HESI RN EXIT EXAM WITH NGN
LATEST VERSION B 2025-2026/HESI
EXIT RN NEXT GENERATION EXAM
ALL 160 QUESTIONS AND CORRECT
DETAILED ANSWERS
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
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
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
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
An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and
heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The
healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide should
the nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload - CORRECT ANSWER-B. Reduced preload
Which intervention should the nurse include in the plan of care for a child with tetanus?
A. Encourage coughing and deep breathing
LATEST VERSION B 2025-2026/HESI
EXIT RN NEXT GENERATION EXAM
ALL 160 QUESTIONS AND CORRECT
DETAILED ANSWERS
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
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
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
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
An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and
heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The
healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide should
the nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload - CORRECT ANSWER-B. Reduced preload
Which intervention should the nurse include in the plan of care for a child with tetanus?
A. Encourage coughing and deep breathing
