HESI RN Exit Exam V2 with NGN (2026/2027
Edition) – NCLEX-RN® Readiness | Verified
Questions, NGN Case Studies & Answers
1. A patient is admitted after a fall with possible head injury. What is the nurse’s priority
action?
A. Assess pain level
B. Obtain vital signs
C. Assess airway and breathing
D. Apply ice to injury
Answer: C
Rationale: Airway and breathing are the top priorities using the ABC framework.
2. Which action best prevents healthcare-associated infections?
A. Wearing gloves at all times
B. Hand hygiene
C. Daily linen changes
D. Isolation for all patients
Answer: B
Rationale: Proper hand hygiene is the most effective method to prevent infection transmission.
3. Which position best prevents aspiration during feeding?
A. Supine
B. Side-lying
C. High-Fowler’s
D. Trendelenburg
Answer: C
Rationale: High-Fowler’s position promotes swallowing and reduces aspiration risk.
4. A nurse is caring for a patient with spinal precautions. Which technique is appropriate? A.
Lift patient under arms
B. Log-roll patient
C. Flex hips and knees
D. Raise head of bed
,Answer: B
Rationale: Log-rolling maintains spinal alignment and prevents injury.
5. A patient reports pain rated 8/10. What is the nurse’s best action?
A. Reassure patient
B. Document pain
C. Administer prescribed analgesic
D. Encourage rest
Answer: C
Rationale: Pain should be treated promptly once assessed and medication is available.
6. Oxygen saturation suddenly drops to 88%. What is the nurse’s first action?
A. Apply oxygen
B. Notify provider
C. Check probe placement
D. Begin CPR
Answer: C
Rationale: Equipment accuracy must be verified before interventions.
7. Which finding best indicates adequate hydration?
A. Moist skin
B. Stable blood pressure
C. Urine output ≥30 mL/hr
D. Normal temperature
Answer: C
Rationale: Urine output reflects kidney perfusion and fluid status.
8. A patient refuses medication for religious reasons. What should the nurse do?
A. Administer anyway
B. Notify security
C. Document refusal
D. Persuade patient
Answer: C
Rationale: Patients have the right to refuse treatment; refusal must be documented.
9. Which method is the most accurate for NG tube placement verification?
, A. Air bolus
B. pH testing
C. X-ray
D. Aspirating contents
Answer: C
Rationale: X-ray confirmation is the gold standard for tube placement.
10. A patient receiving restraints must be assessed how often?
A. Once per shift
B. Every 4 hours
C. Every 2 hours
D. Every 24 hours
Answer: C
Rationale: Restraints require frequent assessment to ensure safety and circulation.
11. IV site redness, warmth, and pain indicate:
A. Infiltration
B. Phlebitis
C. Hematoma
D. Occlusion
Answer: B
Rationale: Phlebitis presents with redness, warmth, and tenderness.
12. Which is a therapeutic communication response?
A. “Why are you upset?”
B. “Everything will be okay.”
C. “Tell me more about how you feel.”
D. “You shouldn’t feel that way.”
Answer: C
Rationale: Open-ended statements encourage expression and trust.
13. When teaching incentive spirometer use, the nurse should instruct the patient to:
A. Breathe rapidly
B. Inhale slowly and deeply
C. Hold breath for 1 minute
D. Exhale forcefully
Answer: B
Edition) – NCLEX-RN® Readiness | Verified
Questions, NGN Case Studies & Answers
1. A patient is admitted after a fall with possible head injury. What is the nurse’s priority
action?
A. Assess pain level
B. Obtain vital signs
C. Assess airway and breathing
D. Apply ice to injury
Answer: C
Rationale: Airway and breathing are the top priorities using the ABC framework.
2. Which action best prevents healthcare-associated infections?
A. Wearing gloves at all times
B. Hand hygiene
C. Daily linen changes
D. Isolation for all patients
Answer: B
Rationale: Proper hand hygiene is the most effective method to prevent infection transmission.
3. Which position best prevents aspiration during feeding?
A. Supine
B. Side-lying
C. High-Fowler’s
D. Trendelenburg
Answer: C
Rationale: High-Fowler’s position promotes swallowing and reduces aspiration risk.
4. A nurse is caring for a patient with spinal precautions. Which technique is appropriate? A.
Lift patient under arms
B. Log-roll patient
C. Flex hips and knees
D. Raise head of bed
,Answer: B
Rationale: Log-rolling maintains spinal alignment and prevents injury.
5. A patient reports pain rated 8/10. What is the nurse’s best action?
A. Reassure patient
B. Document pain
C. Administer prescribed analgesic
D. Encourage rest
Answer: C
Rationale: Pain should be treated promptly once assessed and medication is available.
6. Oxygen saturation suddenly drops to 88%. What is the nurse’s first action?
A. Apply oxygen
B. Notify provider
C. Check probe placement
D. Begin CPR
Answer: C
Rationale: Equipment accuracy must be verified before interventions.
7. Which finding best indicates adequate hydration?
A. Moist skin
B. Stable blood pressure
C. Urine output ≥30 mL/hr
D. Normal temperature
Answer: C
Rationale: Urine output reflects kidney perfusion and fluid status.
8. A patient refuses medication for religious reasons. What should the nurse do?
A. Administer anyway
B. Notify security
C. Document refusal
D. Persuade patient
Answer: C
Rationale: Patients have the right to refuse treatment; refusal must be documented.
9. Which method is the most accurate for NG tube placement verification?
, A. Air bolus
B. pH testing
C. X-ray
D. Aspirating contents
Answer: C
Rationale: X-ray confirmation is the gold standard for tube placement.
10. A patient receiving restraints must be assessed how often?
A. Once per shift
B. Every 4 hours
C. Every 2 hours
D. Every 24 hours
Answer: C
Rationale: Restraints require frequent assessment to ensure safety and circulation.
11. IV site redness, warmth, and pain indicate:
A. Infiltration
B. Phlebitis
C. Hematoma
D. Occlusion
Answer: B
Rationale: Phlebitis presents with redness, warmth, and tenderness.
12. Which is a therapeutic communication response?
A. “Why are you upset?”
B. “Everything will be okay.”
C. “Tell me more about how you feel.”
D. “You shouldn’t feel that way.”
Answer: C
Rationale: Open-ended statements encourage expression and trust.
13. When teaching incentive spirometer use, the nurse should instruct the patient to:
A. Breathe rapidly
B. Inhale slowly and deeply
C. Hold breath for 1 minute
D. Exhale forcefully
Answer: B
