HESI RN EXIT EXAM WITH NGN
LATEST VERSION B
2024-2025/HESI EXIT RN NEXT
GENERATION EXAM ALL 160
QUESTIONS AND CORRECT
DETAILED ANSWERS | GRADED
A+ ASSURED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive Rationales
Included
,The nurse is completing the admission assessment of a 3- B. Sluggish and unequal pupillary responses
year old who is admitted with bacterial meningitis and
hydrocephalus. Which assessment finding is evidence that
the child is experiencing increased intracranial pressure
(ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
A client with acute pancreatitis is admitted with severe, A. Abdominal pain decreases when lying supine
piercing abdominal pain and an elevated serum amylase.
Which additional information is the client most likely to
report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
A child newly diagnosed with sickle cell anemia (SCA) is A. Instructions about how much fluid the child should drink daily
being discharged from the hospital. Which information is
most important for the nurse to provide the parents prior to
discharge?
A. Instructions about how much fluid the child should drink
daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief
measures
D. Referral for social services for the child and family
To auscultate for a carotid bruit, the nurse places the I placed the red dot on the base of the neck on the right side
stethoscope at what location. (Select the location on the
image with a red dot).
After receiving report on an inpatient acute care unit, which D. The client with a bowel obstruction due to a volvulus who is experiencing
client should the nurse assess first? abdominal rigidity
A. The client with an obstruction of the large intestine who
is experiencing abdominal distention
B. The client who had surgery yesterday and is
experiencing a paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a
nasogastric tube that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus
who is experiencing abdominal rigidity
A teenager presents to the emergency department with D. Respiratory alkalosis
palpitations after vaping at a party. The client is anxious,
fearful, and hyperventilating. The nurse anticipates the
client developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. Fowlers
To best prepare for the client's arrival, the nurse should
ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
, The nurse is taking the blood pressure measurement of a A. Frequent syncope
client with Parkinson's disease. Which information in the C. Flat affect
client's admission assessment is relevant to the nurse's D. Blurred vision
plan for taking the blood pressure reading? (Select all the
apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
While caring for a client's postoperative dressing, the B. Culture for sensitive organisms
nurse observes purulent drainage at the wound. Before
reporting this finding to the healthcare provider, the nurse
should review which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level
A preschool-aged boy is admitted to the pediatric unit B. Ask the older brother how he felt during the incident
following successful resuscitation from a near-drowning
incident. While providing care to the child, the nurse begins
talking with his preadolescent brother who rescued the
child from the swimming pool and initiated resuscitation.
The nurse notices the older boy becomes withdrawn when
asked about what happened. Which action should the
nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions
A male client with cirrhosis has jaundice and pruritus. He A. Encourage the client to use cooler water and apply calamine lotion after soaking
tells the nurse that he has been soaking in hot baths at
night with no relief of his discomfort. Which action should
the nurse take?
A. Encourage the client to use cooler water and apply
calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the
client can use for symptom relief
C. Suggest that the client take brief showers and apply oil-
based lotion after showering
D. Explain that the symptoms are caused by liver damage
and cannot be relieved
An older client with a long history of coronary artery B. Reduced preload
disease (CAD), hypertension (HTN), and heart failure (HF)
arrives in the Emergency Department (ED) in respiratory
distress. The healthcare provider prescribes furosemide IV.
Which therapeutic response to furosemide should the
nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload
Which intervention should the nurse include in the plan of B. Minimize the amount of stimuli in the room
care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light
LATEST VERSION B
2024-2025/HESI EXIT RN NEXT
GENERATION EXAM ALL 160
QUESTIONS AND CORRECT
DETAILED ANSWERS | GRADED
A+ ASSURED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive Rationales
Included
,The nurse is completing the admission assessment of a 3- B. Sluggish and unequal pupillary responses
year old who is admitted with bacterial meningitis and
hydrocephalus. Which assessment finding is evidence that
the child is experiencing increased intracranial pressure
(ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
A client with acute pancreatitis is admitted with severe, A. Abdominal pain decreases when lying supine
piercing abdominal pain and an elevated serum amylase.
Which additional information is the client most likely to
report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
A child newly diagnosed with sickle cell anemia (SCA) is A. Instructions about how much fluid the child should drink daily
being discharged from the hospital. Which information is
most important for the nurse to provide the parents prior to
discharge?
A. Instructions about how much fluid the child should drink
daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief
measures
D. Referral for social services for the child and family
To auscultate for a carotid bruit, the nurse places the I placed the red dot on the base of the neck on the right side
stethoscope at what location. (Select the location on the
image with a red dot).
After receiving report on an inpatient acute care unit, which D. The client with a bowel obstruction due to a volvulus who is experiencing
client should the nurse assess first? abdominal rigidity
A. The client with an obstruction of the large intestine who
is experiencing abdominal distention
B. The client who had surgery yesterday and is
experiencing a paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a
nasogastric tube that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus
who is experiencing abdominal rigidity
A teenager presents to the emergency department with D. Respiratory alkalosis
palpitations after vaping at a party. The client is anxious,
fearful, and hyperventilating. The nurse anticipates the
client developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. Fowlers
To best prepare for the client's arrival, the nurse should
ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
, The nurse is taking the blood pressure measurement of a A. Frequent syncope
client with Parkinson's disease. Which information in the C. Flat affect
client's admission assessment is relevant to the nurse's D. Blurred vision
plan for taking the blood pressure reading? (Select all the
apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
While caring for a client's postoperative dressing, the B. Culture for sensitive organisms
nurse observes purulent drainage at the wound. Before
reporting this finding to the healthcare provider, the nurse
should review which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level
A preschool-aged boy is admitted to the pediatric unit B. Ask the older brother how he felt during the incident
following successful resuscitation from a near-drowning
incident. While providing care to the child, the nurse begins
talking with his preadolescent brother who rescued the
child from the swimming pool and initiated resuscitation.
The nurse notices the older boy becomes withdrawn when
asked about what happened. Which action should the
nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions
A male client with cirrhosis has jaundice and pruritus. He A. Encourage the client to use cooler water and apply calamine lotion after soaking
tells the nurse that he has been soaking in hot baths at
night with no relief of his discomfort. Which action should
the nurse take?
A. Encourage the client to use cooler water and apply
calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the
client can use for symptom relief
C. Suggest that the client take brief showers and apply oil-
based lotion after showering
D. Explain that the symptoms are caused by liver damage
and cannot be relieved
An older client with a long history of coronary artery B. Reduced preload
disease (CAD), hypertension (HTN), and heart failure (HF)
arrives in the Emergency Department (ED) in respiratory
distress. The healthcare provider prescribes furosemide IV.
Which therapeutic response to furosemide should the
nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload
Which intervention should the nurse include in the plan of B. Minimize the amount of stimuli in the room
care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light
