NGN HESI RN ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ The nurse is providing education to a client who experiences recurrent
levels of moderate anxiety to situations and perceived stress. In addition
to information about prescribed medication and administration, which
instruction should the nurse include in the teaching?
A Center attention on positive upbeat music.
B Find outlets for more social interaction.
C Practice using muscle relaxation techniques.
D Think about reasons the episodes occur. Answer: C Practice using
muscle relaxation techniques.
◉ The charge nurse is planning for the shift and has a registered nurse
(RN) and a practical nurse (PN) on the team. Which client should the
charge nurse assign to the RN?
A A 75-year-old client with renal calculi who requires urine straining.
B A 64-year-old client who had a total hip replacement the previous day.
C A 30-year-old depressed client who admits to suicide ideation.
,D An adolescent with multiple contusions due to a fall that occurred 2
days ago. Answer: C A 30-year-old depressed client who admits to
suicide ideation.
◉ A client with pancreatitis complains of severe epigastric pain, so the
nurse administers a prescribed narcotic analgesic. Ten minutes later, the
client insists on sitting up and leaning forward. Which intervention
should the nurse implement?
A Raise head of bed until to a 90 degree angle.
B Position bedside table so the client can lean across it.
C Place bed in a reverse trendelenburg position.
D Encourage rest until the analgesic becomes effective. Answer: B
Position bedside table so the client can lean across it.
◉ The nurse is caring for a client who arrives to the emergency
department with reports of experiencing dizziness and difficulty walking
to the bathroom. The nurse observes right-sided weakness and sluggish
enunciation of speech. The nurse should immediately take which action?
A Maintain elevated positioning of the dependent joints on affected side.
B Keep the bed in the lowest position and initiate seizure and fall
precautions.
C Place an indwelling urinary catheter and measure strict intake and
output.
,D Start two large bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy. Answer: D Start two large bore IV catheters and
review inclusion criteria for IV fibrinolytic therapy.
◉ A male client with a brain tumor is scheduled for a biopsy in the
morning. During the admission procedure, the client has a tonic-clonic
seizure that lasts 50 seconds. Following the seizure, the client is
lethargic and confused and his wife tells the nurse that her husband has
never had a seizure before and has always been alert and
communicative. Which action should the nurse take?
A Ask the wife to wait outside the room until the nurse can talk with her.
B Keep orienting the client to time and space until he is less confused.
C Notify the emergency response team of the client's seizure.
D Explain the postictal state that usually follows seizures. Answer: D
Explain the postictal state that usually follows seizures.
◉ The nurse is providing lifestyle change education for a client to slow
the progression of coronary artery disease. Which statement(s)made by
the client should the nurse recognize as needing additional education?
(Select all that apply.)
A Keep a food diary.
B Eat more canned vegetables.
C Consume foods with saturated fats.
, D Walk 30 minutes per day.
E Include oatmeal for breakfast.
F Use a salt substitute. Answer: B Eat more canned vegetables.
C Consume foods with saturated fats.
◉ While caring for a toddler receiving oxygen via face mask, the nurse
observes that the child's lips and nares are dry and cracked. Which
intervention should the nurse implement?
A Use a water soluble lubricant on affected oral and nasal mucosa.
B Use a topical lidocaine analgesic for cracked lips.
C Ask the mother what she usually uses on the child's lips and nose.
D Apply a petroleum jelly to the child's nose and lips. Answer: A Use a
water soluble lubricant on affected oral and nasal mucosa.
◉ When assessing a multigravida on the first postpartum day, the nurse
finds a moderate amount of lochia rubra, with the uterus firm, and three
fingerbreadths above the umbilicus. What action should the nurse
implement first?
A Increase intravenous infusion.
B Massage the uterus to decrease atony.
C Review the hemoglobin to determine hemorrhage.
QUESTIONS WITH SOLUTIONS GRADED A+
◉ The nurse is providing education to a client who experiences recurrent
levels of moderate anxiety to situations and perceived stress. In addition
to information about prescribed medication and administration, which
instruction should the nurse include in the teaching?
A Center attention on positive upbeat music.
B Find outlets for more social interaction.
C Practice using muscle relaxation techniques.
D Think about reasons the episodes occur. Answer: C Practice using
muscle relaxation techniques.
◉ The charge nurse is planning for the shift and has a registered nurse
(RN) and a practical nurse (PN) on the team. Which client should the
charge nurse assign to the RN?
A A 75-year-old client with renal calculi who requires urine straining.
B A 64-year-old client who had a total hip replacement the previous day.
C A 30-year-old depressed client who admits to suicide ideation.
,D An adolescent with multiple contusions due to a fall that occurred 2
days ago. Answer: C A 30-year-old depressed client who admits to
suicide ideation.
◉ A client with pancreatitis complains of severe epigastric pain, so the
nurse administers a prescribed narcotic analgesic. Ten minutes later, the
client insists on sitting up and leaning forward. Which intervention
should the nurse implement?
A Raise head of bed until to a 90 degree angle.
B Position bedside table so the client can lean across it.
C Place bed in a reverse trendelenburg position.
D Encourage rest until the analgesic becomes effective. Answer: B
Position bedside table so the client can lean across it.
◉ The nurse is caring for a client who arrives to the emergency
department with reports of experiencing dizziness and difficulty walking
to the bathroom. The nurse observes right-sided weakness and sluggish
enunciation of speech. The nurse should immediately take which action?
A Maintain elevated positioning of the dependent joints on affected side.
B Keep the bed in the lowest position and initiate seizure and fall
precautions.
C Place an indwelling urinary catheter and measure strict intake and
output.
,D Start two large bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy. Answer: D Start two large bore IV catheters and
review inclusion criteria for IV fibrinolytic therapy.
◉ A male client with a brain tumor is scheduled for a biopsy in the
morning. During the admission procedure, the client has a tonic-clonic
seizure that lasts 50 seconds. Following the seizure, the client is
lethargic and confused and his wife tells the nurse that her husband has
never had a seizure before and has always been alert and
communicative. Which action should the nurse take?
A Ask the wife to wait outside the room until the nurse can talk with her.
B Keep orienting the client to time and space until he is less confused.
C Notify the emergency response team of the client's seizure.
D Explain the postictal state that usually follows seizures. Answer: D
Explain the postictal state that usually follows seizures.
◉ The nurse is providing lifestyle change education for a client to slow
the progression of coronary artery disease. Which statement(s)made by
the client should the nurse recognize as needing additional education?
(Select all that apply.)
A Keep a food diary.
B Eat more canned vegetables.
C Consume foods with saturated fats.
, D Walk 30 minutes per day.
E Include oatmeal for breakfast.
F Use a salt substitute. Answer: B Eat more canned vegetables.
C Consume foods with saturated fats.
◉ While caring for a toddler receiving oxygen via face mask, the nurse
observes that the child's lips and nares are dry and cracked. Which
intervention should the nurse implement?
A Use a water soluble lubricant on affected oral and nasal mucosa.
B Use a topical lidocaine analgesic for cracked lips.
C Ask the mother what she usually uses on the child's lips and nose.
D Apply a petroleum jelly to the child's nose and lips. Answer: A Use a
water soluble lubricant on affected oral and nasal mucosa.
◉ When assessing a multigravida on the first postpartum day, the nurse
finds a moderate amount of lochia rubra, with the uterus firm, and three
fingerbreadths above the umbilicus. What action should the nurse
implement first?
A Increase intravenous infusion.
B Massage the uterus to decrease atony.
C Review the hemoglobin to determine hemorrhage.
