1
2025-2026 RN HESI EXIT EXAM NEXT GENERATION V4
ACTUAL EXAM ALL 110+ QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
Question 1: Hand Hygiene
Which situation requires handwashing with soap and water instead of alcohol-based sanitizer?
A. Before giving oral meds
B. After removing gloves
C. After caring for a patient with C. difficile infection
D. Before assessing vital signs
Correct Answer: C. After caring for a patient with C. difficile infection
Rationale: Alcohol does not kill C. diff spores. Handwashing with soap and water is required.
Question 2: Standard Precautions
A nurse preparing to suction a tracheostomy should wear:
A. Gloves only
B. Gloves and gown
,2
C. Gloves, gown, mask, and eye protection
D. No protective equipment
Correct Answer: C. Gloves, gown, mask, and eye protection
Rationale: Suctioning risks splashes of secretions; full PPE prevents exposure.
Question 3: Vital Signs
Which patient requires immediate follow-up?
A. 22-year-old, temp 37.9°C
B. 48-year-old, HR 102 bpm
C. 65-year-old, BP 80/46 mmHg
D. 35-year-old, RR 20/min
Correct Answer: C. 65-year-old, BP 80/46 mmHg
Rationale: Hypotension signals risk for shock and requires urgent intervention.
Question 4: Oxygen Safety
Which teaching should the nurse provide for a client on home oxygen?
A. Keep oxygen tank near heater
B. Smoke only near open windows
C. Post “No Smoking” signs in home
D. Use petroleum jelly for dry lips
,3
Correct Answer: C. Post “No Smoking” signs in home
Rationale: Oxygen supports combustion; flames and smoking must be avoided.
Question 5: Informed Consent
Which patient can legally sign their own informed consent?
A. 15-year-old for appendectomy
B. 18-year-old scheduled for surgery
C. Sedated adult
D. Adult with severe cognitive impairment
Correct Answer: B. 18-year-old scheduled for surgery
Rationale: A competent adult 18+ can legally consent.
Question 6: Fire Safety (RACE)
The nurse discovers smoke in a patient’s room. The first action is:
A. Extinguish fire
B. Call the fire department
C. Remove the patient from the room
D. Close all doors
Correct Answer: C. Remove the patient from the room
Rationale: RACE: Rescue, Alarm, Contain, Extinguish. First priority = rescue patient.
, 4
Question 7: Enteral Feeding Tube Placement
Which method best confirms NG tube placement before feeding?
A. Air bolus auscultation
B. Tube length measurement
C. X-ray verification
D. Observing aspirate color
Correct Answer: C. X-ray verification
Rationale: X-ray is gold standard for confirming NG placement before first use.
Question 8: Delegation
Which task can the nurse safely delegate to a UAP?
A. Teaching deep breathing exercises
B. Assessing surgical wound
C. Obtaining routine vital signs
D. Evaluating IV site
Correct Answer: C. Obtaining routine vital signs
Rationale: UAPs can collect data like VS but not assess, teach, or evaluate.
Question 9: Pressure Injury Prevention
2025-2026 RN HESI EXIT EXAM NEXT GENERATION V4
ACTUAL EXAM ALL 110+ QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
Question 1: Hand Hygiene
Which situation requires handwashing with soap and water instead of alcohol-based sanitizer?
A. Before giving oral meds
B. After removing gloves
C. After caring for a patient with C. difficile infection
D. Before assessing vital signs
Correct Answer: C. After caring for a patient with C. difficile infection
Rationale: Alcohol does not kill C. diff spores. Handwashing with soap and water is required.
Question 2: Standard Precautions
A nurse preparing to suction a tracheostomy should wear:
A. Gloves only
B. Gloves and gown
,2
C. Gloves, gown, mask, and eye protection
D. No protective equipment
Correct Answer: C. Gloves, gown, mask, and eye protection
Rationale: Suctioning risks splashes of secretions; full PPE prevents exposure.
Question 3: Vital Signs
Which patient requires immediate follow-up?
A. 22-year-old, temp 37.9°C
B. 48-year-old, HR 102 bpm
C. 65-year-old, BP 80/46 mmHg
D. 35-year-old, RR 20/min
Correct Answer: C. 65-year-old, BP 80/46 mmHg
Rationale: Hypotension signals risk for shock and requires urgent intervention.
Question 4: Oxygen Safety
Which teaching should the nurse provide for a client on home oxygen?
A. Keep oxygen tank near heater
B. Smoke only near open windows
C. Post “No Smoking” signs in home
D. Use petroleum jelly for dry lips
,3
Correct Answer: C. Post “No Smoking” signs in home
Rationale: Oxygen supports combustion; flames and smoking must be avoided.
Question 5: Informed Consent
Which patient can legally sign their own informed consent?
A. 15-year-old for appendectomy
B. 18-year-old scheduled for surgery
C. Sedated adult
D. Adult with severe cognitive impairment
Correct Answer: B. 18-year-old scheduled for surgery
Rationale: A competent adult 18+ can legally consent.
Question 6: Fire Safety (RACE)
The nurse discovers smoke in a patient’s room. The first action is:
A. Extinguish fire
B. Call the fire department
C. Remove the patient from the room
D. Close all doors
Correct Answer: C. Remove the patient from the room
Rationale: RACE: Rescue, Alarm, Contain, Extinguish. First priority = rescue patient.
, 4
Question 7: Enteral Feeding Tube Placement
Which method best confirms NG tube placement before feeding?
A. Air bolus auscultation
B. Tube length measurement
C. X-ray verification
D. Observing aspirate color
Correct Answer: C. X-ray verification
Rationale: X-ray is gold standard for confirming NG placement before first use.
Question 8: Delegation
Which task can the nurse safely delegate to a UAP?
A. Teaching deep breathing exercises
B. Assessing surgical wound
C. Obtaining routine vital signs
D. Evaluating IV site
Correct Answer: C. Obtaining routine vital signs
Rationale: UAPs can collect data like VS but not assess, teach, or evaluate.
Question 9: Pressure Injury Prevention
