HESI RN EXIT EXAM WITH NGN LATEST VERSION B 2025-2026/HESI EXIT RN
NEXT GENERATION EXAM ALL 160 QUESTIONS AND CORRECT DETAILED
ANSWERS
The nurse is completing the admission assessment of a 3-
cn cn cn cn cn cn cn cn cn
year old who is admitted with bacterial meningitis and hydrocephalus. Which assessme
cn cn cn cn cn cn cn cn cn cn cn
nt finding is evidence that the child is experiencing increased intracranial pressure (IC
cn cn cn cn cn cn cn cn cn cn cn cn
P)?
A. Tachycardia and tachypnea
cn cn cn
B. Sluggish and unequal pupillary responses
cn cn cn cn cn
C. Increased head circumference and bulging fontanels
cn cn cn cn cn cn
D. Blood pressure fluctuations and syncope
cn cn cn cn cn
B. Sluggish and unequal pupillary responses
cn cn cn cn cn
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an ele
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
vated serum amylase. Which additional information is the client most likely to report to the
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
nurse?
A. Abdominal pain decreases when lying supine
cn cn cn cn cn cn
B. Pain lasts an hour and leaves the abdomen tender
cn cn cn cn cn cn cn cn cn
C. Right upper quadrant pain refers to right scapula
cn cn cn cn cn cn cn cn
D. Drinks alcohol until intoxicated at least twice weekly.
cn cn cn cn cn cn cn cn
A. Abdominal pain decreases when lying supine
cn cn cn cn cn cn
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospita
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
l. Which information is most important for the nurse to provide the parents prior to dischar
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ge?
A. Instructions about how much fluid the child should drink daily.
cn cn cn cn cn cn cn cn cn cn
B. Signs of addiction to opioid pain medications
cn cn cn cn cn cn cn
C. Information about non-pharmaceutical pain relief measures
cn cn cn cn cn cn
D. Referral for social services for the child and family
cn cn cn cn cn cn cn cn cn
A. Instructions about how much fluid the child should drink daily
cn cn cn cn cn cn cn cn cn cn
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select th
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e location on the image with a red dot).
cn cn cn cn cn cn cn cn
I placed the red dot on the base of the neck on the right side
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
,After receiving report on an inpatient acute care unit, which client should the nurse assess fi
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
rst?
A. The client with an obstruction of the large intestine who is experiencing abdominal disten
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
tion
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bo
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
wel sounds cn
C. The client with a small bowel obstruction who has a nasogastric tube that is draining gree
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
nish fluid cn
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigid
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ity
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
A teenager presents to the emergency department with palpitations after vaping at a party.
cn cn cn cn cn cn cn cn cn cn cn cn cn
The client is anxious, fearful, and hyperventilating. The nurse anticipates the client developi
cn cn cn cn cn cn cn cn cn cn cn cn
ng which acid base imbalance?
cn cn cn cn
A. Respiratory acidosis
cn cn
B. Metabolic alkalosis
cn cn
C. Metabolic acidosis
cn cn
D. Respiratory alkalosis
cn cn
D. Respiratory alkalosis
cn cn
A client with dyspnea is being admitted to the medical unit. To best prepare for the client's ar
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
rival, the nurse should ensure that the client's bed is in which position?
cn cn cn cn cn cn cn cn cn cn cn cn
A. Supine
B. supine; feet elevated higher than head cn cn cn cn cn
C. supine; head elevated higher than feet cn cn cn cn cn
D. Fowlers
Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
cn cn cn cn cn cn cn cn cn cn cn cn cn c
Which information in the client's admission assessment is relevant to the nurse's plan for
n cn cn cn cn cn cn cn cn cn cn cn cn cn cn
taking the blood pressure reading? (Select all the apply)
cn cn cn cn cn cn cn cn
A. Frequent syncope cn
,B. Occasional nocturia cn
C. Flat affect cn
D. Blurred vision cn
E. Frequent drooling cn
A. Frequent syncope cn
C. Flat affect cn
D. Blurred vision cn
While caring for a client's postoperative dressing, the nurse observes purulent drainage at
cn cn cn cn cn cn cn cn cn cn cn cn cn
the wound. Before reporting this finding to the healthcare provider, the nurse should revi
cn cn cn cn cn cn cn cn cn cn cn cn cn
ew which of the client's laboratory values?
