HESI RN EXIT EXAM V3 NGN QUESTIONS
WITH ANSWERS AND EXPLANATIONS
Question 1.
Which statement best describes a key clinical feature of Float nurse assignment?
A. A float nurse should receive clients and tasks within demonstrated competence.
B. Hospice emphasizes comfort quality of life and support rather than curative treatment
when goals align.
C. A valid advance directive guides care when the client lacks decision-making capacity.
D. An LPN may reinforce previously established teaching for a stable client.
Correct Answer: A. A float nurse should receive clients and tasks within
demonstrated competence.
Explanation: The cue most specifically associated with Float nurse assignment is: A float
nurse should receive clients and tasks within demonstrated competence. Management
decisions should account for acuity, scope of practice, communication, ethics, and RN
accountability. The distractors describe findings or principles associated with related but
different nursing problems, so they do not best identify the condition or concept in
question. The nurse should validate the cue with the rest of the available information and
use it to guide the next nursing decision.
Question 2.
Several findings and care principles are discussed during handoff. Which one is most
consistent with Valproate?
A. Inhaled corticosteroids reduce airway inflammation but do not provide immediate relief
of acute severe bronchospasm.
B. Nitroglycerin causes vasodilation and can produce headache and hypotension and must
not be combined with recent PDE-5 inhibitors.
C. Valproate can cause hepatotoxicity thrombocytopenia pancreatitis and fetal harm.
D. Systemic corticosteroids can raise glucose increase infection risk cause mood changes
and suppress the adrenal axis with prolonged use.
Correct Answer: C. Valproate can cause hepatotoxicity thrombocytopenia
pancreatitis and fetal harm.
Explanation: The cue most specifically associated with Valproate is: Valproate can cause
hepatotoxicity thrombocytopenia pancreatitis and fetal harm. Medication decisions require
attention to indication, pharmacologic effect, administration safety, adverse effects,
interactions, and appropriate follow-up. The distractors describe findings or principles
associated with related but different nursing problems, so they do not best identify the
condition or concept in question. The nurse should validate the cue with the rest of the
available information and use it to guide the next nursing decision.
,Question 3.
The nurse must distinguish Diarrhea care from related nursing concerns. Which finding or
principle is most specific?
A. Dentures require gentle cleaning and safe storage to prevent damage and mucosal
irritation.
B. Diarrhea care focuses on hydration electrolyte replacement skin protection and cause
identification.
C. Constipation prevention uses fluids fiber activity regular toileting and medication review
when not contraindicated.
D. Incontinence care should identify reversible causes and use scheduled toileting or
pelvic strategies when appropriate.
Correct Answer: B. Diarrhea care focuses on hydration electrolyte replacement
skin protection and cause identification.
Explanation: The cue most specifically associated with Diarrhea care is: Diarrhea care
focuses on hydration electrolyte replacement skin protection and cause identification.
Basic-care interventions should preserve function, comfort, nutrition, elimination, mobility,
skin integrity, and dignity without adding avoidable risk. The distractors describe findings
or principles associated with related but different nursing problems, so they do not best
identify the condition or concept in question. The nurse should validate the cue with the
rest of the available information and use it to guide the next nursing decision.
Question 4.
During report, the nurse hears several findings. Which one is most consistent with MAO
inhibitors?
A. Valproate can cause hepatotoxicity thrombocytopenia pancreatitis and fetal harm.
B. ACE inhibitors can cause cough hyperkalemia angioedema and kidney-function
changes.
C. Nitroglycerin causes vasodilation and can produce headache and hypotension and must
not be combined with recent PDE-5 inhibitors.
D. MAO inhibitors can cause dangerous hypertensive reactions with tyramine and interact
with many serotonergic drugs.
Correct Answer: D. MAO inhibitors can cause dangerous hypertensive reactions
with tyramine and interact with many serotonergic drugs.
Explanation: The cue most specifically associated with MAO inhibitors is: MAO inhibitors
can cause dangerous hypertensive reactions with tyramine and interact with many
serotonergic drugs. Medication decisions require attention to indication, pharmacologic
effect, administration safety, adverse effects, interactions, and appropriate follow-up. The
distractors describe findings or principles associated with related but different nursing
problems, so they do not best identify the condition or concept in question. The nurse
should validate the cue with the rest of the available information and use it to guide the
next nursing decision.
