HESI EXIT RN V1,V2,V3,V4,V5,V6 & V7 EXAM
WITH NGN 2026 UPDATE WITH COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES |ALREADY
GRADED A+
A male client with a long history of alcoholism is admitted because of mild confusion
and fine motor tremors. He reports that he quit drinking alcohol and stopped smoking
cigarettes one month ago after his brother died of lung cancer. Which intervention is
most important for the nurses to include in the client's plan of care?
a. Determine client's level current blood alcohol level.
b. Observe for changes in level of consciousness.
c. Involve the client's family in healthcare decisions.
d. Provide grief counseling for client and his family.
b. Observe for changes in level of consciousness.
Rationale: Based on the client's history of drinking, he may be exhibiting sign of hepatic
involvement and encephalopathy. Changes in the client's level of consciousness should
be monitored to determine if he able to maintain consciousness, so neurological
assessment has the highest priority.
An older adult female admitted to the intensive care unit (ICU) with a possible stroke is
intubated with ventilator setting of tidal volume 600, PlO2 40%, and respiratory rate of
12 breaths/minute. The arterial blood gas (ABG) results after intubation are PH 7.31.
PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To normalize the client's ABG finding,
which action is required?
a. Report the results to the healthcare provider.
b. Increase ventilator rate.
c. Administer a dose of sodium carbonate.
d. Decrease the flow rate of oxygen.
Increase ventilator rate.
Rationale: This client is experience respiratory acidosis. Increasing the ventilator rate
depletes CO2 a, which returns the PH toward normal. Report findings is important but
only after increasing ventilator rate
The mother of the 12- month-old with cystic fibrosis reports that her child is experiencing
increasing congestion despite the use of chest physical therapy (CPT) twice a day, and
has also experiences a loss of appetite. What instruction should the nurse provide?
a. Perform CPT after meals to increase appetite and improve food intake.
b. CPT should be performed more frequently, but at least an hour before meals.
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,c. Stop using CPT during the daytime until the child has regained an appetite.
d. Perform CPT only in the morning, but increase frequency when appetite improves.
CPT should be performed more frequently, but at least an hour before meals.
Rationale: CPT with inhalation therapy should be performed several times a day to
loosen the secretions and move them from the peripheral airway into the central airways
where they can be expectorated. CPT should be done at least one hour before meals or
two hours after meals.
The nurse is evaluating the diet teaching of a client with hypertension. What dinner
selection indicates that the client understands the dietary recommendation for
hypertension?
a. Tomato soup, grilled cheese sandwich, pickles, skim milk, and lemon meringue pie.
b. Baked pork chop, applesauce, corn on the cob, 2% milk, and key-lime pie.
c. Grilled steak, baked potato with sour cream, green beans, coffee and raisin cream
pie.
d. Beed stir fry, fried rice, egg drop soup, diet coke and pumpkin pie.
Baked pork chop, applesauce, corn on the cob, 2% milk, and key-lime pie
Rationale: B is limited in sodium, is high in fiber, and no additional fat is added through
cooking, so it is the best choice for an antihypertensive meal. A high in sodium and
cholesterol, which should be avoid. C is high in fat and caffeine which can elevate the
BP D is high in sodium and cholesterol and includes caffeine.
A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes
and a glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units
subcutaneously once a day at bedtime and a sliding scale with insulin aspart q6h are
prescribed. What action should the nurse include in this client's plan of care?
a. Fingerstick glucose assessment q6h with meals
b. Mix bedtime dose of insulin glargine with insulin aspart sliding scale dose
c. Review with the client proper foot care and prevention of injury
d. Do not contaminate the insulin aspart so that it is available for iv use
e. Coordinate carbohydrate controlled meals at consistent times and intervals
f. Teach subcutaneous injection technique, site rotation and insulin management
a. Fingerstick glucose assessment q6h with meals
c. Review with the client proper foot care and prevention of injury
e. Coordinate carbohydrate controlled meals at consistent times and intervals
f. Teach subcutaneous injection technique, site rotation and insulin management
Which problem reported by a client taking lovastatin requires the most immediate follow
up by the nurse?
a. Diarrhea and flatulence
b. Abdominal cramps
c. Muscle pain
d. Altered taste
2|Page
,Muscle pain
Rationale: statins can cause rhabdomyolysis, a potentially fatal disease of skeletal
muscle characterized by myoglobinuria and manifested with muscle pain, so this
symptom should immediately be reported to the HCP.