cn cn cn cn cn cn
A. Serum albumin cn
B. Culture for sensitive organisms cn cn cn
C. Serum blood glucose level cn cn cn
D. Creatinine level cn
B. Culture for sensitive organisms cn cn cn
A preschool-aged boy is admitted to the pediatric unit following successful resuscitation
cn cn cn cn cn cn cn cn cn cn cn
from a near- cn cn
drowning incident. While providing care to the child, the nurse begins talking with his prea
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
dolescent brother who rescued the child from the swimming pool and initiated resuscitation.
cn cn cn cn cn cn cn cn cn cn cn cn c
The nurse notices the older boy becomes withdrawn when asked about what happened. W
n cn cn cn cn cn cn cn cn cn cn cn cn cn
hich action should the nurse take?
cn cn cn cn cn
A. Develop a water safety teaching plan for the family
cn cn cn cn cn cn cn cn
B. Ask the older brother how he felt during the incident
cn cn cn cn cn cn cn cn cn
C. Tell the older brother that he seems depressed
cn cn cn cn cn cn cn
D. Commend the older brother for his heroic actions cn cn cn cn cn cn cn
B. Ask the older brother how he felt during the incident
cn cn cn cn cn cn cn cn cn cn
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been s
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
oaking in hot baths at night with no relief of his discomfort. Which action should the nurse t
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ake?
A. Encourage the client to use cooler water and apply calamine lotion after soaking
cn cn cn cn cn cn cn cn cn cn cn cn cn
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
, C. Suggest that the client take brief showers and apply oil-based lotion after showering
cn cn cn cn cn cn cn cn cn cn cn cn cn
D. Explain that the symptoms are caused by liver damage and cannot be relieved
cn cn cn cn cn cn cn cn cn cn cn cn cn
A. Encourage the client to use cooler water and apply calamine lotion after soaking
cn cn cn cn cn cn cn cn cn cn cn cn cn
An older client with a long history of coronary artery disease (CAD), hypertension (HTN), a
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
nd heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress.
cn cn cn cn cn cn cn cn cn cn cn cn
The healthcare provider prescribes furosemide IV. Which therapeutic response to furosemid
cn cn cn cn cn cn cn cn cn cn
e should the nurse expected in the client with acute HF?
cn cn cn cn cn cn cn cn cn cn
A. Increased cardiac contractility
cn cn cn
B. Reduced preload
cn cn
C. Relaxed vascular tone
cn cn cn
D. Decreased afterload
cn cn
B. Reduced preload
cn cn
Which intervention should the nurse include in the plan of care for a child with tetanus?
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
A. Encourage coughing and deep breathing
cn cn cn cn cn
B. Minimize the amount of stimuli in the room
cn cn cn cn cn cn cn cn
C. Reposition from side to side every hour
cn cn cn cn cn cn cn
D. Open window shades to provide natural light
cn cn cn cn cn cn cn
B. Minimize the amount of stimuli in the room
cn cn cn cn cn cn cn cn
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted t
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
o the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the ket
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
oacidosis?
