HESI RN EXIT EXAM WITH NGN LATEST
VERSION B 2026-2027/HESI EXIT RN NEXT
GENERATION EXAM ALL 160 QUESTIONS
AND CORRECT DETAILED ANSWERS
AMfemaleMclientMpresentsMinMtheMemergencyMdepartmentMandMtellsMtheMnurseMthatMsheMwasMrap
edMlastMnight.MWhichMquestionMisMmostMimportantMforMtheMnurseMtoMask?
A.MHasMsheMtakenMaMbathMsinceMtheMrapeMoccurred?M
B.MIsMtheMplaceMwhereMsheMlivesMaMsafeMplace?M
C.MDoesMsheMknowMtheMpersonMwhoMrapedMher?
D.MDidMsheMreportMtheMrapeMtoMtheMpoliceMdepartment?M-MCORRECTMANSWERSM-
A.MHasMsheMtakenMaMbathMsinceMtheMrapeMoccurred?
TheMnurseMisMcompletingMtheMadmissionMassessmentMofMaM3-
yearMoldMwhoMisMadmittedMwithMbacterialMmeningitisMandMhydrocephalus.MWhichMassessmentMfi
ndingMisMevidenceMthatMtheMchildMisMexperiencingMincreasedMintracranialMpressureM(ICP)?
A.MTachycardiaMandMtachypnea
B.MSluggishMandMunequalMpupillaryMresponses
C.MIncreasedMheadMcircumferenceMandMbulgingMfontanels
D.MBloodMpressureMfluctuationsMandMsyncopeM-MCORRECTMANSWERSM-
B.MSluggishMandMunequalMpupillaryMresponses
AMclientMwithMacuteMpancreatitisMisMadmittedMwithMsevere,MpiercingMabdominalMpainMandManMele
vatedMserumMamylase.MWhichMadditionalMinformationMisMtheMclientMmostMlikelyMtoMreportMtoMthe
Mnurse?
A.MAbdominalMpainMdecreasesMwhenMlyingMsupine
B.MPainMlastsManMhourMandMleavesMtheMabdomenMtender
,C.MRightMupperMquadrantMpainMrefersMtoMrightMscapula
D.MDrinksMalcoholMuntilMintoxicatedMatMleastMtwiceMweekly.M-MCORRECTMANSWERSM-
A.MAbdominalMpainMdecreasesMwhenMlyingMsupine
AMchildMnewlyMdiagnosedMwithMsickleMcellManemiaM(SCA)MisMbeingMdischargedMfromMtheMhospital.
MWhichMinformationMisMmostMimportantMforMtheMnurseMtoMprovideMtheMparentsMpriorMtoMdischarg
e?
A.MInstructionsMaboutMhowMmuchMfluidMtheMchildMshouldMdrinkMdaily.
B.MSignsMofMaddictionMtoMopioidMpainMmedications
C.MInformationMaboutMnon-pharmaceuticalMpainMreliefMmeasures
D.MReferralMforMsocialMservicesMforMtheMchildMandMfamilyM-MCORRECTMANSWERSM-
A.MInstructionsMaboutMhowMmuchMfluidMtheMchildMshouldMdrinkMdaily
ToMauscultateMforMaMcarotidMbruit,MtheMnurseMplacesMtheMstethoscopeMatMwhatMlocation.M(SelectM
theMlocationMonMtheMimageMwithMaMredMdot).M-MCORRECTMANSWERSM-
IMplacedMtheMredMdotMonMtheMbaseMofMtheMneckMonMtheMrightMside
AfterMreceivingMreportMonManMinpatientMacuteMcareMunit,MwhichMclientMshouldMtheMnurseMassessM
first?
A.MTheMclientMwithManMobstructionMofMtheMlargeMintestineMwhoMisMexperiencingMabdominalMdiste
ntion
B.MTheMclientMwhoMhadMsurgeryMyesterdayMandMisMexperiencingMaMparalyticMileusMwithMabsentMbo
welMsounds
C.MTheMclientMwithMaMsmallMbowelMobstructionMwhoMhasMaMnasogastricMtubeMthatMisMdrainingMgre
enishMfluid
D.MTheMclientMwithMaMbowelMobstructionMdueMtoMaMvolvulusMwhoMisMexperiencingMabdominalMrigi
dityM-MCORRECTMANSWERSM-
D.MTheMclientMwithMaMbowelMobstructionMdueMtoMaMvolvulusMwhoMisMexperiencingMabdominalMrigi
dity
,AMteenagerMpresentsMtoMtheMemergencyMdepartmentMwithMpalpitationsMafterMvapingMatMaMparty.
