2026 HESI RN EXIT
1000+ QUESTIONS BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This Document contains:
➢ 1000+ Questions with Correct Answers
➢ Passing Score Guarantee
➢ multiple-choice format (A, B, C, D) with correct answers
➢ structured rationales.
➢ Next Generation NCLEX (NGN)-style.
➢ Some questions feature “case scenarios”
➢ Select All That Apply (SATA), ordering, fill-in-the-blank for dosage
, DIGITAL DOCUMENT PREVIEW
PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
If you require further clarification or in need of any study
resources, feel free to Message me.
,On the second postoperative day, a client who had a colon resection is starting
to eat and ambulate with assistance. Although the client has a prescription for
an oral analgesic, they request that the PCA containing morphine be continued
for one more day due to fear of pain. Which intervention is most important for
the nurse to implement?
A. Measure urinary output to ensure renal functioning.
B. Administer the oral analgesic medication an hour before discontinuing the PCA
pump.
C. Monitor for a depressed respiratory rate.
D. Teach about the need to progress to a high-fiber diet.
Correct Answer:
B. Administer the oral analgesic medication an hour before discontinuing the PCA
pump.
The nurse is triaging several children as they present to the emergency room
after a school bus accident. Which child requires the most immediate
intervention by the nurse?
A. A 12-year-old reporting neck, arm, and lower back discomfort.
B. An 8-year-old with a full leg air splint for a possible broken tibia.
C. A 6-year-old with multiple superficial lacerations of all extremities.
D. An 11-year-old with a headache, nausea, and projectile vomiting.
Correct Answer:
D. An 11-year-old with a headache, nausea, and projectile vomiting.
When the parents of a 6-year-old boy with a brain tumor are told that his
condition is terminal, the mother shouts at the father, "This is your fault! It
never would have happened if we had sought treatment sooner!" Which
intervention is best for the nurse to implement?
,A. Refer the parents to the chaplain to provide grief counseling.
B. Tell the parents that blaming each other will not change the situation
C. Assure the parents that a terminal diagnosis is inevitable.
D. Explain to the parents that anger is a common response to grief.
Correct Answer:
D. Explain to the parents that anger is a common response to grief.
When the nurse enters the room of a male client who was admitted for a
fractured femur, his cardiac monitor displays a normal sinus rhythm (NSR), but
he has no spontaneous respirations and his carotid pulse is not palpable. Which
intervention should the nurse implement?
A. Observe for swelling at the fracture site.
B. Analyze the cardiac rhythm in another lead.
C. Obtain a 12-lead electrocardiogram.
D. Begin chest compressions at 100/minute.
Correct Answer:
D. Begin chest compressions at 100/minute.
A client with persistent low back pain has received a prescription for an
electronic stimulator (TENS) unit. After the nurse applies the electrodes and
turns on the power, the client reports feeling a tingling sensation. How should
the nurse respond?
A. Remove electrodes and observe for skin redness.
B. Decrease the strength of the electrical signals.
C. Check the amount of gel coating on the electrodes.
,D. Determine if the sensation feels uncomfortable.
Correct Answer:
D. Determine if the sensation feels uncomfortable.
The nurse implements a primary prevention program for sexually transmitted
diseases in a nurse-managed health center. Which outcome Indicates that the
program was effective?
A. New screening protocols were developed, validated, and implemented.
B. Clients who incurred disease complications promptly received rehabilitation.
C. Average client scores improved on specific risk factor knowledge tests.
D. More than half of at-risk clients were diagnosed early in their disease process.
Correct Answer:
C. Average client scores improved on specific risk factor knowledge tests.
An older client is admitted to the intensive care unit unconscious after several
days of vomiting and diarrhea.
