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NGN HESI RN Exit Exam V1 – V6: Each Exam with 160 Latest Questions & Answers (Verified Answers) | 100% Guaranteed Pass | Complete A+ Guide

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The HESI RN Exit Exam is one of the most critical assessments in nursing education. It is often the final barrier before graduation and a strong predictor of NCLEX success. With the transition to the Next Generation NCLEX (NGN) , HESI has updated its Exit Exams to reflect clinical judgment questions, case studies, and enhanced item types. The exam is offered in multiple versions (V1 through V6) , each with its own unique question set. Many nursing programs require students to achieve a specific score (e.g., 850 or 900) on any version to graduate or sit for the NCLEX. This Complete A+ Guide contains all six versions (V1, V2, V3, V4, V5, and V6) of the NGN HESI RN Exit Exam. Each version includes 160 latest questions and verified answers – totaling 960 unique questions with detailed rationales. Designed for the 2026/2027 testing cycles, this resource is your 100% guaranteed pass strategy for the HESI Exit Exam.

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NGN HESI RN Exit

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,Page 2 of 220



NGN HESI RN Exit Exam V1 - V6 Each Exam

With 160 Latest Questions And

Answers(Verified Answers), 100%

Guaranteed Pass || Complete A+ Guide


Question: Which finding indicates the need to immediately

reduce oxygen flow?

A) SpO₂ increases to 92%

B) Respiratory rate decreases from 24 to 10 breaths/min

C) Patient reports less dyspnea

D) PaCO₂ decreases from 58 to 52 mmHg

Answer: B

Rationale: COPD patients with chronic hypercapnia rely on

hypoxic drive. Oxygen-induced hypoventilation occurs when

high O₂ removes hypoxic drive, causing respiratory

depression. Rate drop to 10 is dangerous.

,Page 3 of 220




Question: Which assessment finding is most important to

report to the provider immediately?

A) Urine output of 200 mL in 2 hours

B) Serum potassium 3.1 mEq/L

C) Blood pressure 110/70 mmHg

D) Weight loss of 1 kg in 24 hours

Answer: B

Rationale: Furosemide causes hypokalemia. K+ <3.5 increases

risk of digoxin toxicity and cardiac arrhythmias. Report

immediately.




Question 3 (NGN Case Study)

Scenario:

• Patient: 45-year-old female, post-op day 1 from total

abdominal hysterectomy.

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• Vitals: HR 118, BP 98/62, RR 24, Temp 101.2°F, SpO₂

91% on room air.

• Labs: WBC 18,000, lactate 4.2.

Question Part A: What condition is most suspected?

A) Pulmonary embolism

B) Hemorrhage

C) Sepsis

D) Atelectasis

Answer: C

Rationale: Fever, tachycardia, tachypnea, elevated WBC, and

lactate >2 suggest sepsis.

Question Part B: What is the nurse’s priority action?

A) Administer antipyretic

B) Obtain blood cultures before antibiotics

C) Increase IV fluids

D) Notify provider after completing assessments

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NGN HESI RN Exit
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NGN HESI RN Exit

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