NGN HESI RN
NGN HESI RN 2025-2026 Exit Exam - 150 Questions with
Detailed Rationales & Expert Nursing Answers, 100%
Guaranteed Pass || Complete A+ Guide
Ascorers Stuvia
This Exam Document Contains:
NGN HESI RN 2025 Exit Exam
150 Questions with Detailed Rationales & Expert Nursing
Answers
100% Guaranteed Pass
Complete A+ Guide
,NGN HESI RN 2025-2026 Exit Exam - 150 Questions with
Detailed Rationales & Expert Nursing Answers, 100%
Guaranteed Pass || Complete A+ Guide
1. NGN: (Nurses Notes)1800: The client is a female neonate born at 37
weeks of gestation to a G 2 P 1 mother, who was diagnosed with gestational
diabetes. Following a spontaneous vaginal birth, she received Apgar scores
of seven at one minute and eight at five minutes. The client weighs
4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of
age. Axillary temperature 96F, ..... (For each assessment finding, click to
indicate whether the findings are associated with an infant of a diabetic
mother or normal presentation.)
Choices:
Mongolian spot. (NORMAL)
Acrocyanosis. (NORMAL)
Jittery at 30 minutes of age. (NOT NORMAL)
Blood glucose 35. (NOT NORMAL)
Billirubin 7. (NOT NORMAL)
Respiratory rate 80 breaths per minute. (NORMAL)
Apgar 7 at one minute, 8 at five minutes. (NORMAL)
Soft fontanelles (NORMAL)
,...Answer: All of the above as labeled (NORMAL or NOT NORMAL)
Verified Rationales:
Mongolian spot (NORMAL): These pigmented skin patches are a benign variant of
dermal melanocytosis, commonly seen in darker-skinned infants. They are unrelated
to maternal diabetes or neonatal metabolic disorders. No treatment is required, and
they fade over time. Correct documentation prevents misidentification as bruising or
trauma.
Acrocyanosis (NORMAL): Bluish discoloration of hands and feet occurs during the
first 24–48 hours due to immature peripheral circulation. It is considered normal if
central color remains pink. Infants of diabetic mothers may exhibit it without clinical
concern. Monitoring for central cyanosis is sufficient.
Jittery at 30 minutes (NOT NORMAL): Jitteriness may indicate hypoglycemia,
common in infants of diabetic mothers due to fetal hyperinsulinism. If untreated, it
can progress to seizures or neurological damage. Immediate blood glucose assessment
and early interventions like feeding or IV glucose are critical.
Blood glucose 35 (NOT NORMAL): This is critically low (<45 mg/dL) and poses a
risk for seizures and long-term neurologic injury. Infants of diabetic mothers require
rapid correction with feeding, dextrose gel, or IV glucose. Continuous monitoring
ensures safety.
Bilirubin 7 (NOT NORMAL): Early hyperbilirubinemia can result from polycythemia
in infants of diabetic mothers. It requires close observation and may need
phototherapy if levels rise. Untreated, high bilirubin can cause neurotoxicity.
Respiratory rate 80 (NORMAL): Mild transient tachypnea is expected as the
newborn transitions to extrauterine life. As long as oxygen saturation is adequate and
there are no retractions, this is normal. Continuous monitoring is advised.
Apgar 7–8 (NORMAL): These scores indicate effective adaptation to extrauterine life
and only require routine care. Improvement between 1 and 5 minutes is expected.
, Soft fontanelles (NORMAL): Normal findings indicate appropriate intracranial
pressure and hydration. No intervention is needed.
2. NGN: For newborn baby. Which six orders take priority?
Choices:
A) Transfer to neonatal intensive care unit.
B) Blood glucose level.
C) Feed immediately.
D) Bolus of 2 mL per kilogram glucose 10% IV.
E) Monitor for respiratory distress.
F) Echocardiogram.
G) Contact respiratory therapy for ABG and oxygen therapy.
H) Monitor temperature every 30 minutes.
I) Keep in warmer with bilirubin lights.
J) Apply dextrose gel inside the babies cheek.
...Answer:
A) Transfer to neonatal intensive care unit.
B) Blood glucose level.
C) Feed immediately.
D) Bolus of 2 mL per kilogram glucose 10% IV.
E) Monitor for respiratory distress.
J) Apply dextrose gel inside the babies cheek.
