an oral medication may not be absorbed. The nurse should
notify the provider to consider an alternative route. Do not crush without approval, and rectal
administration must be prescribed.
Question 3
Which of the following actions is the priority when a fire alarm sounds on the unit?
A. Extinguish the fire
B. Rescue patients in immediate danger
C. Close all doors and windows
D. Call the fire department
, ✅ Correct Answer: B
Rationale: Follow the RACE protocol: Rescue, Alarm, Contain, Extinguish. The nurse’s first
action is to ensure safety by rescuing patients in immediate danger.
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Question 4
A nurse is preparing to insert an indwelling urinary catheter. What technique is essential during
the procedure?
A. Sterile technique
B. Clean technique
C. Medical asepsis
D. Barrier nursing
✅ Correct Answer: A
Rationale: Inserting a urinary catheter is a sterile procedure to prevent infection. Clean or
medical asepsis is not adequate for this task.
Question 5
A client refuses a prescribed medication. What is the nurse’s best initial action?
A. Notify the physician immediately
B. Document the refusal and discard the medication
C. Educate the client about the medication’s purpose and risks of refusal
D. Ask another nurse to attempt administration
, ✅ Correct Answer: C
Rationale: Nurses must respect a patient’s right to refuse, but first attempt education to ensure
informed decision-making. Only then should the provider be notified.
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Question 6
The nurse is auscultating lung sounds and hears crackles. Which condition is most likely?
A. Asthma
B. Pneumonia
C. Pleural effusion
D. Emphysema
✅ Correct Answer: B
Rationale: Crackles are often associated with fluid in the alveoli, commonly seen in pneumonia.
Asthma presents with wheezing, and emphysema with diminished sounds.
Question 7
What is the proper method for identifying a client before administering medication?
A. Ask their name
B. Check room number and chart
C. Use two identifiers: name and date of birth
D. Rely on wristband color
Page | 1
HESI RN Exit Exam 2025/2026 – 1000 NCLEX-
Style Practice Questions + Detailed Rationales |
Guaranteed Pass
Question 1
A nurse is caring for a client who has a new colostomy. Which action demonstrates appropriate
stoma care?
A. Cleaning the stoma with alcohol-based wipes
B. Applying lotion to the skin around the stoma
C. Using warm water to clean the stoma and surrounding skin
D. Placing a cold compress directly on the stoma
✅ Correct Answer: C
Rationale: The stoma and peristomal skin should be cleaned with warm water and patted dry.
, Alcohol and lotions can irritate the skin. Cold compresses are unnecessary and may damage the
tissue.
Page | 2
Question 2
The nurse prepares to administer a scheduled oral medication but finds the patient is vomiting.
What is the most appropriate action?
A. Hold the dose and document as refused
B. Administer the medication rectally
C. Notify the healthcare provider for alternative route
D. Crush the tablet and give with food
✅ Correct Answer: C
Rationale: If a client is vomiting, an oral medication may not be absorbed. The nurse should
notify the provider to consider an alternative route. Do not crush without approval, and rectal
administration must be prescribed.
Question 3
Which of the following actions is the priority when a fire alarm sounds on the unit?
A. Extinguish the fire
B. Rescue patients in immediate danger
C. Close all doors and windows
D. Call the fire department
, ✅ Correct Answer: B
Rationale: Follow the RACE protocol: Rescue, Alarm, Contain, Extinguish. The nurse’s first
action is to ensure safety by rescuing patients in immediate danger.
Page | 3
Question 4
A nurse is preparing to insert an indwelling urinary catheter. What technique is essential during
the procedure?
A. Sterile technique
B. Clean technique
C. Medical asepsis
D. Barrier nursing
✅ Correct Answer: A
Rationale: Inserting a urinary catheter is a sterile procedure to prevent infection. Clean or
medical asepsis is not adequate for this task.
Question 5
A client refuses a prescribed medication. What is the nurse’s best initial action?
A. Notify the physician immediately
B. Document the refusal and discard the medication
C. Educate the client about the medication’s purpose and risks of refusal
D. Ask another nurse to attempt administration
, ✅ Correct Answer: C
Rationale: Nurses must respect a patient’s right to refuse, but first attempt education to ensure
informed decision-making. Only then should the provider be notified.
Page | 4
Question 6
The nurse is auscultating lung sounds and hears crackles. Which condition is most likely?
A. Asthma
B. Pneumonia
C. Pleural effusion
D. Emphysema
✅ Correct Answer: B
Rationale: Crackles are often associated with fluid in the alveoli, commonly seen in pneumonia.
Asthma presents with wheezing, and emphysema with diminished sounds.
Question 7
What is the proper method for identifying a client before administering medication?
A. Ask their name
B. Check room number and chart
C. Use two identifiers: name and date of birth
D. Rely on wristband color