MTheMclientMisManxious,Mfearful,MandMhyperventilating.MTheMnurseManticipatesMtheMclientMdevelopi
ngMwhichMacidMbaseMimbalance?
A.MRespiratoryMacidosis
B.MMetabolicMalkalosis
C.MMetabolicMacidosis
D.MRespiratoryMalkalosisM-MCORRECTMANSWERSM-D.MRespiratoryMalkalosis
AMclientMwithMdyspneaMisMbeingMadmittedMtoMtheMmedicalMunit.MToMbestMprepareMforMtheMclient's
Marrival,MtheMnurseMshouldMensureMthatMtheMclient'sMbedMisMinMwhichMposition?
A.MSupine
B.Msupine;MfeetMelevatedMhigherMthanMhead
C.Msupine;MheadMelevatedMhigherMthanMfeet
D.MFowlersM-MCORRECTMANSWERSM-Fowlers
TheMnurseMisMtakingMtheMbloodMpressureMmeasurementMofMaMclientMwithMParkinson'sMdisease.MW
hichMinformationMinMtheMclient'sMadmissionMassessmentMisMrelevantMtoMtheMnurse'sMplanMforMtaki
ngMtheMbloodMpressureMreading?M(SelectMallMtheMapply)
A.MFrequentMsyncope
B.MOccasionalMnocturia
C.MFlatMaffect
D.MBlurredMvision
E.MFrequentMdroolingM-MCORRECTMANSWERSM-A.MFrequentMsyncope
C.MFlatMaffect
D.MBlurredMvision
, WhileMcaringMforMaMclient'sMpostoperativeMdressing,MtheMnurseMobservesMpurulentMdrainageMatMt
heMwound.MBeforeMreportingMthisMfindingMtoMtheMhealthcareMprovider,MtheMnurseMshouldMreview
MwhichMofMtheMclient'sMlaboratoryMvalues?
A.MSerumMalbumin
B.MCultureMforMsensitiveMorganisms
C.MSerumMbloodMglucoseMlevel
D.MCreatinineMlevelM-MCORRECTMANSWERSM-B.MCultureMforMsensitiveMorganisms
AMpreschool-
agedMboyMisMadmittedMtoMtheMpediatricMunitMfollowingMsuccessfulMresuscitationMfromMaMnear-
drowningMincident.MWhileMprovidingMcareMtoMtheMchild,MtheMnurseMbeginsMtalkingMwithMhisMpread
olescentMbrotherMwhoMrescuedMtheMchildMfromMtheMswimmingMpoolMandMinitiatedMresuscitation.
MTheMnurseMnoticesMtheMolderMboyMbecomesMwithdrawnMwhenMaskedMaboutMwhatMhappened.MW
hichMactionMshouldMtheMnurseMtake?
A.MDevelopMaMwaterMsafetyMteachingMplanMforMtheMfamily
B.MAskMtheMolderMbrotherMhowMheMfeltMduringMtheMincident
C.MTellMtheMolderMbrotherMthatMheMseemsMdepressed
D.MCommendMtheMolderMbrotherMforMhisMheroicMactionsM-MCORRECTMANSWERSM-
B.MAskMtheMolderMbrotherMhowMheMfeltMduringMtheMincident
AMmaleMclientMwithMcirrhosisMhasMjaundiceMandMpruritus.MHeMtellsMtheMnurseMthatMheMhasMbeenMs
oakingMinMhotMbathsMatMnightMwithMnoMreliefMofMhisMdiscomfort.MWhichMactionMshouldMtheMnurse
Mtake?
A.MEncourageMtheMclientMtoMuseMcoolerMwaterMandMapplyMcalamineMlotionMafterMsoaking
B.MObtainMaMPRNMprescriptionMforManManalgesicMthatMtheMclientMcanMuseMforMsymptomMrelief
C.MSuggestMthatMtheMclientMtakeMbriefMshowersMandMapplyMoil-basedMlotionMafterMshowering
D.MExplainMthatMtheMsymptomsMareMcausedMbyMliverMdamageMandMcannotMbeMrelievedM-
MCORRECTMANSWERSM-
A.MEncourageMtheMclientMtoMuseMcoolerMwaterMandMapplyMcalamineMlotionMafterMsoaking
VERSION B 2026-2027/HESI EXIT RN NEXT
GENERATION EXAM ALL 160 QUESTIONS
AND CORRECT DETAILED ANSWERS
AMfemaleMclientMpresentsMinMtheMemergencyMdepartmentMandMtellsMtheMnurseMthatMsheMwasMrap
edMlastMnight.MWhichMquestionMisMmostMimportantMforMtheMnurseMtoMask?
