NGN HESI RN FINAL PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ What is the total number of multiple-choice questions in each version
of the HESI RN Exit Exam? Answer: 160 multiple-choice questions.
◉ Which client condition is best assigned to a practical nurse according
to the charge nurse's assessment? Answer: Viral meningitis whose
temperature changed from 101°F to 102°F.
◉ What is the most important intervention for a nurse caring for a client
with pneumonia who shows initial signs of septic shock? Answer:
Maintain strict intake and output.
◉ What type of questions does the HESI RN Exit Exam include besides
multiple-choice? Answer: NGN questions, case studies NGN style, case
study questions, and butterfly questions.
◉ What is the performance score threshold mentioned for the HESI RN
Exit Exam? Answer: Above 1100.
,◉ What is the significance of the HESI RN Exit Exam for nursing
students? Answer: It is a comprehensive assessment to evaluate
readiness for the NCLEX-RN exam.
◉ What action should a nurse take if a client refuses medication due to
dosage discrepancies? Answer: Document whether or not the client takes
the medication.
◉ What is the change in blood pressure for the client with subdural
hematoma that the charge nurse must consider? Answer: Blood pressure
changed from 150/80 to 170/60.
◉ What condition is indicated by a Glasgow coma scale score change
from 10 to 7? Answer: Diabetic ketoacidosis.
◉ What is the recommended head position for a client with septic
shock? Answer: Keep the head of the bed raised at 45°.
◉ What is an important monitoring aspect for a client under a sepsis
protocol? Answer: Monitor blood glucose level.
◉ What is the primary concern for an adolescent client who wrote a
suicide note? Answer: Assess for risk of self-harm and ensure safety.
,◉ What does NGN stand for in the context of the HESI RN Exit Exam?
Answer: Next Generation Nursing.
◉ What is the purpose of case studies in the HESI RN Exit Exam?
Answer: To assess critical thinking and application of nursing
knowledge in real-life scenarios.
◉ What should a nurse prioritize when caring for a client with multi-
organ failure? Answer: Strict monitoring of intake and output.
◉ What does the term 'butterfly questions' refer to in the HESI RN Exit
Exam? Answer: A specific type of question format used in the exam.
◉ What is the importance of confirming medication dosages with
clients? Answer: To ensure patient safety and prevent medication errors.
◉ What is the significance of the temperature change in a client with
viral meningitis? Answer: It indicates a potential worsening of the
client's condition.
◉ What does the HESI RN Exit Exam assess in terms of nursing
knowledge? Answer: Clinical judgment, decision-making, and nursing
competencies.
, ◉ What is the recommended action if a nurse encounters a significant
change in a client's condition? Answer: Report and document the change
immediately.
◉ What is the role of the charge nurse in assigning clients to nursing
staff? Answer: To ensure appropriate care based on the complexity of
client conditions.
◉ What should a nurse do if they are unsure about a medication dosage?
Answer: Consult with a healthcare provider for clarification.
◉ What should the nurse do after the client leaves the treatment team
meeting in tears? Answer: Go to the client's room and ask what
happened.
◉ What are the three most important goals for the client with respiratory
issues? Answer: 1) The client will have quit smoking. 2) The client will
be afebrile for 24 hours. 3) The client will report pain less than 3/10.
◉ What position was the client placed in to help with breathing?
Answer: Semi-Fowler's position.
◉ What is the prescribed oxygen flow rate for the client? Answer: Start
with 3L via nasal cannula, then increase to 8L via simple facemask,
titrated to keep oxygen saturation greater than 94%.
WITH ANSWERS GRADED A+
◉ What is the total number of multiple-choice questions in each version
of the HESI RN Exit Exam? Answer: 160 multiple-choice questions.
◉ Which client condition is best assigned to a practical nurse according
to the charge nurse's assessment? Answer: Viral meningitis whose
temperature changed from 101°F to 102°F.
◉ What is the most important intervention for a nurse caring for a client
with pneumonia who shows initial signs of septic shock? Answer:
Maintain strict intake and output.
◉ What type of questions does the HESI RN Exit Exam include besides
multiple-choice? Answer: NGN questions, case studies NGN style, case
study questions, and butterfly questions.
◉ What is the performance score threshold mentioned for the HESI RN
Exit Exam? Answer: Above 1100.
,◉ What is the significance of the HESI RN Exit Exam for nursing
students? Answer: It is a comprehensive assessment to evaluate
readiness for the NCLEX-RN exam.
◉ What action should a nurse take if a client refuses medication due to
dosage discrepancies? Answer: Document whether or not the client takes
the medication.
◉ What is the change in blood pressure for the client with subdural
hematoma that the charge nurse must consider? Answer: Blood pressure
changed from 150/80 to 170/60.
◉ What condition is indicated by a Glasgow coma scale score change
from 10 to 7? Answer: Diabetic ketoacidosis.
◉ What is the recommended head position for a client with septic
shock? Answer: Keep the head of the bed raised at 45°.
◉ What is an important monitoring aspect for a client under a sepsis
protocol? Answer: Monitor blood glucose level.
◉ What is the primary concern for an adolescent client who wrote a
suicide note? Answer: Assess for risk of self-harm and ensure safety.
,◉ What does NGN stand for in the context of the HESI RN Exit Exam?
Answer: Next Generation Nursing.
◉ What is the purpose of case studies in the HESI RN Exit Exam?
Answer: To assess critical thinking and application of nursing
knowledge in real-life scenarios.
◉ What should a nurse prioritize when caring for a client with multi-
organ failure? Answer: Strict monitoring of intake and output.
◉ What does the term 'butterfly questions' refer to in the HESI RN Exit
Exam? Answer: A specific type of question format used in the exam.
◉ What is the importance of confirming medication dosages with
clients? Answer: To ensure patient safety and prevent medication errors.
◉ What is the significance of the temperature change in a client with
viral meningitis? Answer: It indicates a potential worsening of the
client's condition.
◉ What does the HESI RN Exit Exam assess in terms of nursing
knowledge? Answer: Clinical judgment, decision-making, and nursing
competencies.
, ◉ What is the recommended action if a nurse encounters a significant
change in a client's condition? Answer: Report and document the change
immediately.
◉ What is the role of the charge nurse in assigning clients to nursing
staff? Answer: To ensure appropriate care based on the complexity of
client conditions.
◉ What should a nurse do if they are unsure about a medication dosage?
Answer: Consult with a healthcare provider for clarification.
◉ What should the nurse do after the client leaves the treatment team
meeting in tears? Answer: Go to the client's room and ask what
happened.
◉ What are the three most important goals for the client with respiratory
issues? Answer: 1) The client will have quit smoking. 2) The client will
be afebrile for 24 hours. 3) The client will report pain less than 3/10.
◉ What position was the client placed in to help with breathing?
Answer: Semi-Fowler's position.
◉ What is the prescribed oxygen flow rate for the client? Answer: Start
with 3L via nasal cannula, then increase to 8L via simple facemask,
titrated to keep oxygen saturation greater than 94%.