Vital Signs
Heart Rate-beats/minute- 110 Respirations - breathes/minute- 28 Blood Pressure -
mmHG- 80/60
Arterial blood gases (ABGs)
Ph- 7.34
PaCO2- 34 mmHg
HCO3- 20 mmol/L
pO2- 90 mmHg
Electrolytes Results
Sodium
,130 mEq/L(mmol/L) Potassium
2.5 mEq/L (mmol/L) Chloride
95 mEq/L (mmol/L)
Reference Range:
Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]
Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
Chloride [98 to 106 mEq/L (98 to 106 mmol/L)]
PaCO2 [35 to 45 mm Hg]
HCO, [21 to 28 mEq/L (21 to 28 mmol/L)] PaO2 [80 to 100 mm Hg)
The nurse inserts a urinary catheter and obtains a scant amount of dark amber
output. Which intervention should the nurse implement first? (Please scroll and
view each tab's information in the client's medical record before selecting the
answer.)
Correct Answer:
D. Give a bolus of 0.9% sodium chloride 1,000 ml over 30 minutes.
The nurse implements a primary prevention program for sexually transmitted
diseases in a nurse-managed health center. Which outcome Indicates that the
program was effective?
A. New screening protocols were developed, validated, and implemented.
B. Clients who incurred disease complications promptly received rehabilitation.
C. Average client scores improved on specific risk factor knowledge tests.
D. More than half at risk clients were diagnosed early in the disease process
Correct Answer:
C. Average client scores improved on specific risk factor knowledge tests.
,The nurse has completed the diet teaching of a client who is being discharged
following treatment of a leg wound. A high protein diet is encouraged to
promote wound healing. Which lunch choice by the client Indicates that the
teaching was effective?
A. A salad with three kinds of lettuce and fruit.
B. Vegetable soup, crackers, and milk.
C. A peanut butter sandwich with soda and cookies.
D. A tuna fish sandwich with chips and ice cream.
Correct Answer:
D. A tuna fish sandwich with chips and ice cream.
A client who is one day postpartum tells the nurse that her baby cannot latch onto
the breast.
The nurse determines that the client's nipples are inverted. Which action should
the nurse implement?
A. Encourage the use of ice on the areola.
B. Teach about the use of a breast pump.
C. Offer supplemental formula feedings.
D. Recommend using a breast shield.
Correct Answer:
D. Recommend using a breast shield.
A 3-year-old boy was successfully toilet trained prior to his admission to the
hospital for injuries sustained from a fall. His parents are very concerned that
the child has regressed in his toileting behaviors. Which information should the
nurse provide to the parents?
A. Diapering will be provided since hospitalization is stressful to preschoolers.
,B. A retraining program will need to be initiated when the child returns home.
C. A potty chair should be brought from home so he can maintain his toileting
skills.
D. Children usually resume their toileting behaviors when they leave the hospital.
Correct Answer:
D. Children usually resume their toileting behaviors when they leave the hospital.
The nurse has completed the diet teaching of a client who is being discharged
following treatment of a leg wound. A high protein diet is encouraged to
promote wound healing. Which lunch choice by the client indicates that the
teaching was effective?
A. A salad with three kinds of lettuce and fruit.
B. Vegetable soup, crackers, and milk.
C. A peanut butter sandwich with soda and cookies.
D. A tuna fish sandwich with chips and ice cream.
Correct Answer:
D. A tuna fish sandwich with chips and ice cream.
In assessing a client at 34 weeks gestation, the nurse notes that she has a slightly
elevated total T4 with a slightly enlarged thyroid, a hematocrit of 28% (0.28
volume fraction), a heart rate of 92 beats per minute, and a systolic murmur.
Which finding requires follow-up?
Reference Range:
Hematocrit [37% to 47% (0.37 to 0.47 volume fraction)]
A. Hematocrit of 28% (0.28 volume fraction).
B. Heart rate of 92 beats per minute.
,C. Systolic murmur.
