HESI RN EXIT EXAM V5
2026/2027 EDITION – NGN PRACTICE QUESTIONS and
answers
,HESI RN EXIT EXAM V5
2026/2027 EDITION – NGN PRACTICE QUESTIONS and
answers
Question 1 – Priority Nursing Care
A nurse receives report on four clients. Which client should the nurse assess first?
A. Client requesting assistance to the bathroom
B. Client with sudden confusion and oxygen saturation of 86%
C. Client waiting for discharge instructions
D. Client requesting a snack
Correct Answer: B. Client with sudden confusion and oxygen saturation of 86%
Rationale:
Sudden confusion with low oxygen saturation indicates possible hypoxia and requires immediate
assessment.
Question 2 – Pharmacology
A nurse is preparing to administer digoxin. Which finding requires the nurse to hold the
medication?
A. Apical pulse of 50/min
B. Blood pressure 130/80 mm Hg
C. Temperature 37°C (98.6°F)
D. Respiratory rate 18/min
Correct Answer: A. Apical pulse of 50/min
Rationale:
Digoxin can slow the heart rate. A low apical pulse requires withholding the medication.
Question 3 – Medical-Surgical Nursing
A client with diabetes becomes sweaty, shaky, and confused. What is the nurse’s priority action?
, HESI RN EXIT EXAM V5
2026/2027 EDITION – NGN PRACTICE QUESTIONS and
answers
A. Administer insulin
B. Check blood glucose level
C. Encourage exercise
D. Restrict fluids
Correct Answer: B. Check blood glucose level
Rationale:
The symptoms suggest hypoglycemia, which must be confirmed immediately.
Question 4 – NGN Case Study
A client presents to the emergency department with:
• Severe shortness of breath
• Respiratory rate 32/min
• Oxygen saturation 84%
• Use of accessory muscles
What should the nurse do first?
A. Apply oxygen therapy
B. Obtain medical history
C. Provide oral fluids
D. Encourage walking
Correct Answer: A. Apply oxygen therapy
Rationale:
The priority is improving oxygenation and supporting breathing.
Question 5 – Pharmacology
A client taking warfarin should immediately report:
2026/2027 EDITION – NGN PRACTICE QUESTIONS and
answers
,HESI RN EXIT EXAM V5
2026/2027 EDITION – NGN PRACTICE QUESTIONS and
answers
Question 1 – Priority Nursing Care
A nurse receives report on four clients. Which client should the nurse assess first?
A. Client requesting assistance to the bathroom
B. Client with sudden confusion and oxygen saturation of 86%
C. Client waiting for discharge instructions
D. Client requesting a snack
Correct Answer: B. Client with sudden confusion and oxygen saturation of 86%
Rationale:
Sudden confusion with low oxygen saturation indicates possible hypoxia and requires immediate
assessment.
Question 2 – Pharmacology
A nurse is preparing to administer digoxin. Which finding requires the nurse to hold the
medication?
A. Apical pulse of 50/min
B. Blood pressure 130/80 mm Hg
C. Temperature 37°C (98.6°F)
D. Respiratory rate 18/min
Correct Answer: A. Apical pulse of 50/min
Rationale:
Digoxin can slow the heart rate. A low apical pulse requires withholding the medication.
Question 3 – Medical-Surgical Nursing
A client with diabetes becomes sweaty, shaky, and confused. What is the nurse’s priority action?
, HESI RN EXIT EXAM V5
2026/2027 EDITION – NGN PRACTICE QUESTIONS and
answers
A. Administer insulin
B. Check blood glucose level
C. Encourage exercise
D. Restrict fluids
Correct Answer: B. Check blood glucose level
Rationale:
The symptoms suggest hypoglycemia, which must be confirmed immediately.
Question 4 – NGN Case Study
A client presents to the emergency department with:
• Severe shortness of breath
• Respiratory rate 32/min
• Oxygen saturation 84%
• Use of accessory muscles
What should the nurse do first?
A. Apply oxygen therapy
B. Obtain medical history
C. Provide oral fluids
D. Encourage walking
Correct Answer: A. Apply oxygen therapy
Rationale:
The priority is improving oxygenation and supporting breathing.
Question 5 – Pharmacology
A client taking warfarin should immediately report:
