2026/2027 Latest Version RN HESI
Exit Exam with NGN 100 Verified
Questions and Answers to Ace the
RN HESI Exit Exam Easily
EXAM
1. A nurse is preparing to administer a medication to a client.
The client states, "I don't want to take that pill." What is the
nurse's best action?
A) Crush the pill and hide it in applesauce.
B) Explain the benefits of the medication and try to persuade
the client.
C) Withhold the medication and document the client's
refusal.
D) Ask the client's family member to encourage them to take
it.
Answer: C) Withhold the medication and document the
client's refusal.
Rationale: A client has the right to refuse treatment. The nurse
must respect this decision, withhold the medication, and
document the refusal and any education provided. Forcing or
coercing a client to take medication is unethical and illegal.
,2. A client is on fall precautions. Which intervention is most
important to include in the plan of care?
A) Keep the bed in the lowest position.
B) Place the call light within the client's reach.
C) Use a bed alarm system.
D) All of the above.
Answer: D) All of the above.
Rationale: A multi-faceted approach is best for fall prevention.
Keeping the bed low reduces injury risk if a fall occurs, the call
light ensures help is accessible, and a bed alarm alerts staff if the
client attempts to get up unassisted.
3. A nurse is caring for a client with a nasogastric (NG) tube.
Which finding indicates proper placement of the tube?
A) The client reports no nausea.
B) The pH of aspirated fluid is 6.0.
C) The nurse can auscultate an air bolus over the epigastric
area.
D) A chest x-ray confirms placement at the level of the
diaphragm.
Answer: D) A chest x-ray confirms placement at the level of
the diaphragm.
Rationale: A chest or abdominal x-ray is the gold standard for
confirming NG tube placement. A pH of 6.0 (gastric pH is usually
<4.0) and auscultation of an air bolus are less reliable methods.
4. A client is receiving a blood transfusion and reports chills
and back pain. What is the nurse's priority action?
, A) Slow the infusion rate.
B) Stop the transfusion immediately.
C) Administer an antihistamine.
D) Notify the healthcare provider.
Answer: B) Stop the transfusion immediately.
Rationale: Chills and back pain are classic signs of a hemolytic
transfusion reaction. The nurse's priority is to stop the transfusion
immediately to prevent further harm and then notify the provider.
5. Which nursing action is most effective in preventing the
spread of infection?
A) Wearing gloves for all client contact.
B) Performing hand hygiene before and after client care.
C) Wearing a mask when entering a client's room.
D) Using sterile technique for all procedures.
Answer: B) Performing hand hygiene before and after client
care.
Rationale: Hand hygiene is the single most effective measure to
prevent the transmission of infection.
6. A nurse is preparing to insert a urinary catheter. Which
technique is required for this procedure?
A) Medical asepsis.
B) Surgical asepsis.
C) Clean technique.
D) Contact precautions.
Answer: B) Surgical asepsis.
Rationale: Urinary catheter insertion is a sterile procedure that
, requires surgical asepsis (sterile technique) to prevent introducing
pathogens into the urinary tract.
7. A client with a prescription for a clear liquid diet is asking
for something to eat. Which of the following items can the
nurse offer?
A) Orange juice with pulp.
B) Cream of chicken soup.
C) Cranberry juice.
D) Milk.
Answer: C) Cranberry juice.
Rationale: A clear liquid diet consists of clear, liquid foods that
are easily digested and leave minimal residue. Cranberry juice,
pulp-free, is allowed. Orange juice with pulp, cream soups, and
milk are not part of a clear liquid diet.
8. A nurse is assessing a client's IV site. Which finding
indicates the need to discontinue the IV?
A) The site is warm and dry.
B) A small amount of clear fluid is leaking from the site.
C) The area around the insertion site is red, swollen, and
painful.
D) The client reports a mild ache at the site.
Answer: C) The area around the insertion site is red, swollen,
and painful.
