HESI RN EXIT EXAM NGN 2026
COMPREHENSIVE PRACTICE QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
RATIONALES CLINICAL JUDGMENT, CASE
STUDIES AND NCLEX-STYLE REVIEW
The home care nurse visits a client who has cancer. The client reports
having a good appetite but experiencing nausea when smelling food
cooking. Which action should the nurse implement?
A. Encourage family members to cook meals outdoors and bring the cooked
food inside
B. Assess the client's mucous membranes and report the findings to the
healthcare provider
C. Advise the client to replace cooked foods with a variety of different
nutritional supplements
D. Instruct the client to take an antiemetic before every meal to prevent
excessive vomiting - CORRECT ANSWER-A. Encourage family members
to cook meals outdoors and bring the cooked food inside
The nurse is wearing personal protective equipment (PPE) while caring for
a client. When exiting the room, which PPE should be removed first?
A. Gloves
B. Mask
C. Eyewear
,D. Gown - CORRECT ANSWER-A. Gloves
An older male client, who is a retired chef, is hospitalized with a diabetic
ulcer on his foot. His daughter tells the nurse that her father has become
increasingly obsessed with the way his food is prepared in the hospital. The
nurse's response should be based on what information?
A. The client probably has an organic brain disease and will likely have
Alzheimer's disease within a few years
B. The family needs a social worker to talk to them about how to handle
their father when he becomes annoying
C. The daughter is under stress and should be encouraged to think about
happier times
D. If the client was compulsive about food when he was younger, the aging
process can magnify this - CORRECT ANSWER-D. If the client was
compulsive about food when he was younger, the aging process can
magnify this
A client is receiving enoxaparin 30mg subcutaneously twice a day. In
assessing for adverse effects of the medication, which serum laboratory
value is most important for the nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - CORRECT ANSWER-C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory sensitivity,
difficulty engaging in social interactions, and has not yet spoken two-word
phrases. Which assessment should the nurse administer?
,A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
D. The Ages and Stages Questionnaire (ASQ) - CORRECT ANSWER-A.
The Modified Checklist for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the nurse's
legal responsibility with regard to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the
consent form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is
included in the client's record.
D. Validate the client's understanding of the surgical procedure to be
conducted - CORRECT ANSWER-C. Determine that the surgical consent
form has been signed and is included in the client's record
A client with hyperthyroidism is admitted to the postoperative unit after a
subtotal thyroidectomy. Which of the client's serum laboratory values
requires intervention by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - CORRECT ANSWER-C. Total calcium 5.0
mg/dL
, A client in the third trimester of pregnancy reports that she fells some
"lumpy places" in her breasts and that her nipples sometimes leak a
yellowish fluid. She has an appointment with her healthcare provider in two
weeks. What action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere -
CORRECT ANSWER-C. Explain that this normal secretion can be assessed
at the next visit
While the nurse is assessing an older client's fall risk, the client reports
living at home alone and never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age -
CORRECT ANSWER-C. Continue to obtain client data needed to complete
the fall risk survey
The nurse is providing education to a client who experiences recurrent
levels of moderate anxiety to situations and perceived stress. In addition to
information about prescribed medication and administration, which
instruction should the nurse include in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
COMPREHENSIVE PRACTICE QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
RATIONALES CLINICAL JUDGMENT, CASE
STUDIES AND NCLEX-STYLE REVIEW
The home care nurse visits a client who has cancer. The client reports
having a good appetite but experiencing nausea when smelling food
cooking. Which action should the nurse implement?
A. Encourage family members to cook meals outdoors and bring the cooked
food inside
B. Assess the client's mucous membranes and report the findings to the
healthcare provider
C. Advise the client to replace cooked foods with a variety of different
nutritional supplements
D. Instruct the client to take an antiemetic before every meal to prevent
excessive vomiting - CORRECT ANSWER-A. Encourage family members
to cook meals outdoors and bring the cooked food inside
The nurse is wearing personal protective equipment (PPE) while caring for
a client. When exiting the room, which PPE should be removed first?
A. Gloves
B. Mask
C. Eyewear
,D. Gown - CORRECT ANSWER-A. Gloves
An older male client, who is a retired chef, is hospitalized with a diabetic
ulcer on his foot. His daughter tells the nurse that her father has become
increasingly obsessed with the way his food is prepared in the hospital. The
nurse's response should be based on what information?
A. The client probably has an organic brain disease and will likely have
Alzheimer's disease within a few years
B. The family needs a social worker to talk to them about how to handle
their father when he becomes annoying
C. The daughter is under stress and should be encouraged to think about
happier times
D. If the client was compulsive about food when he was younger, the aging
process can magnify this - CORRECT ANSWER-D. If the client was
compulsive about food when he was younger, the aging process can
magnify this
A client is receiving enoxaparin 30mg subcutaneously twice a day. In
assessing for adverse effects of the medication, which serum laboratory
value is most important for the nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - CORRECT ANSWER-C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory sensitivity,
difficulty engaging in social interactions, and has not yet spoken two-word
phrases. Which assessment should the nurse administer?
,A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
D. The Ages and Stages Questionnaire (ASQ) - CORRECT ANSWER-A.
The Modified Checklist for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the nurse's
legal responsibility with regard to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the
consent form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is
included in the client's record.
D. Validate the client's understanding of the surgical procedure to be
conducted - CORRECT ANSWER-C. Determine that the surgical consent
form has been signed and is included in the client's record
A client with hyperthyroidism is admitted to the postoperative unit after a
subtotal thyroidectomy. Which of the client's serum laboratory values
requires intervention by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - CORRECT ANSWER-C. Total calcium 5.0
mg/dL
, A client in the third trimester of pregnancy reports that she fells some
"lumpy places" in her breasts and that her nipples sometimes leak a
yellowish fluid. She has an appointment with her healthcare provider in two
weeks. What action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere -
CORRECT ANSWER-C. Explain that this normal secretion can be assessed
at the next visit
While the nurse is assessing an older client's fall risk, the client reports
living at home alone and never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age -
CORRECT ANSWER-C. Continue to obtain client data needed to complete
the fall risk survey
The nurse is providing education to a client who experiences recurrent
levels of moderate anxiety to situations and perceived stress. In addition to
information about prescribed medication and administration, which
instruction should the nurse include in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
