HESI RN
Exit Exam 2026 NGN Version V1 exam with 100+ questions and
answers with rationales| Graded A+
THIS EXAM INCLUDES:
• HESI RN Exit Exam
• New 2026 exam
• NGN Version V1
• 100+ questions and answers with rationales
• Graded A+
,HESI RN EXIT EXAM 2026 NGN – COMPLETE PRACTICE TEST
Questions 1–25
Question 1
The nurse is caring for a client with heart failure who reports sudden onset of
shortness of breath, coughing pink frothy sputum, and crackles heard in all lung
fields. Which action should the nurse perform first?
A. Place the client in a high-Fowler's position
B. Administer furosemide IV push
C. Apply a non-rebreather mask at 15 L/min
D. Notify the healthcare provider
Correct Answer: A | Rationale: High-Fowler's position reduces venous return and
decreases pulmonary congestion immediately, before pharmacological
interventions.
Question 2 (Select All That Apply)
A client is 2 hours post-thyroidectomy. Which findings indicate a possible thyroid
storm?
Select all that apply.
A. Temperature 39.4°C (103°F)
B. Heart rate 52 bpm
C. Blood pressure 90/50 mmHg
D. Agitation and confusion
E. Hyporeflexia
Correct Answers: A, C, D | Rationale: Thyroid storm presents with hyperpyrexia,
hypotension, and agitation. Bradycardia and hyporeflexia suggest myxedema
coma.
Question 3 (NGN Bow-Tie)
The nurse assesses a client with Guillain-Barré syndrome who reports difficulty
,swallowing and weak cough. Complete the bow-tie:
Condition most concerned about: (Aspiration pneumonia / Autonomic dysreflexia
/ Anaphylaxis)
Intervention to address condition: (Place on NPO status and suction PRN /
Administer epinephrine / Raise head of bed to 90°)
Outcome to monitor: (SpO2 >94% on room air / Ability to speak full sentences /
Absence of crackles on auscultation)
Correct Answers: Condition: Aspiration pneumonia; Intervention: Place on NPO
status and suction PRN; Outcome: Absence of crackles on auscultation | Rationale:
Bulbar weakness increases aspiration risk. NPO and suction prevent aspiration;
clear lung sounds indicate no aspiration event.
Question 4
The nurse is delegating tasks to a UAP. Which task is most appropriate?
A. Obtain a clean-catch urine specimen from a client with UTI symptoms
B. Assess the surgical incision of a client on postoperative day 3
C. Reinforce a PRN trazodone prescription for a client with insomnia
D. Irrigate a Foley catheter with normal saline as prescribed
Correct Answer: A | Rationale: Obtaining a clean-catch urine specimen is within
UAP scope. Assessment, medication administration, and sterile procedures require
licensed nursing judgment.
Question 5
A client receiving continuous heparin infusion for a pulmonary embolism has an
aPTT of 110 seconds (normal 25–35). What should the nurse do first?
A. Continue the infusion at the same rate
B. Increase the infusion rate by 2 mL/hr
C. Stop the heparin infusion
D. Draw a stat CBC
, Correct Answer: C | Rationale: aPTT of 110 seconds indicates high bleeding risk.
Stop infusion immediately.
Question 6 (Ordered Response)
Place the following actions in order for a client experiencing a tonic-clonic seizure:
___ Note time seizure began
___ Turn client to side-lying position
___ Remove nearby furniture
___ Administer lorazepam after 3 minutes if seizing
___ Apply oxygen via nasal cannula post-ictally
*Correct Order: 1) Note time seizure began, 2) Turn client to side-lying position, 3)
Remove nearby furniture, 4) Administer lorazepam after 3 minutes if seizing, 5)
Apply oxygen post-ictally | Rationale: Note start time first for status epilepticus,
then airway protection, then injury prevention, then medication, then oxygen.*
Question 7
A client with major depressive disorder is started on phenelzine (Nardil), an
MAOI. Which lunch choice requires the nurse to intervene?
A. Grilled chicken breast, steamed rice, green beans
B. Turkey sandwich on whole wheat bread with lettuce
C. Beef broth, saltine crackers, vanilla pudding
D. Pepperoni pizza and a glass of red wine
Correct Answer: D | Rationale: Aged meats (pepperoni) and red wine are high in
tyramine, causing hypertensive crisis with MAOIs.
Question 8 (NGN Case Study)
A 72-year-old male presents with sudden onset of right-sided weakness, facial
droop, and slurred speech. Last known well was 2.5 hours ago. Which condition is
most likely?
