HESI RN Exit
OBJECTIVE ASSESSMENT - EXAM
HESI RN Exit Exam 2026-2027: 180
Questions & Answers With
Detailed Rationales, 100%
Guaranteed Pass || Complete A+
Guide
Board Exam | Comprehensive Nursing Assessment
180 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Nursing Process & Clinical Decision-Making Fluid, Electrolyte & Acid-Base Balance
Cardiovascular & Respiratory Disorders Maternal-Newborn Assessment & Care
Pediatric Growth, Development & Disease Psychopharmacology & Therapeutic Communication
COVER PAGE - 1
,SECTION 1 | Fundamentals of Nursing | Q1-Q30 | HESI RN Exit Exam 2026-2027: 180 Questions & Answers With Detailed Rationales,
Q1 Question 1 of 180
A 68-year-old client admitted for dehydration has a serum sodium level of 152 mEq/L. The
nurse reviews the physician's orders and notes an order to administer 0.45% normal
saline at 125 mL/hr. Which action should the nurse take first
A. Begin the IV infusion as prescribed and monitor the client's lung sounds every 4 hours.
B. Verify the order with the prescribing physician before initiating the infusion.
C. Administer a bolus of 0.9% normal saline to restore intravascular volume rapidly.
D. Encourage the client to drink oral fluids and hold the IV fluids until the sodium normalizes.
Correct Answer: B
Rationale:
A serum sodium of 152 mEq/L indicates hypernatremia. While 0.45% NS is hypotonic and appropriate for
hypernatremia, the nurse must first verify any IV fluid order when the client's electrolyte status is abnormal to
ensure the prescribed solution matches the current clinical picture. Beginning an infusion without verification
could lead to inappropriate fluid administration.
Q2 Question 2 of 180
The nurse is caring for a client with a stage II pressure injury on the sacrum. During
wound assessment, the nurse notes a shallow open ulcer with a red-pink wound bed and
no slough. Which intervention is most appropriate for this wound
A. Apply a hydrocolloid dressing to maintain a moist wound environment and promote autolytic
debridement.
B. Perform sharp debridement at the bedside to remove necrotic tissue and prevent infection.
C. Pack the wound with saline-moistened gauze and cover with a dry sterile dressing changed twice
daily.
D. Apply an antimicrobial silver dressing to prevent colonization and reduce bioburden.
Correct Answer: A
Rationale:
A stage II pressure injury presents as a partial-thickness loss of skin with a viable red-pink wound bed.
Hydrocolloid dressings are appropriate for stage II ulcers because they maintain a moist healing environment
and support autolytic debridement of minimal nonviable tissue. Sharp debridement is unnecessary for clean
stage II wounds, and wet-to-dry dressings are outdated and cause trauma to viable tissue.
HESI RN Exit Exam 2026-2027: 180 Questions & Answers With Detailed Rationales, 100% Guaranteed Pass || Complete A+ Guide - 2026/2027 | Passing Scor
,SECTION 1 | Fundamentals of Nursing | Q1-Q30 | HESI RN Exit Exam 2026-2027: 180 Questions & Answers With Detailed Rationales,
Q3 Question 3 of 180
A client with heart failure is receiving furosemide 40 mg IV twice daily. The nurse reviews
the morning laboratory results and notes a potassium level of 3.2 mEq/L. Which
assessment finding is most consistent with this laboratory value
A. Hyperactive deep tendon reflexes and muscle twitching.
B. Irregular pulse, muscle weakness, and flattened T waves on cardiac monitoring.
C. Decreased urinary output and dependent edema in the lower extremities.
D. Kussmaul respirations and fruity odor on the client's breath.
Correct Answer: B
Rationale:
A potassium level of 3.2 mEq/L indicates hypokalemia, a common adverse effect of loop diuretics such as
furosemide. Clinical manifestations include cardiac dysrhythmias evidenced by an irregular pulse and ECG
changes such as flattened T waves, along with skeletal muscle weakness. Hyperactive reflexes are associated
with hypercalcemia, while Kussmaul respirations indicate diabetic ketoacidosis.
Q4 Question 4 of 180
The nurse is preparing to administer oral medications to a client with dysphagia
following a cerebrovascular accident. Which technique best reduces the risk of
aspiration during medication administration
A. Crush all tablets and mix them in a full glass of water to facilitate swallowing.
B. Administer medications with the client in a high-Fowler's position and use a chin-tuck technique.
C. Mix crushed medications into applesauce and allow the client to self-feed while lying supine.
D. Administer all medications via nasogastric tube to bypass the oropharyngeal swallowing
mechanism.
Correct Answer: B
Rationale:
For a client with dysphagia, positioning in high-Fowler's (90 degrees) with a chin-tuck technique narrows the
airway opening and directs the bolus toward the esophagus, significantly reducing aspiration risk. Not all
medications can be crushed, and supine positioning increases aspiration potential. Nasogastric tube
administration is not indicated unless the client cannot swallow any oral intake safely.
