HESI RN EXIT EXAM WITH NGN LATEST
VERSION B 2026-2027/HESI EXIT RN
NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED
ANSWERS
The nurse is caring for a preterm newborn with nasal flaring, grunting,
and sternal retractions. After administering surfactant, which
assessment is most important for the nurse to monitor?
A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate - Correct AnswerA. Arterial blood gasses
An S3 heart sound is auscultated in a client in her third trimester of
pregnancy. What intervention should the nurse take?
A. Prepare the client for an echocardiogram
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,B. Document in the client's record
C. Notify the healthcare provider
D. Limit the client's fluids - Correct AnswerB. Document in the client's
record
A young male client is admitted to rehabilitation following a right
above-knee amputation (AKA) for a severe traumatic injury. He is in the
commons room and anxiously calls out to the nurse, stating that his
"right foot is aching". The nurse offers reassurance and support. Which
additional intervention is most important for the nurse to implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
D. Offer to assist the client to a quieter location so he can relax - Correct
AnswerA. Encourage discussion of feelings about the loss of his limb
A combination multi-drug cocktail is being considered for an
asymptomatic HIV-infected client with a CD4 cell count of 500. Which
nursing assessment of the client is most crucial in determining whether
therapy should be initiated?
A. Willing to comply with complex drug schedules
B. Maintains an adequate social support system
C. Qualifies for a prescription assistance program
D. States various side effects of retroviral agents - Correct AnswerA.
Willing to comply with complex drug schedules
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,The nurse is caring for a seated client who is experiencing a tonic-clonic
seizure. Which actions should the nurse implement? (Select all that
apply)
A. Loosen restrictive clothing
B. Insert a bite block
C. Ease the client to the floor
D. Note the duration of the seizure
E. Restrain the client - Correct AnswerA. Loosen restrictive clothing
C. Ease the client to the floor
D. Note the duration of the seizure
On admission to the Emergency Department, a female client who was
diagnosed with bipolar disorder 3 years ago reports that this morning
she took a handful of medications and left a suicide note for her family.
Which information is most important for the nurse to obtain?
A. Which family member has the client's suicide note
B. What drugs the client used for the suicide attempt
C. When the client last took drugs for bipolar disorder
D. Whether the client over attempted suicide in the past - Correct
AnswerC. When the client last took drugs for bipolar disorder
The nurse has complete the diet teaching of a client who is being
discharged following treatment of a leg wound. A high protein diet is
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, encouraged to promote wound healing. Which lunch choice by the
client indicates that the teaching was effective?
A. A tuna fish sandwich with chips and ice cream
B. A salad with three kinds of lettuce and fruit
C. A peanut butter sandwich with soda and cookies
D. Vegetable soup, crackers, and milk - Correct AnswerA. A tuna fish
sandwich with chips and ice cream
The nurse has received funding to design a health promotion project for
African-American women who are at risk for developing breast cancer.
Which resource is most important in designing this program?
A. A listing of African-American women who live in the community
B. Morbidity data for breast cancer in women of all races
C. Participation of community leaders in planning the program
D. Technical assistance to produce a video on breast self-examination -
Correct AnswerC. Participation of community leaders in planning the
program
A new nurse preparing to irrigate an intravenous catheter is attaching a
24-gauge needle. Which action should the charge nurse implement?
A. Suggest the nurse use a 20-gauge needle
B. Instruct the nurse to remove the needle
C. Direct the nurse to change the IV tubing
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VERSION B 2026-2027/HESI EXIT RN
NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED
ANSWERS
The nurse is caring for a preterm newborn with nasal flaring, grunting,
and sternal retractions. After administering surfactant, which
assessment is most important for the nurse to monitor?
A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate - Correct AnswerA. Arterial blood gasses
An S3 heart sound is auscultated in a client in her third trimester of
pregnancy. What intervention should the nurse take?
A. Prepare the client for an echocardiogram
Page 1 of 67
,B. Document in the client's record
C. Notify the healthcare provider
D. Limit the client's fluids - Correct AnswerB. Document in the client's
record
A young male client is admitted to rehabilitation following a right
above-knee amputation (AKA) for a severe traumatic injury. He is in the
commons room and anxiously calls out to the nurse, stating that his
"right foot is aching". The nurse offers reassurance and support. Which
additional intervention is most important for the nurse to implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
D. Offer to assist the client to a quieter location so he can relax - Correct
AnswerA. Encourage discussion of feelings about the loss of his limb
A combination multi-drug cocktail is being considered for an
asymptomatic HIV-infected client with a CD4 cell count of 500. Which
nursing assessment of the client is most crucial in determining whether
therapy should be initiated?
A. Willing to comply with complex drug schedules
B. Maintains an adequate social support system
C. Qualifies for a prescription assistance program
D. States various side effects of retroviral agents - Correct AnswerA.
Willing to comply with complex drug schedules
Page 2 of 67
,The nurse is caring for a seated client who is experiencing a tonic-clonic
seizure. Which actions should the nurse implement? (Select all that
apply)
A. Loosen restrictive clothing
B. Insert a bite block
C. Ease the client to the floor
D. Note the duration of the seizure
E. Restrain the client - Correct AnswerA. Loosen restrictive clothing
C. Ease the client to the floor
D. Note the duration of the seizure
On admission to the Emergency Department, a female client who was
diagnosed with bipolar disorder 3 years ago reports that this morning
she took a handful of medications and left a suicide note for her family.
Which information is most important for the nurse to obtain?
A. Which family member has the client's suicide note
B. What drugs the client used for the suicide attempt
C. When the client last took drugs for bipolar disorder
D. Whether the client over attempted suicide in the past - Correct
AnswerC. When the client last took drugs for bipolar disorder
The nurse has complete the diet teaching of a client who is being
discharged following treatment of a leg wound. A high protein diet is
Page 3 of 67
, encouraged to promote wound healing. Which lunch choice by the
client indicates that the teaching was effective?
A. A tuna fish sandwich with chips and ice cream
B. A salad with three kinds of lettuce and fruit
C. A peanut butter sandwich with soda and cookies
D. Vegetable soup, crackers, and milk - Correct AnswerA. A tuna fish
sandwich with chips and ice cream
The nurse has received funding to design a health promotion project for
African-American women who are at risk for developing breast cancer.
Which resource is most important in designing this program?
A. A listing of African-American women who live in the community
B. Morbidity data for breast cancer in women of all races
C. Participation of community leaders in planning the program
D. Technical assistance to produce a video on breast self-examination -
Correct AnswerC. Participation of community leaders in planning the
program
A new nurse preparing to irrigate an intravenous catheter is attaching a
24-gauge needle. Which action should the charge nurse implement?
A. Suggest the nurse use a 20-gauge needle
B. Instruct the nurse to remove the needle
C. Direct the nurse to change the IV tubing
Page 4 of 67
