HESI RN EXIT ACTUAL EXAM WITH NGN 2025 UPDATE| QUESTIONS AND
DETAILED ANSWERS|A+ GRADED|
After placing a 36-week gestation new-
born in and isolette and drying the infant
with several blankets, what should the
nurse implement next?
a. Administer the vitamin K injection
c. Place erythromycin ophthalmic oint-
b. Remove the wet blankets and linens
ment in both eyes
from the isolette
c. Place erythromycin ophthalmic oint-
ment in both eyes
d. Open the isolate door to assess the
infants' vital signs
A client in the third trimester of pregnan-
cy complaints of frequent nasal stuffi-
ness and occasional nosebleeds. Her
chest circumference has increased by
5 cm during the pregnancy, and she
uses thoracic breathing. Her diaphragm
is elevated, and she has an increased
costal angle. Which intervention should
C. Examine the client for signs of tissue
the nurse implement?
and anoxia, such as pallor
A. Ask a nurse with more experience to
validate the costal angle finding
B. Ask the health care provider to evalu-
ate the client's respiratory status
C. Examine the client for signs of tissue
and anoxia, such as pallor
D. Record the respiratory finding in the
client's record as normal
A terminally ill male hospice client who
is at home is showing decreased aware-
ness of his surroundings. His appetite is
poor, and he often uses oral intake of
solids and liquids. For the past several C. Teach family how to assist the client to
days he has been unable to get out of a wheelchair
bed. Which action should the hospice
nurse implement?
A. Ask family to remain nearby, but in
another room
, HESI RN EXIT ACTUAL EXAM WITH NGN 2025 UPDATE| QUESTIONS AND
DETAILED ANSWERS|A+ GRADED|
B. Encourage family to speak often with
the client
C.Teach family how to assist the client to
a wheelchair
D. Instruct family to offer client only soft
bland foods
A woman was admitted yesterday after-
noon with severe abdominal pain. Her
pregnancy tests and ultrasounds were
negative, so an exploratory laparotomy
was completed during the night. When
coffee ground material is observed in
the drainage from the nasal gastric tube,
which intervention should the nurse im-
a. Verify correct placement of the naso-
plement?
gastric tube
a. Verify correct placement of the naso-
gastric tube
b. Perform gastroccult test on the naso-
gastric drainage
c. Listen for evidence of diminished bow-
el sounds
d. Irrigate the nasogastric tube with water
until clear
The nurse is reviewing the laboratory val-
ues for a client with acute pancreatitis
who reports that the abdominal pain is
not as severe as it was on admission.
Which laboratory test should the nurse
review to evaluate the client's clinical re- a. Lipase
covery?
a. Lipase
b. Creatinine
c. Bilirubin
d. Glucose
While assessing a client who had a la-
parotomy the previous day, the nurse no-
tices that 300 mL of dark red fluid has
drained from the nasogastric tube in the
, HESI RN EXIT ACTUAL EXAM WITH NGN 2025 UPDATE| QUESTIONS AND
DETAILED ANSWERS|A+ GRADED|
last hour. Which action should the nurse
take first?
a. Determine the client's vital signs
b. Monitor urinary output hourly
b. Monitor urinary output hourly
c. Notify the surgeon immediately
d. Assess the client's level of pain
The nurse is reviewing the recommend-
ed preventative care for clients with asth-
ma, chronic bronchitis, and emphysema.
Which healthcare measure is most im-
portant for the nurse to recommend to
these clients?
a. Ensure supplemental oxygen and res-
d. Avoid large crowded areas during the
piratory medications are available at all
colder months of the year
times
b. Use nasal or cough tissues followed by
hand washing at all times
c. Get annual flu and pneumococcal vac-
cine polyvalent vaccines
d. Avoid large crowded areas during the
colder months of the year
A mother of a one-month-old infant calls
the clinic to report that the back of her in-
fant's head is flat. How should the nurse
respond?
a. Position the infant on the stomach oc-
casionally when awake and active a. Position the infant on the stomach oc-
b. Turn the infant on the left side braced casionally when awake and active
against the crib when sleeping
c. Prop the infant in a sitting position with
a cushion when not sleeping
d. Place a small pillow under the infants
head while lying on the back
A woman is brought to the labor and
delivery unit after delivering a term infant
and the placenta in the hospital parking
lot 10 minutes ago. Which action should
the nurse perform first?
, HESI RN EXIT ACTUAL EXAM WITH NGN 2025 UPDATE| QUESTIONS AND
DETAILED ANSWERS|A+ GRADED|
a. Inspect the perineum for lacerations
b. Collect specimen for hemoglobin and
hematocrit c. Massage the fundus and give oxytocic
c. Massage the fundus and give oxytocic agent
agent
d. Place the infant to breast for bonding
A client has a new prescription for
the maximum recommended dosage of
piperacillin/tazobactam for nosocomial
pneumonia. The nurse should report
which laboratory finding to the health
care provider before administering the b. Presence of gram-positive bacteria in
prescribed dose? the sputum
a. Elevated white blood cell count
b. Presence of gram-positive bacteria in
the sputum
c. Decrease creatinine clearance
d. Elevated cholesterol and lipoproteins
A client who is admitted with diabetic
ketoacidosis is demonstrating Kussmaul
breathing and has a severe headache
along with nausea. Her arterial blood
gases are: ph 7.50; paco2 30 mmhg;
HCO3 24 meq/L. Which assessment
d. Fruity breath
finding warrants immediate intervention
by the nurse?
a. Muscle stiffness
b. Abdominal pain
c. Mental stupor
d. Fruity breath
When performing postural drainage on
a client with chronic obstructive pul-
monary disease, which approach should
the nurse use? a. Explain that the client may be placed
a. Explain that the client may be placed in five positions
in five positions
b. Instruct the client to breathe shallow
and fast
DETAILED ANSWERS|A+ GRADED|
After placing a 36-week gestation new-
born in and isolette and drying the infant
with several blankets, what should the
nurse implement next?