A.MHasMsheMtakenMaMbathMsinceMtheMrapeMoccurred?M
B.MIsMtheMplaceMwhereMsheMlivesMaMsafeMplace?M
C.MDoesMsheMknowMtheMpersonMwhoMrapedMher?
D.MDidMsheMreportMtheMrapeMtoMtheMpoliceMdepartment?M-MCORRECTMANSWERSM-
A.MHasMsheMtakenMaMbathMsinceMtheMrapeMoccurred?
TheMnurseMisMcompletingMtheMadmissionMassessmentMofMaM3-
yearMoldMwhoMisMadmittedMwithMbacterialMmeningitisMandMhydrocephalus.MWhichMassessmentMfi
ndingMisMevidenceMthatMtheMchildMisMexperiencingMincreasedMintracranialMpressureM(ICP)?
A.MTachycardiaMandMtachypnea
B.MSluggishMandMunequalMpupillaryMresponses
C.MIncreasedMheadMcircumferenceMandMbulgingMfontanels
D.MBloodMpressureMfluctuationsMandMsyncopeM-MCORRECTMANSWERSM-
B.MSluggishMandMunequalMpupillaryMresponses
AMclientMwithMacuteMpancreatitisMisMadmittedMwithMsevere,MpiercingMabdominalMpainMandManMele
vatedMserumMamylase.MWhichMadditionalMinformationMisMtheMclientMmostMlikelyMtoMreportMtoMthe
Mnurse?
A.MAbdominalMpainMdecreasesMwhenMlyingMsupine
B.MPainMlastsManMhourMandMleavesMtheMabdomenMtender
,C.MRightMupperMquadrantMpainMrefersMtoMrightMscapula
D.MDrinksMalcoholMuntilMintoxicatedMatMleastMtwiceMweekly.M-MCORRECTMANSWERSM-
A.MAbdominalMpainMdecreasesMwhenMlyingMsupine
AMchildMnewlyMdiagnosedMwithMsickleMcellManemiaM(SCA)MisMbeingMdischargedMfromMtheMhospital.
MWhichMinformationMisMmostMimportantMforMtheMnurseMtoMprovideMtheMparentsMpriorMtoMdischarg
e?
A.MInstructionsMaboutMhowMmuchMfluidMtheMchildMshouldMdrinkMdaily.
B.MSignsMofMaddictionMtoMopioidMpainMmedications
C.MInformationMaboutMnon-pharmaceuticalMpainMreliefMmeasures
D.MReferralMforMsocialMservicesMforMtheMchildMandMfamilyM-MCORRECTMANSWERSM-
A.MInstructionsMaboutMhowMmuchMfluidMtheMchildMshouldMdrinkMdaily
ToMauscultateMforMaMcarotidMbruit,MtheMnurseMplacesMtheMstethoscopeMatMwhatMlocation.M(SelectM
theMlocationMonMtheMimageMwithMaMredMdot).M-MCORRECTMANSWERSM-
IMplacedMtheMredMdotMonMtheMbaseMofMtheMneckMonMtheMrightMside
AfterMreceivingMreportMonManMinpatientMacuteMcareMunit,MwhichMclientMshouldMtheMnurseMassessM
first?
A.MTheMclientMwithManMobstructionMofMtheMlargeMintestineMwhoMisMexperiencingMabdominalMdiste
ntion
B.MTheMclientMwhoMhadMsurgeryMyesterdayMandMisMexperiencingMaMparalyticMileusMwithMabsentMbo
welMsounds
C.MTheMclientMwithMaMsmallMbowelMobstructionMwhoMhasMaMnasogastricMtubeMthatMisMdrainingMgre
enishMfluid
D.MTheMclientMwithMaMbowelMobstructionMdueMtoMaMvolvulusMwhoMisMexperiencingMabdominalMrigi
dityM-MCORRECTMANSWERSM-
D.MTheMclientMwithMaMbowelMobstructionMdueMtoMaMvolvulusMwhoMisMexperiencingMabdominalMrigi
dity
,AMteenagerMpresentsMtoMtheMemergencyMdepartmentMwithMpalpitationsMafterMvapingMatMaMparty.
