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Exam (elaborations)

HESI RN Exit Exam with NGN Version B: 160 Questions & Detailed Graded Answers ()

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This comprehensive study guide includes all 160 questions and detailed correct answers from the latest version of the HESI RN Exit Exam with Next Generation (NGN). Designed to prepare nursing students for success, this resource covers a wide range of clinical topics, from patient assessment and pharmacology to critical thinking and NCLEX-style scenarios. Each question is accompanied by a clear explanation, ensuring a thorough understanding of key concepts and test-taking strategies. Ideal for review and self-assessment, this guide is already graded A+ and aligns with the 2026–2027 exam standards.

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Uploaded on
December 31, 2025
Number of pages
106
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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HESI RN EXIT EXAM WITH NGN LATEST
VERSION B /HESI EXIT RN NEXT
GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A + 2026-
2027.



The nurse assesses a client who has bilateral total knee replacements (TKR)

four hours ago. The nurse notes that the dressing on the client's right knee is

saturated with serosanguineous drainage. What action should the nurse

implement?


A. Monitor the client's current WBC


B. Withhold next scheduled dose of low molecular weight heparin


C. Confirm that the continuous passive motion device is intact


D. Determine if the wound drainage device is functioning correctly - ANSWER-

D. Determine if the wound drainage device is functioning correctly

,The healthcare provider prescribes cephalexin 125mg/5mL oral suspension

for a client who weighs 77 pounds. The recommended safe dose 25mg/kg/24

hours in 4 divided doses. Based on the client's weight, how many mL should

the nurse administer? - ANSWER-9




A middle-aged client, admitted to a critical care unit several weeks ago

because of serious injuries sustained in a motor vehicle accident, is currently

in stable condition. Based on the client's age and recent life-threatening crisis,

which intervention should the nurse implement?


A. Encourage the client to reflect on personal goals and priorities


B. Allow long periods of uninterrupted rest in order to reduce fatigue


C. Discuss the cause of the accident with the client and his family


D. Provide a routine schedule of activities to facilitate trust - ANSWER-A.

Encourage the client to reflect on personal goals and priorities

,A young adult male who is being seen at the employee health care clinic for an

annual assessment tells the nurse that his mother was diagnosed with

schizophrenia when she was his age and that life with a schizophrenic mother

was difficult indeed. Which response is best for the nurse to provide?


A. Encourage the client to seek genetic counseling to determine his risk for

mental illness


B. Inform the client that his mother's schizophrenia has affected his

psychological development


C. Tell the client that mental illness has a familial predisposition so he should

see a psychiatrist


D. Ask the client if he is worried about becoming schizophrenic at the age his

mother was diagnosed - ANSWER-D. Ask the client if he is worried about

becoming schizophrenic at the age his mother was diagnosed

, Which laboratory finding for an adult client is most critical for the nurse to

report to the healthcare provider?


A. Serum sodium 142mEq/L


B. Serum potassium 3.9mEq/L


C. Serum glucose 62 mg/dL


D. Blood urea nitrogen 18 mg/dL - ANSWER-C. Serum glucose 62 mg/dL




The nurse is completing the admission assessment of a 3-year old who is

admitted with bacterial meningitis and hydrocephalus. Which assessment

finding is evidence that the child is experiencing increased intracranial

pressure (ICP)?


A. Tachycardia and tachypnea


B. Sluggish and unequal pupillary responses


C. Increased head circumference and bulging fontanels

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