HESI RN EXIT EXAM V9 NGN QUESTIONS
WITH ANSWERS AND EXPLANATIONS
Question 1.
After the nurse implements the plan to use latex-free supplies and clearly communicate
the allergy to the care team, which reassessment finding best indicates an appropriate
response?
A. Droplet precautions are maintained for the recommended treatment interval.
B. The client has no urticaria bronchospasm or other latex reaction.
C. Staff exposure and unit transmission are minimized.
D. No secondary exposure occurs among susceptible contacts.
Correct Answer: B. The client has no urticaria bronchospasm or other latex
reaction.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. The most meaningful expected response for Latex allergy precautions is
the client has no urticaria bronchospasm or other latex reaction. Safety decisions should
interrupt exposure or injury risk while preserving appropriate infection-control and
surveillance measures. The other outcomes may be desirable generally, but they do not
most directly measure whether the priority problem in this question is improving; serial
reassessment should be compared with baseline so that a worsening trend prompts timely
modification or escalation of the plan.
Question 2.
Following the intervention to keep the drainage system below chest level and assess the
client and tubing before manipulating the system on an emergency department, which
finding most strongly supports a favorable response?
A. Respiratory status improves and drainage-system function remains intact.
B. Potassium normalizes and muscle or rhythm abnormalities improve.
C. There is no significant reaction and renal function remains stable.
D. Lactate decreases as perfusion and clinical status improve.
Correct Answer: A. Respiratory status improves and drainage-system function
remains intact.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
The most meaningful expected response for Chest-tube water-seal tidaling is respiratory
status improves and drainage-system function remains intact. Risk-reduction items
depend on recognizing early complications, abnormal trends, procedure-related hazards,
and the need for timely escalation. The other outcomes may be desirable generally, but
they do not most directly measure whether the priority problem in this question is
improving; serial reassessment should be compared with baseline so that a worsening
trend prompts timely modification or escalation of the plan.
,Question 3.
After the nurse implements the plan to use the controller inhaler consistently and use a
rescue bronchodilator for acute symptoms as prescribed, which reassessment finding best
indicates an appropriate response?
A. Lipid levels improve without significant muscle or liver toxicity.
B. Tuberculosis treatment remains effective with safe liver function and adherence.
C. Potassium remains safe while edema blood pressure or heart-failure symptoms
improve.
D. Symptom frequency and rescue-inhaler use decline without oral thrush.
Correct Answer: D. Symptom frequency and rescue-inhaler use decline without
oral thrush.
Explanation: Clinical judgment favors this response because it targets the identified
problem rather than a secondary concern. The most meaningful expected response for
Inhaled corticosteroids is symptom frequency and rescue-inhaler use decline without oral
thrush. Medication decisions require attention to indication, dose, administration safety,
adverse effects, interactions, and response to therapy. The other outcomes may be
desirable generally, but they do not most directly measure whether the priority problem in
this question is improving; serial reassessment should be compared with baseline so that a
worsening trend prompts timely modification or escalation of the plan.
Question 4.
Following the intervention to use calm communication help identify manageable concerns
and support evidence-based therapy on an acute-care medical-surgical unit, which finding
most strongly supports a favorable response?
A. Distress preoccupation and ability to engage in reality-based activity are monitored.
B. The client shares more information and participates in problem solving.
C. Worry intensity sleep and functional impairment improve over time.
D. Orientation vital signs airway status and memory effects are reassessed after
treatment.
Correct Answer: C. Worry intensity sleep and functional impairment improve
over time.
Explanation: Clinical judgment favors this response because it targets the identified
problem rather than a secondary concern. The most meaningful expected response for
Generalized anxiety is worry intensity sleep and functional impairment improve over time.
Psychosocial nursing prioritizes immediate safety, therapeutic communication, dignity,
boundaries, recovery, and the least restrictive effective approach. The other outcomes
may be desirable generally, but they do not most directly measure whether the priority
problem in this question is improving; serial reassessment should be compared with
baseline so that a worsening trend prompts timely modification or escalation of the plan.
