HESI RN EXIT V1 SET 3 NGN QUESTIONS
WITH ANSWERS AND EXPLANATIONS
Question 1.
The nurse has acted to obtain urine studies and start appropriate antibiotics and
hydration. Which change best shows that the priority problem is being controlled or
appropriately managed?
A. Oxygenation improves with acceptable ventilator pressures and declining support
needs.
B. Pain inflammatory markers oral tolerance and organ function improve.
C. Urine output creatinine potassium and fluid status stabilize.
D. Fever pain and urinary findings resolve without sepsis.
Correct Answer: D. Fever pain and urinary findings resolve without sepsis.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. 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 2.
Following the intervention to initiate withdrawal assessment seizure precautions and
benzodiazepine therapy as prescribed on a community clinic, which finding most strongly
supports a favorable response?
A. Behavior is evaluated by observable adherence to boundaries and safety expectations.
B. Vital signs withdrawal scores orientation and seizure risk are monitored.
C. Self-harm urges crisis use and ability to use coping skills are tracked.
D. Craving withdrawal overdose risk and treatment retention are monitored.
Correct Answer: B. Vital signs withdrawal scores orientation and seizure risk are
monitored.
Explanation: The keyed option is the most direct response to the clinical problem in the
stem. The most meaningful expected response for Alcohol withdrawal is vital signs
withdrawal scores orientation and seizure risk are monitored. 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 3.
A 81-year-old client receives care that includes the plan to use the lowest effective dose
and stop or seek care for GI bleeding or acute kidney injury signs. Which follow-up finding
best demonstrates therapeutic or safety benefit?
A. Blood glucose falls into target range without symptomatic hypoglycemia.
B. Infection improves without tendon neurologic or severe glucose complications.
C. Pain improves without bleeding renal decline or fluid overload.
D. Potassium remains safe while edema blood pressure or heart-failure symptoms
improve.
Correct Answer: C. Pain improves without bleeding renal decline or fluid
overload.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. The most meaningful expected response for NSAIDs is pain improves
without bleeding renal decline or fluid overload. 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.
The initial nursing response is to offer an approved screening strategy and emphasize
completion of follow-up colonoscopy after abnormal noninvasive tests. Which follow-up
outcome is most reassuring?
A. Screening is completed and abnormal results receive definitive follow-up.
B. Abnormal screening results lead to confirmation and risk-reduction planning.
C. Abnormal results lead to nutrition monitoring glucose management and fetal
surveillance as indicated.
D. The client receives risk-appropriate imaging and diagnostic follow-up when needed.
Correct Answer: A. Screening is completed and abnormal results receive
definitive follow-up.
Explanation: This answer is the best match for the client data and the expected nursing
standard. The most meaningful expected response for Colorectal-cancer screening is
screening is completed and abnormal results receive definitive follow-up.
Health-promotion care emphasizes prevention, development, screening, immunization,
anticipatory guidance, and early recognition of warning signs. 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.
Serial data are reviewed after the nurse acts to treat distressing symptoms and honor the
client's comfort-focused plan. Which finding should receive the greatest weight when
evaluating the response?
A. Objective assessment findings and mandated notifications are documented.
B. Pain dyspnea anxiety and caregiver distress are regularly reassessed.
C. The RN supervises evaluates and intervenes if the situation changes.
D. The client has a safety plan and the report is completed through the proper agency.
Correct Answer: B. Pain dyspnea anxiety and caregiver distress are regularly
reassessed.
Explanation: This answer is the best match for the client data and the expected nursing
standard. The most meaningful expected response for Hospice goals is pain dyspnea
anxiety and caregiver distress are regularly reassessed. 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 6.
The nurse has acted to stop the drug and obtain urgent evaluation for angioedema
involving the lips tongue or airway. Which change best shows that the priority problem is
being controlled or appropriately managed?
A. Mood improves without hypertensive crisis or serotonin toxicity.
B. Seizures are controlled with therapeutic exposure and minimal toxicity.
C. Glucose falls gradually toward the ordered target while potassium and neurologic status
remain safe.
D. Blood pressure improves while potassium and renal function remain acceptable.
Correct Answer: D. Blood pressure improves while potassium and renal function
remain acceptable.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. The most meaningful expected response for ACE inhibitors is blood
pressure improves while potassium and renal function remain acceptable. 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 7.
After the nurse implements the plan to notify the provider if the client still has unanswered
procedure questions before signing, which reassessment finding best indicates an
appropriate response?
A. The RN follows up on response to therapy and unexpected findings.
B. Corrective actions are tracked after leadership and risk-management review.
C. The chart contains the signed consent and documentation of questions or refusals.
D. Circulation skin behavior hydration toileting and ongoing need are reassessed.
Correct Answer: C. The chart contains the signed consent and documentation of
questions or refusals.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. The most meaningful expected response for Informed consent is the chart
contains the signed consent and documentation of questions or refusals. 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 8.
A 72-year-old client receives care that includes the plan to fit the skin barrier closely
around the stoma and empty the pouch before it becomes overly full. Which follow-up
finding best demonstrates therapeutic or safety benefit?
A. The stoma remains viable and the surrounding skin is free of leakage injury.
B. Meals occur without coughing wet voice oxygen decline or recurrent pneumonia.
C. The oral mucosa remains intact and dentures fit comfortably.
D. Urine output hydration and stool frequency improve without complications.
Correct Answer: A. The stoma remains viable and the surrounding skin is free of
leakage injury.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
The most meaningful expected response for Ostomy care is the stoma remains viable and
the surrounding skin is free of leakage injury. Basic-care decisions should preserve
function, nutrition, elimination, mobility, skin integrity, comfort, and dignity without
creating avoidable risk. 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.
The nurse has acted to obtain urine studies and start appropriate antibiotics and
hydration. Which change best shows that the priority problem is being controlled or
appropriately managed?
A. Oxygenation improves with acceptable ventilator pressures and declining support
needs.
B. Pain inflammatory markers oral tolerance and organ function improve.
C. Urine output creatinine potassium and fluid status stabilize.
D. Fever pain and urinary findings resolve without sepsis.
Correct Answer: D. Fever pain and urinary findings resolve without sepsis.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. 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 2.
Following the intervention to initiate withdrawal assessment seizure precautions and
benzodiazepine therapy as prescribed on a community clinic, which finding most strongly
supports a favorable response?
A. Behavior is evaluated by observable adherence to boundaries and safety expectations.
B. Vital signs withdrawal scores orientation and seizure risk are monitored.
C. Self-harm urges crisis use and ability to use coping skills are tracked.
D. Craving withdrawal overdose risk and treatment retention are monitored.
Correct Answer: B. Vital signs withdrawal scores orientation and seizure risk are
monitored.
Explanation: The keyed option is the most direct response to the clinical problem in the
stem. The most meaningful expected response for Alcohol withdrawal is vital signs
withdrawal scores orientation and seizure risk are monitored. 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 3.
A 81-year-old client receives care that includes the plan to use the lowest effective dose
and stop or seek care for GI bleeding or acute kidney injury signs. Which follow-up finding
best demonstrates therapeutic or safety benefit?
A. Blood glucose falls into target range without symptomatic hypoglycemia.
B. Infection improves without tendon neurologic or severe glucose complications.
C. Pain improves without bleeding renal decline or fluid overload.
D. Potassium remains safe while edema blood pressure or heart-failure symptoms
improve.
Correct Answer: C. Pain improves without bleeding renal decline or fluid
overload.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. The most meaningful expected response for NSAIDs is pain improves
without bleeding renal decline or fluid overload. 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.
The initial nursing response is to offer an approved screening strategy and emphasize
completion of follow-up colonoscopy after abnormal noninvasive tests. Which follow-up
outcome is most reassuring?
A. Screening is completed and abnormal results receive definitive follow-up.
B. Abnormal screening results lead to confirmation and risk-reduction planning.
C. Abnormal results lead to nutrition monitoring glucose management and fetal
surveillance as indicated.
D. The client receives risk-appropriate imaging and diagnostic follow-up when needed.
Correct Answer: A. Screening is completed and abnormal results receive
definitive follow-up.
Explanation: This answer is the best match for the client data and the expected nursing
standard. The most meaningful expected response for Colorectal-cancer screening is
screening is completed and abnormal results receive definitive follow-up.
Health-promotion care emphasizes prevention, development, screening, immunization,
anticipatory guidance, and early recognition of warning signs. 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.
Serial data are reviewed after the nurse acts to treat distressing symptoms and honor the
client's comfort-focused plan. Which finding should receive the greatest weight when
evaluating the response?
A. Objective assessment findings and mandated notifications are documented.
B. Pain dyspnea anxiety and caregiver distress are regularly reassessed.
C. The RN supervises evaluates and intervenes if the situation changes.
D. The client has a safety plan and the report is completed through the proper agency.
Correct Answer: B. Pain dyspnea anxiety and caregiver distress are regularly
reassessed.
Explanation: This answer is the best match for the client data and the expected nursing
standard. The most meaningful expected response for Hospice goals is pain dyspnea
anxiety and caregiver distress are regularly reassessed. 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 6.
The nurse has acted to stop the drug and obtain urgent evaluation for angioedema
involving the lips tongue or airway. Which change best shows that the priority problem is
being controlled or appropriately managed?
A. Mood improves without hypertensive crisis or serotonin toxicity.
B. Seizures are controlled with therapeutic exposure and minimal toxicity.
C. Glucose falls gradually toward the ordered target while potassium and neurologic status
remain safe.
D. Blood pressure improves while potassium and renal function remain acceptable.
Correct Answer: D. Blood pressure improves while potassium and renal function
remain acceptable.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. The most meaningful expected response for ACE inhibitors is blood
pressure improves while potassium and renal function remain acceptable. 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 7.
After the nurse implements the plan to notify the provider if the client still has unanswered
procedure questions before signing, which reassessment finding best indicates an
appropriate response?
A. The RN follows up on response to therapy and unexpected findings.
B. Corrective actions are tracked after leadership and risk-management review.
C. The chart contains the signed consent and documentation of questions or refusals.
D. Circulation skin behavior hydration toileting and ongoing need are reassessed.
Correct Answer: C. The chart contains the signed consent and documentation of
questions or refusals.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. The most meaningful expected response for Informed consent is the chart
contains the signed consent and documentation of questions or refusals. 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 8.
A 72-year-old client receives care that includes the plan to fit the skin barrier closely
around the stoma and empty the pouch before it becomes overly full. Which follow-up
finding best demonstrates therapeutic or safety benefit?
A. The stoma remains viable and the surrounding skin is free of leakage injury.
B. Meals occur without coughing wet voice oxygen decline or recurrent pneumonia.
C. The oral mucosa remains intact and dentures fit comfortably.
D. Urine output hydration and stool frequency improve without complications.
Correct Answer: A. The stoma remains viable and the surrounding skin is free of
leakage injury.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
The most meaningful expected response for Ostomy care is the stoma remains viable and
the surrounding skin is free of leakage injury. Basic-care decisions should preserve
function, nutrition, elimination, mobility, skin integrity, comfort, and dignity without
creating avoidable risk. 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.
