HESI RN EXIT EXAM WITH NGN (2025-2026) ACTUAL REAL TEST BANK:
250+ LATEST QUESTIONS & 100% VERIFIED CORRECT ANSWERS WITH
DETAILED RATIONALES | GUARANTEED 90%+ PASS RATE FOR NCLEX-
RN READINESS | ALREADY GRADED A+ | COMPLETE STUDY GUIDE FOR
CLINICAL JUDGMENT & GRADUATION REQUIREMENT
Introduction:
Achieve a 90%+ Pass Rate on the HESI RN Exit Exam with the Most Accurate 2025–2026 Real Exam Set!
The HESI Exit Exam is the final, definitive hurdle in your nursing journey—one that directly predicts
your NCLEX-RN success and is often mandated for graduation. With the transition to the Next
Generation (NGN) format, the exam now emphasizes complex clinical judgment, prioritization, and
unfolding case scenarios that traditional study guides simply don't cover. To pass with a competitive
score (usually 850+), you need to study the exact question styles and content from the latest testing
cycle.
1) The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for
disease and symptom management. Which statement by the client indicates understanding?
A Using salt, herbs, and spices will improve the flavor of foods.
B Get an eye examination with an ophthalmologist annually.
C Arrange diet schedule around three regular meals a day.
D Inspect feet every month for ingrown nails, cuts, and calluses. - CORRECT ANSWER-B Get an eye
examination with an ophthalmologist annually.
,2) The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to
situations and perceived stress. In addition to information about prescribed medication and
administration, which instruction should the nurse include in the teaching?
A Center attention on positive upbeat music.
B Find outlets for more social interaction.
C Practice using muscle relaxation techniques.
D Think about reasons the episodes occur. - CORRECT ANSWER-C Practice using muscle relaxation
techniques.
3) The charge nurse is planning for the shift and has a registered nurse (RN) and a practical nurse (PN)
on the team. Which client should the charge nurse assign to the RN?
A A 75-year-old client with renal calculi who requires urine straining.
B A 64-year-old client who had a total hip replacement the previous day.
C A 30-year-old depressed client who admits to suicide ideation.
D An adolescent with multiple contusions due to a fall that occurred 2 days ago. - CORRECT ANSWER-C
A 30-year-old depressed client who admits to suicide ideation.
4) A client with pancreatitis complains of severe epigastric pain, so the nurse administers a prescribed
narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which
intervention should the nurse implement?
A Raise head of bed until to a 90 degree angle.
B Position bedside table so the client can lean across it.
C Place bed in a reverse trendelenburg position.
,D Encourage rest until the analgesic becomes effective. - CORRECT ANSWER-B Position bedside table so
the client can lean across it.
5) The nurse is caring for a client who arrives to the emergency department with reports of
experiencing dizziness and difficulty walking to the bathroom. The nurse observes right-sided
weakness and sluggish enunciation of speech. The nurse should immediately take which action?
A Maintain elevated positioning of the dependent joints on affected side.
B Keep the bed in the lowest position and initiate seizure and fall precautions.
C Place an indwelling urinary catheter and measure strict intake and output.
D Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy. - CORRECT
ANSWER-D Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy.
6) A male client with a brain tumor is scheduled for a biopsy in the morning. During the admission
procedure, the client has a tonic-clonic seizure that lasts 50 seconds. Following the seizure, the
client is lethargic and confused and his wife tells the nurse that her husband has never had a seizure
before and has always been alert and communicative. Which action should the nurse take?
A Ask the wife to wait outside the room until the nurse can talk with her.
B Keep orienting the client to time and space until he is less confused.
C Notify the emergency response team of the client's seizure.
D Explain the postictal state that usually follows seizures. - CORRECT ANSWER-D Explain the postictal
state that usually follows seizures.
7) The nurse is providing lifestyle change education for a client to slow the progression of coronary
artery disease. Which statement(s)made by the client should the nurse recognize as needing
additional education? (Select all that apply.) A Keep a food diary.
B Eat more canned vegetables.
, C Consume foods with saturated fats.
D Walk 30 minutes per day.
E Include oatmeal for breakfast.
F Use a salt substitute. - CORRECT ANSWER-B Eat more canned vegetables.
C Consume foods with saturated fats.
8) While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's lips
and nares are dry and cracked. Which intervention should the nurse implement?
A Use a water soluble lubricant on affected oral and nasal mucosa.
B Use a topical lidocaine analgesic for cracked lips.
C Ask the mother what she usually uses on the child's lips and nose.
D Apply a petroleum jelly to the child's nose and lips. - CORRECT ANSWER-A Use a water soluble
lubricant on affected oral and nasal mucosa.
9) When assessing a multigravida on the first postpartum day, the nurse finds a moderate amount of
lochia rubra, with the uterus firm, and three fingerbreadths above the umbilicus. What action
should the nurse implement first?
A Increase intravenous infusion.
B Massage the uterus to decrease atony.
C Review the hemoglobin to determine hemorrhage.
D Check for a distended bladder. - CORRECT ANSWER-D Check for a distended bladder.
10) The nurse is caring for a client on the first day postoperative for a descending aortic aneurysm
repair. Which assessment finding should the nurse prioritize reporting to the healthcare provider?