D. Elevated thyroid hormone level.
Correct Answer:
A. Hematocrit of 28% (0.28 volume fraction).
After a spider bite on the lower extremity, a client is admitted for treatment of
an infection that is spreading up the leg. Which admission assessment finding(s)
should the nurse report to the healthcare provider? (Select all that apply.)
A. Red blood cell count (RBC).
B. Core body temperature.
C. Swollen lymph nodes in the groin.
D. Location of the initial intravenous (IV) site.
E. White blood cell count (WBC).
Correct Answer:
B. Core body temperature.
C. Swollen lymph nodes in the groin.
E. White blood cell count (WBC).
The nurse is caring for a client with the sexually transmitted infection (STI)
syphilis. The client reports having had prior sexually transmitted infections.
Which response should the nurse provide?
A. Discuss that partners without similar symptoms may not be infected.
B. Answer questions directly and correct any misinformation.
C. Provide counseling that most contraceptives protect against infection.
, D. Notify that persons with STIs are reported to local health departments.
Correct Answer:
B. Answer questions directly and correct any misinformation.
An older woman who has difficulty hearing is being discharged from day surgery
following a cataract extraction and lens implantation. Which intervention is
most important for the nurse to implement to help ensure the client's
compliance with self-care?
A. Have the client vocalize the instructions provided.
B. Provide written instructions for eye drop administration.
C. Speak clearly and face the client for lip reading.
D. Ensure that someone will stay with the client for 24 hours.
Correct Answer:
A. Have the client vocalize the instructions provided.
An older adult client is admitted to the stroke unit after recovery from the acute
phrase of an ischemic cerebral vascular accident (CVA). Which intervention(s)
should the nurse include in the plan of care during convalescence and
rehabilitation? (Select all that apply.)
A. Place a bedside commode next to bed.
B. Measure neurological vital signs every 4 hours.
C. Suction oral cavity every 4 hours.
D. Encourage family to participate in the client's care.
E. Play classical music in room while client is
Correct Answer:
A. Place a bedside commode next to bed.
B. Measure neurological vital signs every 4 hours.
1000+ QUESTIONS BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This Document contains:
➢ 1000+ Questions with Correct Answers
➢ Passing Score Guarantee
➢ multiple-choice format (A, B, C, D) with correct answers
➢ structured rationales.
➢ Next Generation NCLEX (NGN)-style.
➢ Some questions feature “case scenarios”
➢ Select All That Apply (SATA), ordering, fill-in-the-blank for dosage
, DIGITAL DOCUMENT PREVIEW
PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
If you require further clarification or in need of any study
resources, feel free to Message me.
,On the second postoperative day, a client who had a colon resection is starting
to eat and ambulate with assistance. Although the client has a prescription for
an oral analgesic, they request that the PCA containing morphine be continued
for one more day due to fear of pain. Which intervention is most important for
the nurse to implement?
A. Measure urinary output to ensure renal functioning.
B. Administer the oral analgesic medication an hour before discontinuing the PCA
pump.
C. Monitor for a depressed respiratory rate.
D. Teach about the need to progress to a high-fiber diet.
Correct Answer:
B. Administer the oral analgesic medication an hour before discontinuing the PCA
pump.
The nurse is triaging several children as they present to the emergency room
after a school bus accident. Which child requires the most immediate
intervention by the nurse?
A. A 12-year-old reporting neck, arm, and lower back discomfort.
B. An 8-year-old with a full leg air splint for a possible broken tibia.
C. A 6-year-old with multiple superficial lacerations of all extremities.
D. An 11-year-old with a headache, nausea, and projectile vomiting.
Correct Answer:
D. An 11-year-old with a headache, nausea, and projectile vomiting.
When the parents of a 6-year-old boy with a brain tumor are told that his
condition is terminal, the mother shouts at the father, "This is your fault! It
never would have happened if we had sought treatment sooner!" Which
intervention is best for the nurse to implement?
,A. Refer the parents to the chaplain to provide grief counseling.