Verified Rationales:
NGN HESI RN 2025-2026 Exit Exam - 150 Questions with
Detailed Rationales & Expert Nursing Answers, 100%
Guaranteed Pass || Complete A+ Guide
Ascorers Stuvia
This Exam Document Contains:
NGN HESI RN 2025 Exit Exam
150 Questions with Detailed Rationales & Expert Nursing
Answers
100% Guaranteed Pass
Complete A+ Guide
,NGN HESI RN 2025-2026 Exit Exam - 150 Questions with
Detailed Rationales & Expert Nursing Answers, 100%
Guaranteed Pass || Complete A+ Guide
1. NGN: (Nurses Notes)1800: The client is a female neonate born at 37
weeks of gestation to a G 2 P 1 mother, who was diagnosed with gestational
diabetes. Following a spontaneous vaginal birth, she received Apgar scores
of seven at one minute and eight at five minutes. The client weighs
4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of
age. Axillary temperature 96F, ..... (For each assessment finding, click to
indicate whether the findings are associated with an infant of a diabetic
mother or normal presentation.)
Choices:
Mongolian spot. (NORMAL)
Acrocyanosis. (NORMAL)
Jittery at 30 minutes of age. (NOT NORMAL)
Blood glucose 35. (NOT NORMAL)
Billirubin 7. (NOT NORMAL)
Respiratory rate 80 breaths per minute. (NORMAL)
Apgar 7 at one minute, 8 at five minutes. (NORMAL)
Soft fontanelles (NORMAL)
,...Answer: All of the above as labeled (NORMAL or NOT NORMAL)
Verified Rationales:
Mongolian spot (NORMAL): These pigmented skin patches are a benign variant of
dermal melanocytosis, commonly seen in darker-skinned infants. They are unrelated
to maternal diabetes or neonatal metabolic disorders. No treatment is required, and
they fade over time. Correct documentation prevents misidentification as bruising or
trauma.
Acrocyanosis (NORMAL): Bluish discoloration of hands and feet occurs during the
first 24–48 hours due to immature peripheral circulation. It is considered normal if
central color remains pink. Infants of diabetic mothers may exhibit it without clinical
concern. Monitoring for central cyanosis is sufficient.
Jittery at 30 minutes (NOT NORMAL): Jitteriness may indicate hypoglycemia,
common in infants of diabetic mothers due to fetal hyperinsulinism. If untreated, it
can progress to seizures or neurological damage. Immediate blood glucose assessment
and early interventions like feeding or IV glucose are critical.
Blood glucose 35 (NOT NORMAL): This is critically low (<45 mg/dL) and poses a
risk for seizures and long-term neurologic injury. Infants of diabetic mothers require
rapid correction with feeding, dextrose gel, or IV glucose. Continuous monitoring
ensures safety.
Bilirubin 7 (NOT NORMAL): Early hyperbilirubinemia can result from polycythemia
in infants of diabetic mothers. It requires close observation and may need
phototherapy if levels rise. Untreated, high bilirubin can cause neurotoxicity.
Respiratory rate 80 (NORMAL): Mild transient tachypnea is expected as the
newborn transitions to extrauterine life. As long as oxygen saturation is adequate and
there are no retractions, this is normal. Continuous monitoring is advised.
Apgar 7–8 (NORMAL): These scores indicate effective adaptation to extrauterine life
and only require routine care. Improvement between 1 and 5 minutes is expected.
, Soft fontanelles (NORMAL): Normal findings indicate appropriate intracranial
pressure and hydration. No intervention is needed.
2. NGN: For newborn baby. Which six orders take priority?
Choices:
A) Transfer to neonatal intensive care unit.
B) Blood glucose level.
C) Feed immediately.
D) Bolus of 2 mL per kilogram glucose 10% IV.
E) Monitor for respiratory distress.
F) Echocardiogram.
G) Contact respiratory therapy for ABG and oxygen therapy.
H) Monitor temperature every 30 minutes.
I) Keep in warmer with bilirubin lights.
J) Apply dextrose gel inside the babies cheek.
...Answer:
A) Transfer to neonatal intensive care unit.
B) Blood glucose level.
C) Feed immediately.
D) Bolus of 2 mL per kilogram glucose 10% IV.
E) Monitor for respiratory distress.
J) Apply dextrose gel inside the babies cheek.
Verified Rationales:
