HESI RN Exit Exam 2026 | NGN-Style Questions &
Verified Answers | Complete NCLEX-RN®
Predictor Exam | Evolve Testing
Q001: A 68-year-old post-operative client has a prescription for morphine 2 mg IV q2h
PRN pain. The vial contains 4 mg/mL. How many mL should the nurse administer?
(Round to the nearest tenth.)
Options:
A. 0.3 mL
B. 0.4 mL
C. 0.5 mL
D. 0.6 mL
(Correct Answer: C)
Q002: The nurse is prioritizing care for four clients. Which client should the nurse
assess first?
Options:
A. Client with a blood glucose of 220 mg/dL
B. Client with a systolic BP of 90 mmHg and cool, clammy skin
C. Client with a temperature of 38.3 °C
D. Client with a post-op oxygen saturation of 92% on 2 L nasal cannula
(Correct Answer: B)
Q003: A client receiving heparin therapy has an aPTT of 95 seconds (control 30
seconds). What is the nurse’s priority action?
Options:
A. Stop the heparin infusion immediately
B. Obtain a stat PT/INR
C. Decrease the heparin rate by 2 units/kg/hr
D. Notify the provider and continue the infusion
(Correct Answer: A)
Q004: The nurse is teaching a client with heart failure about limiting sodium. Which
lunch choice indicates the client understands the teaching?
,Options:
A. Canned chicken noodle soup and crackers
B. Fresh turkey sandwich on whole wheat with lettuce and tomato
C. Ham and cheese sandwich with pickles
D. Tomato juice and processed cheese stick
(Correct Answer: B)
Q005: A client is receiving a blood transfusion. Fifteen minutes after initiation, the client
reports chills and low back pain. What should the nurse do first?
Options:
A. Stop the transfusion and maintain IV access with normal saline
B. Slow the transfusion rate and monitor vitals every 15 minutes
C. Give acetaminophen and continue the transfusion
D. Notify the blood bank and continue the transfusion
(Correct Answer: A)
Q006: A client has a serum potassium of 3.2 mEq/L. Which ECG change should the
nurse expect?
Options:
A. Peaked T waves
B. Prolonged PR interval
C. U waves
D. Shortened QT interval
(Correct Answer: C)
Q007: The nurse is preparing to give a 7-year-old child a vaccination. Which injection
site is most appropriate?
Options:
A. Ventrogluteal
B. Deltoid
C. Vastus lateralis
D. Dorsogluteal
(Correct Answer: B)
Q008: A client with COPD is receiving oxygen at 5 L/min via nasal cannula. The client
becomes lethargic. What is the nurse’s priority action?
Options:
A. Increase oxygen to 6 L/min
,B. Obtain an ABG
C. Lower oxygen to 2 L/min and notify provider
D. Switch to a simple face mask
(Correct Answer: C)
Q009: A client is prescribed a low-fat diet. Which food item should the nurse instruct the
client to avoid?
Options:
A. Avocado
B. Whole milk
C. Skinless chicken breast
D. Brown rice
(Correct Answer: B)
Q010: A client is receiving digoxin 0.25 mg daily. Which finding should the nurse report
immediately?
Options:
A. Heart rate of 62 bpm
B. Yellow-green halos around lights
C. Serum potassium of 4.0 mEq/L
D. Digoxin level of 1.2 ng/mL
(Correct Answer: B)
Q011: A client has a chest tube and the bubbling in the water seal chamber suddenly
stops. What should the nurse assess first?
Options:
A. Check for kinks in the tubing
B. Milk the chest tube
C. Clamp the chest tube
D. Increase suction
(Correct Answer: A)
Q012: A client is receiving total parenteral nutrition (TPN). Which nursing action is most
important?
Options:
A. Monitor blood glucose every 6 hours
B. Change the TPN bag every 48 hours
C. Infuse TPN via peripheral IV
, D. Flush the line with heparin after each use
(Correct Answer: A)
Q013: A client is post-op day 1 after abdominal surgery. The nurse notes absent bowel
sounds and a distended abdomen. Which intervention should the nurse implement first?
Options:
A. Encourage ambulation
B. Insert a nasogastric tube
C. Administer antiemetic
D. Notify the provider
(Correct Answer: A)
Q014: A client is receiving lithium carbonate. Which serum level indicates toxicity?
Options:
A. 0.8 mEq/L
B. 1.0 mEq/L
C. 1.4 mEq/L
D. 2.0 mEq/L
(Correct Answer: D)
Q015: A client is experiencing acute urinary retention post-op. Which intervention is
most appropriate?
Options:
A. Insert an indwelling catheter
B. Encourage increased oral fluids
C. Apply a heating pad to the suprapubic area
D. Ambulate the client to the bathroom
(Correct Answer: A)
Q016: A client is receiving warfarin. Which lab value should the nurse monitor?
Options:
A. aPTT
B. PT/INR
C. Platelet count
D. D-dimer
(Correct Answer: B)
Q017: A client is experiencing a panic attack. Which nursing action is most appropriate?
