HESI EXIT NGN, HESI RN Exit Exam full questions and
answers 2026\2027 A+ Grade
Gloves
- correct answer The nurse is wearing personal protective equipment while caring for a pt. When exiting
the room, which PPE should be removed first?
Increasing confusion of the pt.
- correct answer An older pt is brought to the ED with a sudden onset of confusion that occurred after
experiencing a fall at home. The daughter, who has power of attorney, has brought the client's
prescriptions. Which information should the nurse provide first when reporting to the healthcare
provider using SBAR communication?
Ask the patient to describe the pain
- correct answer A pt presses the call bell and requests pain medication for a severe headache. To assess
the quality of the pt. Pain, which approach should the nurse use?
Ask the pt for a description of the exercise schedule that is being followed
- correct answer A pt tells the nurse about working out with a personal trainer and swimming three
times a week in an effort to lose weight and sleep better. The pt states that it still is taking hours to fall
asleep at night. Which action should the nurse implement?
-review safe transfer strategies
-develop a nutritional plan
-help identify community support
- correct answer 2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is
recovering from Guillain-Barre syndrome about home. Which actions should the nurse include when
providing discharge teaching to the pt and spouse? SATA
pt who develop disease complications promptly received rehabilitation
- correct answer The nurse implements a tertiary prevention program for type 2 diabetes in a rural
health clinic. Which outcome indicates that the program was effective?
,participation of community leaders in planning the program
- correct answer The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Which resource is most important in
designing this program?
use gown, mask, and gloves with dressing changes
- correct answer A pt with multiple injuries is being treated in the burn trauma unit just hours after the
injuries occurred. The healthcare provider instructs the nurse to avoid auto contamination when
performing dressing changes. Which intervention is most important for the nurse to implement?
Stimulate the pt to take deep breaths
- correct answer A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin
are infusing. The pt is sedated but responds to instructions. After changing positions, the pt complains of
pain at the right groin insertion site. What action should the nurse implement?
upper body muscle strength
- correct answer Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is
most important for the nurse to obtain?
Continue to obtain pt data needed to complete the fall risk survey
- correct answer While the nurse is assessing an older pt fall risk, the pt reports living at home alone and
never falling. Which action should the nurse take?
Teach coughing and deep breathing exercises
- correct answer The nurse is feeding an older adult who was admitted with aspiration pneumonia. The
pt is weak and begins coughing while attempting to drink through a straw. Which intervention should
the nurse implement?
Empty the pouch when it is half full.
- correct answer The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse recognize as needing
additional education?
,initiate prescribed IV fluids
- correct answer A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravidarum. Which action is most important for the nurse to implement?
Picture with the bed sitting up
- correct answer A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt
arrival, the nurse should ensure that the pt bed is in which position?
Instruct pt to write down questions
- correct answer A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the
nurse numerous questions about the procedure. In preparing the pt for the procedure, which
intervention has the highest priority?
culture for sensitive organisms
- correct answer While caring for a pt post operative dressing, the nurse observes purulent drainage at
the wound. Before reporting this finding to the provider, the nurse should review which of the pt lab
values?
Cinnamon apple sauce
- correct answer A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin
500mg PO every 12hrs. When the client requests an afternoon snack, which dietary choice should the
nurse provide?
Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
- correct answer An older male reporting abd pain is admitted from a facility. It has been 7 days since his
last BM and his abd is distended, and he just vomited 150ml of dark brown emesis. In what order should
the nurse implement these interventions?
Somnambulism
- correct answer A patient who recently received a prescription for ramelteon to treat sleep deprivation
reports experiencing several side effects since taking the med. Which side effect should the nurse report
to the healthcare provider?
, take metformin for type 2 diabetes
- correct answer A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary embolism.
Which information in the client's history requires follow up by the nurse?
Spironolactone
- correct answer The nurse should withhold which medication if the client's serum potassium level is 6.2
mEq/?
Assess for weakness or dizziness
- correct answer A nurse receives a report on a pt who is four hours post-total abdominal hysterectomy.
The previous nurse reports that it was necessary to change the client's perineal pad hourly and that it is
again saturated. The previous nurse also reports that the client's urinary output has decreased. Which
action should the nurse implement first?
-Observe breathing patterns
-assess blood pressure
-measure body temp
-palpate for pedal edema
- correct answer A pt who is admitted for primary hypothyroidism has early signs of myxedema coma. In
assessing the pt, in which sequence should the nurse complete these actions?
Blurred Vision
Flat Affect
frequent syncope
- correct answer The nurse is taking the blood pressure measurement of a client with Parkinson's
disease. Which information in the admission assessment is relevant to the nurse's plan for taking the
blood pressure reading? SATA
Ask the pt about gastrointestinal pain
- correct answer After administering a proton pump inhibitor, which action should the nurse take to
evaluate the effectiveness of the medication?
answers 2026\2027 A+ Grade
Gloves
- correct answer The nurse is wearing personal protective equipment while caring for a pt. When exiting
the room, which PPE should be removed first?
