HESI RN EXIT EXAM WITH NGN LATEST VERSION B 2026
HESI EXIT RN NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED ANSWERS
1. Why is it important to minimize stimuli in the care plan for a child with tetanus?
Minimizing stimuli helps reduce muscle spasms and anxiety in the
child.
Minimizing stimuli promotes physical activity.
Minimizing stimuli allows for better communication with the child.
Minimizing stimuli is irrelevant to the condition.
2. A school-age client experiences a near-drowning episode and is admitted to
the PICU. The parents express guilt over the near drowning of their child.
Which response by the nurse is most appropriate?
"You will need to watch the child more closely."
"The child will be fine, so don't worry."
"Tell me more about your feelings related to the accident."
"Why did you let the child almost drown?"
3. What is the primary assessment the nurse should perform for a client with full
thickness burns and an electrolyte imbalance?
Check for skin turgor
Auscultate for irregular heart rate
Measure blood glucose levels
Assess respiratory rate
4. A nurse is caring for a child with a history of asthma. The nurse anticipates
, that the provider will order which test to determine whether the child's
asthma is related to allergies?
Sputum culture
Chest x-ray
Serum immunoglobulin E (IgE)
Measurement of arterial blood gases (ABGs)
5. What is the expected therapeutic effect of furosemide in patients with acute
heart failure?
Decreased afterload
Increased cardiac contractility
Reduced preload
Relaxed vascular tone
6. *******A client with type 2 diabetes mellitus arrives to the clinic reporting
episodes of weakness and palpitations. Which finding should the nurse
identify may indicate an emerging situation?
Cervical spine stiffness
Fingertips feel numb
Potassium 3.5 mEq/L
Sodium 135 mEq/L
7. A 61-year-old man asks a nurse at a health fair what he can do to decrease his
risk of BPH. The nurse explains that which of the following can decrease one's
risk for BPH.
Prevention is not possible because prostatic enlargement occurs with
normal aging
, Riding a bicycle raises prostate-specific antigen levels and may
increase BPH risk.
Taking a daily vitamin E supplement and a supplement of saw palmetto
has reduced prostate size in some men
Decreasing saturated fat intake and increasing fruits and vegetables
in the diet may help
8. A client who is admitted for primary hypothyroidism has early signs of
myxedema coma. In assessing the client, in which sequence should the nurse
complete these actions? (Rank the first action and the top with the remainder
in descending order.)
Assess blood pressure
Observe breathing patterns
Measure body temperature
Palpate for pedal edema
9. In a scenario where a practical nurse (PN) is assigned to care for multiple
clients, which of the following situations would require the nurse to reassess
the assignment of tasks?
A client with unstable blood sugar levels requiring frequent
monitoring and adjustments to insulin.
A client recovering from a routine laparoscopic procedure needing
pain management.
A client who is stable post-surgery and requires daily dressing
changes.
A client who is scheduled for discharge and needs education on home
care.
10. The nurse instructs a client with diabetes mellitus that the priority self-care
activity for preventing the complication of diabetes is which of the
, following?
Follow prescribed diabetic diet closely unless medical condition
changes.
Report to the physician immediately any kidney, vascular or
neurological changes.
Keep the blood glucose levels controlled at or near normal levels.
Learn to administer insulin properly and know the signs of
hyperglycemia and hypoglycemia.
11. What is the first step a nurse should take to assess a client's pain quality?
Identify effective pain relief measures
Provide a numeric pain scale
Observe body language and movement
Ask the client to describe the pain
12. What is a common symptom reported by clients with acute pancreatitis?
Diarrhea
Nausea and vomiting
Fever
Severe abdominal pain
13. The RN cares for the client diagnosed with full thickness burns over 36% of
the body. The nurse initiates vigorous fluid replacement during the first 48
hours of treatment. Which finding suggests this intervention is effective?
the client maintains a UOP of 30 mL/hr
electrolytes are WNL
VS are stable
HESI EXIT RN NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED ANSWERS
1. Why is it important to minimize stimuli in the care plan for a child with tetanus?
Minimizing stimuli helps reduce muscle spasms and anxiety in the
child.