Verified Answers | Complete NCLEX-RN®
Predictor Exam | Evolve Testing
Q001: A 68-year-old post-operative client has a prescription for morphine 2 mg IV q2h
PRN pain. The vial contains 4 mg/mL. How many mL should the nurse administer?
(Round to the nearest tenth.)
Options:
A. 0.3 mL
B. 0.4 mL
C. 0.5 mL
D. 0.6 mL
(Correct Answer: C)
Q002: The nurse is prioritizing care for four clients. Which client should the nurse
assess first?
Options:
A. Client with a blood glucose of 220 mg/dL
B. Client with a systolic BP of 90 mmHg and cool, clammy skin
C. Client with a temperature of 38.3 °C
D. Client with a post-op oxygen saturation of 92% on 2 L nasal cannula
(Correct Answer: B)
Q003: A client receiving heparin therapy has an aPTT of 95 seconds (control 30
seconds). What is the nurse’s priority action?
Options:
A. Stop the heparin infusion immediately
B. Obtain a stat PT/INR
C. Decrease the heparin rate by 2 units/kg/hr
D. Notify the provider and continue the infusion
(Correct Answer: A)
Q004: The nurse is teaching a client with heart failure about limiting sodium. Which
lunch choice indicates the client understands the teaching?
,Options:
A. Canned chicken noodle soup and crackers
B. Fresh turkey sandwich on whole wheat with lettuce and tomato
C. Ham and cheese sandwich with pickles
D. Tomato juice and processed cheese stick
(Correct Answer: B)
Q005: A client is receiving a blood transfusion. Fifteen minutes after initiation, the client
reports chills and low back pain. What should the nurse do first?
Options:
A. Stop the transfusion and maintain IV access with normal saline
B. Slow the transfusion rate and monitor vitals every 15 minutes
C. Give acetaminophen and continue the transfusion
D. Notify the blood bank and continue the transfusion
(Correct Answer: A)
Q006: A client has a serum potassium of 3.2 mEq/L. Which ECG change should the
nurse expect?
Options:
A. Peaked T waves
B. Prolonged PR interval
C. U waves
D. Shortened QT interval
(Correct Answer: C)
Q007: The nurse is preparing to give a 7-year-old child a vaccination. Which injection
site is most appropriate?
Options:
A. Ventrogluteal
B. Deltoid
C. Vastus lateralis
D. Dorsogluteal
(Correct Answer: B)
Q008: A client with COPD is receiving oxygen at 5 L/min via nasal cannula. The client
becomes lethargic. What is the nurse’s priority action?
Options:
A. Increase oxygen to 6 L/min
,B. Obtain an ABG
C. Lower oxygen to 2 L/min and notify provider
D. Switch to a simple face mask
(Correct Answer: C)
Q009: A client is prescribed a low-fat diet. Which food item should the nurse instruct the
client to avoid?
Options:
A. Avocado
B. Whole milk
C. Skinless chicken breast
D. Brown rice
(Correct Answer: B)
Q010: A client is receiving digoxin 0.25 mg daily. Which finding should the nurse report
immediately?
Options:
A. Heart rate of 62 bpm
B. Yellow-green halos around lights
C. Serum potassium of 4.0 mEq/L
D. Digoxin level of 1.2 ng/mL
(Correct Answer: B)
Q011: A client has a chest tube and the bubbling in the water seal chamber suddenly
stops. What should the nurse assess first?
Options:
A. Check for kinks in the tubing
B. Milk the chest tube
C. Clamp the chest tube
D. Increase suction
(Correct Answer: A)
Q012: A client is receiving total parenteral nutrition (TPN). Which nursing action is most
important?
Options:
A. Monitor blood glucose every 6 hours
B. Change the TPN bag every 48 hours
C. Infuse TPN via peripheral IV
, D. Flush the line with heparin after each use
(Correct Answer: A)
Q013: A client is post-op day 1 after abdominal surgery. The nurse notes absent bowel
sounds and a distended abdomen. Which intervention should the nurse implement first?
Options:
A. Encourage ambulation
B. Insert a nasogastric tube
C. Administer antiemetic
D. Notify the provider
(Correct Answer: A)
Q014: A client is receiving lithium carbonate. Which serum level indicates toxicity?
Options:
A. 0.8 mEq/L
B. 1.0 mEq/L
C. 1.4 mEq/L
D. 2.0 mEq/L
(Correct Answer: D)
Q015: A client is experiencing acute urinary retention post-op. Which intervention is
most appropriate?
Options:
A. Insert an indwelling catheter
B. Encourage increased oral fluids
C. Apply a heating pad to the suprapubic area
D. Ambulate the client to the bathroom
(Correct Answer: A)
Q016: A client is receiving warfarin. Which lab value should the nurse monitor?
Options:
A. aPTT
B. PT/INR
C. Platelet count
D. D-dimer
(Correct Answer: B)
Q017: A client is experiencing a panic attack. Which nursing action is most appropriate?
