2026 HESI Exit Exam with NGN Bundle V2 Exam
New Latest Versions with All Questions, 100%
Correct Answers and Rationale.
HESI EXIT EXAM NGN PRACTICE BANK
VERSION 2 (V2) | Answers & Rationales
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic, the client tells the nurse that the usual dosage taken is
different from the dose the nurse is giving. Which action should the nurse take?
A. Inform the client that he may refuse the medication and document whether or not
the client takes it
B. Withhold the medication until the dosage can be confirmed
C. Explain to the client that the dosage has been changed
D. Tell the client to take the medication then verify the dosage at the next healthcare
team meeting
Answer: B. Withhold the medication until the dosage can be confirmed
Rationale: Client safety is the priority. The nurse should always verify a discrepancy in
medication dosage before administration. Medication discrepancies can lead to serious
adverse effects.
,The charge nurse is making assignments for one practical nurse (PN) and three
registered nurses (RNs) who are caring for neurologically compromised clients. Which
client with which change in status is best to assign to the PN?
A. Subdural hematoma whose blood pressure changed from 150/80 to 170/60
B. Viral meningitis whose temperature changed from 101°F to 102°F
C. Diabetic ketoacidosis whose Glasgow Coma Scale score changed from 10 to 7
D. Myxedema, whose blood pressure changed from 80/50 to 70/40
Answer: B. Viral meningitis whose temperature changed from 101°F to 102°F
Rationale: The PN can manage clients with stable or predictable conditions. A mild
temperature change in viral meningitis is within the PN's scope. The other clients have
potentially life-threatening changes requiring RN-level assessment.
The nurse is caring for a client with pneumonia who now develops initial signs of septic
shock and multi-organ failure. The healthcare provider prescribes a sepsis protocol.
Which intervention is most important for the nurse to include in the plan of care?
A. Maintain strict intake and output
B. Keep the head of the bed raised 45°
C. Assess warmth of extremities
D. Monitor blood glucose level
Answer: A. Maintain strict intake and output
Rationale: Strict I&O monitoring is the most critical intervention in sepsis. Septic shock
can lead to fluid shifts, decreased perfusion, and multi-organ failure, making fluid
balance essential for guiding treatment decisions.
An adolescent client is admitted to the hospital after writing a suicide note to a teacher
at school. On the second day of hospitalization, the nurse asks the client to meet with
the treatment team. After the team meeting, the client leaves in tears and goes to their
room. Which nursing intervention is best?
, A. Let the client rest quietly in their room for a while
B. Explore the client's goals and desire for treatment
C. Ask the treatment team about the client's behavior
D. Go to the client's room and ask what happened
Answer: D. Go to the client's room and ask what happened
Rationale: Immediate support and therapeutic communication are critical for a patient
with suicidal ideation. Addressing the client's emotional needs and clarifying what
caused distress can help prevent further risk and establish trust.
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once
a day for a client who weighs 154 pounds. The medication is available in a 25,000 units
per milliliter vial. How many milliliters should the nurse administer? (Enter numerical
value only. If rounding is required, round to the nearest 10th.)
Answer: 0.6 mL
Rationale: Convert pounds to kilograms: 154 ÷ 2.2 = 70 kg. Calculate dose: 200 units ×
70 kg = 14,000 units. Calculate volume: 14,000 units ÷ 25,000 units/mL = 0.56 mL,
rounded to 0.6 mL.
The nurse is preparing to administer oxygen to a client with emphysema who has an
oxygen saturation of 88%. Which oxygen delivery method is most appropriate?
A. Non-rebreather mask at 15 L/min
B. Nasal cannula at 2 L/min
C. Partial rebreather mask at 10 L/min
D. Venturi mask at 40%
Answer: B. Nasal cannula at 2 L/min
Rationale: Clients with emphysema (chronic lung disease) may have hypoxic drive to
breathe. High-flow oxygen can suppress their respiratory drive. Low-flow oxygen is
safest.