,Question 5.
The nurse is teaching a student how to recognize Reinforcement of teaching by an LPN.
Which cue should be emphasized?
A. Autonomy supports the competent client's right to make informed choices.
B. Client safety takes priority after a medication error.
C. An LPN may reinforce previously established teaching for a stable client.
D. A competent client may leave after being informed of risks even when discharge is not
recommended.
Correct Answer: C. An LPN may reinforce previously established teaching for a
stable client.
Explanation: The cue most specifically associated with Reinforcement of teaching by an
LPN is: An LPN may reinforce previously established teaching for a stable client.
Management decisions should account for acuity, scope of practice, communication,
ethics, and RN accountability. The distractors describe findings or principles associated
with related but different nursing problems, so they do not best identify the condition or
concept in question. The nurse should validate the cue with the rest of the available
information and use it to guide the next nursing decision.
Question 6.
The nurse is reviewing Respiratory acidosis. Which assessment cue is most characteristic?
A. Respiratory acidosis results from hypoventilation with elevated carbon dioxide and low
pH.
B. Hypokalemia may cause weakness ileus cramps flattened T waves U waves and
increased digoxin toxicity risk.
C. Hypernatremia commonly reflects free-water deficit and may cause intense thirst
irritability and neurologic changes.
D. BNP or NT-proBNP may rise with ventricular wall stress and can support heart-failure
assessment.
Correct Answer: A. Respiratory acidosis results from hypoventilation with
elevated carbon dioxide and low pH.
Explanation: The cue most specifically associated with Respiratory acidosis is:
Respiratory acidosis results from hypoventilation with elevated carbon dioxide and low pH.
Risk-reduction questions depend on recognizing early complications, abnormal trends,
procedure-related hazards, and when escalation is required. The distractors describe
findings or principles associated with related but different nursing problems, so they do
not best identify the condition or concept in question. The nurse should validate the cue
with the rest of the available information and use it to guide the next nursing decision.
, Question 7.
The nurse is teaching a student how to recognize Wandering and exit-seeking safety.
Which cue should be emphasized?
A. Smart-pump guardrails and independent calculation checks reduce infusion errors.
B. Clients with cognitive impairment may need environmental and observation strategies
to prevent unsafe wandering.
C. C difficile requires contact precautions and soap-and-water handwashing when caring
for the client.
D. Measles spreads by the airborne route and requires airborne infection isolation.
Correct Answer: B. Clients with cognitive impairment may need environmental
and observation strategies to prevent unsafe wandering.
Explanation: The cue most specifically associated with Wandering and exit-seeking
safety is: Clients with cognitive impairment may need environmental and observation
strategies to prevent unsafe wandering. Safety decisions should interrupt exposure or
injury risk while maintaining appropriate precautions and surveillance. The distractors
describe findings or principles associated with related but different nursing problems, so
they do not best identify the condition or concept in question. The nurse should validate
the cue with the rest of the available information and use it to guide the next nursing
decision.
Question 8.
The nurse compares several clinical cues and principles. Which one most strongly supports
identification of Acute agitation?
A. Mania often includes decreased need for sleep pressured speech grandiosity impulsivity
and high activity.
B. Borderline personality disorder may involve unstable relationships affective reactivity
impulsivity and self-harm.
C. Alcohol withdrawal can progress from tremor anxiety and autonomic activation to
seizures or delirium.
D. Escalating agitation can be reduced by early de-escalation calm limit setting and
environmental control.
Correct Answer: D. Escalating agitation can be reduced by early de-escalation
calm limit setting and environmental control.
Explanation: The cue most specifically associated with Acute agitation is: Escalating
agitation can be reduced by early de-escalation calm limit setting and environmental
control. Psychosocial nursing prioritizes immediate safety, therapeutic communication,
boundaries, dignity, and recovery-oriented support. The distractors describe findings or
principles associated with related but different nursing problems, so they do not best
identify the condition or concept in question. The nurse should validate the cue with the
rest of the available information and use it to guide the next nursing decision.