B. Tell the parents that blaming each other will not change the situation
C. Assure the parents that a terminal diagnosis is inevitable.
D. Explain to the parents that anger is a common response to grief.
Correct Answer:
D. Explain to the parents that anger is a common response to grief.
When the nurse enters the room of a male client who was admitted for a
fractured femur, his cardiac monitor displays a normal sinus rhythm (NSR), but
he has no spontaneous respirations and his carotid pulse is not palpable. Which
intervention should the nurse implement?
A. Observe for swelling at the fracture site.
B. Analyze the cardiac rhythm in another lead.
C. Obtain a 12-lead electrocardiogram.
D. Begin chest compressions at 100/minute.
Correct Answer:
D. Begin chest compressions at 100/minute.
A client with persistent low back pain has received a prescription for an
electronic stimulator (TENS) unit. After the nurse applies the electrodes and
turns on the power, the client reports feeling a tingling sensation. How should
the nurse respond?
A. Remove electrodes and observe for skin redness.
B. Decrease the strength of the electrical signals.
C. Check the amount of gel coating on the electrodes.
,D. Determine if the sensation feels uncomfortable.
Correct Answer:
D. Determine if the sensation feels uncomfortable.
The nurse implements a primary prevention program for sexually transmitted
diseases in a nurse-managed health center. Which outcome Indicates that the
program was effective?
A. New screening protocols were developed, validated, and implemented.
B. Clients who incurred disease complications promptly received rehabilitation.
C. Average client scores improved on specific risk factor knowledge tests.
D. More than half of at-risk clients were diagnosed early in their disease process.
Correct Answer:
C. Average client scores improved on specific risk factor knowledge tests.
An older client is admitted to the intensive care unit unconscious after several
days of vomiting and diarrhea.
Vital Signs
Heart Rate-beats/minute- 110 Respirations - breathes/minute- 28 Blood Pressure -
mmHG- 80/60
Arterial blood gases (ABGs)
Ph- 7.34
PaCO2- 34 mmHg
HCO3- 20 mmol/L
pO2- 90 mmHg
Electrolytes Results
Sodium
,130 mEq/L(mmol/L) Potassium
2.5 mEq/L (mmol/L) Chloride
95 mEq/L (mmol/L)
Reference Range:
Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]
Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
Chloride [98 to 106 mEq/L (98 to 106 mmol/L)]
PaCO2 [35 to 45 mm Hg]
HCO, [21 to 28 mEq/L (21 to 28 mmol/L)] PaO2 [80 to 100 mm Hg)
The nurse inserts a urinary catheter and obtains a scant amount of dark amber
output. Which intervention should the nurse implement first? (Please scroll and
view each tab's information in the client's medical record before selecting the
answer.)
Correct Answer:
D. Give a bolus of 0.9% sodium chloride 1,000 ml over 30 minutes.
The nurse implements a primary prevention program for sexually transmitted
diseases in a nurse-managed health center. Which outcome Indicates that the
program was effective?
A. New screening protocols were developed, validated, and implemented.
B. Clients who incurred disease complications promptly received rehabilitation.
C. Average client scores improved on specific risk factor knowledge tests.
D. More than half at risk clients were diagnosed early in the disease process
Correct Answer:
C. Average client scores improved on specific risk factor knowledge tests.
,The nurse has completed the diet teaching of a client who is being discharged
following treatment of a leg wound. A high protein diet is encouraged to
promote wound healing. Which lunch choice by the client Indicates that the
teaching was effective?
A. A salad with three kinds of lettuce and fruit.
B. Vegetable soup, crackers, and milk.
C. A peanut butter sandwich with soda and cookies.
D. A tuna fish sandwich with chips and ice cream.
Correct Answer:
D. A tuna fish sandwich with chips and ice cream.
A client who is one day postpartum tells the nurse that her baby cannot latch onto
the breast.
The nurse determines that the client's nipples are inverted. Which action should
the nurse implement?
