HESI RN Exit Exam 2026 | NGN-Style Questions &
Verified Answers | Complete NCLEX-RN® Predictor
Exam | Evolve Testing
Q001: A 28-year-old postpartum client who delivered vaginally 12 hours ago tells the RN
she feels dizzy when getting up to use the bathroom. The RN checks orthostatic vitals:
lying BP 118/76, HR 80; standing BP 94/60, HR 110. The client denies headache or
blurred vision. What should the RN do first?
Options:
A. Encourage increased oral fluids
B. Assist the client slowly to a standing position
C. Check hemoglobin and hematocrit levels
D. Place the client supine and increase IV fluids - CORRECT
(Correct Answer: D)
Q002: A 6-year-old with asthma is receiving albuterol 2.5 mg via nebulizer. The RN notes
the respiratory rate decreases from 32 to 24/min and SpO₂ increases from 92 % to 96 %.
Which action indicates effective treatment?
Options:
A. Heart rate increases from 100 to 110 bpm
B. The child coughs once
C. Respiratory rate decreases and oxygen saturation improves - CORRECT
D. The child requests water
(Correct Answer: C)
Q003: A 72-year-old client with dementia repeatedly removes the nasal cannula
delivering 2 L/min O₂. Which intervention is least restrictive?
Options:
A. Apply soft mitts - CORRECT
B. Increase O₂ flow to 4 L/min
C. Switch to face mask
D. Assign a sitter
(Correct Answer: A)
,Q004: A client on lithium carbonate reports nausea and mild hand tremor. The lithium
level is 1.4 mEq/L (normal 0.6-1.2). What is the priority nursing action?
Options:
A. Encourage oral fluids
B. Hold the next dose and notify the provider - CORRECT
C. Give the dose as scheduled
D. Reassure the client these are expected effects
(Correct Answer: B)
Q005: A 4-year-old post-tonsillectomy is crying and swallowing frequently. The RN notes
a small amount of blood at the mouth corner. What should the RN do first?
Options:
A. Offer ice chips
B. Position the child on the side and call the provider - CORRECT
C. Give prescribed acetaminophen
D. Provide a popsicle
(Correct Answer: B)
Q006: A 65-year-old with heart failure is prescribed digoxin 0.125 mg PO daily. The
morning HR is 52 bpm. What should the RN do?
Options:
A. Give the dose
B. Check BP then give the dose
C. Hold the dose and report to the provider - CORRECT
D. Split the tablet
(Correct Answer: C)
Q007: A pregnant client at 28 weeks reports sudden gushing of clear fluid and mild
abdominal cramping. What should the RN do first?
Options:
A. Check cervical dilation
B. Test fluid with nitrazine paper - CORRECT
C. Monitor fetal heart rate
D. Start an IV line
(Correct Answer: B)
Q008: An 11-month-old is due for an IM injection. Which site is preferred?
Options:
, A. Ventrogluteal
B. Dorsogluteal
C. Vastus lateralis - CORRECT
D. Deltoid
(Correct Answer: C)
Q009: A client with major depression states, “I’m a burden to everyone.” Which response
by the RN is most therapeutic?
Options:
A. “Don’t say that; you’re loved.”
B. “You feel like a burden right now?” - CORRECT
C. “Cheer up and think positive.”
D. “Let’s talk about your family.”
(Correct Answer: B)
Q010: A 72-year-old with COPD (FEV₁ 35 %) is on BiPAP for hypercapnia. He becomes
agitated and tries to remove the mask. What is the priority nursing action?
Options:
A. Sedate with midazolam 2 mg IV
B. Check mask fit and synchronize settings - CORRECT
C. Switch to high-flow nasal cannula
D. Increase FiO₂ to 100 %
(Correct Answer: B)
Q011: A 45-year-old with decompensated heart failure on dobutamine 5 mcg/kg/min
develops pink frothy sputum and BP 180/110. What is the priority intervention?
Options:
A. Increase dobutamine to 10 mcg/kg/min
B. Administer furosemide 80 mg IV push - CORRECT
C. Apply BiPAP and start 100 % O₂
D. Give morphine 4 mg IV
(Correct Answer: B)
Q012: A 60-year-old with cirrhosis and esophageal varices develops hematemesis. After
banding, which medication best prevents re-bleeding?
