lOMoARcPSD|
ss
NGN HESI EXIT EXAM RN V FINAL EXAM STUDY ss ss ss ss ss s ss ss
ss GUIDE AND REVIEW WITH 160 QUESTIONS & 100% ss ss ss ss ss ss ss
CORRECT ss
ANSWERS GRADED A+. (GUARANTEED SUCCESS), ss ss ss ss
LATEST 2025 UPDATE. ss ss ss
1. Which information is a priority for the RN to reinforce to an older patient
ss ss ss ss ss ss ss ss ss ss ss ss ss
after intravenous pylegraphy?
ss ss ss
A) Eat a light diet for the rest of the day
ss ss ss ss ss ss ss ss ss
B) Rest for the next 24 hours since the preparation and the test is tiring.
ss ss ss ss ss ss ss ss ss ss ss ss ss
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
next 2 days
ss ss ss
D) Measure the urine output for the next day and immediately notify the health
ss ss ss ss ss ss ss ss ss ss ss ss
care provider if it should decrease.
ss ss ss ss ss ss
ANS is D: Measure the urine output for the next day and immediately notify the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
health care provider if it should decrease.
ss ss ss ss ss ss ss
2. A patient has altered renal function and is being treated at home. The
ss s s ss ss ss ss ss ss ss ss ss ss
nurse recognizes
ss ss
that the most accurate indicator of fluid balance during the weekly visits is
ss ss ss ss ss ss ss ss ss ss ss ss
A) difference in the intake and output ss ss ss ss ss
B) changes in the mucous membranes ss ss ss ss
C) skin turgor ss
D) weekly weight ss
ANS is D: weekly weight
ss ss ss ss
3. A patient has been diagnosed with Zollinger-Ellison
s s s s s s s s s s s s
syndrome.Which information is most important for the nurse to reinforce
s s ss ss ss ss ss ss ss ss ss
with the patient ?
ss ss ss ss
A) It is a condition in which one or more tumors called gastrinomas form in
ss ss ss ss ss ss ss ss ss ss ss ss ss
the pancreas
ss ss
or in the upper part of the small intestine (duodenum)
ss ss ss ss ss ss ss ss ss
, lOMoARcPSD|
ss
B) It is critical to report promptly to your health care provider any findings
ss ss ss ss ss ss ss ss ss ss ss ss
of peptic ulcers
ss s s ss
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and,
ss ss ss ss ss ss ss ss ss ss ss ss
if
ss
possible, surgery to remove any tumors ss ss ss ss ss
D)With the average age at diagnosis at 50 years the peptic ulcers may
ss ss ss ss ss ss ss ss ss ss ss s s
ssoccur at unusual ss ss
areas of the stomach or intestine
ss ss ss ss ss
ANS is B: It is critical to report promptly to your health care provider any
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
findings of peptic ulcers.
ss ss ss ss
4. A prim gravida in the third trimester is hospitalized for preeclampsia. The nurse
ss ss ss ss ss ss ss ss ss ss ss ss
determines that the patient ’s blood pressure is increasing. Which
ss s s s s s s s s s s s s s s s s s s
action should the nurse take first?
s s ss ss ss ss ss
A) Check the protein level in urine ss ss ss ss ss
B) Have the patient turn to the left side
ss ss ss ss ss ss ss
C) Take the temperature ss ss
D) Monitor the urine output ss ss ss
ANS is B: Have the patient turn to the left side
ss ss ss ss ss ss ss ss ss ss
5. The nurse is caring for a patient in atrial fibrillation. The atrial
ss ss ss ss ss ss s s ss ss ss ss
ssheart rate is 250 and the
ss ss ss ss ss
ventricular rate is controlled at 75. Which of the following findings is cause
ss ss ss ss ss ss ss ss ss ss ss ss
for the most concern?
ss ss ss ss
A) Diminished bowel sounds ss ss
B) Loss of appetite ss ss
C) A freezing, pale lower leg
ss ss ss ss
D) Tachypnea
ANS is C: A freezing, pale lower leg
ss ss ss ss ss ss ss
6. The patient with infective endocarditis must be assessed frequently by the
ss ss ss ss ss ss ss ss ss ss
home health
ss ss
nurse. Which finding suggests that antibiotic therapy is not effective, and must be
ss ss ss ss ss ss ss ss ss ss ss ss
reported by the nurse immediately to the healthcare provider?