A. Encourage the use of ice on the areola.
B. Teach about the use of a breast pump.
C. Offer supplemental formula feedings.
D. Recommend using a breast shield.
Correct Answer:
D. Recommend using a breast shield.
A 3-year-old boy was successfully toilet trained prior to his admission to the
hospital for injuries sustained from a fall. His parents are very concerned that
the child has regressed in his toileting behaviors. Which information should the
nurse provide to the parents?
A. Diapering will be provided since hospitalization is stressful to preschoolers.
,B. A retraining program will need to be initiated when the child returns home.
C. A potty chair should be brought from home so he can maintain his toileting
skills.
D. Children usually resume their toileting behaviors when they leave the hospital.
Correct Answer:
D. Children usually resume their toileting behaviors when they leave the hospital.
The nurse has completed the diet teaching of a client who is being discharged
following treatment of a leg wound. A high protein diet is encouraged to
promote wound healing. Which lunch choice by the client indicates that the
teaching was effective?
A. A salad with three kinds of lettuce and fruit.
B. Vegetable soup, crackers, and milk.
C. A peanut butter sandwich with soda and cookies.
D. A tuna fish sandwich with chips and ice cream.
Correct Answer:
D. A tuna fish sandwich with chips and ice cream.
In assessing a client at 34 weeks gestation, the nurse notes that she has a slightly
elevated total T4 with a slightly enlarged thyroid, a hematocrit of 28% (0.28
volume fraction), a heart rate of 92 beats per minute, and a systolic murmur.
Which finding requires follow-up?
Reference Range:
Hematocrit [37% to 47% (0.37 to 0.47 volume fraction)]
A. Hematocrit of 28% (0.28 volume fraction).
B. Heart rate of 92 beats per minute.
,C. Systolic murmur.
D. Elevated thyroid hormone level.
Correct Answer:
A. Hematocrit of 28% (0.28 volume fraction).
After a spider bite on the lower extremity, a client is admitted for treatment of
an infection that is spreading up the leg. Which admission assessment finding(s)
should the nurse report to the healthcare provider? (Select all that apply.)
A. Red blood cell count (RBC).
B. Core body temperature.
C. Swollen lymph nodes in the groin.
D. Location of the initial intravenous (IV) site.
E. White blood cell count (WBC).
Correct Answer:
B. Core body temperature.
C. Swollen lymph nodes in the groin.
E. White blood cell count (WBC).
The nurse is caring for a client with the sexually transmitted infection (STI)
syphilis. The client reports having had prior sexually transmitted infections.
Which response should the nurse provide?
A. Discuss that partners without similar symptoms may not be infected.
B. Answer questions directly and correct any misinformation.
C. Provide counseling that most contraceptives protect against infection.
, D. Notify that persons with STIs are reported to local health departments.
Correct Answer:
B. Answer questions directly and correct any misinformation.
An older woman who has difficulty hearing is being discharged from day surgery
following a cataract extraction and lens implantation. Which intervention is
most important for the nurse to implement to help ensure the client's
compliance with self-care?
A. Have the client vocalize the instructions provided.
B. Provide written instructions for eye drop administration.
C. Speak clearly and face the client for lip reading.
D. Ensure that someone will stay with the client for 24 hours.
Correct Answer:
A. Have the client vocalize the instructions provided.
An older adult client is admitted to the stroke unit after recovery from the acute
phrase of an ischemic cerebral vascular accident (CVA). Which intervention(s)
should the nurse include in the plan of care during convalescence and
rehabilitation? (Select all that apply.)
A. Place a bedside commode next to bed.
B. Measure neurological vital signs every 4 hours.
C. Suction oral cavity every 4 hours.
D. Encourage family to participate in the client's care.
E. Play classical music in room while client is
Correct Answer:
A. Place a bedside commode next to bed.
B. Measure neurological vital signs every 4 hours.
