HESI RN
Exit Exam NGN Version B 2026 | 160 Practice Questions,
Answers & Detailed Rationales | Next Generation Nursing
Exam Prep
This Exam Includes:
➢160 HESI RN Exit Exam practice questions
➢NGN / Next Generation Nursing question formats
➢Version B-focused exam review
,HESI RN Exit Exam NGN Version B 2026 |
160 Practice Questions, Answers &
Detailed Rationales | Next Generation
Nursing Exam Prep
Question 1
A female client presents in the emergency department and
tells the nurse that she was raped last night. Which question
is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
Correct Answer: A. Has she taken a bath since the rape
occurred?
Rationale: The most important question is whether the client has
bathed since the rape occurred because this affects the collection
of forensic evidence. If she has bathed, critical evidence may have
been destroyed. While safety, knowing the perpetrator, and
,reporting to police are important, preserving forensic evidence
takes priority in the immediate assessment to support potential
legal proceedings.
Question 2
The nurse is completing the admission assessment of a 3-year
old who is admitted with bacterial meningitis and
hydrocephalus. Which assessment finding is evidence that
the child is experiencing increased intracranial pressure
(ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
Correct Answer: B. Sluggish and unequal pupillary responses
Rationale: Sluggish and unequal pupillary responses are classic
signs of increased intracranial pressure indicating compression of
cranial nerves. Tachycardia and tachypnea are not typical ICP
signs (bradycardia and irregular respirations are more common).
Increased head circumference and bulging fontanels indicate
, hydrocephalus but may be chronic findings. Blood pressure
fluctuations and syncope are not specific to ICP.
Question 3
A client with acute pancreatitis is admitted with severe,
piercing abdominal pain and an elevated serum amylase.
Which additional information is the client most likely to
report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly
Correct Answer: A. Abdominal pain decreases when lying
supine
Rationale: In acute pancreatitis, pain typically decreases when the
client assumes a fetal position or lies supine with knees flexed.
The pain of pancreatitis is constant and severe, often radiating to
the back. Alcohol use is a common cause but not a symptom the
client would report. Right upper quadrant pain radiating to the
right scapula is more characteristic of gallbladder disease.
Exit Exam NGN Version B 2026 | 160 Practice Questions,
Answers & Detailed Rationales | Next Generation Nursing
Exam Prep
This Exam Includes:
➢160 HESI RN Exit Exam practice questions
➢NGN / Next Generation Nursing question formats
➢Version B-focused exam review
,HESI RN Exit Exam NGN Version B 2026 |
160 Practice Questions, Answers &
Detailed Rationales | Next Generation
Nursing Exam Prep
Question 1
A female client presents in the emergency department and
tells the nurse that she was raped last night. Which question
is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
Correct Answer: A. Has she taken a bath since the rape
occurred?
Rationale: The most important question is whether the client has
bathed since the rape occurred because this affects the collection
of forensic evidence. If she has bathed, critical evidence may have
been destroyed. While safety, knowing the perpetrator, and
,reporting to police are important, preserving forensic evidence
takes priority in the immediate assessment to support potential
legal proceedings.
Question 2
The nurse is completing the admission assessment of a 3-year
old who is admitted with bacterial meningitis and
hydrocephalus. Which assessment finding is evidence that
the child is experiencing increased intracranial pressure
(ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
Correct Answer: B. Sluggish and unequal pupillary responses
Rationale: Sluggish and unequal pupillary responses are classic
signs of increased intracranial pressure indicating compression of
cranial nerves. Tachycardia and tachypnea are not typical ICP
signs (bradycardia and irregular respirations are more common).
Increased head circumference and bulging fontanels indicate
, hydrocephalus but may be chronic findings. Blood pressure
fluctuations and syncope are not specific to ICP.
Question 3
A client with acute pancreatitis is admitted with severe,
piercing abdominal pain and an elevated serum amylase.
Which additional information is the client most likely to
report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly
Correct Answer: A. Abdominal pain decreases when lying
supine
Rationale: In acute pancreatitis, pain typically decreases when the
client assumes a fetal position or lies supine with knees flexed.
The pain of pancreatitis is constant and severe, often radiating to
the back. Alcohol use is a common cause but not a symptom the
client would report. Right upper quadrant pain radiating to the
right scapula is more characteristic of gallbladder disease.