New Latest Versions with All Questions, 100%
Correct Answers and Rationale.
HESI EXIT EXAM NGN PRACTICE BANK
VERSION 2 (V2) | Answers & Rationales
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic, the client tells the nurse that the usual dosage taken is
different from the dose the nurse is giving. Which action should the nurse take?
A. Inform the client that he may refuse the medication and document whether or not
the client takes it
B. Withhold the medication until the dosage can be confirmed
C. Explain to the client that the dosage has been changed
D. Tell the client to take the medication then verify the dosage at the next healthcare
team meeting
Answer: B. Withhold the medication until the dosage can be confirmed
Rationale: Client safety is the priority. The nurse should always verify a discrepancy in
medication dosage before administration. Medication discrepancies can lead to serious
adverse effects.
,The charge nurse is making assignments for one practical nurse (PN) and three
registered nurses (RNs) who are caring for neurologically compromised clients. Which
client with which change in status is best to assign to the PN?
A. Subdural hematoma whose blood pressure changed from 150/80 to 170/60
B. Viral meningitis whose temperature changed from 101°F to 102°F
C. Diabetic ketoacidosis whose Glasgow Coma Scale score changed from 10 to 7
D. Myxedema, whose blood pressure changed from 80/50 to 70/40
Answer: B. Viral meningitis whose temperature changed from 101°F to 102°F
Rationale: The PN can manage clients with stable or predictable conditions. A mild
temperature change in viral meningitis is within the PN's scope. The other clients have
potentially life-threatening changes requiring RN-level assessment.
The nurse is caring for a client with pneumonia who now develops initial signs of septic
shock and multi-organ failure. The healthcare provider prescribes a sepsis protocol.
Which intervention is most important for the nurse to include in the plan of care?
A. Maintain strict intake and output
B. Keep the head of the bed raised 45°
C. Assess warmth of extremities
D. Monitor blood glucose level
Answer: A. Maintain strict intake and output
Rationale: Strict I&O monitoring is the most critical intervention in sepsis. Septic shock
can lead to fluid shifts, decreased perfusion, and multi-organ failure, making fluid
balance essential for guiding treatment decisions.
An adolescent client is admitted to the hospital after writing a suicide note to a teacher
at school. On the second day of hospitalization, the nurse asks the client to meet with
the treatment team. After the team meeting, the client leaves in tears and goes to their
room. Which nursing intervention is best?
, A. Let the client rest quietly in their room for a while
B. Explore the client's goals and desire for treatment
C. Ask the treatment team about the client's behavior
D. Go to the client's room and ask what happened
Answer: D. Go to the client's room and ask what happened
Rationale: Immediate support and therapeutic communication are critical for a patient
with suicidal ideation. Addressing the client's emotional needs and clarifying what
caused distress can help prevent further risk and establish trust.
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once
a day for a client who weighs 154 pounds. The medication is available in a 25,000 units
per milliliter vial. How many milliliters should the nurse administer? (Enter numerical
value only. If rounding is required, round to the nearest 10th.)
Answer: 0.6 mL
Rationale: Convert pounds to kilograms: 154 ÷ 2.2 = 70 kg. Calculate dose: 200 units ×
70 kg = 14,000 units. Calculate volume: 14,000 units ÷ 25,000 units/mL = 0.56 mL,
rounded to 0.6 mL.
The nurse is preparing to administer oxygen to a client with emphysema who has an
oxygen saturation of 88%. Which oxygen delivery method is most appropriate?
A. Non-rebreather mask at 15 L/min
B. Nasal cannula at 2 L/min
C. Partial rebreather mask at 10 L/min
D. Venturi mask at 40%
Answer: B. Nasal cannula at 2 L/min
Rationale: Clients with emphysema (chronic lung disease) may have hypoxic drive to
breathe. High-flow oxygen can suppress their respiratory drive. Low-flow oxygen is
safest.
