2026 HESI Exit Exam with NGN Bundle V3 Exam New
Latest Versions with All Questions, 100% Correct
Answers and Rationale.
HESI EXIT EXAM NGN PRACTICE BANK
VERSION 3 (V3) | Answers & Rationales
The nurse is assessing a client who is 2 hours post-cardiac catheterization via the right
femoral artery. Which assessment finding requires immediate intervention?
A. Blood pressure of 110/70 mmHg
B. Client reports thirst
C. Right distal pulse is weak compared to left
D. Small amount of bloody drainage on dressing
Answer: C. Right distal pulse is weak compared to left
Rationale: A weak distal pulse on the affected extremity may indicate arterial thrombus
or occlusion, a serious complication requiring immediate intervention.
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with
increasing shortness of breath. Which ABG result would the nurse expect to see?
,A. pH 7.25, PaCO2 55 mmHg, PaO2 70 mmHg
B. pH 7.35, PaCO2 50 mmHg, PaO2 65 mmHg
C. pH 7.48, PaCO2 30 mmHg, PaO2 85 mmHg
D. pH 7.30, PaCO2 35 mmHg, PaO2 90 mmHg
Answer: B. pH 7.35, PaCO2 50 mmHg, PaO2 65 mmHg
Rationale: Clients with COPD often have compensated respiratory acidosis with
elevated PaCO2 and slightly low PaO2. The pH is usually near normal due to renal
compensation.
The nurse is teaching a client with heart failure about dietary restrictions. Which
statement by the client indicates a need for further teaching?
A. "I will use herbs and spices to flavor my food instead of salt."
B. "I can eat canned soups as long as I don't add salt."
C. "I will read food labels for sodium content."
D. "I should avoid fast foods because they are high in sodium."
Answer: B. "I can eat canned soups as long as I don't add salt."
Rationale: Canned soups are typically high in sodium even without added salt. Clients
with heart failure should avoid high-sodium processed foods.
A client with type 1 diabetes is experiencing nausea, vomiting, and abdominal pain. The
client's blood glucose is 320 mg/dL, and urine ketones are large. What is the priority
nursing intervention?
, A. Administer antiemetic medication
B. Notify the healthcare provider
C. Start an IV line with normal saline
D. Administer regular insulin
Answer: D. Administer regular insulin
Rationale: In DKA, insulin administration is priority to stop ketogenesis. However, the
nurse should anticipate both insulin and IV fluids. Insulin addresses the underlying
metabolic problem.
The nurse is caring for a client receiving IV heparin. Which laboratory value requires
immediate action?
A. Platelet count of 90,000/mm³
B. aPTT of 65 seconds (control 30)
C. Hemoglobin of 12 g/dL
D. INR of 1.2
Answer: A. Platelet count of 90,000/mm³
Rationale: A low platelet count may indicate heparin-induced thrombocytopenia (HIT),
a serious complication requiring immediate discontinuation of heparin.
A client with a history of hypertension is prescribed lisinopril (Prinivil). Which assessment
finding is most important for the nurse to report?
Latest Versions with All Questions, 100% Correct
Answers and Rationale.
HESI EXIT EXAM NGN PRACTICE BANK
VERSION 3 (V3) | Answers & Rationales
The nurse is assessing a client who is 2 hours post-cardiac catheterization via the right
femoral artery. Which assessment finding requires immediate intervention?
A. Blood pressure of 110/70 mmHg
B. Client reports thirst
C. Right distal pulse is weak compared to left
D. Small amount of bloody drainage on dressing
Answer: C. Right distal pulse is weak compared to left
Rationale: A weak distal pulse on the affected extremity may indicate arterial thrombus
or occlusion, a serious complication requiring immediate intervention.
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with
increasing shortness of breath. Which ABG result would the nurse expect to see?
,A. pH 7.25, PaCO2 55 mmHg, PaO2 70 mmHg
B. pH 7.35, PaCO2 50 mmHg, PaO2 65 mmHg
C. pH 7.48, PaCO2 30 mmHg, PaO2 85 mmHg
D. pH 7.30, PaCO2 35 mmHg, PaO2 90 mmHg
Answer: B. pH 7.35, PaCO2 50 mmHg, PaO2 65 mmHg
Rationale: Clients with COPD often have compensated respiratory acidosis with
elevated PaCO2 and slightly low PaO2. The pH is usually near normal due to renal
compensation.
The nurse is teaching a client with heart failure about dietary restrictions. Which
statement by the client indicates a need for further teaching?
A. "I will use herbs and spices to flavor my food instead of salt."
B. "I can eat canned soups as long as I don't add salt."
C. "I will read food labels for sodium content."
D. "I should avoid fast foods because they are high in sodium."
Answer: B. "I can eat canned soups as long as I don't add salt."
Rationale: Canned soups are typically high in sodium even without added salt. Clients
with heart failure should avoid high-sodium processed foods.
A client with type 1 diabetes is experiencing nausea, vomiting, and abdominal pain. The
client's blood glucose is 320 mg/dL, and urine ketones are large. What is the priority
nursing intervention?
, A. Administer antiemetic medication
B. Notify the healthcare provider
C. Start an IV line with normal saline
D. Administer regular insulin
Answer: D. Administer regular insulin
Rationale: In DKA, insulin administration is priority to stop ketogenesis. However, the
nurse should anticipate both insulin and IV fluids. Insulin addresses the underlying
metabolic problem.
The nurse is caring for a client receiving IV heparin. Which laboratory value requires
immediate action?
A. Platelet count of 90,000/mm³
B. aPTT of 65 seconds (control 30)
C. Hemoglobin of 12 g/dL
D. INR of 1.2
Answer: A. Platelet count of 90,000/mm³
Rationale: A low platelet count may indicate heparin-induced thrombocytopenia (HIT),
a serious complication requiring immediate discontinuation of heparin.
A client with a history of hypertension is prescribed lisinopril (Prinivil). Which assessment
finding is most important for the nurse to report?
