HESI RN EXIT EXAM V5 NGN QUESTIONS
WITH ANSWERS AND EXPLANATIONS
Question 1.
Several data points are changing after care related to Six-month developmental
expectations. Which trend should the nurse give the greatest weight when judging
response?
A. The client can state which symptoms require urgent evaluation.
B. The client reports consistent preconception and early-pregnancy supplementation.
C. Bone-health risks are addressed and indicated screening is completed.
D. The infant gains trunk control purposeful reaching and age-appropriate interaction.
Correct Answer: D. The infant gains trunk control purposeful reaching and
age-appropriate interaction.
Explanation: The outcome that most directly demonstrates an appropriate response for
Six-month developmental expectations is: The infant gains trunk control purposeful
reaching and age-appropriate interaction. Health-promotion care emphasizes prevention,
age-appropriate screening, development, immunization, and early detection. The other
outcomes may be desirable for related problems, but they do not most directly measure
whether this specific priority is improving. Ongoing evaluation should compare serial
findings with the client’s baseline and trigger escalation when the trend is unfavorable.
Question 2.
A client is receiving care for Nasogastric tube placement. Which trend should the nurse
interpret as a favorable response?
A. Postvoid residual decreases and bladder discomfort resolves.
B. Documented placement remains appropriate and the client has no aspiration signs.
C. Oral mucosa remains moist clean and free of significant lesions or retained debris.
D. The client keeps the walker close and maintains balance during gait.
Correct Answer: B. Documented placement remains appropriate and the client
has no aspiration signs.
Explanation: The outcome that most directly demonstrates an appropriate response for
Nasogastric tube placement is: Documented placement remains appropriate and the client
has no aspiration signs. Basic-care interventions should preserve function, comfort,
nutrition, elimination, mobility, skin integrity, and dignity without adding avoidable risk.
The other outcomes may be desirable for related problems, but they do not most directly
measure whether this specific priority is improving. Ongoing evaluation should compare
serial findings with the client’s baseline and trigger escalation when the trend is
unfavorable.
,Question 3.
The nurse evaluates a response after interventions related to Wound evisceration. Which
reassessment finding most clearly indicates benefit?
A. Reflexes respirations blood pressure and magnesium level improve.
B. Anticoagulation reaches target without thrombocytopenia or bleeding.
C. The client receives rapid surgical treatment without tissue desiccation.
D. Sodium falls gradually toward normal with improved hydration.
Correct Answer: C. The client receives rapid surgical treatment without tissue
desiccation.
Explanation: The outcome that most directly demonstrates an appropriate response for
Wound evisceration is: The client receives rapid surgical treatment without tissue
desiccation. Risk-reduction questions depend on recognizing early complications,
abnormal trends, procedure-related hazards, and when escalation is required. The other
outcomes may be desirable for related problems, but they do not most directly measure
whether this specific priority is improving. Ongoing evaluation should compare serial
findings with the client’s baseline and trigger escalation when the trend is unfavorable.
Question 4.
Which follow-up finding would most strongly support improvement in a client being treated
for Suicide-environment safety?
A. The environment remains hazard-reduced and changes in suicidal intent are promptly
recognized.
B. Staff exposure and unit transmission are minimized.
C. Staff consistently use exposure-based PPE and hand hygiene.
D. Baseline testing source evaluation and follow-up are completed per protocol.
Correct Answer: A. The environment remains hazard-reduced and changes in
suicidal intent are promptly recognized.
Explanation: The outcome that most directly demonstrates an appropriate response for
Suicide-environment safety is: The environment remains hazard-reduced and changes in
suicidal intent are promptly recognized. Safety decisions should interrupt exposure or
injury risk while maintaining appropriate precautions and surveillance. The other outcomes
may be desirable for related problems, but they do not most directly measure whether this
specific priority is improving. Ongoing evaluation should compare serial findings with the
client’s baseline and trigger escalation when the trend is unfavorable.
,Question 5.
The nurse reviews several post-intervention trends related to Protein and wound healing.