a. Administer the vitamin K injection
c. Place erythromycin ophthalmic oint-
b. Remove the wet blankets and linens
ment in both eyes
from the isolette
c. Place erythromycin ophthalmic oint-
ment in both eyes
d. Open the isolate door to assess the
infants' vital signs
A client in the third trimester of pregnan-
cy complaints of frequent nasal stuffi-
ness and occasional nosebleeds. Her
chest circumference has increased by
5 cm during the pregnancy, and she
uses thoracic breathing. Her diaphragm
is elevated, and she has an increased
costal angle. Which intervention should
C. Examine the client for signs of tissue
the nurse implement?
and anoxia, such as pallor
A. Ask a nurse with more experience to
validate the costal angle finding
B. Ask the health care provider to evalu-
ate the client's respiratory status
C. Examine the client for signs of tissue
and anoxia, such as pallor
D. Record the respiratory finding in the
client's record as normal
A terminally ill male hospice client who
is at home is showing decreased aware-
ness of his surroundings. His appetite is
poor, and he often uses oral intake of
solids and liquids. For the past several C. Teach family how to assist the client to
days he has been unable to get out of a wheelchair
bed. Which action should the hospice
nurse implement?
A. Ask family to remain nearby, but in
another room
, HESI RN EXIT ACTUAL EXAM WITH NGN 2025 UPDATE| QUESTIONS AND
DETAILED ANSWERS|A+ GRADED|
B. Encourage family to speak often with
the client
C.Teach family how to assist the client to
a wheelchair
D. Instruct family to offer client only soft
bland foods
A woman was admitted yesterday after-
noon with severe abdominal pain. Her
pregnancy tests and ultrasounds were
negative, so an exploratory laparotomy
was completed during the night. When
coffee ground material is observed in
the drainage from the nasal gastric tube,
which intervention should the nurse im-
a. Verify correct placement of the naso-
plement?
gastric tube
a. Verify correct placement of the naso-
gastric tube
b. Perform gastroccult test on the naso-
gastric drainage
c. Listen for evidence of diminished bow-
el sounds
d. Irrigate the nasogastric tube with water
until clear
The nurse is reviewing the laboratory val-
ues for a client with acute pancreatitis
who reports that the abdominal pain is
not as severe as it was on admission.
Which laboratory test should the nurse
review to evaluate the client's clinical re- a. Lipase
covery?
a. Lipase
b. Creatinine
c. Bilirubin
d. Glucose
While assessing a client who had a la-
parotomy the previous day, the nurse no-
tices that 300 mL of dark red fluid has
drained from the nasogastric tube in the
, HESI RN EXIT ACTUAL EXAM WITH NGN 2025 UPDATE| QUESTIONS AND
DETAILED ANSWERS|A+ GRADED|
last hour. Which action should the nurse
take first?
a. Determine the client's vital signs
b. Monitor urinary output hourly
b. Monitor urinary output hourly
c. Notify the surgeon immediately
d. Assess the client's level of pain
The nurse is reviewing the recommend-
ed preventative care for clients with asth-
ma, chronic bronchitis, and emphysema.
Which healthcare measure is most im-
portant for the nurse to recommend to
these clients?
a. Ensure supplemental oxygen and res-
d. Avoid large crowded areas during the
piratory medications are available at all
colder months of the year
times
b. Use nasal or cough tissues followed by
hand washing at all times
c. Get annual flu and pneumococcal vac-
cine polyvalent vaccines
d. Avoid large crowded areas during the
colder months of the year
A mother of a one-month-old infant calls
the clinic to report that the back of her in-
fant's head is flat. How should the nurse
respond?
a. Position the infant on the stomach oc-
casionally when awake and active a. Position the infant on the stomach oc-
b. Turn the infant on the left side braced casionally when awake and active
against the crib when sleeping
c. Prop the infant in a sitting position with
a cushion when not sleeping
d. Place a small pillow under the infants
head while lying on the back
A woman is brought to the labor and
delivery unit after delivering a term infant
and the placenta in the hospital parking
lot 10 minutes ago. Which action should
the nurse perform first?
, HESI RN EXIT ACTUAL EXAM WITH NGN 2025 UPDATE| QUESTIONS AND
DETAILED ANSWERS|A+ GRADED|
a. Inspect the perineum for lacerations
b. Collect specimen for hemoglobin and
hematocrit c. Massage the fundus and give oxytocic
c. Massage the fundus and give oxytocic agent
agent
d. Place the infant to breast for bonding
A client has a new prescription for
the maximum recommended dosage of
piperacillin/tazobactam for nosocomial
pneumonia. The nurse should report
which laboratory finding to the health
care provider before administering the b. Presence of gram-positive bacteria in
prescribed dose? the sputum
a. Elevated white blood cell count
b. Presence of gram-positive bacteria in
the sputum
c. Decrease creatinine clearance
d. Elevated cholesterol and lipoproteins
A client who is admitted with diabetic
ketoacidosis is demonstrating Kussmaul
breathing and has a severe headache
along with nausea. Her arterial blood
gases are: ph 7.50; paco2 30 mmhg;
HCO3 24 meq/L. Which assessment
d. Fruity breath
finding warrants immediate intervention
by the nurse?
a. Muscle stiffness
b. Abdominal pain
c. Mental stupor
d. Fruity breath
When performing postural drainage on
a client with chronic obstructive pul-
monary disease, which approach should
the nurse use? a. Explain that the client may be placed
a. Explain that the client may be placed in five positions
in five positions
b. Instruct the client to breathe shallow
and fast
