2025 HESI RN EXIT EXAM WITH NGN LATEST VERSION
/HESI EXIT RN NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED
ANSWERS|GRADED A+
The nurse is completing the admission assessment of a 3-year old who
is admitted with bacterial meningitis and hydrocephalus. Which
assessment finding is evidence that the child is experiencing increased
intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
- CORRECT ANSWER -B. Sluggish and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing
abdominal pain and an elevated serum amylase. Which additional
information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
- CORRECT ANSWER -A. Abdominal pain decreases when lying
supine
A child newly diagnosed with sickle cell anemia (SCA) is being
discharged from the hospital. Which information is most important for
the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
pg. 1
,D. Referral for social services for the child and family
- CORRECT ANSWER -A. Instructions about how much fluid the
child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at
what location. (Select the location on the image with a red dot).
- CORRECT ANSWER -I placed the red dot on the base of the neck
on the right side
After receiving report on an inpatient acute care unit, which client
should the nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric
tube that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity
- CORRECT ANSWER -D. The client with a bowel obstruction due
to a volvulus who is experiencing abdominal rigidity
A teenager presents to the emergency department with palpitations
after vaping at a party. The client is anxious, fearful, and
hyperventilating. The nurse anticipates the client developing which
acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
- CORRECT ANSWER -D. Respiratory alkalosis
pg. 2
,A client with dyspnea is being admitted to the medical unit. To best
prepare for the client's arrival, the nurse should ensure that the client's
bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
- CORRECT ANSWER -Fowlers
The nurse is taking the blood pressure measurement of a client with
Parkinson's disease. Which information in the client's admission
assessment is relevant to the nurse's plan for taking the blood pressure
reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
- CORRECT ANSWER -A. Frequent syncope
C. Flat affect
D. Blurred vision
While caring for a client's postoperative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to the
healthcare provider, the nurse should review which of the client's
laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
pg. 3
, D. Creatinine level
- CORRECT ANSWER -B. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following
successful resuscitation from a near-drowning incident. While
providing care to the child, the nurse begins talking with his
preadolescent brother who rescued the child from the swimming pool
and initiated resuscitation. The nurse notices the older boy becomes
withdrawn when asked about what happened. Which action should the
nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions
- CORRECT ANSWER -B. Ask the older brother how he felt during
the incident
A male client with cirrhosis has jaundice and pruritus. He tells the
nurse that he has been soaking in hot baths at night with no relief of
his discomfort. Which action should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion
after soaking
B. Obtain a PRN prescription for an analgesic that the client can use
for symptom relief
C. Suggest that the client take brief showers and apply oil-based
lotion after showering
D. Explain that the symptoms are caused by liver damage and cannot
be relieved
- CORRECT ANSWER -A. Encourage the client to use cooler water
and apply calamine lotion after soaking
pg. 4
/HESI EXIT RN NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED
ANSWERS|GRADED A+
The nurse is completing the admission assessment of a 3-year old who
is admitted with bacterial meningitis and hydrocephalus. Which
assessment finding is evidence that the child is experiencing increased
intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
- CORRECT ANSWER -B. Sluggish and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing
abdominal pain and an elevated serum amylase. Which additional
information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
- CORRECT ANSWER -A. Abdominal pain decreases when lying
supine
A child newly diagnosed with sickle cell anemia (SCA) is being
discharged from the hospital. Which information is most important for
the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
pg. 1
,D. Referral for social services for the child and family
- CORRECT ANSWER -A. Instructions about how much fluid the
child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at
what location. (Select the location on the image with a red dot).
- CORRECT ANSWER -I placed the red dot on the base of the neck
on the right side
After receiving report on an inpatient acute care unit, which client
should the nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric
tube that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity
- CORRECT ANSWER -D. The client with a bowel obstruction due
to a volvulus who is experiencing abdominal rigidity
A teenager presents to the emergency department with palpitations
after vaping at a party. The client is anxious, fearful, and
hyperventilating. The nurse anticipates the client developing which
acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
- CORRECT ANSWER -D. Respiratory alkalosis
pg. 2
,A client with dyspnea is being admitted to the medical unit. To best
prepare for the client's arrival, the nurse should ensure that the client's
bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
- CORRECT ANSWER -Fowlers
The nurse is taking the blood pressure measurement of a client with
Parkinson's disease. Which information in the client's admission
assessment is relevant to the nurse's plan for taking the blood pressure
reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
- CORRECT ANSWER -A. Frequent syncope
C. Flat affect
D. Blurred vision
While caring for a client's postoperative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to the
healthcare provider, the nurse should review which of the client's
laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
pg. 3
, D. Creatinine level
- CORRECT ANSWER -B. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following
successful resuscitation from a near-drowning incident. While
providing care to the child, the nurse begins talking with his
preadolescent brother who rescued the child from the swimming pool
and initiated resuscitation. The nurse notices the older boy becomes
withdrawn when asked about what happened. Which action should the
nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions
- CORRECT ANSWER -B. Ask the older brother how he felt during
the incident
A male client with cirrhosis has jaundice and pruritus. He tells the
nurse that he has been soaking in hot baths at night with no relief of
his discomfort. Which action should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion
after soaking
B. Obtain a PRN prescription for an analgesic that the client can use
for symptom relief
C. Suggest that the client take brief showers and apply oil-based
lotion after showering
D. Explain that the symptoms are caused by liver damage and cannot
be relieved
- CORRECT ANSWER -A. Encourage the client to use cooler water
and apply calamine lotion after soaking
pg. 4
