2027 HESI RN Exit Exam V1–V4 (4 Full
Set Exams) – NGN Questions, Case
Studies & Verified Answers with
Rationales (Pass Guaranteed)
4 Full-Set NGN-Style Practice Exams • Questions Total
Case Studies • Clinical Judgment • Answers • Rationales
Contents
Exam V1
Exam V2
Exam V3
Exam V4
Coverage: Adult Health, Pharmacology, Maternal-Newborn, Pediatrics, Mental Health,
Fundamentals/Safety, and Leadership/Priority.
EXAM V1
Original NGN-style practice set. Select the best answer unless the item specifies another
response type.
Case Study 1 — Pediatrics
Clinical scenario: A client is receiving care related to asthma exacerbation. During the
assessment, the nurse identifies wheezing. The nurse must prioritize assessment,
intervention, and evaluation.
1. A client is being cared for for asthma exacerbation. During assessment, the nurse notes
wheezing. The client has no other immediately life-threatening finding. Which finding should
the nurse recognize as most important?
A. wheezing
B. Mild thirst
C. Occasional fatigue
D. Stable appetite
Answer: A
Rationale: The finding described is directly associated with asthma exacerbation and should
guide immediate nursing assessment.
,2. For the client with asthma exacerbation, which nursing action is the priority?
A. assess respiratory status
B. Delay assessment until the next scheduled round
C. Encourage unrestricted activity
D. Provide routine teaching first
Answer: A
Rationale: The priority is assess respiratory status, because it directly addresses the major
risk of bronchospasm.
3. Which intervention would the nurse anticipate for asthma exacerbation?
A. short-acting bronchodilator
B. Withhold all prescribed therapy
C. Encourage excess sodium intake
D. Avoid reassessment
Answer: A
Rationale: short-acting bronchodilator is an appropriate management strategy for this
clinical problem when prescribed and indicated.
4. Which finding would indicate that the client with asthma exacerbation is improving?
A. Improved clinical status related to the presenting problem
B. Worsening wheezing
C. New severe instability
D. Increasing need for emergency intervention
Answer: A
Rationale: Improvement is demonstrated by resolution of the signs associated with asthma
exacerbation, rather than progression of them.
5. Which additional finding requires the nurse to notify the provider promptly in a client
with asthma exacerbation?
A. A new or worsening sign of bronchospasm
B. A stable expected finding
, C. A normal vital sign
D. Improved symptoms
Answer: A
Rationale: A new or worsening manifestation of bronchospasm can indicate deterioration
and warrants prompt evaluation.
Case Study 2 — Pharmacology
Clinical scenario: A client is receiving care related to ACE inhibitor therapy. During the
assessment, the nurse identifies facial swelling. The nurse must prioritize assessment,
intervention, and evaluation.
6. A client is being cared for for ACE inhibitor therapy. During assessment, the nurse notes
facial swelling. The client has no other immediately life-threatening finding. Which finding
should the nurse recognize as most important?
A. facial swelling
B. Mild thirst
C. Occasional fatigue
D. Stable appetite
Answer: A
Rationale: The finding described is directly associated with ACE inhibitor therapy and
should guide immediate nursing assessment.
7. For the client with ACE inhibitor therapy, which nursing action is the priority?
A. monitor potassium
B. Delay assessment until the next scheduled round
C. Encourage unrestricted activity
D. Provide routine teaching first
Answer: A
Rationale: The priority is monitor potassium, because it directly addresses the major risk of
hyperkalemia/angioedema.
8. Which intervention would the nurse anticipate for ACE inhibitor therapy?
A. withhold and seek care for angioedema
B. Withhold all prescribed therapy
, C. Encourage excess sodium intake
D. Avoid reassessment
Answer: A
Rationale: withhold and seek care for angioedema is an appropriate management strategy
for this clinical problem when prescribed and indicated.
9. Which finding would indicate that the client with ACE inhibitor therapy is improving?
A. Improved clinical status related to the presenting problem
B. Worsening facial swelling
C. New severe instability
D. Increasing need for emergency intervention
Answer: A
Rationale: Improvement is demonstrated by resolution of the signs associated with ACE
inhibitor therapy, rather than progression of them.
10. Which additional finding requires the nurse to notify the provider promptly in a client
with ACE inhibitor therapy?
A. A new or worsening sign of hyperkalemia/angioedema
B. A stable expected finding
C. A normal vital sign
D. Improved symptoms
Answer: A
Rationale: A new or worsening manifestation of hyperkalemia/angioedema can indicate
deterioration and warrants prompt evaluation.
Case Study 3 — Pharmacology
Clinical scenario: A client is receiving care related to insulin therapy. During the assessment,
the nurse identifies diaphoresis. The nurse must prioritize assessment, intervention, and
evaluation.
11. A client is being cared for for insulin therapy. During assessment, the nurse notes
diaphoresis. The client has no other immediately life-threatening finding. Which finding
should the nurse recognize as most important?