Minimizing stimuli promotes physical activity.
Minimizing stimuli allows for better communication with the child.
Minimizing stimuli is irrelevant to the condition.
2. A school-age client experiences a near-drowning episode and is admitted to
the PICU. The parents express guilt over the near drowning of their child.
Which response by the nurse is most appropriate?
"You will need to watch the child more closely."
"The child will be fine, so don't worry."
"Tell me more about your feelings related to the accident."
"Why did you let the child almost drown?"
3. What is the primary assessment the nurse should perform for a client with full
thickness burns and an electrolyte imbalance?
Check for skin turgor
Auscultate for irregular heart rate
Measure blood glucose levels
Assess respiratory rate
4. A nurse is caring for a child with a history of asthma. The nurse anticipates
, that the provider will order which test to determine whether the child's
asthma is related to allergies?
Sputum culture
Chest x-ray
Serum immunoglobulin E (IgE)
Measurement of arterial blood gases (ABGs)
5. What is the expected therapeutic effect of furosemide in patients with acute
heart failure?
Decreased afterload
Increased cardiac contractility
Reduced preload
Relaxed vascular tone
6. *******A client with type 2 diabetes mellitus arrives to the clinic reporting
episodes of weakness and palpitations. Which finding should the nurse
identify may indicate an emerging situation?
Cervical spine stiffness
Fingertips feel numb
Potassium 3.5 mEq/L
Sodium 135 mEq/L
7. A 61-year-old man asks a nurse at a health fair what he can do to decrease his
risk of BPH. The nurse explains that which of the following can decrease one's
risk for BPH.
Prevention is not possible because prostatic enlargement occurs with
normal aging
, Riding a bicycle raises prostate-specific antigen levels and may
increase BPH risk.
Taking a daily vitamin E supplement and a supplement of saw palmetto
has reduced prostate size in some men
Decreasing saturated fat intake and increasing fruits and vegetables
in the diet may help
8. A client who is admitted for primary hypothyroidism has early signs of
myxedema coma. In assessing the client, in which sequence should the nurse
complete these actions? (Rank the first action and the top with the remainder
in descending order.)
Assess blood pressure
Observe breathing patterns
Measure body temperature
Palpate for pedal edema
9. In a scenario where a practical nurse (PN) is assigned to care for multiple
clients, which of the following situations would require the nurse to reassess
the assignment of tasks?
A client with unstable blood sugar levels requiring frequent
monitoring and adjustments to insulin.
A client recovering from a routine laparoscopic procedure needing
pain management.
A client who is stable post-surgery and requires daily dressing
changes.
A client who is scheduled for discharge and needs education on home
care.
10. The nurse instructs a client with diabetes mellitus that the priority self-care
activity for preventing the complication of diabetes is which of the
, following?
Follow prescribed diabetic diet closely unless medical condition
changes.
Report to the physician immediately any kidney, vascular or
neurological changes.
Keep the blood glucose levels controlled at or near normal levels.
Learn to administer insulin properly and know the signs of
hyperglycemia and hypoglycemia.
11. What is the first step a nurse should take to assess a client's pain quality?
Identify effective pain relief measures
Provide a numeric pain scale
Observe body language and movement
Ask the client to describe the pain
12. What is a common symptom reported by clients with acute pancreatitis?
Diarrhea
Nausea and vomiting
Fever
Severe abdominal pain
13. The RN cares for the client diagnosed with full thickness burns over 36% of
the body. The nurse initiates vigorous fluid replacement during the first 48
hours of treatment. Which finding suggests this intervention is effective?
the client maintains a UOP of 30 mL/hr
electrolytes are WNL
VS are stable