Which finding best demonstrates meaningful improvement?
A. The client walks with stable sequencing and reduced limp or fall risk.
B. The client reports improved sleep duration quality and daytime function.
C. Documented placement remains appropriate and the client has no aspiration signs.
D. Weight intake and wound-healing progress improve without signs of malnutrition.
Correct Answer: D. Weight intake and wound-healing progress improve without
signs of malnutrition.
Explanation: The outcome that most directly demonstrates an appropriate response for
Protein and wound healing is: Weight intake and wound-healing progress improve without
signs of malnutrition. Basic-care interventions should preserve function, comfort, nutrition,
elimination, mobility, skin integrity, and dignity without adding avoidable risk. The other
outcomes may be desirable for related problems, but they do not most directly measure
whether this specific priority is improving. Ongoing evaluation should compare serial
findings with the client’s baseline and trigger escalation when the trend is unfavorable.
Question 6.
Which finding best indicates that care for Chain of command is producing the desired
response?
A. Decisions are documented and aligned with the client's goals of care.
B. The safety issue receives timely review and a documented response.
C. Follow-up findings show the highest-risk problem was addressed promptly.
D. The receiving facility acknowledges the plan and continuity needs.
Correct Answer: B. The safety issue receives timely review and a documented
response.
Explanation: The outcome that most directly demonstrates an appropriate response for
Chain of command is: The safety issue receives timely review and a documented
response. Management decisions should account for acuity, scope of practice,
communication, ethics, and RN accountability. The other outcomes may be desirable for
related problems, but they do not most directly measure whether this specific priority is
improving. Ongoing evaluation should compare serial findings with the client’s baseline
and trigger escalation when the trend is unfavorable.
, Question 7.
Following care related to Ostomy care on an acute-care medical-surgical unit, which
finding best shows that the intended outcome is being achieved?
A. The stoma remains viable and the surrounding skin is free of leakage injury.
B. The client transfers and sits without positions that risk dislocation.
C. The client walks with stable sequencing and reduced limp or fall risk.
D. The oral mucosa remains intact and dentures fit comfortably.
Correct Answer: A. The stoma remains viable and the surrounding skin is free of
leakage injury.
Explanation: The outcome that most directly demonstrates an appropriate response for
Ostomy care is: The stoma remains viable and the surrounding skin is free of leakage
injury. Basic-care interventions should preserve function, comfort, nutrition, elimination,
mobility, skin integrity, and dignity without adding avoidable risk. The other outcomes may
be desirable for related problems, but they do not most directly measure whether this
specific priority is improving. Ongoing evaluation should compare serial findings with the
client’s baseline and trigger escalation when the trend is unfavorable.
Question 8.
Several data points are changing after care related to Assignment to an LPN for dressing
care. Which trend should the nurse give the greatest weight when judging response?
A. The record supports continuity of care and matches the care actually provided.
B. Referral documentation and communication follow legal and institutional requirements.
C. The RN evaluates healing and revises the plan when needed.
D. Ongoing assessment shows reduction in dangerous behavior and readiness for release.
Correct Answer: C. The RN evaluates healing and revises the plan when needed.
Explanation: The outcome that most directly demonstrates an appropriate response for
Assignment to an LPN for dressing care is: The RN evaluates healing and revises the plan
when needed. Management decisions should account for acuity, scope of practice,
communication, ethics, and RN accountability. The other outcomes may be desirable for
related problems, but they do not most directly measure whether this specific priority is
improving. Ongoing evaluation should compare serial findings with the client’s baseline
and trigger escalation when the trend is unfavorable.
Question 9.
Case scenario: The nurse compares pre- and post-intervention findings for Lactate in
shock. Which change provides the strongest evidence of effective care and reduced
immediate risk?
A. PH and carbon dioxide move toward normal as ventilation improves.
B. Lactate decreases as perfusion and clinical status improve.
C. INR returns to the prescribed therapeutic range.
D. Headache intensity decreases and neurologic findings remain normal.
Correct Answer: B. Lactate decreases as perfusion and clinical status improve.