WITH ANSWERS AND EXPLANATIONS
Question 1.
Which statement best describes a key clinical feature of Float nurse assignment?
A. A float nurse should receive clients and tasks within demonstrated competence.
B. Hospice emphasizes comfort quality of life and support rather than curative treatment
when goals align.
C. A valid advance directive guides care when the client lacks decision-making capacity.
D. An LPN may reinforce previously established teaching for a stable client.
Correct Answer: A. A float nurse should receive clients and tasks within
demonstrated competence.
Explanation: The cue most specifically associated with Float nurse assignment is: A float
nurse should receive clients and tasks within demonstrated competence. Management
decisions should account for acuity, scope of practice, communication, ethics, and RN
accountability. The distractors describe findings or principles associated with related but
different nursing problems, so they do not best identify the condition or concept in
question. The nurse should validate the cue with the rest of the available information and
use it to guide the next nursing decision.
Question 2.
Several findings and care principles are discussed during handoff. Which one is most
consistent with Valproate?
A. Inhaled corticosteroids reduce airway inflammation but do not provide immediate relief
of acute severe bronchospasm.
B. Nitroglycerin causes vasodilation and can produce headache and hypotension and must
not be combined with recent PDE-5 inhibitors.
C. Valproate can cause hepatotoxicity thrombocytopenia pancreatitis and fetal harm.
D. Systemic corticosteroids can raise glucose increase infection risk cause mood changes
and suppress the adrenal axis with prolonged use.
Correct Answer: C. Valproate can cause hepatotoxicity thrombocytopenia
pancreatitis and fetal harm.
Explanation: The cue most specifically associated with Valproate is: Valproate can cause
hepatotoxicity thrombocytopenia pancreatitis and fetal harm. Medication decisions require
attention to indication, pharmacologic effect, administration safety, adverse effects,
interactions, and appropriate follow-up. The distractors describe findings or principles
associated with related but different nursing problems, so they do not best identify the
condition or concept in question. The nurse should validate the cue with the rest of the
available information and use it to guide the next nursing decision.
,Question 3.
The nurse must distinguish Diarrhea care from related nursing concerns. Which finding or
principle is most specific?
A. Dentures require gentle cleaning and safe storage to prevent damage and mucosal
irritation.
B. Diarrhea care focuses on hydration electrolyte replacement skin protection and cause
identification.
C. Constipation prevention uses fluids fiber activity regular toileting and medication review
when not contraindicated.
D. Incontinence care should identify reversible causes and use scheduled toileting or
pelvic strategies when appropriate.
Correct Answer: B. Diarrhea care focuses on hydration electrolyte replacement
skin protection and cause identification.
Explanation: The cue most specifically associated with Diarrhea care is: Diarrhea care
focuses on hydration electrolyte replacement skin protection and cause identification.
Basic-care interventions should preserve function, comfort, nutrition, elimination, mobility,
skin integrity, and dignity without adding avoidable risk. The distractors describe findings
or principles associated with related but different nursing problems, so they do not best
identify the condition or concept in question. The nurse should validate the cue with the
rest of the available information and use it to guide the next nursing decision.
Question 4.
During report, the nurse hears several findings. Which one is most consistent with MAO
inhibitors?
A. Valproate can cause hepatotoxicity thrombocytopenia pancreatitis and fetal harm.
B. ACE inhibitors can cause cough hyperkalemia angioedema and kidney-function
changes.
C. Nitroglycerin causes vasodilation and can produce headache and hypotension and must
not be combined with recent PDE-5 inhibitors.
D. MAO inhibitors can cause dangerous hypertensive reactions with tyramine and interact
with many serotonergic drugs.
Correct Answer: D. MAO inhibitors can cause dangerous hypertensive reactions
with tyramine and interact with many serotonergic drugs.
Explanation: The cue most specifically associated with MAO inhibitors is: MAO inhibitors
can cause dangerous hypertensive reactions with tyramine and interact with many
serotonergic drugs. Medication decisions require attention to indication, pharmacologic
effect, administration safety, adverse effects, interactions, and appropriate follow-up. The
distractors describe findings or principles associated with related but different nursing
problems, so they do not best identify the condition or concept in question. The nurse
should validate the cue with the rest of the available information and use it to guide the
next nursing decision.
