HESI Exit NGN Exam (2 Versions with Complete Solution
2025/2026 | Complete Nursing Study Package, Verified
Questions, 100% Satisfaction Guarantee Test Bank)
A native-American male client diagnosed with pneumonia, states that in addition to his
prescribed medical treatment of IV antibiotics he wishes to have a spiritual cleaning performed.
Which outcome
statement indicates that the best plan of care was followed? - answers-Participated actively in
all treatments regimens.
Rationale: indicates active participation by the client, which is required for treatment to be
successful. The best plan of care should incorporate the valued and treatments of both cultures
and in this case there is no apparent cultural clash between the two forms of treatment. The
client has already identify he's cultural values (A). (B) Only considers one of the two treatment
modalities desired by the client the client has already chosen how he wishes to assimilate his
cultural values with the prescribed medical treatment (D).
A male client with cancer is admired to the oncology unit and tells the nurse that he is in the
hospital for palliative care measures. The nurse notes that the client's admission prescription
include radiation
therapy. What action should the nurse implement? - answers-Ask the client about his expected
goals for the hospitalization.
Rationale: Palliative care measures provide relief or control of symptoms, so it is important for
the nurse to determine the client's goals for symptom control while receiving treatment in the
hospital. Although home care is available the client may not be legible for palliative care at
home. Radiation therapy is an effective positive care measure used to manage symptoms and
would be appropriate unless the radiation conflicts with the client goals.
,A client with myasthenia Gravis (MG) is receiving immunosuppressive therapy. Review recent
laboratory test results show that the client's serum magnesium level has decreased below the
normal range. In
addition to contacting the healthcare provider, what nursing action is most important? -
answers-Observe rhythm on telemetry monitor.
Rationale: If not treated a low little Serum magnesium level can affect myocardial depolarization
leading to a lethal arrhythmia, and the nurse should assess for dysrhythmias before contacting
the healthcare provider. Other choices are common in MG but do not contribute the Safety risk
of low magnesium levels.
While assessing a radial artery catheter, the client complains of numbness and pain distal to the
insertion site. What interventions should the nurse implement? - answers-Promptly remove the
arterial catheter from the radial artery.
A client is admitted with an epidural hematoma that resulted from a skateboarding accident. To
differentiate the vascular source of the intracranial bleeding, which finding should the nurse
monitor? - answers-Rapid onset of decreased level of consciousness.
When preparing a client for discharge from the hospital following a cystectomy and a urinary
diversion to treat bladder cancer, which instruction is most important for the nurse to include in
the client's discharge teaching plan? - answers-Report any signs of cloudy urine output.
After repositioning an immobile client, the nurse observes an area of hyperemia. To assess for
blanching, what action should the nurse take? - answers-Apply light pressure over the area.
The nurse enters a client's room and observes the client's wrist restraint secured as seen in the
picture. What action should the nurse take? - answers-Reposition the restraint tie onto the
bedframe.
,A female client with acute respiratory distress syndrome (ARDS) is chemically paralyzed and
sedated while she is on as assist-control ventilator using 50% FIO2. Which assessment finding
warrants
immediate intervention by the nurse? - answers-Diminished left lower lobe sounds
Rationale: Diminished lobe sounds indicate collapsed alveoli or tension pneumothorax, which
required
immediate chest tube insertion to re-inflate the lung.
The development of atherosclerosis is a process of sequential events. Arrange the
pathophysiological events in orders of occurrence. (Place the first event on top and the last on
the bottom) - answers-Arterial endothelium injury causes inflammation
Macrophages consume low density lipoprotein (LDL), creating foam cells
Foam cells release growth factors for smooth muscle cells
Smooth muscle grows over fatty streaks creating fibrous plaques
Vessel narrowing results in ischemia
Following a motor vehicle collision, an adult female with a ruptured spleen and a blood pressure
of 70/44, had an emergency splenectomy. Twelve hours after the surgery, her urine output is 25
ml/hour for the last two hours. What pathophysiological reason supports the nurse's decision to
report this finding to the healthcare provider? - answers-Oliguria signals tubular necrosis related
to hypoperfusion
A nurse-manager is preparing the curricula for a class for charge nurses. A staffing formula
based on what data ensures quality client care and is most cost-effective? - answers-Skills of
staff and client acuity
When performing postural drainage on a client with Chronic Obstructive Pulmonary Disease
(COPD), which approach should the nurse use? - answers-Explain that the client may be placed
in five positions
, A client presents in the emergency room with right-sided facial asymmetry. The nurse asks the
client to perform a series of movements that require use of the facial muscles. What symptoms
suggest that the client has most likely experience a Bell's palsy rather than a stroke? - answers-
Inability to close the affected eye, raise brow, or smile
The nurse is teaching a client how to perform colostomy irrigations. When observing the client's
return demonstration, which action indicated that the client understood the teaching? -
answers-Keeps the irrigating container less than 18 inches above the stoma
The nurse should teach the client to observe which precaution while taking dronedarone? -
answers-Avoid grapefruits and its juice
A client who sustained a head injury following an automobile collision is admitted to the
hospital. The nurse include the client's risk for developing increased intracranial pressure (ICP)
in the plan of care. Which signs indicate to the nurse that ICP has increased? - answers-
Increased Glasgow coma scale score.
Nuchal rigidity and papilledema.
Confusion and papilledema
Periorbital ecchymosis.
Rationale: papilledema is always an indicator of increased ICP, and confusion is usually the first
sign of
increased ICP. Other options do not necessarily reflect increased ICP.
The nurse is caring for a client receiving continuous IV fluids through a single lumen central
venous catheter (CVC). Based on the CVC care bundle, which action should be completed daily
to reduce the
risk for infection? - answers-Confirm the necessity for continued use of the CVC.
2025/2026 | Complete Nursing Study Package, Verified
Questions, 100% Satisfaction Guarantee Test Bank)
A native-American male client diagnosed with pneumonia, states that in addition to his
prescribed medical treatment of IV antibiotics he wishes to have a spiritual cleaning performed.
Which outcome
statement indicates that the best plan of care was followed? - answers-Participated actively in
all treatments regimens.
Rationale: indicates active participation by the client, which is required for treatment to be
successful. The best plan of care should incorporate the valued and treatments of both cultures
and in this case there is no apparent cultural clash between the two forms of treatment. The
client has already identify he's cultural values (A). (B) Only considers one of the two treatment
modalities desired by the client the client has already chosen how he wishes to assimilate his
cultural values with the prescribed medical treatment (D).
A male client with cancer is admired to the oncology unit and tells the nurse that he is in the
hospital for palliative care measures. The nurse notes that the client's admission prescription
include radiation
therapy. What action should the nurse implement? - answers-Ask the client about his expected
goals for the hospitalization.
Rationale: Palliative care measures provide relief or control of symptoms, so it is important for
the nurse to determine the client's goals for symptom control while receiving treatment in the
hospital. Although home care is available the client may not be legible for palliative care at
home. Radiation therapy is an effective positive care measure used to manage symptoms and
would be appropriate unless the radiation conflicts with the client goals.
,A client with myasthenia Gravis (MG) is receiving immunosuppressive therapy. Review recent
laboratory test results show that the client's serum magnesium level has decreased below the
normal range. In
addition to contacting the healthcare provider, what nursing action is most important? -
answers-Observe rhythm on telemetry monitor.
Rationale: If not treated a low little Serum magnesium level can affect myocardial depolarization
leading to a lethal arrhythmia, and the nurse should assess for dysrhythmias before contacting
the healthcare provider. Other choices are common in MG but do not contribute the Safety risk
of low magnesium levels.
While assessing a radial artery catheter, the client complains of numbness and pain distal to the
insertion site. What interventions should the nurse implement? - answers-Promptly remove the
arterial catheter from the radial artery.
A client is admitted with an epidural hematoma that resulted from a skateboarding accident. To
differentiate the vascular source of the intracranial bleeding, which finding should the nurse
monitor? - answers-Rapid onset of decreased level of consciousness.
When preparing a client for discharge from the hospital following a cystectomy and a urinary
diversion to treat bladder cancer, which instruction is most important for the nurse to include in
the client's discharge teaching plan? - answers-Report any signs of cloudy urine output.
After repositioning an immobile client, the nurse observes an area of hyperemia. To assess for
blanching, what action should the nurse take? - answers-Apply light pressure over the area.
The nurse enters a client's room and observes the client's wrist restraint secured as seen in the
picture. What action should the nurse take? - answers-Reposition the restraint tie onto the
bedframe.
,A female client with acute respiratory distress syndrome (ARDS) is chemically paralyzed and
sedated while she is on as assist-control ventilator using 50% FIO2. Which assessment finding
warrants
immediate intervention by the nurse? - answers-Diminished left lower lobe sounds
Rationale: Diminished lobe sounds indicate collapsed alveoli or tension pneumothorax, which
required
immediate chest tube insertion to re-inflate the lung.
The development of atherosclerosis is a process of sequential events. Arrange the
pathophysiological events in orders of occurrence. (Place the first event on top and the last on
the bottom) - answers-Arterial endothelium injury causes inflammation
Macrophages consume low density lipoprotein (LDL), creating foam cells
Foam cells release growth factors for smooth muscle cells
Smooth muscle grows over fatty streaks creating fibrous plaques
Vessel narrowing results in ischemia
Following a motor vehicle collision, an adult female with a ruptured spleen and a blood pressure
of 70/44, had an emergency splenectomy. Twelve hours after the surgery, her urine output is 25
ml/hour for the last two hours. What pathophysiological reason supports the nurse's decision to
report this finding to the healthcare provider? - answers-Oliguria signals tubular necrosis related
to hypoperfusion
A nurse-manager is preparing the curricula for a class for charge nurses. A staffing formula
based on what data ensures quality client care and is most cost-effective? - answers-Skills of
staff and client acuity
When performing postural drainage on a client with Chronic Obstructive Pulmonary Disease
(COPD), which approach should the nurse use? - answers-Explain that the client may be placed
in five positions
, A client presents in the emergency room with right-sided facial asymmetry. The nurse asks the
client to perform a series of movements that require use of the facial muscles. What symptoms
suggest that the client has most likely experience a Bell's palsy rather than a stroke? - answers-
Inability to close the affected eye, raise brow, or smile
The nurse is teaching a client how to perform colostomy irrigations. When observing the client's
return demonstration, which action indicated that the client understood the teaching? -
answers-Keeps the irrigating container less than 18 inches above the stoma
The nurse should teach the client to observe which precaution while taking dronedarone? -
answers-Avoid grapefruits and its juice
A client who sustained a head injury following an automobile collision is admitted to the
hospital. The nurse include the client's risk for developing increased intracranial pressure (ICP)
in the plan of care. Which signs indicate to the nurse that ICP has increased? - answers-
Increased Glasgow coma scale score.
Nuchal rigidity and papilledema.
Confusion and papilledema
Periorbital ecchymosis.
Rationale: papilledema is always an indicator of increased ICP, and confusion is usually the first
sign of
increased ICP. Other options do not necessarily reflect increased ICP.
The nurse is caring for a client receiving continuous IV fluids through a single lumen central
venous catheter (CVC). Based on the CVC care bundle, which action should be completed daily
to reduce the
risk for infection? - answers-Confirm the necessity for continued use of the CVC.