WITH ANSWERS AND EXPLANATIONS
Question 1.
Several data points are changing after care related to Six-month developmental
expectations. Which trend should the nurse give the greatest weight when judging
response?
A. The client can state which symptoms require urgent evaluation.
B. The client reports consistent preconception and early-pregnancy supplementation.
C. Bone-health risks are addressed and indicated screening is completed.
D. The infant gains trunk control purposeful reaching and age-appropriate interaction.
Correct Answer: D. The infant gains trunk control purposeful reaching and
age-appropriate interaction.
Explanation: The outcome that most directly demonstrates an appropriate response for
Six-month developmental expectations is: The infant gains trunk control purposeful
reaching and age-appropriate interaction. Health-promotion care emphasizes prevention,
age-appropriate screening, development, immunization, and early detection. The other
outcomes may be desirable for related problems, but they do not most directly measure
whether this specific priority is improving. Ongoing evaluation should compare serial
findings with the client’s baseline and trigger escalation when the trend is unfavorable.
Question 2.
A client is receiving care for Nasogastric tube placement. Which trend should the nurse
interpret as a favorable response?
A. Postvoid residual decreases and bladder discomfort resolves.
B. Documented placement remains appropriate and the client has no aspiration signs.
C. Oral mucosa remains moist clean and free of significant lesions or retained debris.
D. The client keeps the walker close and maintains balance during gait.
Correct Answer: B. Documented placement remains appropriate and the client
has no aspiration signs.
Explanation: The outcome that most directly demonstrates an appropriate response for
Nasogastric tube placement is: Documented placement remains appropriate and the client
has no aspiration signs. Basic-care interventions should preserve function, comfort,
nutrition, elimination, mobility, skin integrity, and dignity without adding avoidable risk.
The other outcomes may be desirable for related problems, but they do not most directly
measure whether this specific priority is improving. Ongoing evaluation should compare
serial findings with the client’s baseline and trigger escalation when the trend is
unfavorable.
,Question 3.
The nurse evaluates a response after interventions related to Wound evisceration. Which
reassessment finding most clearly indicates benefit?
A. Reflexes respirations blood pressure and magnesium level improve.
B. Anticoagulation reaches target without thrombocytopenia or bleeding.
C. The client receives rapid surgical treatment without tissue desiccation.
D. Sodium falls gradually toward normal with improved hydration.
Correct Answer: C. The client receives rapid surgical treatment without tissue
desiccation.
Explanation: The outcome that most directly demonstrates an appropriate response for
Wound evisceration is: The client receives rapid surgical treatment without tissue
desiccation. Risk-reduction questions depend on recognizing early complications,
abnormal trends, procedure-related hazards, and when escalation is required. The other
outcomes may be desirable for related problems, but they do not most directly measure
whether this specific priority is improving. Ongoing evaluation should compare serial
findings with the client’s baseline and trigger escalation when the trend is unfavorable.
Question 4.
Which follow-up finding would most strongly support improvement in a client being treated
for Suicide-environment safety?
A. The environment remains hazard-reduced and changes in suicidal intent are promptly
recognized.
B. Staff exposure and unit transmission are minimized.
C. Staff consistently use exposure-based PPE and hand hygiene.
D. Baseline testing source evaluation and follow-up are completed per protocol.
Correct Answer: A. The environment remains hazard-reduced and changes in
suicidal intent are promptly recognized.
Explanation: The outcome that most directly demonstrates an appropriate response for
Suicide-environment safety is: The environment remains hazard-reduced and changes in
suicidal intent are promptly recognized. Safety decisions should interrupt exposure or
injury risk while maintaining appropriate precautions and surveillance. The other outcomes
may be desirable for related problems, but they do not most directly measure whether this
specific priority is improving. Ongoing evaluation should compare serial findings with the
client’s baseline and trigger escalation when the trend is unfavorable.
,Question 5.
The nurse reviews several post-intervention trends related to Protein and wound healing.
Which finding best demonstrates meaningful improvement?