HESI RN Exit Exam 2026-2027: 180 Questions & Answers With Detailed Rationales, 100% Guaranteed Pass || Complete A+ Guide - 2026/2027 | Passing Scor
, SECTION 1 | Fundamentals of Nursing | Q1-Q30 | HESI RN Exit Exam 2026-2027: 180 Questions & Answers With Detailed Rationales,
Q5 Question 5 of 180
A postoperative client has a Jackson-Pratt drain in place following an abdominal
hysterectomy. The nurse notes 150 mL of serosanguineous drainage in the past 4 hours.
Which action should the nurse take
A. Milk the tubing toward the collection bulb to maintain patency and document the output.
B. Immediately notify the surgeon because this amount of drainage indicates hemorrhage.
C. Remove the drain and apply a pressure dressing to the insertion site.
D. Irrigate the drain with 10 mL of normal saline to clear any clots obstructing flow.
Correct Answer: A
Rationale:
Serosanguineous drainage of 150 mL over 4 hours following abdominal surgery is within expected parameters
and does not indicate active hemorrhage. The nurse should maintain drain patency by milking the tubing
toward the bulb, which promotes accurate drainage measurement and prevents clot obstruction. The surgeon
is notified only if drainage becomes bright red, increases significantly, or is accompanied by hemodynamic
instability.
Q6 Question 6 of 180
The nurse is caring for a client with a nasogastric tube set to low intermittent suction.
The client reports nausea and abdominal distention. Upon assessment, the nurse notes
the suction canister contains minimal drainage. What is the priority nursing intervention
A. Reposition the client on the left side and gently irrigate the NG tube with 30 mL of normal saline.
B. Discontinue the suction and place the NG tube to gravity drainage to prevent mucosal injury.
C. Check the tube placement, verify suction settings, and assess for kinks or blockages in the tubing.
D. Administer an antiemetic medication and increase the suction pressure to high continuous
suction.
Correct Answer: C
Rationale:
Minimal drainage in the presence of nausea and distention suggests the NG tube is not functioning effectively.
The nurse must first assess for mechanical issues such as kinked tubing, incorrect suction settings, or tube
displacement before taking more invasive measures. Irrigating without first checking placement risks instilling
fluid into the airway if the tube has migrated, and increasing suction pressure can cause mucosal damage.
HESI RN Exit Exam 2026-2027: 180 Questions & Answers With Detailed Rationales, 100% Guaranteed Pass || Complete A+ Guide - 2026/2027 | Passing Scor
OBJECTIVE ASSESSMENT - EXAM
HESI RN Exit Exam 2026-2027: 180
Questions & Answers With
Detailed Rationales, 100%
Guaranteed Pass || Complete A+
Guide
Board Exam | Comprehensive Nursing Assessment
180 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Nursing Process & Clinical Decision-Making Fluid, Electrolyte & Acid-Base Balance
Cardiovascular & Respiratory Disorders Maternal-Newborn Assessment & Care
Pediatric Growth, Development & Disease Psychopharmacology & Therapeutic Communication
COVER PAGE - 1
,SECTION 1 | Fundamentals of Nursing | Q1-Q30 | HESI RN Exit Exam 2026-2027: 180 Questions & Answers With Detailed Rationales,
Q1 Question 1 of 180
A 68-year-old client admitted for dehydration has a serum sodium level of 152 mEq/L. The
nurse reviews the physician's orders and notes an order to administer 0.45% normal
saline at 125 mL/hr. Which action should the nurse take first
A. Begin the IV infusion as prescribed and monitor the client's lung sounds every 4 hours.
B. Verify the order with the prescribing physician before initiating the infusion.
C. Administer a bolus of 0.9% normal saline to restore intravascular volume rapidly.
D. Encourage the client to drink oral fluids and hold the IV fluids until the sodium normalizes.
Correct Answer: B
Rationale:
A serum sodium of 152 mEq/L indicates hypernatremia. While 0.45% NS is hypotonic and appropriate for
hypernatremia, the nurse must first verify any IV fluid order when the client's electrolyte status is abnormal to
ensure the prescribed solution matches the current clinical picture. Beginning an infusion without verification
could lead to inappropriate fluid administration.
Q2 Question 2 of 180
The nurse is caring for a client with a stage II pressure injury on the sacrum. During
wound assessment, the nurse notes a shallow open ulcer with a red-pink wound bed and
no slough. Which intervention is most appropriate for this wound
A. Apply a hydrocolloid dressing to maintain a moist wound environment and promote autolytic
debridement.
B. Perform sharp debridement at the bedside to remove necrotic tissue and prevent infection.
C. Pack the wound with saline-moistened gauze and cover with a dry sterile dressing changed twice
daily.
D. Apply an antimicrobial silver dressing to prevent colonization and reduce bioburden.
Correct Answer: A
Rationale:
A stage II pressure injury presents as a partial-thickness loss of skin with a viable red-pink wound bed.