A. Ate an extra peanut butter sandwich before gym class
cn cn cn cn cn cn cn cn cn
B. incorrectly administered too much insulin
cn cn cn cn cn
C. Had a cold and ear infection for the past two days
cn cn cn cn cn cn cn cn cn cn cn
D. Skipped eating lunch
cn cn cn
C. Had a cold and ear infection for the past two days
cn cn cn cn cn cn cn cn cn cn cn
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
impending death. After notifying the family of the client's status, what priority action
cn cn cn cn cn cn cn cn cn cn cn cn cn
should the nurse implement? cn cn cn
NEXT GENERATION EXAM ALL 160 QUESTIONS AND CORRECT DETAILED
ANSWERS
The nurse is completing the admission assessment of a 3-
cn cn cn cn cn cn cn cn cn
year old who is admitted with bacterial meningitis and hydrocephalus. Which assessme
cn cn cn cn cn cn cn cn cn cn cn
nt finding is evidence that the child is experiencing increased intracranial pressure (IC
cn cn cn cn cn cn cn cn cn cn cn cn
P)?
A. Tachycardia and tachypnea
cn cn cn
B. Sluggish and unequal pupillary responses
cn cn cn cn cn
C. Increased head circumference and bulging fontanels
cn cn cn cn cn cn
D. Blood pressure fluctuations and syncope
cn cn cn cn cn
B. Sluggish and unequal pupillary responses
cn cn cn cn cn
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an ele
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
vated serum amylase. Which additional information is the client most likely to report to the
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
nurse?
A. Abdominal pain decreases when lying supine
cn cn cn cn cn cn
B. Pain lasts an hour and leaves the abdomen tender
cn cn cn cn cn cn cn cn cn
C. Right upper quadrant pain refers to right scapula
cn cn cn cn cn cn cn cn
D. Drinks alcohol until intoxicated at least twice weekly.
cn cn cn cn cn cn cn cn
A. Abdominal pain decreases when lying supine
cn cn cn cn cn cn
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospita
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
l. Which information is most important for the nurse to provide the parents prior to dischar
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ge?
A. Instructions about how much fluid the child should drink daily.
cn cn cn cn cn cn cn cn cn cn
B. Signs of addiction to opioid pain medications
cn cn cn cn cn cn cn
C. Information about non-pharmaceutical pain relief measures
cn cn cn cn cn cn
D. Referral for social services for the child and family
cn cn cn cn cn cn cn cn cn
A. Instructions about how much fluid the child should drink daily
cn cn cn cn cn cn cn cn cn cn
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select th
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e location on the image with a red dot).
cn cn cn cn cn cn cn cn
I placed the red dot on the base of the neck on the right side
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
,After receiving report on an inpatient acute care unit, which client should the nurse assess fi
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
rst?
A. The client with an obstruction of the large intestine who is experiencing abdominal disten
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
tion
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bo
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
wel sounds cn
C. The client with a small bowel obstruction who has a nasogastric tube that is draining gree
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
nish fluid cn
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigid
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ity
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
A teenager presents to the emergency department with palpitations after vaping at a party.
cn cn cn cn cn cn cn cn cn cn cn cn cn
The client is anxious, fearful, and hyperventilating. The nurse anticipates the client developi
cn cn cn cn cn cn cn cn cn cn cn cn
ng which acid base imbalance?
cn cn cn cn
A. Respiratory acidosis
cn cn
B. Metabolic alkalosis
cn cn
C. Metabolic acidosis
cn cn
D. Respiratory alkalosis
cn cn
D. Respiratory alkalosis
cn cn
A client with dyspnea is being admitted to the medical unit. To best prepare for the client's ar
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
rival, the nurse should ensure that the client's bed is in which position?
cn cn cn cn cn cn cn cn cn cn cn cn
A. Supine
B. supine; feet elevated higher than head cn cn cn cn cn
C. supine; head elevated higher than feet cn cn cn cn cn
D. Fowlers
Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
cn cn cn cn cn cn cn cn cn cn cn cn cn c
Which information in the client's admission assessment is relevant to the nurse's plan for
n cn cn cn cn cn cn cn cn cn cn cn cn cn cn
taking the blood pressure reading? (Select all the apply)
cn cn cn cn cn cn cn cn
A. Frequent syncope cn
,B. Occasional nocturia cn
C. Flat affect cn
D. Blurred vision cn
E. Frequent drooling cn
A. Frequent syncope cn
C. Flat affect cn
D. Blurred vision cn
While caring for a client's postoperative dressing, the nurse observes purulent drainage at
cn cn cn cn cn cn cn cn cn cn cn cn cn
the wound. Before reporting this finding to the healthcare provider, the nurse should revi
cn cn cn cn cn cn cn cn cn cn cn cn cn
ew which of the client's laboratory values?