250+ LATEST QUESTIONS & 100% VERIFIED CORRECT ANSWERS WITH
DETAILED RATIONALES | GUARANTEED 90%+ PASS RATE FOR NCLEX-
RN READINESS | ALREADY GRADED A+ | COMPLETE STUDY GUIDE FOR
CLINICAL JUDGMENT & GRADUATION REQUIREMENT
Introduction:
Achieve a 90%+ Pass Rate on the HESI RN Exit Exam with the Most Accurate 2025–2026 Real Exam Set!
The HESI Exit Exam is the final, definitive hurdle in your nursing journey—one that directly predicts
your NCLEX-RN success and is often mandated for graduation. With the transition to the Next
Generation (NGN) format, the exam now emphasizes complex clinical judgment, prioritization, and
unfolding case scenarios that traditional study guides simply don't cover. To pass with a competitive
score (usually 850+), you need to study the exact question styles and content from the latest testing
cycle.
1) The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for
disease and symptom management. Which statement by the client indicates understanding?
A Using salt, herbs, and spices will improve the flavor of foods.
B Get an eye examination with an ophthalmologist annually.
C Arrange diet schedule around three regular meals a day.
D Inspect feet every month for ingrown nails, cuts, and calluses. - CORRECT ANSWER-B Get an eye
examination with an ophthalmologist annually.
,2) The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to
situations and perceived stress. In addition to information about prescribed medication and
administration, which instruction should the nurse include in the teaching?
A Center attention on positive upbeat music.
B Find outlets for more social interaction.
C Practice using muscle relaxation techniques.
D Think about reasons the episodes occur. - CORRECT ANSWER-C Practice using muscle relaxation
techniques.
3) The charge nurse is planning for the shift and has a registered nurse (RN) and a practical nurse (PN)
on the team. Which client should the charge nurse assign to the RN?
A A 75-year-old client with renal calculi who requires urine straining.
B A 64-year-old client who had a total hip replacement the previous day.
C A 30-year-old depressed client who admits to suicide ideation.
D An adolescent with multiple contusions due to a fall that occurred 2 days ago. - CORRECT ANSWER-C
A 30-year-old depressed client who admits to suicide ideation.
4) A client with pancreatitis complains of severe epigastric pain, so the nurse administers a prescribed
narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which
intervention should the nurse implement?
A Raise head of bed until to a 90 degree angle.
B Position bedside table so the client can lean across it.
C Place bed in a reverse trendelenburg position.
,D Encourage rest until the analgesic becomes effective. - CORRECT ANSWER-B Position bedside table so
the client can lean across it.
5) The nurse is caring for a client who arrives to the emergency department with reports of
experiencing dizziness and difficulty walking to the bathroom. The nurse observes right-sided
weakness and sluggish enunciation of speech. The nurse should immediately take which action?
A Maintain elevated positioning of the dependent joints on affected side.
B Keep the bed in the lowest position and initiate seizure and fall precautions.
C Place an indwelling urinary catheter and measure strict intake and output.
D Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy. - CORRECT
ANSWER-D Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy.
6) A male client with a brain tumor is scheduled for a biopsy in the morning. During the admission
procedure, the client has a tonic-clonic seizure that lasts 50 seconds. Following the seizure, the
client is lethargic and confused and his wife tells the nurse that her husband has never had a seizure
before and has always been alert and communicative. Which action should the nurse take?
A Ask the wife to wait outside the room until the nurse can talk with her.
B Keep orienting the client to time and space until he is less confused.
C Notify the emergency response team of the client's seizure.
D Explain the postictal state that usually follows seizures. - CORRECT ANSWER-D Explain the postictal
state that usually follows seizures.
7) The nurse is providing lifestyle change education for a client to slow the progression of coronary
artery disease. Which statement(s)made by the client should the nurse recognize as needing
additional education? (Select all that apply.) A Keep a food diary.
B Eat more canned vegetables.
, C Consume foods with saturated fats.
D Walk 30 minutes per day.
E Include oatmeal for breakfast.
F Use a salt substitute. - CORRECT ANSWER-B Eat more canned vegetables.
C Consume foods with saturated fats.
8) While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's lips
and nares are dry and cracked. Which intervention should the nurse implement?
A Use a water soluble lubricant on affected oral and nasal mucosa.
B Use a topical lidocaine analgesic for cracked lips.
C Ask the mother what she usually uses on the child's lips and nose.
D Apply a petroleum jelly to the child's nose and lips. - CORRECT ANSWER-A Use a water soluble
lubricant on affected oral and nasal mucosa.
9) When assessing a multigravida on the first postpartum day, the nurse finds a moderate amount of
lochia rubra, with the uterus firm, and three fingerbreadths above the umbilicus. What action
should the nurse implement first?
A Increase intravenous infusion.
B Massage the uterus to decrease atony.
C Review the hemoglobin to determine hemorrhage.
D Check for a distended bladder. - CORRECT ANSWER-D Check for a distended bladder.
10) The nurse is caring for a client on the first day postoperative for a descending aortic aneurysm
repair. Which assessment finding should the nurse prioritize reporting to the healthcare provider?