A. The client walks with stable sequencing and reduced limp or fall risk.
B. The client reports improved sleep duration quality and daytime function.
C. Documented placement remains appropriate and the client has no aspiration signs.
D. Weight intake and wound-healing progress improve without signs of malnutrition.
Correct Answer: D. Weight intake and wound-healing progress improve without
signs of malnutrition.
Explanation: The outcome that most directly demonstrates an appropriate response for
Protein and wound healing is: Weight intake and wound-healing progress improve without
signs of malnutrition. Basic-care interventions should preserve function, comfort, nutrition,
elimination, mobility, skin integrity, and dignity without adding avoidable risk. The other
outcomes may be desirable for related problems, but they do not most directly measure
whether this specific priority is improving. Ongoing evaluation should compare serial
findings with the client’s baseline and trigger escalation when the trend is unfavorable.
Question 6.
Which finding best indicates that care for Chain of command is producing the desired
response?
A. Decisions are documented and aligned with the client's goals of care.
B. The safety issue receives timely review and a documented response.
C. Follow-up findings show the highest-risk problem was addressed promptly.
D. The receiving facility acknowledges the plan and continuity needs.
Correct Answer: B. The safety issue receives timely review and a documented
response.
Explanation: The outcome that most directly demonstrates an appropriate response for
Chain of command is: The safety issue receives timely review and a documented
response. Management decisions should account for acuity, scope of practice,
communication, ethics, and RN accountability. The other outcomes may be desirable for
related problems, but they do not most directly measure whether this specific priority is
improving. Ongoing evaluation should compare serial findings with the client’s baseline
and trigger escalation when the trend is unfavorable.
, Question 7.
Following care related to Ostomy care on an acute-care medical-surgical unit, which
finding best shows that the intended outcome is being achieved?
A. The stoma remains viable and the surrounding skin is free of leakage injury.
B. The client transfers and sits without positions that risk dislocation.
C. The client walks with stable sequencing and reduced limp or fall risk.
D. The oral mucosa remains intact and dentures fit comfortably.
Correct Answer: A. The stoma remains viable and the surrounding skin is free of
leakage injury.
Explanation: The outcome that most directly demonstrates an appropriate response for
Ostomy care is: The stoma remains viable and the surrounding skin is free of leakage
injury. Basic-care interventions should preserve function, comfort, nutrition, elimination,
mobility, skin integrity, and dignity without adding avoidable risk. The other outcomes may
be desirable for related problems, but they do not most directly measure whether this
specific priority is improving. Ongoing evaluation should compare serial findings with the
client’s baseline and trigger escalation when the trend is unfavorable.
Question 8.
Several data points are changing after care related to Assignment to an LPN for dressing
care. Which trend should the nurse give the greatest weight when judging response?
A. The record supports continuity of care and matches the care actually provided.
B. Referral documentation and communication follow legal and institutional requirements.
C. The RN evaluates healing and revises the plan when needed.
D. Ongoing assessment shows reduction in dangerous behavior and readiness for release.
Correct Answer: C. The RN evaluates healing and revises the plan when needed.
Explanation: The outcome that most directly demonstrates an appropriate response for
Assignment to an LPN for dressing care is: The RN evaluates healing and revises the plan
when needed. Management decisions should account for acuity, scope of practice,
communication, ethics, and RN accountability. The other outcomes may be desirable for
related problems, but they do not most directly measure whether this specific priority is
improving. Ongoing evaluation should compare serial findings with the client’s baseline
and trigger escalation when the trend is unfavorable.
Question 9.
Case scenario: The nurse compares pre- and post-intervention findings for Lactate in
shock. Which change provides the strongest evidence of effective care and reduced
immediate risk?
A. PH and carbon dioxide move toward normal as ventilation improves.
B. Lactate decreases as perfusion and clinical status improve.
C. INR returns to the prescribed therapeutic range.
D. Headache intensity decreases and neurologic findings remain normal.
Correct Answer: B. Lactate decreases as perfusion and clinical status improve.