Rationale: Redness, swelling, and pain are classic signs of
phlebitis (inflammation of the vein), which requires the IV to be
discontinued to prevent further complications. A small amount of
Exit Exam with NGN 100 Verified
Questions and Answers to Ace the
RN HESI Exit Exam Easily
EXAM
1. A nurse is preparing to administer a medication to a client.
The client states, "I don't want to take that pill." What is the
nurse's best action?
A) Crush the pill and hide it in applesauce.
B) Explain the benefits of the medication and try to persuade
the client.
C) Withhold the medication and document the client's
refusal.
D) Ask the client's family member to encourage them to take
it.
Answer: C) Withhold the medication and document the
client's refusal.
Rationale: A client has the right to refuse treatment. The nurse
must respect this decision, withhold the medication, and
document the refusal and any education provided. Forcing or
coercing a client to take medication is unethical and illegal.
,2. A client is on fall precautions. Which intervention is most
important to include in the plan of care?
A) Keep the bed in the lowest position.
B) Place the call light within the client's reach.
C) Use a bed alarm system.
D) All of the above.
Answer: D) All of the above.
Rationale: A multi-faceted approach is best for fall prevention.
Keeping the bed low reduces injury risk if a fall occurs, the call
light ensures help is accessible, and a bed alarm alerts staff if the
client attempts to get up unassisted.
3. A nurse is caring for a client with a nasogastric (NG) tube.
Which finding indicates proper placement of the tube?
A) The client reports no nausea.
B) The pH of aspirated fluid is 6.0.
C) The nurse can auscultate an air bolus over the epigastric
area.
D) A chest x-ray confirms placement at the level of the
diaphragm.
Answer: D) A chest x-ray confirms placement at the level of
the diaphragm.
Rationale: A chest or abdominal x-ray is the gold standard for
confirming NG tube placement. A pH of 6.0 (gastric pH is usually
<4.0) and auscultation of an air bolus are less reliable methods.
4. A client is receiving a blood transfusion and reports chills
and back pain. What is the nurse's priority action?
, A) Slow the infusion rate.
B) Stop the transfusion immediately.
C) Administer an antihistamine.
D) Notify the healthcare provider.
Answer: B) Stop the transfusion immediately.
Rationale: Chills and back pain are classic signs of a hemolytic
transfusion reaction. The nurse's priority is to stop the transfusion
immediately to prevent further harm and then notify the provider.
5. Which nursing action is most effective in preventing the
spread of infection?
A) Wearing gloves for all client contact.
B) Performing hand hygiene before and after client care.
C) Wearing a mask when entering a client's room.
D) Using sterile technique for all procedures.
Answer: B) Performing hand hygiene before and after client
care.
Rationale: Hand hygiene is the single most effective measure to
prevent the transmission of infection.
6. A nurse is preparing to insert a urinary catheter. Which
technique is required for this procedure?
A) Medical asepsis.
B) Surgical asepsis.
C) Clean technique.
D) Contact precautions.
Answer: B) Surgical asepsis.
Rationale: Urinary catheter insertion is a sterile procedure that
, requires surgical asepsis (sterile technique) to prevent introducing
pathogens into the urinary tract.
7. A client with a prescription for a clear liquid diet is asking
for something to eat. Which of the following items can the
nurse offer?
A) Orange juice with pulp.
B) Cream of chicken soup.
C) Cranberry juice.
D) Milk.
Answer: C) Cranberry juice.
Rationale: A clear liquid diet consists of clear, liquid foods that
are easily digested and leave minimal residue. Cranberry juice,
pulp-free, is allowed. Orange juice with pulp, cream soups, and
milk are not part of a clear liquid diet.
8. A nurse is assessing a client's IV site. Which finding
indicates the need to discontinue the IV?
A) The site is warm and dry.
B) A small amount of clear fluid is leaking from the site.
C) The area around the insertion site is red, swollen, and
painful.
D) The client reports a mild ache at the site.
Answer: C) The area around the insertion site is red, swollen,
and painful.
Rationale: Redness, swelling, and pain are classic signs of
phlebitis (inflammation of the vein), which requires the IV to be
discontinued to prevent further complications. A small amount of