A. diaphoresis
B. Mild thirst
Set Exams) – NGN Questions, Case
Studies & Verified Answers with
Rationales (Pass Guaranteed)
4 Full-Set NGN-Style Practice Exams • Questions Total
Case Studies • Clinical Judgment • Answers • Rationales
Contents
Exam V1
Exam V2
Exam V3
Exam V4
Coverage: Adult Health, Pharmacology, Maternal-Newborn, Pediatrics, Mental Health,
Fundamentals/Safety, and Leadership/Priority.
EXAM V1
Original NGN-style practice set. Select the best answer unless the item specifies another
response type.
Case Study 1 — Pediatrics
Clinical scenario: A client is receiving care related to asthma exacerbation. During the
assessment, the nurse identifies wheezing. The nurse must prioritize assessment,
intervention, and evaluation.
1. A client is being cared for for asthma exacerbation. During assessment, the nurse notes
wheezing. The client has no other immediately life-threatening finding. Which finding should
the nurse recognize as most important?
A. wheezing
B. Mild thirst
C. Occasional fatigue
D. Stable appetite
Answer: A
Rationale: The finding described is directly associated with asthma exacerbation and should
guide immediate nursing assessment.
,2. For the client with asthma exacerbation, which nursing action is the priority?
A. assess respiratory status
B. Delay assessment until the next scheduled round
C. Encourage unrestricted activity
D. Provide routine teaching first
Answer: A
Rationale: The priority is assess respiratory status, because it directly addresses the major
risk of bronchospasm.
3. Which intervention would the nurse anticipate for asthma exacerbation?
A. short-acting bronchodilator
B. Withhold all prescribed therapy
C. Encourage excess sodium intake
D. Avoid reassessment
Answer: A
Rationale: short-acting bronchodilator is an appropriate management strategy for this
clinical problem when prescribed and indicated.
4. Which finding would indicate that the client with asthma exacerbation is improving?
A. Improved clinical status related to the presenting problem
B. Worsening wheezing
C. New severe instability
D. Increasing need for emergency intervention
Answer: A
Rationale: Improvement is demonstrated by resolution of the signs associated with asthma
exacerbation, rather than progression of them.
5. Which additional finding requires the nurse to notify the provider promptly in a client
with asthma exacerbation?
A. A new or worsening sign of bronchospasm
B. A stable expected finding
, C. A normal vital sign
D. Improved symptoms
Answer: A
Rationale: A new or worsening manifestation of bronchospasm can indicate deterioration
and warrants prompt evaluation.
Case Study 2 — Pharmacology
Clinical scenario: A client is receiving care related to ACE inhibitor therapy. During the
assessment, the nurse identifies facial swelling. The nurse must prioritize assessment,
intervention, and evaluation.
6. A client is being cared for for ACE inhibitor therapy. During assessment, the nurse notes
facial swelling. The client has no other immediately life-threatening finding. Which finding
should the nurse recognize as most important?
A. facial swelling
B. Mild thirst
C. Occasional fatigue
D. Stable appetite
Answer: A
Rationale: The finding described is directly associated with ACE inhibitor therapy and
should guide immediate nursing assessment.
7. For the client with ACE inhibitor therapy, which nursing action is the priority?
A. monitor potassium
B. Delay assessment until the next scheduled round
C. Encourage unrestricted activity
D. Provide routine teaching first
Answer: A
Rationale: The priority is monitor potassium, because it directly addresses the major risk of
hyperkalemia/angioedema.
8. Which intervention would the nurse anticipate for ACE inhibitor therapy?
A. withhold and seek care for angioedema
B. Withhold all prescribed therapy
, C. Encourage excess sodium intake
D. Avoid reassessment
Answer: A
Rationale: withhold and seek care for angioedema is an appropriate management strategy
for this clinical problem when prescribed and indicated.
9. Which finding would indicate that the client with ACE inhibitor therapy is improving?
A. Improved clinical status related to the presenting problem
B. Worsening facial swelling
C. New severe instability
D. Increasing need for emergency intervention
Answer: A
Rationale: Improvement is demonstrated by resolution of the signs associated with ACE
inhibitor therapy, rather than progression of them.
10. Which additional finding requires the nurse to notify the provider promptly in a client
with ACE inhibitor therapy?
A. A new or worsening sign of hyperkalemia/angioedema
B. A stable expected finding
C. A normal vital sign
D. Improved symptoms
Answer: A
Rationale: A new or worsening manifestation of hyperkalemia/angioedema can indicate
deterioration and warrants prompt evaluation.
Case Study 3 — Pharmacology
Clinical scenario: A client is receiving care related to insulin therapy. During the assessment,
the nurse identifies diaphoresis. The nurse must prioritize assessment, intervention, and
evaluation.
11. A client is being cared for for insulin therapy. During assessment, the nurse notes
diaphoresis. The client has no other immediately life-threatening finding. Which finding
should the nurse recognize as most important?
A. diaphoresis
B. Mild thirst
