HESI RN EXIT EXAM 4 WITH NGN
LATEST VERSION B 2026-2027/HESI EXIT
RN NEXT GENERATION EXAM ALL 160+
QUESTIONS AND CORRECT DETAILED
ANSWERS
A nurse is teaching a client who has a prescription of a nasogastric tube
(NG) to treat a pyloric obstruction. Which of the following rationales for
the use of the nasogastric tube should the nurse include in the
teaching?
A. Determine the pH of the gastric secretions.
B. Supply nutrients via tube feedings.
C. Decompress the stomach.
D. Administer medications. - Correct AnswerC. Decompress the
stomach.
A nurse provides a back massage as a palliative care measure to a client
who is unconscious, grimacing, and restless. Which of the following
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,findings should the nurse identify as indicating a therapeutic response?
(Select all that apply.)
The shoulders droop.
The facial muscles relax.
The respiratory rate increases.
The pulse is within the expected range.
The client draws his legs up into a fetal position. - Correct AnswerThe
shoulders droop.
The facial muscles relax.
The pulse is within the expected range.
A nurse is assessing a client who is postoperative and has anemia due to
excess blood loss following surgery. Which of the following findings
should the nurse expect?
A. Fatigue
B. Hypertension
C. Bradycardia
D. Diarrhea - Correct AnswerA. Fatigue
A nurse is reviewing the arterial blood gas (ABG) results of a client who
the provider suspects has metabolic acidosis. Which of the following
results should the nurse expect to see?
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,A. pH below 7.35
B. HCO3 above 26 mEq/L
C. PaO2 below 70 mmHg
D. PaCO2 above 45 mmHg - Correct AnswerA. pH below 7.35
A nurse is planning care for a client who is postoperative and at risk of
paralytic ileus. Which of the following interventions should the nurse
plan to take to promote peristalsis?
A. Increase ambulation.
B. Decrease fluid intake.
C. Increase protein intake.
D. Offer the client the bedpan every 2 hr. - Correct AnswerA. Increase
ambulation.
A nurse has completed care procedures for a client who requires
airborne precautions. Which of the following items of personal
protective equipment (PPE) should the nurse remove last?
A. Mask
B. Gloves
C. Gown
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, D. Goggles - Correct AnswerA. Mask
A nurse is providing teaching to an assistive personnel (AP) about caring
for clients with restraints. Which of the following statements by the AP
indicates an understanding of the teaching?
A. "I will tie restraints in double knots."
B. "I will tie a restraint to the portion of the bed that moves when the
head of the bed is moved."
C. "I will ensure that restraints fit tightly against the client."
D. "I will put four side rails up if a client is confused." - Correct AnswerB.
"I will tie a restraint to the portion of the bed that moves when the
head of the bed is moved."
A nurse is teaching a new group of assistive personnel (AP) about the
importance of hand hygiene. Which of the following statements should
the nurse include?
A. "If you wear gloves, you do not have to wash your hands."
B. "Rub all surfaces of your hands with an alcohol rub for 20 to 30
seconds."
C. "Use an alcohol rub when your hands are visibly soiled."
D. "If you don't have an infection, your hands won't infect others." -
Correct AnswerB. "Rub all surfaces of your hands with an alcohol rub for
20 to 30 seconds."
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LATEST VERSION B 2026-2027/HESI EXIT
RN NEXT GENERATION EXAM ALL 160+
QUESTIONS AND CORRECT DETAILED
ANSWERS
A nurse is teaching a client who has a prescription of a nasogastric tube
(NG) to treat a pyloric obstruction. Which of the following rationales for
the use of the nasogastric tube should the nurse include in the
teaching?
A. Determine the pH of the gastric secretions.
B. Supply nutrients via tube feedings.
C. Decompress the stomach.
D. Administer medications. - Correct AnswerC. Decompress the
stomach.
A nurse provides a back massage as a palliative care measure to a client
who is unconscious, grimacing, and restless. Which of the following
Page 1 of 330
,findings should the nurse identify as indicating a therapeutic response?
(Select all that apply.)
The shoulders droop.
The facial muscles relax.
The respiratory rate increases.
The pulse is within the expected range.
The client draws his legs up into a fetal position. - Correct AnswerThe
shoulders droop.
The facial muscles relax.
The pulse is within the expected range.
A nurse is assessing a client who is postoperative and has anemia due to
excess blood loss following surgery. Which of the following findings
should the nurse expect?
A. Fatigue
B. Hypertension
C. Bradycardia
D. Diarrhea - Correct AnswerA. Fatigue
A nurse is reviewing the arterial blood gas (ABG) results of a client who
the provider suspects has metabolic acidosis. Which of the following
results should the nurse expect to see?
Page 2 of 330
,A. pH below 7.35
B. HCO3 above 26 mEq/L
C. PaO2 below 70 mmHg
D. PaCO2 above 45 mmHg - Correct AnswerA. pH below 7.35
A nurse is planning care for a client who is postoperative and at risk of
paralytic ileus. Which of the following interventions should the nurse
plan to take to promote peristalsis?
A. Increase ambulation.
B. Decrease fluid intake.
C. Increase protein intake.
D. Offer the client the bedpan every 2 hr. - Correct AnswerA. Increase
ambulation.
A nurse has completed care procedures for a client who requires
airborne precautions. Which of the following items of personal
protective equipment (PPE) should the nurse remove last?
A. Mask
B. Gloves
C. Gown
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, D. Goggles - Correct AnswerA. Mask
A nurse is providing teaching to an assistive personnel (AP) about caring
for clients with restraints. Which of the following statements by the AP
indicates an understanding of the teaching?
A. "I will tie restraints in double knots."
B. "I will tie a restraint to the portion of the bed that moves when the
head of the bed is moved."
C. "I will ensure that restraints fit tightly against the client."
D. "I will put four side rails up if a client is confused." - Correct AnswerB.
"I will tie a restraint to the portion of the bed that moves when the
head of the bed is moved."
A nurse is teaching a new group of assistive personnel (AP) about the
importance of hand hygiene. Which of the following statements should
the nurse include?
A. "If you wear gloves, you do not have to wash your hands."
B. "Rub all surfaces of your hands with an alcohol rub for 20 to 30
seconds."
C. "Use an alcohol rub when your hands are visibly soiled."
D. "If you don't have an infection, your hands won't infect others." -
Correct AnswerB. "Rub all surfaces of your hands with an alcohol rub for
20 to 30 seconds."
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