cn cn cn cn cn cn
A. Serum albumin cn
B. Culture for sensitive organisms cn cn cn
C. Serum blood glucose level cn cn cn
D. Creatinine level cn
B. Culture for sensitive organisms cn cn cn
A preschool-aged boy is admitted to the pediatric unit following successful resuscitation
cn cn cn cn cn cn cn cn cn cn cn
from a near- cn cn
drowning incident. While providing care to the child, the nurse begins talking with his prea
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
dolescent brother who rescued the child from the swimming pool and initiated resuscitation.
cn cn cn cn cn cn cn cn cn cn cn cn c
The nurse notices the older boy becomes withdrawn when asked about what happened. W
n cn cn cn cn cn cn cn cn cn cn cn cn cn
hich action should the nurse take?
cn cn cn cn cn
A. Develop a water safety teaching plan for the family
cn cn cn cn cn cn cn cn
B. Ask the older brother how he felt during the incident
cn cn cn cn cn cn cn cn cn
C. Tell the older brother that he seems depressed
cn cn cn cn cn cn cn
D. Commend the older brother for his heroic actions cn cn cn cn cn cn cn
B. Ask the older brother how he felt during the incident
cn cn cn cn cn cn cn cn cn cn
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been s
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
oaking in hot baths at night with no relief of his discomfort. Which action should the nurse t
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ake?
A. Encourage the client to use cooler water and apply calamine lotion after soaking
cn cn cn cn cn cn cn cn cn cn cn cn cn
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
, C. Suggest that the client take brief showers and apply oil-based lotion after showering
cn cn cn cn cn cn cn cn cn cn cn cn cn
D. Explain that the symptoms are caused by liver damage and cannot be relieved
cn cn cn cn cn cn cn cn cn cn cn cn cn
A. Encourage the client to use cooler water and apply calamine lotion after soaking
cn cn cn cn cn cn cn cn cn cn cn cn cn
An older client with a long history of coronary artery disease (CAD), hypertension (HTN), a
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
nd heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress.
cn cn cn cn cn cn cn cn cn cn cn cn
The healthcare provider prescribes furosemide IV. Which therapeutic response to furosemid
cn cn cn cn cn cn cn cn cn cn
e should the nurse expected in the client with acute HF?
cn cn cn cn cn cn cn cn cn cn
A. Increased cardiac contractility
cn cn cn
B. Reduced preload
cn cn
C. Relaxed vascular tone
cn cn cn
D. Decreased afterload
cn cn
B. Reduced preload
cn cn
Which intervention should the nurse include in the plan of care for a child with tetanus?
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
A. Encourage coughing and deep breathing
cn cn cn cn cn
B. Minimize the amount of stimuli in the room
cn cn cn cn cn cn cn cn
C. Reposition from side to side every hour
cn cn cn cn cn cn cn
D. Open window shades to provide natural light
cn cn cn cn cn cn cn
B. Minimize the amount of stimuli in the room
cn cn cn cn cn cn cn cn
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted t
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
o the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the ket
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
oacidosis?
A. Ate an extra peanut butter sandwich before gym class
cn cn cn cn cn cn cn cn cn
B. incorrectly administered too much insulin
cn cn cn cn cn
C. Had a cold and ear infection for the past two days
cn cn cn cn cn cn cn cn cn cn cn
D. Skipped eating lunch
cn cn cn
C. Had a cold and ear infection for the past two days
cn cn cn cn cn cn cn cn cn cn cn
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
impending death. After notifying the family of the client's status, what priority action
cn cn cn cn cn cn cn cn cn cn cn cn cn
should the nurse implement? cn cn cn
