2026 HESI RN EXIT EXAM: NEXT
GENERATION NURSING (NGN)
COMPREHENSIVE PRACTICE
EXAMINATION GUIDE
SECTION I: SAFE AND EFFECTIVE CARE ENVIRONMENT (Questions 1-25)
1. A nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate for the nurse to delegate to the UAP?
A. Assessing a client's pain level
B. Administering oral medications
C. Ambulating a stable client
D. Evaluating the effectiveness of pain medication
Correct Answer: C
2. A nurse receives a telephone order from a healthcare provider for a client's pain
medication. What is the nurse's priority action?
A. Implement the order immediately
B. Write the order in the chart and sign "TO"
C. Read the order back to the provider for verification
D. Ask another nurse to listen to the order
Correct Answer: C
3. A nurse is caring for a client who has a new prescription for wrist restraints. Which action
is most important for the nurse to implement?
,A. Document the reason for restraint use
B. Tie the restraints to the bed frame rather than the side rail
C. Remove restraints every 4 hours for range of motion
D. Obtain a PRN order for restraints
Correct Answer: B
4. A nurse is completing an incident report after a client fall. Which action is correct
regarding incident report documentation?
A. Include the incident report in the client's medical record
B. Document "incident report filed" in the client's chart
C. Make a copy of the incident report for the client
D. Describe the incident in detail in the progress notes
Correct Answer: B
5. A nurse is caring for a client who is at risk for falls. Which intervention should the nurse
implement first?
A. Place the call bell within the client's reach
B. Apply a yellow fall risk wristband
C. Complete a fall risk assessment
D. Keep the bed in the lowest position
Correct Answer: C
6. A nurse is preparing to administer a blood transfusion to a client. Which IV solution is
compatible with blood products?
A. Lactated Ringer's solution
B. 5% Dextrose in water
C. 0.9% Normal saline
D. 0.45% Normal saline
Correct Answer: C
,7. A nurse is caring for a client who has a new diagnosis of Clostridioides difficile. Which
infection control precautions should the nurse implement?
A. Standard precautions
B. Contact precautions with soap and water for hand hygiene
C. Droplet precautions
D. Airborne precautions
Correct Answer: B
8. A nurse is caring for a client who is receiving IV vancomycin. The client reports itching
and a red rash on the neck and chest. What is the nurse's priority action?
A. Administer diphenhydramine
B. Stop the infusion
C. Slow the infusion rate
D. Notify the healthcare provider
Correct Answer: B
9. A nurse is caring for a client who has a nasogastric (NG) tube to low intermittent suction.
Which electrolyte imbalance is the client at highest risk for developing?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypocalcemia
Correct Answer: B
10. A nurse is preparing to administer a controlled substance to a client. The nurse wastes
a portion of the medication. Which action should the nurse take?
A. Flush the wasted medication down the sink
B. Waste unused medication with a second nurse witnessing
C. Document the waste in the client's progress notes only
D. Dispose of the waste in the regular trash
Correct Answer: B
, 11. A nurse is caring for a client who is on contact precautions for MRSA. Which personal
protective equipment (PPE) is required?
A. N95 respirator
B. Surgical mask
C. Gown and gloves
D. Face shield only
Correct Answer: C
12. A nurse is caring for a client who is postoperative day 2 and has a platelet count of
20,000/mm³. Which intervention should the nurse implement?
A. Use an electric razor for shaving
B. Administer IM pain medication
C. Apply warm compresses to IV sites
D. Encourage the client to floss teeth daily
Correct Answer: A
13. A nurse is preparing a client for surgery. The client asks about the purpose of informed
consent. The nurse explains that informed consent:
A. Protects the provider from liability
B. Allows the client to make an informed decision about treatment
C. Is the nurse's responsibility to obtain
D. Is required only for emergency procedures
Correct Answer: B
14. A nurse is caring for a client who has an indwelling urinary catheter. Which action best
prevents catheter-associated urinary tract infection (CAUTI)?
