HESI RN Exit Exam V4 Complete Bundle – Latest 2026/2027 Update | 3,000 NGN Nursing Questions & Correct Answers with Detailed Rationales, 100% Guarantee Pass

HESI RN Exit Exam V4 Complete Bundle – Latest 2026/2027 Update | 3,000 NGN
Nursing Questions & Correct Answers with Detailed Rationales, 100% Guarantee
Pass

,HESI RN Exit Exam V4 Complete Bundle – Latest 2026/2027 Update | 3,000 NGN
Nursing Questions & Correct Answers with Detailed Rationales, 100% Guarantee
Pass
Question 1 – Priority Nursing Care
A nurse receives report on four clients. Which client should the nurse assess first?

A. Client requesting assistance with bathing
B. Client with new onset chest pain and sweating
C. Client asking about discharge instructions
D. Client with a scheduled medication

Correct Answer: B. Client with new onset chest pain and sweating

Rationale:
Chest pain with diaphoresis may indicate myocardial infarction and requires immediate
assessment.




Question 2 – Pharmacology
A nurse is preparing to administer digoxin. Which assessment finding requires the nurse to hold
the medication?

A. Apical pulse of 54/min
B. Blood pressure 128/80 mm Hg
C. Temperature 37°C (98.6°F)
D. Respiratory rate 18/min

Correct Answer: A. Apical pulse of 54/min

Rationale:
Digoxin can slow the heart rate. A low apical pulse requires withholding the medication and
notifying the provider.




Question 3 – Medical-Surgical Nursing
A client with diabetes reports sweating, shakiness, and confusion. What should the nurse do
first?

A. Administer insulin
B. Check blood glucose level
C. Encourage exercise
D. Restrict fluids

,HESI RN Exit Exam V4 Complete Bundle – Latest 2026/2027 Update | 3,000 NGN
Nursing Questions & Correct Answers with Detailed Rationales, 100% Guarantee
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Correct Answer: B. Check blood glucose level

Rationale:
These are signs of hypoglycemia; glucose should be assessed immediately.




Question 4 – NGN Case Study
A client arrives in the emergency department with:

• Difficulty breathing
• Oxygen saturation: 82%
• Respiratory rate: 34/min
• Use of accessory muscles

Which action should the nurse take first?

A. Apply oxygen therapy
B. Obtain a dietary history
C. Provide oral fluids
D. Encourage ambulation

Correct Answer: A. Apply oxygen therapy

Rationale:
The client has impaired oxygenation. Improving oxygen supply is the priority.




Question 5 – Pharmacology
A client taking warfarin should be instructed to report:

A. Black tarry stools
B. Mild thirst
C. Increased appetite
D. Dry skin

Correct Answer: A. Black tarry stools

Rationale:
Black stools may indicate gastrointestinal bleeding.

, HESI RN Exit Exam V4 Complete Bundle – Latest 2026/2027 Update | 3,000 NGN
Nursing Questions & Correct Answers with Detailed Rationales, 100% Guarantee
Pass


Question 6 – Maternity Nursing
A postpartum client has heavy bleeding and a soft, boggy uterus. What should the nurse do first?

A. Massage the uterine fundus
B. Prepare discharge instructions
C. Offer food
D. Encourage walking

Correct Answer: A. Massage the uterine fundus

Rationale:
A boggy uterus indicates uterine atony, which causes postpartum hemorrhage.




Question 7 – Pediatrics
A nurse is caring for a child with respiratory distress. Which finding requires immediate action?

A. Mild cough
B. Nasal flaring and retractions
C. Runny nose
D. Temperature of 37.3°C

Correct Answer: B. Nasal flaring and retractions

Rationale:
These findings indicate increased work of breathing.




Question 8 – Mental Health Nursing
A client says, “I don’t want to live anymore.” Which response is best?

A. “You have many reasons to live.”
B. “Are you thinking about harming yourself?”
C. “Try to think positively.”
D. “Your family needs you.”

Correct Answer: B. “Are you thinking about harming yourself?”