,Question 5.
After the nurse implements the plan to obtain urine studies and start appropriate
antibiotics and hydration, which reassessment finding best indicates an appropriate
response?
A. Oxygenation improves with acceptable ventilator pressures and declining support
needs.
B. Fever pain and urinary findings resolve without sepsis.
C. Urine output creatinine potassium and fluid status stabilize.
D. Pain ECG changes and perfusion improve without recurrent ischemia.
Correct Answer: B. Fever pain and urinary findings resolve without sepsis.
Explanation: The selected response is the most appropriate next step for the situation
presented. The most meaningful expected response for Acute pyelonephritis is fever pain
and urinary findings resolve without sepsis. Physiological priorities protect airway,
breathing, circulation, perfusion, neurologic function, and organ stability while definitive
treatment proceeds. The other outcomes may be desirable generally, but they do not most
directly measure whether the priority problem in this question is improving; serial
reassessment should be compared with baseline so that a worsening trend prompts timely
modification or escalation of the plan.
Question 6.
Serial data are reviewed after the nurse acts to add a labeled late entry with the current
date and time rather than altering the earlier note. Which finding should receive the
greatest weight when evaluating the response?
A. The record clearly distinguishes when care occurred and when the late entry was made.
B. The record supports continuity of care and matches the care actually provided.
C. The RN compares intake output weights and assessment findings.
D. The prescriber authenticates the order within the required time frame.
Correct Answer: A. The record clearly distinguishes when care occurred and
when the late entry was made.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
The most meaningful expected response for Late entry documentation is the record clearly
distinguishes when care occurred and when the late entry was made. Management
decisions must account for acuity, scope of practice, client rights, communication,
continuity, and RN accountability. The other outcomes may be desirable generally, but
they do not most directly measure whether the priority problem in this question is
improving; serial reassessment should be compared with baseline so that a worsening
trend prompts timely modification or escalation of the plan.
, Question 7.
Following the intervention to send the effluent for testing and begin prescribed
antimicrobial treatment promptly on a telemetry unit, which finding most strongly
supports a favorable response?
A. Leg symptoms stabilize and pulmonary embolism does not occur.
B. Sodium rises safely with improving neurologic status.
C. The access site remains soft and dry with intact distal circulation.
D. Dialysate clears and abdominal symptoms and inflammatory signs improve.
Correct Answer: D. Dialysate clears and abdominal symptoms and inflammatory
signs improve.
Explanation: This answer is the best match for the client data and the expected nursing
standard. The most meaningful expected response for Peritoneal-dialysis peritonitis is
dialysate clears and abdominal symptoms and inflammatory signs improve. Risk-reduction
items depend on recognizing early complications, abnormal trends, procedure-related
hazards, and the need for timely escalation. The other outcomes may be desirable
generally, but they do not most directly measure whether the priority problem in this
question is improving; serial reassessment should be compared with baseline so that a
worsening trend prompts timely modification or escalation of the plan.
Question 8.
A 76-year-old client receives care that includes the plan to for an order of 6 units/hr from a
1 unit/mL solution set the infusion to 6 mL/hr. Which follow-up finding best demonstrates
therapeutic or safety benefit?
A. Blood glucose falls into target range without symptomatic hypoglycemia.
B. The prepared volume contains the prescribed dose and the infusion is tolerated without
adverse reaction.
C. Glucose falls gradually toward the ordered target while potassium and neurologic status
remain safe.
D. The measured volume delivers the prescribed dose and the expected therapeutic effect
occurs.
Correct Answer: C. Glucose falls gradually toward the ordered target while
potassium and neurologic status remain safe.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. The most meaningful expected response for Regular-insulin infusion
calculation is glucose falls gradually toward the ordered target while potassium and
neurologic status remain safe. Medication decisions require attention to indication, dose,
administration safety, adverse effects, interactions, and response to therapy. The other
outcomes may be desirable generally, but they do not most directly measure whether the
priority problem in this question is improving; serial reassessment should be compared
with baseline so that a worsening trend prompts timely modification or escalation of the
plan.