Options:
A. Restrict PO intake for 48 h
B. Administer octreotide 50 mcg IV bolus followed by 50 mcg/h - CORRECT
Verified Answers | Complete NCLEX-RN® Predictor
Exam | Evolve Testing
Q001: A 28-year-old postpartum client who delivered vaginally 12 hours ago tells the RN
she feels dizzy when getting up to use the bathroom. The RN checks orthostatic vitals:
lying BP 118/76, HR 80; standing BP 94/60, HR 110. The client denies headache or
blurred vision. What should the RN do first?
Options:
A. Encourage increased oral fluids
B. Assist the client slowly to a standing position
C. Check hemoglobin and hematocrit levels
D. Place the client supine and increase IV fluids - CORRECT
(Correct Answer: D)
Q002: A 6-year-old with asthma is receiving albuterol 2.5 mg via nebulizer. The RN notes
the respiratory rate decreases from 32 to 24/min and SpO₂ increases from 92 % to 96 %.
Which action indicates effective treatment?
Options:
A. Heart rate increases from 100 to 110 bpm
B. The child coughs once
C. Respiratory rate decreases and oxygen saturation improves - CORRECT
D. The child requests water
(Correct Answer: C)
Q003: A 72-year-old client with dementia repeatedly removes the nasal cannula
delivering 2 L/min O₂. Which intervention is least restrictive?
Options:
A. Apply soft mitts - CORRECT
B. Increase O₂ flow to 4 L/min
C. Switch to face mask
D. Assign a sitter
(Correct Answer: A)
,Q004: A client on lithium carbonate reports nausea and mild hand tremor. The lithium
level is 1.4 mEq/L (normal 0.6-1.2). What is the priority nursing action?
Options:
A. Encourage oral fluids
B. Hold the next dose and notify the provider - CORRECT
C. Give the dose as scheduled
D. Reassure the client these are expected effects
(Correct Answer: B)
Q005: A 4-year-old post-tonsillectomy is crying and swallowing frequently. The RN notes
a small amount of blood at the mouth corner. What should the RN do first?
Options:
A. Offer ice chips
B. Position the child on the side and call the provider - CORRECT
C. Give prescribed acetaminophen
D. Provide a popsicle
(Correct Answer: B)
Q006: A 65-year-old with heart failure is prescribed digoxin 0.125 mg PO daily. The
morning HR is 52 bpm. What should the RN do?
Options:
A. Give the dose
B. Check BP then give the dose
C. Hold the dose and report to the provider - CORRECT
D. Split the tablet
(Correct Answer: C)
Q007: A pregnant client at 28 weeks reports sudden gushing of clear fluid and mild
abdominal cramping. What should the RN do first?
Options:
A. Check cervical dilation
B. Test fluid with nitrazine paper - CORRECT
C. Monitor fetal heart rate
D. Start an IV line
(Correct Answer: B)
Q008: An 11-month-old is due for an IM injection. Which site is preferred?
Options:
, A. Ventrogluteal
B. Dorsogluteal
C. Vastus lateralis - CORRECT
D. Deltoid
(Correct Answer: C)
Q009: A client with major depression states, “I’m a burden to everyone.” Which response
by the RN is most therapeutic?
Options:
A. “Don’t say that; you’re loved.”
B. “You feel like a burden right now?” - CORRECT
C. “Cheer up and think positive.”
D. “Let’s talk about your family.”
(Correct Answer: B)
Q010: A 72-year-old with COPD (FEV₁ 35 %) is on BiPAP for hypercapnia. He becomes
agitated and tries to remove the mask. What is the priority nursing action?
Options:
A. Sedate with midazolam 2 mg IV
B. Check mask fit and synchronize settings - CORRECT
C. Switch to high-flow nasal cannula
D. Increase FiO₂ to 100 %
(Correct Answer: B)
Q011: A 45-year-old with decompensated heart failure on dobutamine 5 mcg/kg/min
develops pink frothy sputum and BP 180/110. What is the priority intervention?
Options:
A. Increase dobutamine to 10 mcg/kg/min
B. Administer furosemide 80 mg IV push - CORRECT
C. Apply BiPAP and start 100 % O₂
D. Give morphine 4 mg IV
(Correct Answer: B)
Q012: A 60-year-old with cirrhosis and esophageal varices develops hematemesis. After
banding, which medication best prevents re-bleeding?
Options:
A. Restrict PO intake for 48 h
B. Administer octreotide 50 mcg IV bolus followed by 50 mcg/h - CORRECT