Hydrocolloid dressings are appropriate for stage II ulcers because they maintain a moist healing environment
and support autolytic debridement of minimal nonviable tissue. Sharp debridement is unnecessary for clean
stage II wounds, and wet-to-dry dressings are outdated and cause trauma to viable tissue.
HESI RN Exit Exam 2026-2027: 180 Questions & Answers With Detailed Rationales, 100% Guaranteed Pass || Complete A+ Guide - 2026/2027 | Passing Scor
,SECTION 1 | Fundamentals of Nursing | Q1-Q30 | HESI RN Exit Exam 2026-2027: 180 Questions & Answers With Detailed Rationales,
Q3 Question 3 of 180
A client with heart failure is receiving furosemide 40 mg IV twice daily. The nurse reviews
the morning laboratory results and notes a potassium level of 3.2 mEq/L. Which
assessment finding is most consistent with this laboratory value
A. Hyperactive deep tendon reflexes and muscle twitching.
B. Irregular pulse, muscle weakness, and flattened T waves on cardiac monitoring.
C. Decreased urinary output and dependent edema in the lower extremities.
D. Kussmaul respirations and fruity odor on the client's breath.
Correct Answer: B
Rationale:
A potassium level of 3.2 mEq/L indicates hypokalemia, a common adverse effect of loop diuretics such as
furosemide. Clinical manifestations include cardiac dysrhythmias evidenced by an irregular pulse and ECG
changes such as flattened T waves, along with skeletal muscle weakness. Hyperactive reflexes are associated
with hypercalcemia, while Kussmaul respirations indicate diabetic ketoacidosis.
Q4 Question 4 of 180
The nurse is preparing to administer oral medications to a client with dysphagia
following a cerebrovascular accident. Which technique best reduces the risk of
aspiration during medication administration
A. Crush all tablets and mix them in a full glass of water to facilitate swallowing.
B. Administer medications with the client in a high-Fowler's position and use a chin-tuck technique.
C. Mix crushed medications into applesauce and allow the client to self-feed while lying supine.
D. Administer all medications via nasogastric tube to bypass the oropharyngeal swallowing
mechanism.
Correct Answer: B
Rationale:
For a client with dysphagia, positioning in high-Fowler's (90 degrees) with a chin-tuck technique narrows the
airway opening and directs the bolus toward the esophagus, significantly reducing aspiration risk. Not all
medications can be crushed, and supine positioning increases aspiration potential. Nasogastric tube
administration is not indicated unless the client cannot swallow any oral intake safely.
HESI RN Exit Exam 2026-2027: 180 Questions & Answers With Detailed Rationales, 100% Guaranteed Pass || Complete A+ Guide - 2026/2027 | Passing Scor
, SECTION 1 | Fundamentals of Nursing | Q1-Q30 | HESI RN Exit Exam 2026-2027: 180 Questions & Answers With Detailed Rationales,
Q5 Question 5 of 180
A postoperative client has a Jackson-Pratt drain in place following an abdominal
hysterectomy. The nurse notes 150 mL of serosanguineous drainage in the past 4 hours.
Which action should the nurse take
A. Milk the tubing toward the collection bulb to maintain patency and document the output.
B. Immediately notify the surgeon because this amount of drainage indicates hemorrhage.
C. Remove the drain and apply a pressure dressing to the insertion site.
D. Irrigate the drain with 10 mL of normal saline to clear any clots obstructing flow.
Correct Answer: A
Rationale:
Serosanguineous drainage of 150 mL over 4 hours following abdominal surgery is within expected parameters
and does not indicate active hemorrhage. The nurse should maintain drain patency by milking the tubing
toward the bulb, which promotes accurate drainage measurement and prevents clot obstruction. The surgeon
is notified only if drainage becomes bright red, increases significantly, or is accompanied by hemodynamic
instability.
Q6 Question 6 of 180
The nurse is caring for a client with a nasogastric tube set to low intermittent suction.
The client reports nausea and abdominal distention. Upon assessment, the nurse notes
the suction canister contains minimal drainage. What is the priority nursing intervention
A. Reposition the client on the left side and gently irrigate the NG tube with 30 mL of normal saline.
B. Discontinue the suction and place the NG tube to gravity drainage to prevent mucosal injury.
C. Check the tube placement, verify suction settings, and assess for kinks or blockages in the tubing.
D. Administer an antiemetic medication and increase the suction pressure to high continuous
suction.
Correct Answer: C
Rationale:
Minimal drainage in the presence of nausea and distention suggests the NG tube is not functioning effectively.
The nurse must first assess for mechanical issues such as kinked tubing, incorrect suction settings, or tube
displacement before taking more invasive measures. Irrigating without first checking placement risks instilling
fluid into the airway if the tube has migrated, and increasing suction pressure can cause mucosal damage.
HESI RN Exit Exam 2026-2027: 180 Questions & Answers With Detailed Rationales, 100% Guaranteed Pass || Complete A+ Guide - 2026/2027 | Passing Scor
