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-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
D. Blood pressure fluctuations and syncope - Answer-B. Sluggish and
unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing
abdominal pain and an elevated serum amylase. Which additional
information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - Answer-A.
Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged
from the hospital. Which information is most important for the nurse to
provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - Answer-A.
Instructions about how much fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at
what location. (Select the location on the image with a red dot). -
Answer-I placed the red dot on the base of the neck on the right side
,After receiving report on an inpatient acute care unit, which client
should the nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic
ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube
that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity - Answer-D. The client with a bowel
obstruction due to a volvulus who is experiencing abdominal rigidity
A teenager presents to the emergency department with palpitations
after vaping at a party. The client is anxious, fearful, and
hyperventilating. The nurse anticipates the client developing which acid
base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - Answer-D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. To best
prepare for the client's arrival, the nurse should ensure that the client's
bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers - Answer-Fowlers
The nurse is preparing a client who had a below-the-knee (BKA)
amputation for discharge to home. Which recommendations should the
nurse provide this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water - Answer-B. Use a residual limb
shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
,A toddler presenting with a history of intermittent skin rashes, hives,
abdominal pain, and vomiting that occurs after ingesting of milk
products arrives to the clinic accompanied by the parents. Which type of
testing should the nurse provide education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge - Answer-A. Serum
immunoglobulin E (IgE)
A client who is scheduled for a bronchoscopy in the morning is anxious
and asking the nurse numerous questions about the procedure. In
preparing the client for the procedure, which intervention has the
highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack - Answer-C. Instruct client
to write down the questions
The nurse assesses a client one hour after starting a transfusion of
packed red blood cells and determines that there are no indications of a
transfusion reaction. What instruction should the nurse provide the
unlicensed assistive personnel (UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client
assessment can be done
B. Continue to measure the client's vital signs every thirty minutes until
the transfusion is complete
C. Monitor the client carefully for the next three hours and report the
onset of a reaction immediately
D. Since a reaction did not occur, the priority is to maintain client
comfort during the transfusion - Answer-B. Continue to measure the
client's vital signs every thirty minutes until the transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with
multi-organ failure caused by a ruptured appendix. Which intervention is
most important for the nurse to include in the plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
, C. Monitor blood glucose level
D. Maintain strict intake and output - Answer-D. Maintain strict intake
and output
A client presses the call bell and requests pain medication for a severe
headache. To assess the quality of the client's pain, which approach
should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale - Answer-A. Ask the client to describe
the pain
A client presents to the labor and delivery unit with a report of leaking
fluid that is greenish-brown vaginal discharge. Which action should the
nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring - Answer-D. Begin continuous fetal
monitoring
A client asks the nurse for information about how to reduce risk factors
for benign prostatic hyperplasia (BPH). Which information should the
nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test - Answer-B.
Increase physical activity
The healthcare provider prescribes a fluid challenge of 0.9% sodium
chloride 1,000 mL to be infused intravenously over 4 hours. The IV
administration set delivers 10gtt/mL. How many gtt/minute should the
nurse regulate the infusion? (Round to the nearest whole number) -
Answer-42 gtt/min
Following a cardiac catheterization and placement of a stent in the right
coronary artery, the nurse administers prasugrel, a platelet inhibitor, to
the client. To monitor for adverse effects from the medication, which
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-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
D. Blood pressure fluctuations and syncope - Answer-B. Sluggish and
unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing
abdominal pain and an elevated serum amylase. Which additional
information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - Answer-A.
Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged
from the hospital. Which information is most important for the nurse to
provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - Answer-A.
Instructions about how much fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at
what location. (Select the location on the image with a red dot). -
Answer-I placed the red dot on the base of the neck on the right side
,After receiving report on an inpatient acute care unit, which client
should the nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic
ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube
that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity - Answer-D. The client with a bowel
obstruction due to a volvulus who is experiencing abdominal rigidity
A teenager presents to the emergency department with palpitations
after vaping at a party. The client is anxious, fearful, and
hyperventilating. The nurse anticipates the client developing which acid
base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - Answer-D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. To best
prepare for the client's arrival, the nurse should ensure that the client's
bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers - Answer-Fowlers
The nurse is preparing a client who had a below-the-knee (BKA)
amputation for discharge to home. Which recommendations should the
nurse provide this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water - Answer-B. Use a residual limb
shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
,A toddler presenting with a history of intermittent skin rashes, hives,
abdominal pain, and vomiting that occurs after ingesting of milk
products arrives to the clinic accompanied by the parents. Which type of
testing should the nurse provide education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge - Answer-A. Serum
immunoglobulin E (IgE)
A client who is scheduled for a bronchoscopy in the morning is anxious
and asking the nurse numerous questions about the procedure. In
preparing the client for the procedure, which intervention has the
highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack - Answer-C. Instruct client
to write down the questions
The nurse assesses a client one hour after starting a transfusion of
packed red blood cells and determines that there are no indications of a
transfusion reaction. What instruction should the nurse provide the
unlicensed assistive personnel (UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client
assessment can be done
B. Continue to measure the client's vital signs every thirty minutes until
the transfusion is complete
C. Monitor the client carefully for the next three hours and report the
onset of a reaction immediately
D. Since a reaction did not occur, the priority is to maintain client
comfort during the transfusion - Answer-B. Continue to measure the
client's vital signs every thirty minutes until the transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with
multi-organ failure caused by a ruptured appendix. Which intervention is
most important for the nurse to include in the plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
, C. Monitor blood glucose level
D. Maintain strict intake and output - Answer-D. Maintain strict intake
and output
A client presses the call bell and requests pain medication for a severe
headache. To assess the quality of the client's pain, which approach
should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale - Answer-A. Ask the client to describe
the pain
A client presents to the labor and delivery unit with a report of leaking
fluid that is greenish-brown vaginal discharge. Which action should the
nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring - Answer-D. Begin continuous fetal
monitoring
A client asks the nurse for information about how to reduce risk factors
for benign prostatic hyperplasia (BPH). Which information should the
nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test - Answer-B.
Increase physical activity
The healthcare provider prescribes a fluid challenge of 0.9% sodium
chloride 1,000 mL to be infused intravenously over 4 hours. The IV
administration set delivers 10gtt/mL. How many gtt/minute should the
nurse regulate the infusion? (Round to the nearest whole number) -
Answer-42 gtt/min
Following a cardiac catheterization and placement of a stent in the right
coronary artery, the nurse administers prasugrel, a platelet inhibitor, to
the client. To monitor for adverse effects from the medication, which
