2026 HESI Exit Exam with NGN Bundle V1
Exam New Latest Versions with All Questions,
100% Correct Answers and Rationale.
HESI EXIT EXAM NGN PRACTICE BANK
VERSION 1 (V1) | Answers & Rationales
The practical nurse enters a male client's room to administer routine
morning medications, but the client is on the phone. Which action is best
for the PN to take?
A. Ask another nurse to go back with the medication when the client's
phone call ends
B. Wait for the client to excuse himself from the telephone conversation
and observe the client taking the medication
C. Return the medication to the client's drawer on the medication cart and
document the client refused the dose
D. Leave the medication at the bedside with a glass of water and ask the
client to take it when finished
Answer: B. Wait for the client to excuse himself from the telephone
conversation and observe the client taking the medication
Rationale: The nurse must witness the client taking the medication to
ensure it was taken as prescribed. Leaving medication unattended or
relying on another nurse compromises patient safety and proper
documentation.
,A Korean female exchange student admitted with acute abdominal pain
answers questions easily but looks away when asked about sexual activity.
What should the PN do?
A. Omit this section of the assessment
B. Ask if she would prefer an interpreter to ask this question
C. Reword the question in case the client did not understand
D. Observe the client's response when asked different questions
Answer: D. Observe the client's response when asked different
questions
Rationale: Nonverbal cues may indicate cultural discomfort or
embarrassment. Observing reactions to other questions can help determine
if discomfort is specific to sexual topics or if further cultural
sensitivity/intervention is needed.
During the immediate postoperative period following total hip replacement
surgery, which intervention is most important?
A. Encourage the client to use a walker or cane when ambulating
B. Keep the client's hip aligned with knees abducted
C. Teach the client to sit on the side of the bed before standing
D. Monitor urinary flow via an indwelling catheter
Answer: B. Keep the client's hip aligned with knees abducted
Rationale: Maintaining proper hip alignment and abduction reduces risk of
hip dislocation, a common and serious complication post-hip replacement.
, A client confides to the PN that he has been using herbal supplements
instead of prescribed hypertension medications. What is the PN's best
initial response?
A. Ask the client's reasons for using herbal supplements instead of
prescription drugs
B. Reinforce that the healthcare provider prescribed medications with a
purpose
C. Have the client describe the complications of uncontrolled high blood
pressure
D. Explain the risks of using herbs instead of prescribed medications
Answer: A. Ask the client's reasons for using herbal supplements
instead of prescription drugs
Rationale: Begin with open, nonjudgmental communication to understand
the client's beliefs and motivations, establishing trust before teaching.
A disoriented resident in a long-term care facility has no ID band or picture.
What is the best action for the PN before administering medications?
A. Ask a regular staff member to confirm the resident's identity
B. Hold the medication until a family member arrives
C. Reorient the resident to name, place, and situation
D. Confirm the room and bed number match the medication record
Answer: D. Confirm the room and bed number match the medication
record
Rationale: Confirming multiple identifiers, including room and bed
number, per facility policy is essential to ensure patient safety before
medication administration.
Exam New Latest Versions with All Questions,
100% Correct Answers and Rationale.
HESI EXIT EXAM NGN PRACTICE BANK
VERSION 1 (V1) | Answers & Rationales
The practical nurse enters a male client's room to administer routine
morning medications, but the client is on the phone. Which action is best
for the PN to take?
A. Ask another nurse to go back with the medication when the client's
phone call ends
B. Wait for the client to excuse himself from the telephone conversation
and observe the client taking the medication
C. Return the medication to the client's drawer on the medication cart and
document the client refused the dose
D. Leave the medication at the bedside with a glass of water and ask the
client to take it when finished
Answer: B. Wait for the client to excuse himself from the telephone
conversation and observe the client taking the medication
Rationale: The nurse must witness the client taking the medication to
ensure it was taken as prescribed. Leaving medication unattended or
relying on another nurse compromises patient safety and proper
documentation.
,A Korean female exchange student admitted with acute abdominal pain
answers questions easily but looks away when asked about sexual activity.
What should the PN do?
A. Omit this section of the assessment
B. Ask if she would prefer an interpreter to ask this question
C. Reword the question in case the client did not understand
D. Observe the client's response when asked different questions
Answer: D. Observe the client's response when asked different
questions
Rationale: Nonverbal cues may indicate cultural discomfort or
embarrassment. Observing reactions to other questions can help determine
if discomfort is specific to sexual topics or if further cultural
sensitivity/intervention is needed.
During the immediate postoperative period following total hip replacement
surgery, which intervention is most important?
A. Encourage the client to use a walker or cane when ambulating
B. Keep the client's hip aligned with knees abducted
C. Teach the client to sit on the side of the bed before standing
D. Monitor urinary flow via an indwelling catheter
Answer: B. Keep the client's hip aligned with knees abducted
Rationale: Maintaining proper hip alignment and abduction reduces risk of
hip dislocation, a common and serious complication post-hip replacement.
, A client confides to the PN that he has been using herbal supplements
instead of prescribed hypertension medications. What is the PN's best
initial response?
A. Ask the client's reasons for using herbal supplements instead of
prescription drugs
B. Reinforce that the healthcare provider prescribed medications with a
purpose
C. Have the client describe the complications of uncontrolled high blood
pressure
D. Explain the risks of using herbs instead of prescribed medications
Answer: A. Ask the client's reasons for using herbal supplements
instead of prescription drugs
Rationale: Begin with open, nonjudgmental communication to understand
the client's beliefs and motivations, establishing trust before teaching.
A disoriented resident in a long-term care facility has no ID band or picture.
What is the best action for the PN before administering medications?
A. Ask a regular staff member to confirm the resident's identity
B. Hold the medication until a family member arrives
C. Reorient the resident to name, place, and situation
D. Confirm the room and bed number match the medication record
Answer: D. Confirm the room and bed number match the medication
record
Rationale: Confirming multiple identifiers, including room and bed
number, per facility policy is essential to ensure patient safety before
medication administration.
