NGN HESI RN EXIT EXAM / ACTUAL RN HESI EXIT EXAM
WITH NGN ACCURATE EXAM 2026/2027 PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(100% CORRECT VERIFIED SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED SUCCESS A+
|JUST RELEASED
SECTION 1: PRIORITIZATION, DELEGATION &
LEADERSHIP
Question 1
A charge nurse is making assignments on a medical-surgical unit.
Which client should be assigned to the most experienced RN?
A) A client with COPD who has an oxygen saturation of 90% on 2L
nasal cannula
B) A client with new-onset chest pain and ST-segment elevation on
ECG
C) A client with diabetes requesting insulin administration teaching
D) A client with a urinary tract infection receiving oral antibiotics
Correct Answer: B
,Rationale: The client with new-onset chest pain and ST-segment
elevation is unstable and may be experiencing an acute myocardial
infarction. This client requires the most experienced RN for rapid
assessment, monitoring, and intervention. The other clients are
stable and can be assigned to less experienced nurses. Prioritization
follows the ABCs and unstable-before-stable framework.
Question 2
Which task is appropriate for the nurse to delegate to an LPN/LVN?
A) Perform the initial admission assessment on a new client
B) Administer a blood transfusion
C) Reinforce teaching about a new diagnosis provided by the RN
D) Develop the client's plan of care
Correct Answer: C
Rationale: LPNs/LVNs can reinforce teaching that has already been
provided by the RN. Initial assessments (A), blood transfusions (B)
(which require two RN verifications), and care planning (D) are RN
responsibilities that cannot be delegated.
Question 3
,A nurse is caring for four clients. Which client should the nurse
assess first?
A) A 10-year-old with appendicitis who reports sudden relief from
abdominal pain
B) A 6-year-old with asthma who has mild wheezing
C) A 2-year-old with a fever of 38.5°C (101.3°F)
D) A 12-year-old with a sprained ankle requesting pain medication
Correct Answer: A
Rationale: Sudden relief from pain in a client with appendicitis may
indicate perforation of the appendix, a medical emergency. When
the appendix ruptures, pain may temporarily subside before
peritonitis develops. This unexpected finding requires immediate
assessment and surgical intervention.
Question 4
A charge nurse is making assignments for one practical nurse (PN)
and three registered nurses (RNs) on a neurology unit. Which client
change in status is best to assign to the PN?
A) Subdural hematoma client whose BP changed from 150/80 to
170/60
, B) Viral meningitis client whose temperature changed from 101.5°F
to 102°F
C) Diabetic ketoacidosis client whose GCS changed from 10 to 7
D) Myxedema client whose BP changed from 80/50 to 70/40
Correct Answer: B
Rationale: A PN can monitor a slight temperature increase in viral
meningitis as this represents a stable, predictable change. The more
critical changes—large BP shifts (A, D) and significant drop in GCS
from 10 to 7 (C)—require an RN's advanced assessment skills and
potential immediate intervention.
Question 5
A nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which task is appropriate for the nurse to
delegate?
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
WITH NGN ACCURATE EXAM 2026/2027 PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(100% CORRECT VERIFIED SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED SUCCESS A+
|JUST RELEASED
SECTION 1: PRIORITIZATION, DELEGATION &
LEADERSHIP
Question 1
A charge nurse is making assignments on a medical-surgical unit.
Which client should be assigned to the most experienced RN?
A) A client with COPD who has an oxygen saturation of 90% on 2L
nasal cannula
B) A client with new-onset chest pain and ST-segment elevation on
ECG
C) A client with diabetes requesting insulin administration teaching
D) A client with a urinary tract infection receiving oral antibiotics
Correct Answer: B
,Rationale: The client with new-onset chest pain and ST-segment
elevation is unstable and may be experiencing an acute myocardial
infarction. This client requires the most experienced RN for rapid
assessment, monitoring, and intervention. The other clients are
stable and can be assigned to less experienced nurses. Prioritization
follows the ABCs and unstable-before-stable framework.
Question 2
Which task is appropriate for the nurse to delegate to an LPN/LVN?
A) Perform the initial admission assessment on a new client
B) Administer a blood transfusion
C) Reinforce teaching about a new diagnosis provided by the RN
D) Develop the client's plan of care
Correct Answer: C
Rationale: LPNs/LVNs can reinforce teaching that has already been
provided by the RN. Initial assessments (A), blood transfusions (B)
(which require two RN verifications), and care planning (D) are RN
responsibilities that cannot be delegated.
Question 3
,A nurse is caring for four clients. Which client should the nurse
assess first?
A) A 10-year-old with appendicitis who reports sudden relief from
abdominal pain
B) A 6-year-old with asthma who has mild wheezing
C) A 2-year-old with a fever of 38.5°C (101.3°F)
D) A 12-year-old with a sprained ankle requesting pain medication
Correct Answer: A
Rationale: Sudden relief from pain in a client with appendicitis may
indicate perforation of the appendix, a medical emergency. When
the appendix ruptures, pain may temporarily subside before
peritonitis develops. This unexpected finding requires immediate
assessment and surgical intervention.
Question 4
A charge nurse is making assignments for one practical nurse (PN)
and three registered nurses (RNs) on a neurology unit. Which client
change in status is best to assign to the PN?
A) Subdural hematoma client whose BP changed from 150/80 to
170/60
, B) Viral meningitis client whose temperature changed from 101.5°F
to 102°F
C) Diabetic ketoacidosis client whose GCS changed from 10 to 7
D) Myxedema client whose BP changed from 80/50 to 70/40
Correct Answer: B
Rationale: A PN can monitor a slight temperature increase in viral
meningitis as this represents a stable, predictable change. The more
critical changes—large BP shifts (A, D) and significant drop in GCS
from 10 to 7 (C)—require an RN's advanced assessment skills and
potential immediate intervention.
Question 5
A nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which task is appropriate for the nurse to
delegate?
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
