HESI RN EXIT EXAM WITH NGN LATEST VERSION B /HESI EXIT RN NEXT GENERATION EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS

HESI RN EXIT EXAM WITH NGN LATEST VERSION B 2025-
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2026/HESI EXIT RN NEXT GENERATION EXAM ALL 160 QUESTIONS AND CORRE dt dt dt dt dt dt dt dt dt dt




CT DETAILED ANSWERS dt dt




The nurse is completing the admission assessment of a 3-
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year old who is admitted with bacterial meningitis and hydrocephalus. Which assessme
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nt finding is evidence that the child is experiencing increased intracranial pressure (IC
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P)?
A. Tachycardia and tachypnea
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B. Sluggish and unequal pupillary responses
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C. Increased head circumference and bulging fontanels
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D. Blood pressure fluctuations and syncope
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B. Sluggish and unequal pupillary responses
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A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elev
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ated serum amylase. Which additional information is the client most likely to report to the nu
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rse?
A. Abdominal pain decreases when lying supine
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B. Pain lasts an hour and leaves the abdomen tender
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C. Right upper quadrant pain refers to right scapula
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D. Drinks alcohol until intoxicated at least twice weekly.
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A. Abdominal pain decreases when lying supine
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A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
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Which information is most important for the nurse to provide the parents prior to discharge
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?
A. Instructions about how much fluid the child should drink daily.
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B. Signs of addiction to opioid pain medications
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C. Information about non-pharmaceutical pain relief measures
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D. Referral for social services for the child and family
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A. Instructions about how much fluid the child should drink daily
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To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the
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location on the image with a red dot). dt dt dt dt dt dt dt




I placed the red dot on the base of the neck on the right side
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,After receiving report on an inpatient acute care unit, which client should the nurse assess fir
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st?
A. The client with an obstruction of the large intestine who is experiencing abdominal distenti
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on

B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bo
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wel sounds dt




C. The client with a small bowel obstruction who has a nasogastric tube that is draining gree
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nish fluid dt




D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidi
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ty
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
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A teenager presents to the emergency department with palpitations after vaping at a party.
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The client is anxious, fearful, and hyperventilating. The nurse anticipates the client developin
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g which acid base imbalance?
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A. Respiratory acidosis
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B. Metabolic alkalosis
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C. Metabolic acidosis
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D. Respiratory alkalosis
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D. Respiratory alkalosis
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A client with dyspnea is being admitted to the medical unit. To best prepare for the client's arr
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ival, the nurse should ensure that the client's bed is in which position?
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A. Supine
B. supine; feet elevated higher than head dt dt dt dt dt




C. supine; head elevated higher than feet dt dt dt dt dt




D. Fowlers
Fowlers

The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
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Which information in the client's admission assessment is relevant to the nurse's plan for t
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aking the blood pressure reading? (Select all the apply)
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A. Frequent syncope dt

,B. Occasional nocturia dt




C. Flat affect dt




D. Blurred vision dt




E. Frequent drooling dt




A. Frequent syncope dt




C. Flat affect dt




D. Blurred vision dt




While caring for a client's postoperative dressing, the nurse observes purulent drainage at t
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he wound. Before reporting this finding to the healthcare provider, the nurse should revie
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w which of the client's laboratory values?
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A. Serum albumin dt




B. Culture for sensitive organisms dt dt dt




C. Serum blood glucose level dt dt dt




D. Creatinine level dt




B. Culture for sensitive organisms dt dt dt




A preschool-aged boy is admitted to the pediatric unit following successful resuscitation
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from a near- dt dt




drowning incident. While providing care to the child, the nurse begins talking with his pread
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olescent brother who rescued the child from the swimming pool and initiated resuscitation. T
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he nurse notices the older boy becomes withdrawn when asked about what happened. Whic
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h action should the nurse take?
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A. Develop a water safety teaching plan for the familydt dt dt dt dt dt dt dt




B. Ask the older brother how he felt during the incident
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C. Tell the older brother that he seems depressed
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D. Commend the older brother for his heroic actions dt dt dt dt dt dt dt




B. Ask the older brother how he felt during the incident
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A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been so
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aking in hot baths at night with no relief of his discomfort. Which action should the nurse tak
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e?
A. Encourage the client to use cooler water and apply calamine lotion after soaking
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B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
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, C. Suggest that the client take brief showers and apply oil-based lotion after showering
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D. Explain that the symptoms are caused by liver damage and cannot be relieved
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A. Encourage the client to use cooler water and apply calamine lotion after soaking
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An older client with a long history of coronary artery disease (CAD), hypertension (HTN), an
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d heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress.
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The healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide
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should the nurse expected in the client with acute HF?
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A. Increased cardiac contractility
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B. Reduced preload
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C. Relaxed vascular tone
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D. Decreased afterload
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B. Reduced preload
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Which intervention should the nurse include in the plan of care for a child with tetanus?
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A. Encourage coughing and deep breathing
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B. Minimize the amount of stimuli in the room
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C. Reposition from side to side every hour
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D. Open window shades to provide natural light
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B. Minimize the amount of stimuli in the room
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An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted t
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o the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the keto
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acidosis?
A. Ate an extra peanut butter sandwich before gym class
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B. incorrectly administered too much insulin
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C. Had a cold and ear infection for the past two days
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D. Skipped eating lunch
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C. Had a cold and ear infection for the past two days
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A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of i
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mpending death. After notifying the family of the client's status, what priority action s
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hould the nurse implement? dt dt dt