ss ss ss ss ss ss ss ss ss
A) Nausea and vomiting ss ss
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
ss ss ss ss ss ss ss
C) Diffuse macular rash ss ss
D) Muscle tenderness ss
ANS is B: Fever of 103 degrees F (39.5 degrees C)
ss ss ss ss ss ss ss ss ss ss
, lOMoARcPSD|
ss
7. A patient who had a vasectomy is in the post recovery unit at an
ss ss ss ss ss ss ss ss ss ss ss ss ss
outpatient clinic. Which of these points is most important to be
ss ss ss ss ss ss ss ss ss ss ss
reinforced by the nurse?
ss ss ss ss
A) Until the health care provider has determined that your ejaculate doesn’t
ss ss ss ss ss ss ss ss ss ss
contain sperm, continue to use another form of contraception.
s s ss ss ss ss ss ss ss ss
B) This procedure doesn’t impede the production of male hormones
s s s s s s s s s s s s s s s s
or the production of
s s s s ss ss
sperm in the testicles. The sperm can no longer enter your semen and no sperm
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
are in your ejaculate.
ss ss ss ss
C) After your vasectomy, strenuous activity needs to be avoided for at least
ss ss ss ss ss ss ss ss ss ss ss
48 hours. If
ss ss ss
your work doesn’t involve hard physical labor; you can return to your job as soon
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
as you feel up to it. The stitches generally dissolve in seven to ten days.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
D) The health care provider at this clinic recommends rest, ice, an
s s s s s s s s s s s s s s s s s s s s
athletic supporter or over-the-counter pain medication to relieve any
s s ss ss ss ss ss ss ss ss
discomfort.
ss
ANS is A: Until the health care provider has determined that your ejaculate
ss ss ss ss ss ss ss ss ss ss ss ss
doesn’t contain sperm, continue to use another form of contraception.
s s ss ss ss ss ss ss ss ss ss
8. A patient who is to have antineoplastic chemotherapy tells the nurses of a
ss s s ss ss ss ss ss ss ss ss ss ss
fear of being
ss ss ss
sick all the time and wishes to try acupuncture. Which of these beliefs
ss ss ss ss ss ss ss ss ss ss ss ss
stated by the patient would be incorrect about acupuncture?
ss ss ss ss s s ss ss ss ss
A) Some needles go as deep as 3 inches, depending on where they’re placed
ss ss ss ss ss ss ss ss ss ss ss ss
in the body
ss ss ss
and what the treatment is for. The needles usually are left in for 15 to 30 minutes.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
B) In traditional Chinese medicine, imbalances in the basic energetic flow of
ss ss ss ss ss ss ss ss ss ss
life 4 known as qi or chi 4 are thought to cause illness.
ss ss ss ss ss ss ss ss ss ss ss ss ss
C) The flow of life is believed to flow through major pathways or nerve
ss ss ss ss ss ss ss ss ss ss ss ss
clusters in your body.
ss ss ss ss
D) By inserting extremely fine needles into some of the over 400
ss ss ss ss ss ss ss ss ss ss
ssacupuncture points in ss ss
various combinations it is believed that energy flow will rebalance to
ss s s ss ss ss ss ss s s ss s s
ssallow the body’s natural healing mechanisms to take over.
ss ss ss ss ss ss ss ss
ANS is C: The flow of life is believed to flow through major pathways or
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
nerve clusters in your body.
ss ss ss ss ss
9. The nurse is discussing with a group of students the illness Kawasaki. What
ss ss ss ss ss ss ss ss ss s s ss ss
statement made by a student about Kawasaki illness is incorrect?
s s ss ss ss ss ss ss ss ss ss
, lOMoARcPSD|
ss
A) It also called mucocutaneous lymph node syndrome because it
s s s s s s s s s s s s s s s s
affects the mucous membranes (inside the mouth, throat and nose), skin
s s s s ss ss ss ss ss ss ss ss ss
and lymph nodes.
ss ss ss
B) In the second phase of the illness, findings include peeling of the
s s s s s s s s s s s s s s s s s s s s s s
skin on the hands
s s s s s s ss
and feet with joint and abdominal pain
ss ss ss ss ss ss
C) Kawasaki illness occurs most often in boys, children younger than age 5 ss ss ss ss ss ss ss ss ss ss ss
and children of Hispanic descent
ss ss ss ss ss
D) Initially findings are a sudden high fever, usually above s s s s s s s s s s s s s s s s
s 104 degrees Fahrenheit, which lasts 1 to2 weeks
s s s ss ss ss ss ss ss
ANS is C: Kawasaki illness occurs most often in boys, children younger
ss ss ss ss ss ss ss ss ss ss ss
than age 5 and children of Hispanic descent
ss ss ss ss ss ss ss ss
10. A patient has viral pneumonia affecting 2/3 of the right lung. What would
ss s s ss ss ss ss ss ss ss ss ss ss
be the best
ss ss ss
position to teach the patient to lie in every other hour during first 12 hours
ss ss ss ss s s ss ss ss ss ss ss ss ss ss
after admission?