Increasing confusion of the pt.
- correct answer An older pt is brought to the ED with a sudden onset of confusion that occurred after
experiencing a fall at home. The daughter, who has power of attorney, has brought the client's
prescriptions. Which information should the nurse provide first when reporting to the healthcare
provider using SBAR communication?
Ask the patient to describe the pain
- correct answer A pt presses the call bell and requests pain medication for a severe headache. To assess
the quality of the pt. Pain, which approach should the nurse use?
Ask the pt for a description of the exercise schedule that is being followed
- correct answer A pt tells the nurse about working out with a personal trainer and swimming three
times a week in an effort to lose weight and sleep better. The pt states that it still is taking hours to fall
asleep at night. Which action should the nurse implement?
-review safe transfer strategies
-develop a nutritional plan
-help identify community support
- correct answer 2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is
recovering from Guillain-Barre syndrome about home. Which actions should the nurse include when
providing discharge teaching to the pt and spouse? SATA
pt who develop disease complications promptly received rehabilitation
- correct answer The nurse implements a tertiary prevention program for type 2 diabetes in a rural
health clinic. Which outcome indicates that the program was effective?
,participation of community leaders in planning the program
- correct answer The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Which resource is most important in
designing this program?
use gown, mask, and gloves with dressing changes
- correct answer A pt with multiple injuries is being treated in the burn trauma unit just hours after the
injuries occurred. The healthcare provider instructs the nurse to avoid auto contamination when
performing dressing changes. Which intervention is most important for the nurse to implement?
Stimulate the pt to take deep breaths
- correct answer A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin
are infusing. The pt is sedated but responds to instructions. After changing positions, the pt complains of
pain at the right groin insertion site. What action should the nurse implement?
upper body muscle strength
- correct answer Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is
most important for the nurse to obtain?
Continue to obtain pt data needed to complete the fall risk survey
- correct answer While the nurse is assessing an older pt fall risk, the pt reports living at home alone and
never falling. Which action should the nurse take?
Teach coughing and deep breathing exercises
- correct answer The nurse is feeding an older adult who was admitted with aspiration pneumonia. The
pt is weak and begins coughing while attempting to drink through a straw. Which intervention should
the nurse implement?
Empty the pouch when it is half full.
- correct answer The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse recognize as needing
additional education?
,initiate prescribed IV fluids
- correct answer A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravidarum. Which action is most important for the nurse to implement?
Picture with the bed sitting up
- correct answer A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt
arrival, the nurse should ensure that the pt bed is in which position?
Instruct pt to write down questions
- correct answer A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the
nurse numerous questions about the procedure. In preparing the pt for the procedure, which
intervention has the highest priority?
culture for sensitive organisms
- correct answer While caring for a pt post operative dressing, the nurse observes purulent drainage at
the wound. Before reporting this finding to the provider, the nurse should review which of the pt lab
values?
Cinnamon apple sauce
- correct answer A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin
500mg PO every 12hrs. When the client requests an afternoon snack, which dietary choice should the
nurse provide?
Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
- correct answer An older male reporting abd pain is admitted from a facility. It has been 7 days since his
last BM and his abd is distended, and he just vomited 150ml of dark brown emesis. In what order should
the nurse implement these interventions?
Somnambulism
- correct answer A patient who recently received a prescription for ramelteon to treat sleep deprivation
reports experiencing several side effects since taking the med. Which side effect should the nurse report
to the healthcare provider?
, take metformin for type 2 diabetes
- correct answer A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary embolism.
Which information in the client's history requires follow up by the nurse?
Spironolactone
- correct answer The nurse should withhold which medication if the client's serum potassium level is 6.2
mEq/?
Assess for weakness or dizziness
- correct answer A nurse receives a report on a pt who is four hours post-total abdominal hysterectomy.
The previous nurse reports that it was necessary to change the client's perineal pad hourly and that it is
again saturated. The previous nurse also reports that the client's urinary output has decreased. Which
action should the nurse implement first?
-Observe breathing patterns
-assess blood pressure
-measure body temp
-palpate for pedal edema
- correct answer A pt who is admitted for primary hypothyroidism has early signs of myxedema coma. In
assessing the pt, in which sequence should the nurse complete these actions?
Blurred Vision
Flat Affect
frequent syncope
- correct answer The nurse is taking the blood pressure measurement of a client with Parkinson's
disease. Which information in the admission assessment is relevant to the nurse's plan for taking the
blood pressure reading? SATA
Ask the pt about gastrointestinal pain
- correct answer After administering a proton pump inhibitor, which action should the nurse take to
evaluate the effectiveness of the medication?
