HESI RN
Exit Exam V1 with NGN – Comprehensive
Nursing Exam Prep Resource
This Exam Includes:
➢ HESI RN Exit Exam V1 practice questions
➢ NGN-style nursing questions
➢ Correct answers with detailed rationales
,HESI RN Exit Exam V1 with NGN –
Comprehensive Nursing Exam
Prep Resource
Question 1
A client is receiving ophthalmic drops preoperatively for a cataract
extraction and asks the nurse why the healthcare provider has prescribed
all these medications. Which information should the nurse include when
responding to this client? (Select all that apply.)
A. Prevent infection during surgery
B. Pupillary dilation is necessary to access the eye chamber for lens removal
C. The iris must be paralyzed during surgery to prevent it from reacting to
light
D. Reduce intraocular pressure before surgery
E. One of the medications is used to anesthetize the corneal surface
Correct Answers: B, C, E
Rationale:
• B: Pupillary dilation (mydriasis) is essential to provide the surgeon
with adequate access to the lens for removal during cataract
extraction.
, • C: Paralysis of the iris (cycloplegia) prevents the iris from constricting
in response to light or surgical manipulation, maintaining a stable
surgical field.
• E: Topical anesthetic agents are used to numb the corneal surface for
patient comfort during the procedure and to facilitate surgical
manipulation.
• A (Incorrect): While antibiotic drops may be prescribed, preventing
infection is not the primary reason for the preoperative medication
regimen.
• D (Incorrect): While some medications may reduce intraocular
pressure, this is not the primary purpose of the preoperative
ophthalmic drops for cataract surgery.
Question 2
An adult client presents to the clinic with large draining ulcers on both
lower legs that are characteristic of Kaposi's sarcoma lesions. The client is
accompanied by two family members. Which action should the nurse take?
A. Ask the family to wait in the car
B. Begin collecting data about the client's sexual history in front of the
family
C. Send family to the waiting area while the client's history is taken
D. Ask the family members to leave the clinic entirely
Correct Answer: C
, Rationale:
• C: Kaposi's sarcoma is commonly associated with HIV/AIDS.
Obtaining a sexual history and discussing sensitive information
requires privacy to maintain confidentiality and respect the client's
dignity. Sending family to the waiting area allows for open
communication.
• A (Incorrect): Asking family to wait in the car is unnecessary and
uncomfortable for family members.
• B (Incorrect): Discussing sexual history in front of family violates
the client's privacy rights and may inhibit honest disclosure.
• D (Incorrect): Asking family to leave the clinic entirely is excessive
and inappropriate.
Question 3
The nurse is developing a teaching plan for a client with acute gastritis
caused by drinking contaminated water. The nurse should emphasize the
need to report the onset of which problem?
A. Bloody emesis
B. Nausea
C. Abdominal cramping
D. Decreased appetite
Correct Answer: A
Rationale:
Exit Exam V1 with NGN – Comprehensive
Nursing Exam Prep Resource
This Exam Includes:
➢ HESI RN Exit Exam V1 practice questions
➢ NGN-style nursing questions
➢ Correct answers with detailed rationales
,HESI RN Exit Exam V1 with NGN –
Comprehensive Nursing Exam
Prep Resource
Question 1
A client is receiving ophthalmic drops preoperatively for a cataract
extraction and asks the nurse why the healthcare provider has prescribed
all these medications. Which information should the nurse include when
responding to this client? (Select all that apply.)
A. Prevent infection during surgery
B. Pupillary dilation is necessary to access the eye chamber for lens removal
C. The iris must be paralyzed during surgery to prevent it from reacting to
light
D. Reduce intraocular pressure before surgery
E. One of the medications is used to anesthetize the corneal surface
Correct Answers: B, C, E
Rationale:
• B: Pupillary dilation (mydriasis) is essential to provide the surgeon
with adequate access to the lens for removal during cataract
extraction.
, • C: Paralysis of the iris (cycloplegia) prevents the iris from constricting
in response to light or surgical manipulation, maintaining a stable
surgical field.
• E: Topical anesthetic agents are used to numb the corneal surface for
patient comfort during the procedure and to facilitate surgical
manipulation.
• A (Incorrect): While antibiotic drops may be prescribed, preventing
infection is not the primary reason for the preoperative medication
regimen.
• D (Incorrect): While some medications may reduce intraocular
pressure, this is not the primary purpose of the preoperative
ophthalmic drops for cataract surgery.
Question 2
An adult client presents to the clinic with large draining ulcers on both
lower legs that are characteristic of Kaposi's sarcoma lesions. The client is
accompanied by two family members. Which action should the nurse take?
A. Ask the family to wait in the car
B. Begin collecting data about the client's sexual history in front of the
family
C. Send family to the waiting area while the client's history is taken
D. Ask the family members to leave the clinic entirely
Correct Answer: C
, Rationale:
• C: Kaposi's sarcoma is commonly associated with HIV/AIDS.
Obtaining a sexual history and discussing sensitive information
requires privacy to maintain confidentiality and respect the client's
dignity. Sending family to the waiting area allows for open
communication.
• A (Incorrect): Asking family to wait in the car is unnecessary and
uncomfortable for family members.
• B (Incorrect): Discussing sexual history in front of family violates
the client's privacy rights and may inhibit honest disclosure.
• D (Incorrect): Asking family to leave the clinic entirely is excessive
and inappropriate.
Question 3
The nurse is developing a teaching plan for a client with acute gastritis
caused by drinking contaminated water. The nurse should emphasize the
need to report the onset of which problem?
A. Bloody emesis
B. Nausea
C. Abdominal cramping
D. Decreased appetite
Correct Answer: A
Rationale:
