HESI RN Exit (BSN) 2026 Proctored Exam 10/08/2026

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Sample questions from HESI RN Exit (BSN) 2026 Proctored Exam 10/08/2026

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, report identifies four clients. Which client should the RN assess first?

   • A.A 40-year-old awaiting discharge instructions after an uncomplicated procedure
   • B.A 72-year-old with pneumonia whose SpO2 decreased from 94% to 86% on 2 L/min oxygen and who is newly confused
   • C.A 68-year-old with diabetes whose premeal glucose is 246 mg/dL
   • D.A 54-year-old on postoperative day 1 reporting incisional pain of 7/10

   Rationale: The new hypoxemia and confusion suggest worsening oxygenation and require immediate assessment and intervention. Pain, hyperglycemia, and discharge teaching need attention, but none indicates the same immediate threat to life. Use airway and breathing priorities when ranking competing needs.

2. 2.During rounds in a rehabilitation unit, an RN is assigning tasks to an experienced assistive personnel (AP). Which task is appropriate to delegate?

   • A.Teach a client how to use a walker on stairs
   • B.Assess a newly admitted client's swallowing ability
   • C.Obtain routine vital signs for a stable client awaiting discharge
   • D.Evaluate a client's response to a newly administered opioid

   Rationale: Obtaining routine vital signs for a stable client is a predictable task that can be delegated to trained AP. Swallowing assessment, teaching, and evaluation require nursing judgment and remain the RN's responsibility. The RN must review and act on the reported vital signs.

3. 3.In a community clinic, the RN is coordinating care for clients with chronic illness. Which actions are appropriate when delegating tasks to assistive personnel? Select all that apply.

   • A.Give clear instructions about what findings to report promptly
   • B.Ask the AP to interpret a client's abnormal laboratory result
   • C.Delegate routine weight measurement for a stable client
   • D.Delegate initial assessment of a client reporting new chest pain
   • E.Remain accountable for evaluating the client's outcome
   • F.Confirm that the task is within the AP's demonstrated competency

   Rationale: The RN should verify competency, provide clear parameters for reporting, and evaluate outcomes while retaining accountability. Routine weights for stable clients are appropriate to delegate. Initial assessment of chest pain and interpretation of laboratory results require nursing judgment and should not be delegated.

4. 4.A provider prescribes a medication dose that is substantially higher than the usual dose listed in the medication reference. What should the RN do first?

   • A.Hold the medication and clarify the prescription with the prescriber
   • B.Ask another nurse to administer the prescribed dose
   • C.Give half the dose and document the adjustment
   • D.Administer the dose and monitor for adverse effects

   Answer and rationale are in the full material.

5. 5.Refer to the client's chart. Which actions should the RN take in response to the client's change in condition? Select all that apply.

   • A.Wait until the next scheduled vital-sign check before notifying the provider
   • B.Position the client to support breathing while help is summoned
   • C.Activate the rapid response process according to facility policy
   • D.Document the assessment and interventions with times
   • E.Increase oxygen as permitted by protocol and reassess oxygenation

   Answer and rationale are in the full material.