WITH ANSWERS AND EXPLANATIONS
Question 1.
After the nurse implements the plan to use latex-free supplies and clearly communicate
the allergy to the care team, which reassessment finding best indicates an appropriate
response?
A. Droplet precautions are maintained for the recommended treatment interval.
B. The client has no urticaria bronchospasm or other latex reaction.
C. Staff exposure and unit transmission are minimized.
D. No secondary exposure occurs among susceptible contacts.
Correct Answer: B. The client has no urticaria bronchospasm or other latex
reaction.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. The most meaningful expected response for Latex allergy precautions is
the client has no urticaria bronchospasm or other latex reaction. Safety decisions should
interrupt exposure or injury risk while preserving appropriate infection-control and
surveillance measures. The other outcomes may be desirable generally, but they do not
most directly measure whether the priority problem in this question is improving; serial
reassessment should be compared with baseline so that a worsening trend prompts timely
modification or escalation of the plan.
Question 2.
Following the intervention to keep the drainage system below chest level and assess the
client and tubing before manipulating the system on an emergency department, which
finding most strongly supports a favorable response?
A. Respiratory status improves and drainage-system function remains intact.
B. Potassium normalizes and muscle or rhythm abnormalities improve.
C. There is no significant reaction and renal function remains stable.
D. Lactate decreases as perfusion and clinical status improve.
Correct Answer: A. Respiratory status improves and drainage-system function
remains intact.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
The most meaningful expected response for Chest-tube water-seal tidaling is respiratory
status improves and drainage-system function remains intact. Risk-reduction items
depend on recognizing early complications, abnormal trends, procedure-related hazards,
and the need for timely escalation. The other outcomes may be desirable generally, but
they do not most directly measure whether the priority problem in this question is
improving; serial reassessment should be compared with baseline so that a worsening
trend prompts timely modification or escalation of the plan.
,Question 3.
After the nurse implements the plan to use the controller inhaler consistently and use a
rescue bronchodilator for acute symptoms as prescribed, which reassessment finding best
indicates an appropriate response?
A. Lipid levels improve without significant muscle or liver toxicity.
B. Tuberculosis treatment remains effective with safe liver function and adherence.
C. Potassium remains safe while edema blood pressure or heart-failure symptoms
improve.
D. Symptom frequency and rescue-inhaler use decline without oral thrush.
Correct Answer: D. Symptom frequency and rescue-inhaler use decline without
oral thrush.
Explanation: Clinical judgment favors this response because it targets the identified
problem rather than a secondary concern. The most meaningful expected response for
Inhaled corticosteroids is symptom frequency and rescue-inhaler use decline without oral
thrush. Medication decisions require attention to indication, dose, administration safety,
adverse effects, interactions, and response to therapy. The other outcomes may be
desirable generally, but they do not most directly measure whether the priority problem in
this question is improving; serial reassessment should be compared with baseline so that a
worsening trend prompts timely modification or escalation of the plan.
Question 4.
Following the intervention to use calm communication help identify manageable concerns
and support evidence-based therapy on an acute-care medical-surgical unit, which finding
most strongly supports a favorable response?
A. Distress preoccupation and ability to engage in reality-based activity are monitored.
B. The client shares more information and participates in problem solving.
C. Worry intensity sleep and functional impairment improve over time.
D. Orientation vital signs airway status and memory effects are reassessed after
treatment.
Correct Answer: C. Worry intensity sleep and functional impairment improve
over time.
Explanation: Clinical judgment favors this response because it targets the identified
problem rather than a secondary concern. The most meaningful expected response for
Generalized anxiety is worry intensity sleep and functional impairment improve over time.
Psychosocial nursing prioritizes immediate safety, therapeutic communication, dignity,
boundaries, recovery, and the least restrictive effective approach. The other outcomes
may be desirable generally, but they do not most directly measure whether the priority
problem in this question is improving; serial reassessment should be compared with
baseline so that a worsening trend prompts timely modification or escalation of the plan.
,Question 5.