ss ss
A) Side-lying on the left with the head elevated 10 degrees ss ss ss ss ss ss ss ss ss
B) Side-lying on the left with the head elevated 35 degrees ss ss ss ss ss ss ss ss ss
C) Side-lying on the right will the head elevated 10 degrees ss ss ss ss ss ss ss ss ss
D) Side-lying on the right with the head elevated 35 degrees ss ss ss ss ss ss ss ss ss
ANS is A: Side-lying on the left with the head elevated 10 degrees
ss ss ss ss ss ss ss ss ss ss ss ss
11. A patient has an indwelling catheter with continuous bladder irrigation
ss s s ss ss ss ss ss ss ss
after undergoing a trans urethral resection of the prostate (TURP) 12 hours
ss ss ss ss ss ss ss ss ss ss ss ss
ago. Which finding at this time should be reported to the health care provider?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
A) Light, pink urine ss ss
B) occasional suprapubic cramping ss ss
C) minimal drainage into the urinary collection bag ss ss ss ss ss ss
D) complaints of the feeling of pulling on the urinary catheter ss ss ss ss ss ss ss ss ss
ss ANS is C: minimal drainage into the urinary collection bag
ss ss ss ss ss ss ss ss ss
12. A nurse is performing CPR on an adult who went into
ss ss ss ss ss ss ss ss ss ss
cardiopulmonary arrest.
ss ss
Another nurse enters the room in response to the call. After checking the
ss ss ss ss ss ss ss ss ss ss ss ss
patient ’s pulse
ss ss ss
and respirations, what should be the
s s s s s s s s s s
function of the second nurse?
ss ss ss ss ss
A) Relieve the nurse performing CPR ss ss ss ss
B) Go get the code cart ss ss ss ss
C) Participate with the compressions or breathing ss ss ss ss ss
ss
NGN HESI EXIT EXAM RN V FINAL EXAM STUDY ss ss ss ss ss s ss ss
ss GUIDE AND REVIEW WITH 160 QUESTIONS & 100% ss ss ss ss ss ss ss
CORRECT ss
ANSWERS GRADED A+. (GUARANTEED SUCCESS), ss ss ss ss
LATEST 2025 UPDATE. ss ss ss
1. Which information is a priority for the RN to reinforce to an older patient
ss ss ss ss ss ss ss ss ss ss ss ss ss
after intravenous pylegraphy?
ss ss ss
A) Eat a light diet for the rest of the day
ss ss ss ss ss ss ss ss ss
B) Rest for the next 24 hours since the preparation and the test is tiring.
ss ss ss ss ss ss ss ss ss ss ss ss ss
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
next 2 days
ss ss ss
D) Measure the urine output for the next day and immediately notify the health
ss ss ss ss ss ss ss ss ss ss ss ss
care provider if it should decrease.
ss ss ss ss ss ss
ANS is D: Measure the urine output for the next day and immediately notify the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
health care provider if it should decrease.
ss ss ss ss ss ss ss
2. A patient has altered renal function and is being treated at home. The
ss s s ss ss ss ss ss ss ss ss ss ss
nurse recognizes
ss ss
that the most accurate indicator of fluid balance during the weekly visits is
ss ss ss ss ss ss ss ss ss ss ss ss
A) difference in the intake and output ss ss ss ss ss
B) changes in the mucous membranes ss ss ss ss
C) skin turgor ss
D) weekly weight ss
ANS is D: weekly weight
ss ss ss ss
3. A patient has been diagnosed with Zollinger-Ellison
s s s s s s s s s s s s
syndrome.Which information is most important for the nurse to reinforce
s s ss ss ss ss ss ss ss ss ss
with the patient ?