Before leaving the room of a confused client, the nurse notes that a half bow knot was
used to attach the client's wrist restraints to the movable portion of the client's bed
frame. What action should the nurse take before leaving the room?
a. Ensure that the knot can be quickly released.
b. Tie the knot with a double turn or square knot.
c. Move the ties so the restraints are secured to the side rails.
d. Ensure that the restraints are snug against the client's wrist.
Ensure that the knot can be quickly released.
While assessing a client's chest tube (CT), the nurse discovers bubbling in the water
seal chamber of the chest tube collection device. The client's vital signs are: blood
pressure of 80/40 mmHg, heart rate 120 beats/minutes, respiratory rate 32
breaths/minutes, oxygen saturation 88%. Which interventions should the nurse
implement?
a. Provide supplemental oxygen
b. Auscultate bilateral lung fields
c. Administer a nebulizer treatment
d. Reinforce occlusive CT dressing
e. Give PRN dose of pain medication
a. Provide supplemental oxygen
b. Auscultate bilateral lung fields
d. Reinforce occlusive CT dressing
Rationale: The air bubbles indicate an air leak from the lungs, the chest tube site, or the
chest tube collection system. Providing oxygen improves the oxygen saturation until the
leak has been resolved. Auscultating the lung fields helps to identify absent or decrease
lung sound due to collapsing lung.
Oral antibiotics are prescribed for an 18-month-old toddler with severe otitis media. An
antipyrine and benzocaine-otic also prescribed for pain and inflammation. What
instruction should the nurse emphasize concerning the installation of the antipyrine/
benzocaine otic solution?
a. Place the dropper on the upper outer ear canal and instill the medication slowly.
b. Warm the medication in the microwave for 10 seconds before instilling.
c. Keep the medication refrigerated between administrations.
d. Have the child lie with the ear up for one to two minutes after installation.
d. Have the child lie with the ear up for one to two minutes after installation.
An older adult male is admitted with complications related to chronic obstructive
pulmonary disease (COPD). He reports progressive dyspnea that worsens on exertion
and his weakness has increased over the past month. The nurse notes that he has
3|Page
, dependent edema in both lower legs. Based on these assessment findings, which
dietary instruction should the nurse provide?
a. Limit the intake of high calorie foods.
b. Eat meals at the same time daily.
c. Maintain a low protein diet.
d. Restrict daily fluid intake.
Restrict daily fluid intake.
Rationale: the client is exhibiting signs of Cor pulmonale, a complication of COPD that
causes the right side of the heart to fail. Restricting fluid intake to 1000 to 2000 ml/day,
eating a high-calorie diet at small frequent meals with foods that are high in protein and
low in sodium can help relieve the edema and decrease workload on the right-side of
the heart.
The nurse inserts an indwelling urinary catheter as seen in the video what action should
the nurse take next?
a. Remove the catheter and insert into urethral opening
b. Observe for urine flow and then inflate the balloon.
c. Insert the catheter further and observe for discomfort.
d. Leave the catheter in place and obtain a sterile catheter.
Leave the catheter in place and obtain a sterile catheter.
A client with coronary artery disease who is experiencing syncopal episodes is admitted
for an electrophysiology study (EPS) and possible cardiac ablation therapy. Which
intervention should the nurse delegate to the unlicensed assistive personnel (UAP)?
a. Prepare the skin for procedure.
b. Identify client's pulse points
c. Witness consent for procedure
d. Check telemetry monitoring
Prepare the skin for procedure.
Following an outbreak of measles involving 5 students in an elementary school, which
action is most important for the school nurse to take?
a. Review the immunization records of all children in the elementary school
b. Report the measles outbreak to all community health organizations
c. Schedule a mobile public health vehicle to offer measles inoculations to unvaccinated
children.
d. Restrict unvaccinated children from attending school until measles outbreak is
resolved.
Restrict unvaccinated children from attending school until measles outbreak is resolved.
A preeclamptic client who delivered 24h ago remains in the labor and delivery recovery
room. She continues to receive magnesium sulfate at 2 grams per hour. Her total input
is limited to 125 ml per hour, and her urinary output for the last hour was 850 ml. What
intervention should the nurse implement?