After the nurse implements the plan to obtain urine studies and start appropriate
antibiotics and hydration, which reassessment finding best indicates an appropriate
response?
A. Oxygenation improves with acceptable ventilator pressures and declining support
needs.
B. Fever pain and urinary findings resolve without sepsis.
C. Urine output creatinine potassium and fluid status stabilize.
D. Pain ECG changes and perfusion improve without recurrent ischemia.
Correct Answer: B. Fever pain and urinary findings resolve without sepsis.
Explanation: The selected response is the most appropriate next step for the situation
presented. The most meaningful expected response for Acute pyelonephritis is fever pain
and urinary findings resolve without sepsis. Physiological priorities protect airway,
breathing, circulation, perfusion, neurologic function, and organ stability while definitive
treatment proceeds. The other outcomes may be desirable generally, but they do not most
directly measure whether the priority problem in this question is improving; serial
reassessment should be compared with baseline so that a worsening trend prompts timely
modification or escalation of the plan.
Question 6.
Serial data are reviewed after the nurse acts to add a labeled late entry with the current
date and time rather than altering the earlier note. Which finding should receive the
greatest weight when evaluating the response?
A. The record clearly distinguishes when care occurred and when the late entry was made.
B. The record supports continuity of care and matches the care actually provided.
C. The RN compares intake output weights and assessment findings.
D. The prescriber authenticates the order within the required time frame.
Correct Answer: A. The record clearly distinguishes when care occurred and
when the late entry was made.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
The most meaningful expected response for Late entry documentation is the record clearly
distinguishes when care occurred and when the late entry was made. Management
decisions must account for acuity, scope of practice, client rights, communication,
continuity, and RN accountability. The other outcomes may be desirable generally, but
they do not most directly measure whether the priority problem in this question is
improving; serial reassessment should be compared with baseline so that a worsening
trend prompts timely modification or escalation of the plan.
, Question 7.
Following the intervention to send the effluent for testing and begin prescribed
antimicrobial treatment promptly on a telemetry unit, which finding most strongly
supports a favorable response?
A. Leg symptoms stabilize and pulmonary embolism does not occur.
B. Sodium rises safely with improving neurologic status.
C. The access site remains soft and dry with intact distal circulation.
D. Dialysate clears and abdominal symptoms and inflammatory signs improve.
Correct Answer: D. Dialysate clears and abdominal symptoms and inflammatory
signs improve.
Explanation: This answer is the best match for the client data and the expected nursing
standard. The most meaningful expected response for Peritoneal-dialysis peritonitis is
dialysate clears and abdominal symptoms and inflammatory signs improve. Risk-reduction
items depend on recognizing early complications, abnormal trends, procedure-related
hazards, and the need for timely escalation. The other outcomes may be desirable
generally, but they do not most directly measure whether the priority problem in this
question is improving; serial reassessment should be compared with baseline so that a
worsening trend prompts timely modification or escalation of the plan.
Question 8.
A 76-year-old client receives care that includes the plan to for an order of 6 units/hr from a
1 unit/mL solution set the infusion to 6 mL/hr. Which follow-up finding best demonstrates
therapeutic or safety benefit?
A. Blood glucose falls into target range without symptomatic hypoglycemia.
B. The prepared volume contains the prescribed dose and the infusion is tolerated without
adverse reaction.
C. Glucose falls gradually toward the ordered target while potassium and neurologic status
remain safe.
D. The measured volume delivers the prescribed dose and the expected therapeutic effect
occurs.
Correct Answer: C. Glucose falls gradually toward the ordered target while
potassium and neurologic status remain safe.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. The most meaningful expected response for Regular-insulin infusion
calculation is glucose falls gradually toward the ordered target while potassium and
neurologic status remain safe. Medication decisions require attention to indication, dose,
administration safety, adverse effects, interactions, and response to therapy. The other
outcomes may be desirable generally, but they do not most directly measure whether the
priority problem in this question is improving; serial reassessment should be compared
with baseline so that a worsening trend prompts timely modification or escalation of the
plan.