,Question 5.
The nurse is teaching a student how to recognize Reinforcement of teaching by an LPN.
Which cue should be emphasized?
A. Autonomy supports the competent client's right to make informed choices.
B. Client safety takes priority after a medication error.
C. An LPN may reinforce previously established teaching for a stable client.
D. A competent client may leave after being informed of risks even when discharge is not
recommended.
Correct Answer: C. An LPN may reinforce previously established teaching for a
stable client.
Explanation: The cue most specifically associated with Reinforcement of teaching by an
LPN is: An LPN may reinforce previously established teaching for a stable client.
Management decisions should account for acuity, scope of practice, communication,
ethics, and RN accountability. The distractors describe findings or principles associated
with related but different nursing problems, so they do not best identify the condition or
concept in question. The nurse should validate the cue with the rest of the available
information and use it to guide the next nursing decision.
Question 6.
The nurse is reviewing Respiratory acidosis. Which assessment cue is most characteristic?
A. Respiratory acidosis results from hypoventilation with elevated carbon dioxide and low
pH.
B. Hypokalemia may cause weakness ileus cramps flattened T waves U waves and
increased digoxin toxicity risk.
C. Hypernatremia commonly reflects free-water deficit and may cause intense thirst
irritability and neurologic changes.
D. BNP or NT-proBNP may rise with ventricular wall stress and can support heart-failure
assessment.
Correct Answer: A. Respiratory acidosis results from hypoventilation with
elevated carbon dioxide and low pH.
Explanation: The cue most specifically associated with Respiratory acidosis is:
Respiratory acidosis results from hypoventilation with elevated carbon dioxide and low pH.
Risk-reduction questions depend on recognizing early complications, abnormal trends,
procedure-related hazards, and when escalation is required. The distractors describe
findings or principles associated with related but different nursing problems, so they do
not best identify the condition or concept in question. The nurse should validate the cue
with the rest of the available information and use it to guide the next nursing decision.
, Question 7.
The nurse is teaching a student how to recognize Wandering and exit-seeking safety.
Which cue should be emphasized?
A. Smart-pump guardrails and independent calculation checks reduce infusion errors.
B. Clients with cognitive impairment may need environmental and observation strategies
to prevent unsafe wandering.
C. C difficile requires contact precautions and soap-and-water handwashing when caring
for the client.
D. Measles spreads by the airborne route and requires airborne infection isolation.
Correct Answer: B. Clients with cognitive impairment may need environmental
and observation strategies to prevent unsafe wandering.
Explanation: The cue most specifically associated with Wandering and exit-seeking
safety is: Clients with cognitive impairment may need environmental and observation
strategies to prevent unsafe wandering. Safety decisions should interrupt exposure or
injury risk while maintaining appropriate precautions and surveillance. The distractors
describe findings or principles associated with related but different nursing problems, so
they do not best identify the condition or concept in question. The nurse should validate
the cue with the rest of the available information and use it to guide the next nursing
decision.
Question 8.
The nurse compares several clinical cues and principles. Which one most strongly supports
identification of Acute agitation?
A. Mania often includes decreased need for sleep pressured speech grandiosity impulsivity
and high activity.
B. Borderline personality disorder may involve unstable relationships affective reactivity
impulsivity and self-harm.
C. Alcohol withdrawal can progress from tremor anxiety and autonomic activation to
seizures or delirium.
D. Escalating agitation can be reduced by early de-escalation calm limit setting and
environmental control.
Correct Answer: D. Escalating agitation can be reduced by early de-escalation
calm limit setting and environmental control.
Explanation: The cue most specifically associated with Acute agitation is: Escalating
agitation can be reduced by early de-escalation calm limit setting and environmental
control. Psychosocial nursing prioritizes immediate safety, therapeutic communication,
boundaries, dignity, and recovery-oriented support. The distractors describe findings or
principles associated with related but different nursing problems, so they do not best
identify the condition or concept in question. The nurse should validate the cue with the
rest of the available information and use it to guide the next nursing decision.
