HESI EXIT NGN, HESI RN Exit
Exam (2025) comprehensive
questions and verified answers (
detailed & elaborated) ACTUAL
EXAM 2025 TEST!! | GRADED
A+ ASSURED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive Rationales
Included
,A pt presses the call bell and requests pain medication for Ask the patient to describe the pain
a severe headache. To assess the quality of the pt. Pain,
which approach should the nurse use?
The nurse is wearing personal protective equipment while Gloves
caring for a pt. When exiting the room, which PPE should
be removed first?
An older pt is brought to the ED with a sudden onset of Increasing confusion of the pt.
confusion that occurred after experiencing a fall at home.
The daughter, who has power of attorney, has brought the
client's prescriptions. Which information should the nurse
provide first when reporting to the healthcare provider
using SBAR communication?
A pt tells the nurse about working out with a personal Ask the pt for a description of the exercise schedule that is being followed
trainer and swimming three times a week in an effort to
lose weight and sleep better. The pt states that it still is
taking hours to fall asleep at night. Which action should the
nurse implement?
2 days prior to discharge from the rehab facility, the nurse -review safe transfer strategies
is teaching a pt who is recovering from Guillain-Barre -develop a nutritional plan
syndrome about home. Which actions should the nurse -help identify community support
include when providing discharge teaching to the pt and
spouse? SATA
The nurse implements a tertiary prevention program for pt who develop disease complications promptly received rehabilitation
type 2 diabetes in a rural health clinic. Which outcome
indicates that the program was effective?
The nurse has received funding to design a health participation of community leaders in planning the program
promotion project for African American women who are at
risk for developing breast cancer. Which resource is most
important in designing this program?
A pt with multiple injuries is being treated in the burn use gown, mask, and gloves with dressing changes
trauma unit just hours after the injuries occurred. The
healthcare provider instructs the nurse to avoid auto
contamination when performing dressing changes. Which
intervention is most important for the nurse to implement?
A pt is recovering in the critical care unit following a cardiac Stimulate the pt to take deep breaths
cath. IV nitro and heparin are infusing. The pt is sedated
but responds to instructions. After changing positions, the
pt complains of pain at the right groin insertion site. What
action should the nurse implement?
Prior to obtaining a trapeze bar for a pt with limited upper body muscle strength
mobility, which pt assessment is most important for the
nurse to obtain?
While the nurse is assessing an older pt fall risk, the pt Continue to obtain pt data needed to complete the fall risk survey
reports living at home alone and never falling. Which
action should the nurse take?
The nurse is feeding an older adult who was admitted with Teach coughing and deep breathing exercises
aspiration pneumonia. The pt is weak and begins coughing
while attempting to drink through a straw. Which
intervention should the nurse implement?
,The nurse is teaching the pt about home care after surgery Empty the pouch when it is half full.
for an ileal conduit placement. When reviewing the
information, which statement should the nurse recognize
as needing additional education?
A 12 week gestation is admitted to the antepartum unit initiate prescribed IV fluids
with a dx of hyperemesis gravidarum. Which action is most
important for the nurse to implement?
A pt with dyspnea is being admitted to the medical unit. To Picture with the bed sitting up
best prepare for the pt arrival, the nurse should ensure that
the pt bed is in which position?
A pt who is scheduled for a bronchoscopy in the morning is Instruct pt to write down questions
anxious and asking the nurse numerous questions about
the procedure. In preparing the pt for the procedure, which
intervention has the highest priority?
While caring for a pt post operative dressing, the nurse culture for sensitive organisms
observes purulent drainage at the wound. Before reporting
this finding to the provider, the nurse should review which
of the pt lab values?
A pt with a lower respiratory tract infection receives a Cinnamon apple sauce
prescription for ciprofloxacin 500mg PO every 12hrs.
When the client requests an afternoon snack, which
dietary choice should the nurse provide?