4|Page
WITH NGN 2026 UPDATE WITH COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES |ALREADY
GRADED A+
A male client with a long history of alcoholism is admitted because of mild confusion
and fine motor tremors. He reports that he quit drinking alcohol and stopped smoking
cigarettes one month ago after his brother died of lung cancer. Which intervention is
most important for the nurses to include in the client's plan of care?
a. Determine client's level current blood alcohol level.
b. Observe for changes in level of consciousness.
c. Involve the client's family in healthcare decisions.
d. Provide grief counseling for client and his family.
b. Observe for changes in level of consciousness.
Rationale: Based on the client's history of drinking, he may be exhibiting sign of hepatic
involvement and encephalopathy. Changes in the client's level of consciousness should
be monitored to determine if he able to maintain consciousness, so neurological
assessment has the highest priority.
An older adult female admitted to the intensive care unit (ICU) with a possible stroke is
intubated with ventilator setting of tidal volume 600, PlO2 40%, and respiratory rate of
12 breaths/minute. The arterial blood gas (ABG) results after intubation are PH 7.31.
PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To normalize the client's ABG finding,
which action is required?
a. Report the results to the healthcare provider.
b. Increase ventilator rate.
c. Administer a dose of sodium carbonate.
d. Decrease the flow rate of oxygen.
Increase ventilator rate.
Rationale: This client is experience respiratory acidosis. Increasing the ventilator rate
depletes CO2 a, which returns the PH toward normal. Report findings is important but
only after increasing ventilator rate
The mother of the 12- month-old with cystic fibrosis reports that her child is experiencing
increasing congestion despite the use of chest physical therapy (CPT) twice a day, and
has also experiences a loss of appetite. What instruction should the nurse provide?
a. Perform CPT after meals to increase appetite and improve food intake.
b. CPT should be performed more frequently, but at least an hour before meals.
1|Page
,c. Stop using CPT during the daytime until the child has regained an appetite.
d. Perform CPT only in the morning, but increase frequency when appetite improves.
CPT should be performed more frequently, but at least an hour before meals.
Rationale: CPT with inhalation therapy should be performed several times a day to
loosen the secretions and move them from the peripheral airway into the central airways
where they can be expectorated. CPT should be done at least one hour before meals or
two hours after meals.
The nurse is evaluating the diet teaching of a client with hypertension. What dinner
selection indicates that the client understands the dietary recommendation for
hypertension?
a. Tomato soup, grilled cheese sandwich, pickles, skim milk, and lemon meringue pie.
b. Baked pork chop, applesauce, corn on the cob, 2% milk, and key-lime pie.
c. Grilled steak, baked potato with sour cream, green beans, coffee and raisin cream
pie.
d. Beed stir fry, fried rice, egg drop soup, diet coke and pumpkin pie.
Baked pork chop, applesauce, corn on the cob, 2% milk, and key-lime pie
Rationale: B is limited in sodium, is high in fiber, and no additional fat is added through
cooking, so it is the best choice for an antihypertensive meal. A high in sodium and
cholesterol, which should be avoid. C is high in fat and caffeine which can elevate the
BP D is high in sodium and cholesterol and includes caffeine.
A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes
and a glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units
subcutaneously once a day at bedtime and a sliding scale with insulin aspart q6h are
prescribed. What action should the nurse include in this client's plan of care?
a. Fingerstick glucose assessment q6h with meals
b. Mix bedtime dose of insulin glargine with insulin aspart sliding scale dose
c. Review with the client proper foot care and prevention of injury
d. Do not contaminate the insulin aspart so that it is available for iv use
e. Coordinate carbohydrate controlled meals at consistent times and intervals
f. Teach subcutaneous injection technique, site rotation and insulin management
a. Fingerstick glucose assessment q6h with meals
c. Review with the client proper foot care and prevention of injury
e. Coordinate carbohydrate controlled meals at consistent times and intervals
f. Teach subcutaneous injection technique, site rotation and insulin management
Which problem reported by a client taking lovastatin requires the most immediate follow
up by the nurse?
a. Diarrhea and flatulence
b. Abdominal cramps
c. Muscle pain
d. Altered taste
2|Page
,Muscle pain
Rationale: statins can cause rhabdomyolysis, a potentially fatal disease of skeletal
muscle characterized by myoglobinuria and manifested with muscle pain, so this
symptom should immediately be reported to the HCP.