ss ss ss ss
A) It is a condition in which one or more tumors called gastrinomas form in
ss ss ss ss ss ss ss ss ss ss ss ss ss
the pancreas
ss ss
or in the upper part of the small intestine (duodenum)
ss ss ss ss ss ss ss ss ss
, lOMoARcPSD|
ss
B) It is critical to report promptly to your health care provider any findings
ss ss ss ss ss ss ss ss ss ss ss ss
of peptic ulcers
ss s s ss
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and,
ss ss ss ss ss ss ss ss ss ss ss ss
if
ss
possible, surgery to remove any tumors ss ss ss ss ss
D)With the average age at diagnosis at 50 years the peptic ulcers may
ss ss ss ss ss ss ss ss ss ss ss s s
ssoccur at unusual ss ss
areas of the stomach or intestine
ss ss ss ss ss
ANS is B: It is critical to report promptly to your health care provider any
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
findings of peptic ulcers.
ss ss ss ss
4. A prim gravida in the third trimester is hospitalized for preeclampsia. The nurse
ss ss ss ss ss ss ss ss ss ss ss ss
determines that the patient ’s blood pressure is increasing. Which
ss s s s s s s s s s s s s s s s s s s
action should the nurse take first?
s s ss ss ss ss ss
A) Check the protein level in urine ss ss ss ss ss
B) Have the patient turn to the left side
ss ss ss ss ss ss ss
C) Take the temperature ss ss
D) Monitor the urine output ss ss ss
ANS is B: Have the patient turn to the left side
ss ss ss ss ss ss ss ss ss ss
5. The nurse is caring for a patient in atrial fibrillation. The atrial
ss ss ss ss ss ss s s ss ss ss ss
ssheart rate is 250 and the
ss ss ss ss ss
ventricular rate is controlled at 75. Which of the following findings is cause
ss ss ss ss ss ss ss ss ss ss ss ss
for the most concern?
ss ss ss ss
A) Diminished bowel sounds ss ss
B) Loss of appetite ss ss
C) A freezing, pale lower leg
ss ss ss ss
D) Tachypnea
ANS is C: A freezing, pale lower leg
ss ss ss ss ss ss ss
6. The patient with infective endocarditis must be assessed frequently by the
ss ss ss ss ss ss ss ss ss ss
home health
ss ss
nurse. Which finding suggests that antibiotic therapy is not effective, and must be
ss ss ss ss ss ss ss ss ss ss ss ss
reported by the nurse immediately to the healthcare provider?
ss ss ss ss ss ss ss ss ss
A) Nausea and vomiting ss ss
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
ss ss ss ss ss ss ss
C) Diffuse macular rash ss ss
D) Muscle tenderness ss
ANS is B: Fever of 103 degrees F (39.5 degrees C)
ss ss ss ss ss ss ss ss ss ss
, lOMoARcPSD|
ss
7. A patient who had a vasectomy is in the post recovery unit at an
ss ss ss ss ss ss ss ss ss ss ss ss ss
outpatient clinic. Which of these points is most important to be
ss ss ss ss ss ss ss ss ss ss ss
reinforced by the nurse?
ss ss ss ss
A) Until the health care provider has determined that your ejaculate doesn’t
ss ss ss ss ss ss ss ss ss ss
contain sperm, continue to use another form of contraception.
s s ss ss ss ss ss ss ss ss
B) This procedure doesn’t impede the production of male hormones
s s s s s s s s s s s s s s s s
or the production of
s s s s ss ss
sperm in the testicles. The sperm can no longer enter your semen and no sperm
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
are in your ejaculate.
ss ss ss ss
C) After your vasectomy, strenuous activity needs to be avoided for at least
ss ss ss ss ss ss ss ss ss ss ss
48 hours. If
ss ss ss
your work doesn’t involve hard physical labor; you can return to your job as soon
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
as you feel up to it. The stitches generally dissolve in seven to ten days.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
D) The health care provider at this clinic recommends rest, ice, an
s s s s s s s s s s s s s s s s s s s s
athletic supporter or over-the-counter pain medication to relieve any
s s ss ss ss ss ss ss ss ss
discomfort.
ss
ANS is A: Until the health care provider has determined that your ejaculate
ss ss ss ss ss ss ss ss ss ss ss ss
doesn’t contain sperm, continue to use another form of contraception.
s s ss ss ss ss ss ss ss ss ss
8. A patient who is to have antineoplastic chemotherapy tells the nurses of a
ss s s ss ss ss ss ss ss ss ss ss ss
fear of being
ss ss ss
sick all the time and wishes to try acupuncture. Which of these beliefs
ss ss ss ss ss ss ss ss ss ss ss ss
stated by the patient would be incorrect about acupuncture?
