xxxxxxxxxxxxxxxxxxxxxx
HESIRN x
Exit Exam NGN Version B 2026 | 160 Practice Questions,
x x x x x x x x x
x Answers & Detailed Rationales | Next Generation Nursing
x x x x x x x
x Exam Prep x
This Exam Includes: x x
➢160 HESI RN Exit Exam practice questions
x x x x x x
➢NGN / Next Generation Nursing question formats
x x x x x x
➢Version B-focused exam review
x x x
, HESI RN Exit Exam NGN Version B 2026 | x x x x x x x x
x 160 Practice Questions, Answers &
x x x x
Detailed Rationales | Next Generation
x x x x x
x Nursing Exam Prep x x
Question 1 x
A female client presents in the emergency department and
x x x x x x x x
x tells the nurse that she was raped last night. Which question is
x x x x x x x x x x x
x most important for the nurse to ask?
x x x x x x
A. Has she taken a bath since the rape occurred?
x x x x x x x x x
B. Is the place where she lives a safe place?
x x x x x x x x x
C. Does she know the person who raped her?
x x x x x x x x
D. Did she report the rape to the police department?
x x x x x x x x x
Correct Answer: A. Has she taken a bath since the rape
x x x x x x x x x x
x occurred?
Rationale: The most important question is whether the client has
x x x x x x x x x
bathed since the rape occurred because this affects the collection of
x x x x x x x x x x x
forensic evidence. If she has bathed, critical evidence may have
x x x x x x x x x x
been destroyed. While safety, knowing the perpetrator, and
x x x x x x x x
,reporting to police are important, preserving forensic evidence
x x x x x x x x
takes priority in the immediate assessment to support potential
x x x x x x x x x
legal proceedings.
x x
Question 2 x
The nurse is completing the admission assessment of a 3-year
x x x x x x x x x
x old who is admitted with bacterial meningitis and
x x x x x x x
x hydrocephalus. Which assessment finding is evidence that the x x x x x x x
x child is experiencing increased intracranial pressure (ICP)?
x x x x x x
A. Tachycardia and tachypnea
x x x
B. Sluggish and unequal pupillary responses
x x x x x
C. Increased head circumference and bulging fontanels
x x x x x x
D. Blood pressure fluctuations and syncope
x x x x x
Correct Answer: B. Sluggish and unequal pupillary responses
x x x x x x x
Rationale: Sluggish and unequal pupillary responses are classic
x x x x x x x
signs of increased intracranial pressure indicating compression of
x x x x x x x x
cranial nerves. Tachycardia and tachypnea are not typical ICP signs
x x x x x x x x x x
(bradycardia and irregular respirations are more common).
x x x x x x x
Increased head circumference and bulging fontanels indicate
x x x x x x x
hydrocephalus but may be chronic findings. Blood pressure
x x x x x x x x
fluctuations and syncope are not specific to ICP.
x x x x x x x x
, Question 3 x
A client with acute pancreatitis is admitted with severe,
x x x x x x x x
x piercing abdominal pain and an elevated serum amylase.
x x x x x x x
x Which additional information is the client most likely to
x x x x x x x x
x report to the nurse? x x x
A. Abdominal pain decreases when lying supine
x x x x x x
B. Pain lasts an hour and leaves the abdomen tender
x x x x x x x x x
C. Right upper quadrant pain refers to right scapula
x x x x x x x x
D. Drinks alcohol until intoxicated at least twice weekly
x x x x x x x x
Correct Answer: A. Abdominal pain decreases when lying
x x x x x x x
x supine
Rationale: In acute pancreatitis, pain typically decreases when the
x x x x x x x x
client assumes a fetal position or lies supine with knees flexed. The
x x x x x x x x x x x x
pain of pancreatitis is constant and severe, often radiating to the
x x x x x x x x x x x
back. Alcohol use is a common cause but not a symptom the client
x x x x x x x x x x x x x
would report. Right upper quadrant pain radiating to the right
x x x x x x x x x x
scapula is more characteristic of gallbladder disease.