MTheMclientMisManxious,Mfearful,MandMhyperventilating.MTheMnurseManticipatesMtheMclientMdevelopi
ngMwhichMacidMbaseMimbalance?
A.MRespiratoryMacidosis
B.MMetabolicMalkalosis
C.MMetabolicMacidosis
D.MRespiratoryMalkalosisM-MCORRECTMANSWERSM-D.MRespiratoryMalkalosis
AMclientMwithMdyspneaMisMbeingMadmittedMtoMtheMmedicalMunit.MToMbestMprepareMforMtheMclient's
Marrival,MtheMnurseMshouldMensureMthatMtheMclient'sMbedMisMinMwhichMposition?
A.MSupine
B.Msupine;MfeetMelevatedMhigherMthanMhead
C.Msupine;MheadMelevatedMhigherMthanMfeet
D.MFowlersM-MCORRECTMANSWERSM-Fowlers
TheMnurseMisMtakingMtheMbloodMpressureMmeasurementMofMaMclientMwithMParkinson'sMdisease.MW
hichMinformationMinMtheMclient'sMadmissionMassessmentMisMrelevantMtoMtheMnurse'sMplanMforMtaki
ngMtheMbloodMpressureMreading?M(SelectMallMtheMapply)
A.MFrequentMsyncope
B.MOccasionalMnocturia
C.MFlatMaffect
D.MBlurredMvision
E.MFrequentMdroolingM-MCORRECTMANSWERSM-A.MFrequentMsyncope
C.MFlatMaffect
D.MBlurredMvision
, WhileMcaringMforMaMclient'sMpostoperativeMdressing,MtheMnurseMobservesMpurulentMdrainageMatMt
heMwound.MBeforeMreportingMthisMfindingMtoMtheMhealthcareMprovider,MtheMnurseMshouldMreview
MwhichMofMtheMclient'sMlaboratoryMvalues?
A.MSerumMalbumin
B.MCultureMforMsensitiveMorganisms
C.MSerumMbloodMglucoseMlevel
D.MCreatinineMlevelM-MCORRECTMANSWERSM-B.MCultureMforMsensitiveMorganisms
AMpreschool-
agedMboyMisMadmittedMtoMtheMpediatricMunitMfollowingMsuccessfulMresuscitationMfromMaMnear-
drowningMincident.MWhileMprovidingMcareMtoMtheMchild,MtheMnurseMbeginsMtalkingMwithMhisMpread
olescentMbrotherMwhoMrescuedMtheMchildMfromMtheMswimmingMpoolMandMinitiatedMresuscitation.
MTheMnurseMnoticesMtheMolderMboyMbecomesMwithdrawnMwhenMaskedMaboutMwhatMhappened.MW
hichMactionMshouldMtheMnurseMtake?
A.MDevelopMaMwaterMsafetyMteachingMplanMforMtheMfamily
B.MAskMtheMolderMbrotherMhowMheMfeltMduringMtheMincident
C.MTellMtheMolderMbrotherMthatMheMseemsMdepressed
D.MCommendMtheMolderMbrotherMforMhisMheroicMactionsM-MCORRECTMANSWERSM-
B.MAskMtheMolderMbrotherMhowMheMfeltMduringMtheMincident
AMmaleMclientMwithMcirrhosisMhasMjaundiceMandMpruritus.MHeMtellsMtheMnurseMthatMheMhasMbeenMs
oakingMinMhotMbathsMatMnightMwithMnoMreliefMofMhisMdiscomfort.MWhichMactionMshouldMtheMnurse
Mtake?
A.MEncourageMtheMclientMtoMuseMcoolerMwaterMandMapplyMcalamineMlotionMafterMsoaking
B.MObtainMaMPRNMprescriptionMforManManalgesicMthatMtheMclientMcanMuseMforMsymptomMrelief
C.MSuggestMthatMtheMclientMtakeMbriefMshowersMandMapplyMoil-basedMlotionMafterMshowering
D.MExplainMthatMtheMsymptomsMareMcausedMbyMliverMdamageMandMcannotMbeMrelievedM-
MCORRECTMANSWERSM-
A.MEncourageMtheMclientMtoMuseMcoolerMwaterMandMapplyMcalamineMlotionMafterMsoaking