Before leaving the room of a confused client, the nurse notes that a half bow knot was
used to attach the client's wrist restraints to the movable portion of the client's bed
frame. What action should the nurse take before leaving the room?
a. Ensure that the knot can be quickly released.
b. Tie the knot with a double turn or square knot.
c. Move the ties so the restraints are secured to the side rails.
d. Ensure that the restraints are snug against the client's wrist.
Ensure that the knot can be quickly released.
While assessing a client's chest tube (CT), the nurse discovers bubbling in the water
seal chamber of the chest tube collection device. The client's vital signs are: blood
pressure of 80/40 mmHg, heart rate 120 beats/minutes, respiratory rate 32
breaths/minutes, oxygen saturation 88%. Which interventions should the nurse
implement?
a. Provide supplemental oxygen
b. Auscultate bilateral lung fields
c. Administer a nebulizer treatment
d. Reinforce occlusive CT dressing
e. Give PRN dose of pain medication
a. Provide supplemental oxygen
b. Auscultate bilateral lung fields
d. Reinforce occlusive CT dressing
Rationale: The air bubbles indicate an air leak from the lungs, the chest tube site, or the
chest tube collection system. Providing oxygen improves the oxygen saturation until the
leak has been resolved. Auscultating the lung fields helps to identify absent or decrease
lung sound due to collapsing lung.
Oral antibiotics are prescribed for an 18-month-old toddler with severe otitis media. An
antipyrine and benzocaine-otic also prescribed for pain and inflammation. What
instruction should the nurse emphasize concerning the installation of the antipyrine/
benzocaine otic solution?
a. Place the dropper on the upper outer ear canal and instill the medication slowly.
b. Warm the medication in the microwave for 10 seconds before instilling.
c. Keep the medication refrigerated between administrations.
d. Have the child lie with the ear up for one to two minutes after installation.
d. Have the child lie with the ear up for one to two minutes after installation.
An older adult male is admitted with complications related to chronic obstructive
pulmonary disease (COPD). He reports progressive dyspnea that worsens on exertion
and his weakness has increased over the past month. The nurse notes that he has
3|Page
, dependent edema in both lower legs. Based on these assessment findings, which
dietary instruction should the nurse provide?
a. Limit the intake of high calorie foods.
b. Eat meals at the same time daily.
c. Maintain a low protein diet.
d. Restrict daily fluid intake.
Restrict daily fluid intake.
Rationale: the client is exhibiting signs of Cor pulmonale, a complication of COPD that
causes the right side of the heart to fail. Restricting fluid intake to 1000 to 2000 ml/day,
eating a high-calorie diet at small frequent meals with foods that are high in protein and
low in sodium can help relieve the edema and decrease workload on the right-side of
the heart.
The nurse inserts an indwelling urinary catheter as seen in the video what action should
the nurse take next?
a. Remove the catheter and insert into urethral opening
b. Observe for urine flow and then inflate the balloon.
c. Insert the catheter further and observe for discomfort.
d. Leave the catheter in place and obtain a sterile catheter.
Leave the catheter in place and obtain a sterile catheter.
A client with coronary artery disease who is experiencing syncopal episodes is admitted
for an electrophysiology study (EPS) and possible cardiac ablation therapy. Which
intervention should the nurse delegate to the unlicensed assistive personnel (UAP)?
a. Prepare the skin for procedure.
b. Identify client's pulse points
c. Witness consent for procedure
d. Check telemetry monitoring
Prepare the skin for procedure.
Following an outbreak of measles involving 5 students in an elementary school, which
action is most important for the school nurse to take?
a. Review the immunization records of all children in the elementary school
b. Report the measles outbreak to all community health organizations
c. Schedule a mobile public health vehicle to offer measles inoculations to unvaccinated
children.
d. Restrict unvaccinated children from attending school until measles outbreak is
resolved.
Restrict unvaccinated children from attending school until measles outbreak is resolved.
A preeclamptic client who delivered 24h ago remains in the labor and delivery recovery
room. She continues to receive magnesium sulfate at 2 grams per hour. Her total input
is limited to 125 ml per hour, and her urinary output for the last hour was 850 ml. What
intervention should the nurse implement?
4|Page