x x x x x x x
Question 4 x
HESIRN x
Exit Exam NGN Version B 2026 | 160 Practice Questions,
x x x x x x x x x
x Answers & Detailed Rationales | Next Generation Nursing
x x x x x x x
x Exam Prep x
This Exam Includes: x x
➢160 HESI RN Exit Exam practice questions
x x x x x x
➢NGN / Next Generation Nursing question formats
x x x x x x
➢Version B-focused exam review
x x x
, HESI RN Exit Exam NGN Version B 2026 | x x x x x x x x
x 160 Practice Questions, Answers &
x x x x
Detailed Rationales | Next Generation
x x x x x
x Nursing Exam Prep x x
Question 1 x
A female client presents in the emergency department and
x x x x x x x x
x tells the nurse that she was raped last night. Which question is
x x x x x x x x x x x
x most important for the nurse to ask?
x x x x x x
A. Has she taken a bath since the rape occurred?
x x x x x x x x x
B. Is the place where she lives a safe place?
x x x x x x x x x
C. Does she know the person who raped her?
x x x x x x x x
D. Did she report the rape to the police department?
x x x x x x x x x
Correct Answer: A. Has she taken a bath since the rape
x x x x x x x x x x
x occurred?
Rationale: The most important question is whether the client has
x x x x x x x x x
bathed since the rape occurred because this affects the collection of
x x x x x x x x x x x
forensic evidence. If she has bathed, critical evidence may have
x x x x x x x x x x
been destroyed. While safety, knowing the perpetrator, and
x x x x x x x x
,reporting to police are important, preserving forensic evidence
x x x x x x x x
takes priority in the immediate assessment to support potential
x x x x x x x x x
legal proceedings.
x x
Question 2 x
The nurse is completing the admission assessment of a 3-year
x x x x x x x x x
x old who is admitted with bacterial meningitis and
x x x x x x x
x hydrocephalus. Which assessment finding is evidence that the x x x x x x x
x child is experiencing increased intracranial pressure (ICP)?
x x x x x x
A. Tachycardia and tachypnea
x x x
B. Sluggish and unequal pupillary responses
x x x x x
C. Increased head circumference and bulging fontanels
x x x x x x
D. Blood pressure fluctuations and syncope
x x x x x
Correct Answer: B. Sluggish and unequal pupillary responses
x x x x x x x
Rationale: Sluggish and unequal pupillary responses are classic
x x x x x x x
signs of increased intracranial pressure indicating compression of
x x x x x x x x
cranial nerves. Tachycardia and tachypnea are not typical ICP signs
x x x x x x x x x x
(bradycardia and irregular respirations are more common).
x x x x x x x
Increased head circumference and bulging fontanels indicate
x x x x x x x
hydrocephalus but may be chronic findings. Blood pressure
x x x x x x x x
fluctuations and syncope are not specific to ICP.
x x x x x x x x
, Question 3 x
A client with acute pancreatitis is admitted with severe,
x x x x x x x x
x piercing abdominal pain and an elevated serum amylase.
x x x x x x x
x Which additional information is the client most likely to
x x x x x x x x
x report to the nurse? x x x
A. Abdominal pain decreases when lying supine
x x x x x x
B. Pain lasts an hour and leaves the abdomen tender
x x x x x x x x x
C. Right upper quadrant pain refers to right scapula
x x x x x x x x
D. Drinks alcohol until intoxicated at least twice weekly
x x x x x x x x
Correct Answer: A. Abdominal pain decreases when lying
x x x x x x x
x supine
Rationale: In acute pancreatitis, pain typically decreases when the
x x x x x x x x
client assumes a fetal position or lies supine with knees flexed. The
x x x x x x x x x x x x
pain of pancreatitis is constant and severe, often radiating to the
x x x x x x x x x x x
back. Alcohol use is a common cause but not a symptom the client
x x x x x x x x x x x x x
would report. Right upper quadrant pain radiating to the right
x x x x x x x x x x
scapula is more characteristic of gallbladder disease.
x x x x x x x
Question 4 x
