It is an object of the present invention to provide a moisture-curable polyurethane hot-melt resin composition having excellent waterproof properties, drop impact resistance, and flexibility. The present invention provides a moisture-curable polyurethane hot-melt resin composition containing a urethane prepolymer having an isocyanate group, the urethane prepolymer being produced through a reaction of a polyol (A) with a polyisocyanate (B), wherein the polyol (A) contains a polyether polyol (A-1), a crystalline polyester polyol (A-2), an amorphous polyester polyol (A-3), and an acrylic polyol (A-4). The present invention also provides an adhesive containing such a composition and an article in which such a composition is used.