ss ss ss ss s s ss ss ss ss
A) Some needles go as deep as 3 inches, depending on where they’re placed
ss ss ss ss ss ss ss ss ss ss ss ss
in the body
ss ss ss
and what the treatment is for. The needles usually are left in for 15 to 30 minutes.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
B) In traditional Chinese medicine, imbalances in the basic energetic flow of
ss ss ss ss ss ss ss ss ss ss
life 4 known as qi or chi 4 are thought to cause illness.
ss ss ss ss ss ss ss ss ss ss ss ss ss
C) The flow of life is believed to flow through major pathways or nerve
ss ss ss ss ss ss ss ss ss ss ss ss
clusters in your body.
ss ss ss ss
D) By inserting extremely fine needles into some of the over 400
ss ss ss ss ss ss ss ss ss ss
ssacupuncture points in ss ss
various combinations it is believed that energy flow will rebalance to
ss s s ss ss ss ss ss s s ss s s
ssallow the body’s natural healing mechanisms to take over.
ss ss ss ss ss ss ss ss
ANS is C: The flow of life is believed to flow through major pathways or
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
nerve clusters in your body.
ss ss ss ss ss
9. The nurse is discussing with a group of students the illness Kawasaki. What
ss ss ss ss ss ss ss ss ss s s ss ss
statement made by a student about Kawasaki illness is incorrect?
s s ss ss ss ss ss ss ss ss ss
, lOMoARcPSD|
ss
A) It also called mucocutaneous lymph node syndrome because it
s s s s s s s s s s s s s s s s
affects the mucous membranes (inside the mouth, throat and nose), skin
s s s s ss ss ss ss ss ss ss ss ss
and lymph nodes.
ss ss ss
B) In the second phase of the illness, findings include peeling of the
s s s s s s s s s s s s s s s s s s s s s s
skin on the hands
s s s s s s ss
and feet with joint and abdominal pain
ss ss ss ss ss ss
C) Kawasaki illness occurs most often in boys, children younger than age 5 ss ss ss ss ss ss ss ss ss ss ss
and children of Hispanic descent
ss ss ss ss ss
D) Initially findings are a sudden high fever, usually above s s s s s s s s s s s s s s s s
s 104 degrees Fahrenheit, which lasts 1 to2 weeks
s s s ss ss ss ss ss ss
ANS is C: Kawasaki illness occurs most often in boys, children younger
ss ss ss ss ss ss ss ss ss ss ss
than age 5 and children of Hispanic descent
ss ss ss ss ss ss ss ss
10. A patient has viral pneumonia affecting 2/3 of the right lung. What would
ss s s ss ss ss ss ss ss ss ss ss ss
be the best
ss ss ss
position to teach the patient to lie in every other hour during first 12 hours
ss ss ss ss s s ss ss ss ss ss ss ss ss ss
after admission?
ss ss
A) Side-lying on the left with the head elevated 10 degrees ss ss ss ss ss ss ss ss ss
B) Side-lying on the left with the head elevated 35 degrees ss ss ss ss ss ss ss ss ss
C) Side-lying on the right will the head elevated 10 degrees ss ss ss ss ss ss ss ss ss
D) Side-lying on the right with the head elevated 35 degrees ss ss ss ss ss ss ss ss ss
ANS is A: Side-lying on the left with the head elevated 10 degrees
ss ss ss ss ss ss ss ss ss ss ss ss
11. A patient has an indwelling catheter with continuous bladder irrigation
ss s s ss ss ss ss ss ss ss
after undergoing a trans urethral resection of the prostate (TURP) 12 hours
ss ss ss ss ss ss ss ss ss ss ss ss
ago. Which finding at this time should be reported to the health care provider?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
A) Light, pink urine ss ss
B) occasional suprapubic cramping ss ss
C) minimal drainage into the urinary collection bag ss ss ss ss ss ss
D) complaints of the feeling of pulling on the urinary catheter ss ss ss ss ss ss ss ss ss
ss ANS is C: minimal drainage into the urinary collection bag
ss ss ss ss ss ss ss ss ss
12. A nurse is performing CPR on an adult who went into
ss ss ss ss ss ss ss ss ss ss
cardiopulmonary arrest.
ss ss
Another nurse enters the room in response to the call. After checking the
ss ss ss ss ss ss ss ss ss ss ss ss
patient ’s pulse
ss ss ss
and respirations, what should be the
s s s s s s s s s s
function of the second nurse?
ss ss ss ss ss
A) Relieve the nurse performing CPR ss ss ss ss
B) Go get the code cart ss ss ss ss
C) Participate with the compressions or breathing ss ss ss ss ss