A. Empty the drainage bag daily
B. Perform perineal hygiene twice daily
C. Maintain a closed drainage system
D. Irrigate the catheter with normal saline daily
GENERATION NURSING (NGN)
COMPREHENSIVE PRACTICE
EXAMINATION GUIDE
SECTION I: SAFE AND EFFECTIVE CARE ENVIRONMENT (Questions 1-25)
1. A nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate for the nurse to delegate to the UAP?
A. Assessing a client's pain level
B. Administering oral medications
C. Ambulating a stable client
D. Evaluating the effectiveness of pain medication
Correct Answer: C
2. A nurse receives a telephone order from a healthcare provider for a client's pain
medication. What is the nurse's priority action?
A. Implement the order immediately
B. Write the order in the chart and sign "TO"
C. Read the order back to the provider for verification
D. Ask another nurse to listen to the order
Correct Answer: C
3. A nurse is caring for a client who has a new prescription for wrist restraints. Which action
is most important for the nurse to implement?
,A. Document the reason for restraint use
B. Tie the restraints to the bed frame rather than the side rail
C. Remove restraints every 4 hours for range of motion
D. Obtain a PRN order for restraints
Correct Answer: B
4. A nurse is completing an incident report after a client fall. Which action is correct
regarding incident report documentation?
A. Include the incident report in the client's medical record
B. Document "incident report filed" in the client's chart
C. Make a copy of the incident report for the client
D. Describe the incident in detail in the progress notes
Correct Answer: B
5. A nurse is caring for a client who is at risk for falls. Which intervention should the nurse
implement first?
A. Place the call bell within the client's reach
B. Apply a yellow fall risk wristband
C. Complete a fall risk assessment
D. Keep the bed in the lowest position
Correct Answer: C
6. A nurse is preparing to administer a blood transfusion to a client. Which IV solution is
compatible with blood products?
A. Lactated Ringer's solution
B. 5% Dextrose in water
C. 0.9% Normal saline
D. 0.45% Normal saline
Correct Answer: C
,7. A nurse is caring for a client who has a new diagnosis of Clostridioides difficile. Which
infection control precautions should the nurse implement?
A. Standard precautions
B. Contact precautions with soap and water for hand hygiene
C. Droplet precautions
D. Airborne precautions
Correct Answer: B
8. A nurse is caring for a client who is receiving IV vancomycin. The client reports itching
and a red rash on the neck and chest. What is the nurse's priority action?
A. Administer diphenhydramine
B. Stop the infusion
C. Slow the infusion rate
D. Notify the healthcare provider
Correct Answer: B
9. A nurse is caring for a client who has a nasogastric (NG) tube to low intermittent suction.
Which electrolyte imbalance is the client at highest risk for developing?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypocalcemia
Correct Answer: B
10. A nurse is preparing to administer a controlled substance to a client. The nurse wastes
a portion of the medication. Which action should the nurse take?
A. Flush the wasted medication down the sink
B. Waste unused medication with a second nurse witnessing
C. Document the waste in the client's progress notes only
D. Dispose of the waste in the regular trash
Correct Answer: B
, 11. A nurse is caring for a client who is on contact precautions for MRSA. Which personal
protective equipment (PPE) is required?
A. N95 respirator
B. Surgical mask
C. Gown and gloves
D. Face shield only
Correct Answer: C
12. A nurse is caring for a client who is postoperative day 2 and has a platelet count of
20,000/mm³. Which intervention should the nurse implement?
A. Use an electric razor for shaving
B. Administer IM pain medication
C. Apply warm compresses to IV sites
D. Encourage the client to floss teeth daily
Correct Answer: A
13. A nurse is preparing a client for surgery. The client asks about the purpose of informed
consent. The nurse explains that informed consent:
A. Protects the provider from liability
B. Allows the client to make an informed decision about treatment
C. Is the nurse's responsibility to obtain
D. Is required only for emergency procedures
Correct Answer: B
14. A nurse is caring for a client who has an indwelling urinary catheter. Which action best
prevents catheter-associated urinary tract infection (CAUTI)?
A. Empty the drainage bag daily
B. Perform perineal hygiene twice daily
C. Maintain a closed drainage system
D. Irrigate the catheter with normal saline daily