Exit Exam 2026 NGN Version V1 exam with 100+ questions and
answers with rationales| Graded A+
THIS EXAM INCLUDES:
• HESI RN Exit Exam
• New 2026 exam
• NGN Version V1
• 100+ questions and answers with rationales
• Graded A+
,HESI RN EXIT EXAM 2026 NGN – COMPLETE PRACTICE TEST
Questions 1–25
Question 1
The nurse is caring for a client with heart failure who reports sudden onset of
shortness of breath, coughing pink frothy sputum, and crackles heard in all lung
fields. Which action should the nurse perform first?
A. Place the client in a high-Fowler's position
B. Administer furosemide IV push
C. Apply a non-rebreather mask at 15 L/min
D. Notify the healthcare provider
Correct Answer: A | Rationale: High-Fowler's position reduces venous return and
decreases pulmonary congestion immediately, before pharmacological
interventions.
Question 2 (Select All That Apply)
A client is 2 hours post-thyroidectomy. Which findings indicate a possible thyroid
storm?
Select all that apply.
A. Temperature 39.4°C (103°F)
B. Heart rate 52 bpm
C. Blood pressure 90/50 mmHg
D. Agitation and confusion
E. Hyporeflexia
Correct Answers: A, C, D | Rationale: Thyroid storm presents with hyperpyrexia,
hypotension, and agitation. Bradycardia and hyporeflexia suggest myxedema
coma.
Question 3 (NGN Bow-Tie)
The nurse assesses a client with Guillain-Barré syndrome who reports difficulty
,swallowing and weak cough. Complete the bow-tie:
Condition most concerned about: (Aspiration pneumonia / Autonomic dysreflexia
/ Anaphylaxis)
Intervention to address condition: (Place on NPO status and suction PRN /
Administer epinephrine / Raise head of bed to 90°)
Outcome to monitor: (SpO2 >94% on room air / Ability to speak full sentences /
Absence of crackles on auscultation)
Correct Answers: Condition: Aspiration pneumonia; Intervention: Place on NPO
status and suction PRN; Outcome: Absence of crackles on auscultation | Rationale:
Bulbar weakness increases aspiration risk. NPO and suction prevent aspiration;
clear lung sounds indicate no aspiration event.
Question 4
The nurse is delegating tasks to a UAP. Which task is most appropriate?
A. Obtain a clean-catch urine specimen from a client with UTI symptoms
B. Assess the surgical incision of a client on postoperative day 3
C. Reinforce a PRN trazodone prescription for a client with insomnia
D. Irrigate a Foley catheter with normal saline as prescribed
Correct Answer: A | Rationale: Obtaining a clean-catch urine specimen is within
UAP scope. Assessment, medication administration, and sterile procedures require
licensed nursing judgment.
Question 5
A client receiving continuous heparin infusion for a pulmonary embolism has an
aPTT of 110 seconds (normal 25–35). What should the nurse do first?
A. Continue the infusion at the same rate
B. Increase the infusion rate by 2 mL/hr
C. Stop the heparin infusion
D. Draw a stat CBC
, Correct Answer: C | Rationale: aPTT of 110 seconds indicates high bleeding risk.
Stop infusion immediately.
Question 6 (Ordered Response)
Place the following actions in order for a client experiencing a tonic-clonic seizure:
___ Note time seizure began
___ Turn client to side-lying position
___ Remove nearby furniture
___ Administer lorazepam after 3 minutes if seizing
___ Apply oxygen via nasal cannula post-ictally
*Correct Order: 1) Note time seizure began, 2) Turn client to side-lying position, 3)
Remove nearby furniture, 4) Administer lorazepam after 3 minutes if seizing, 5)
Apply oxygen post-ictally | Rationale: Note start time first for status epilepticus,
then airway protection, then injury prevention, then medication, then oxygen.*
Question 7
A client with major depressive disorder is started on phenelzine (Nardil), an
MAOI. Which lunch choice requires the nurse to intervene?
A. Grilled chicken breast, steamed rice, green beans
B. Turkey sandwich on whole wheat bread with lettuce
C. Beef broth, saltine crackers, vanilla pudding
D. Pepperoni pizza and a glass of red wine
Correct Answer: D | Rationale: Aged meats (pepperoni) and red wine are high in
tyramine, causing hypertensive crisis with MAOIs.
Question 8 (NGN Case Study)
A 72-year-old male presents with sudden onset of right-sided weakness, facial
droop, and slurred speech. Last known well was 2.5 hours ago. Which condition is
most likely?