An older male reporting abd pain is admitted from a facility. Send emesis to lab
It has been 7 days since his last BM and his abd is Elevate HOB
distended, and he just vomited 150ml of dark brown complete focused assessment
emesis. In what order should the nurse implement these offers PRN pain meds
interventions?
A patient who recently received a prescription for Somnambulism
ramelteon to treat sleep deprivation reports experiencing
several side effects since taking the med. Which side
effect should the nurse report to the healthcare provider?
A pt is scheduled for a spiral CT scan with contrast to take metformin for type 2 diabetes
evaluate for pulmonary embolism. Which information in the
client's history requires follow up by the nurse?
The nurse should withhold which medication if the client's Spironolactone
serum potassium level is 6.2 mEq/?
A nurse receives a report on a pt who is four hours post- Assess for weakness or dizziness
total abdominal hysterectomy. The previous nurse reports
that it was necessary to change the client's perineal pad
hourly and that it is again saturated. The previous nurse
also reports that the client's urinary output has decreased.
Which action should the nurse implement first?
A pt who is admitted for primary hypothyroidism has early -Observe breathing patterns
signs of myxedema coma. In assessing the pt, in which -assess blood pressure
sequence should the nurse complete these actions? -measure body temp
-palpate for pedal edema
The nurse is taking the blood pressure measurement of a Blurred Vision
client with Parkinson's disease. Which information in the Flat Affect
admission assessment is relevant to the nurse's plan for frequent syncope
taking the blood pressure reading? SATA
, After administering a proton pump inhibitor, which action Ask the pt about gastrointestinal pain
should the nurse take to evaluate the effectiveness of the
medication?
A pt is receiving enoxaparin 30 mg subcutaneously twice a platelet count
day. In assessing for adverse effects of the medication,
which serum laboratory value most important for the nurse
to monitor
A pediatric client is taking the beta-adrenergic blocking Bradycardia
agent propranolol. In developing a teaching plan, the nurse
should teach the parents to report which sign of overdose?
The nurse is demonstrating correct transfer procedures to Place the pt locked wheelchair on the pt strong side next to the bed
the unlicensed assistive personnel working on a rehab
unit. The UAP asks the nurse how to safely move a
physically disabled pt from the... wheelchair to the bed.
Which action should the nurse recommend?
The nurse has completed the diet teaching of a client who A tuna fish sandwich with chips and ice cream
is being discharged following tx of a leg wound. A high
protein diet is encouraged to promote wound healing.
Which lunch choice by the pt indicates that the teaching
was effective?
When conducting diet teaching for a pt who was dx with a Fresh Turkey slices and berries
myocardial infarction, which snack foods should the nurse chick bouillon soup and toast
encourage the pt to eat? SATA raw unsalted almonds and apples
A pt taking clopidogrel reports the onset of diarrhea. Which Observe the appearance of the stool
nursing action should the nurse implement first?
A pt is dx with Meniere's disease. Which problem should Risk for injury related to vertigo
the nurse identify as most important in the plan of care?
A new nurse preparing to irrigate an IV catheter is Suggest the nurse use 20g needle
attaching a 24 gauge needle. Which action should the
charge nurse implement?
A nurse working on an Endocrine Unit should see which A pt taking corticosteroids who has become disoriented in the last two hours.
client first?
After an older pt receives tx for drug toxicity the healthcare Notify the healthcare provider of the results
provider prescribes a 24 hr creatinine clearance, the nurse
notes that the pt serum creatinine is 0.3mg. Which action
should the nurse implement?
An older adult pt with Systemic inflammatory syndrome Serum Creatinine of 2mg/dl
(SIRS) has a temp of 101.8, HR of 110, and RR of 24
breaths/min. Which additional finding is most important to
report to the healthcare provider?
A pt in the third trimester of pregnancy reports that she Explain that this is normal recreation and can be assessed at the next visit.
feels some lumpy places in her breasts and that her
nipples sometimes leak a yellowish fluid. She has an
appointment with her healthcare provider in two weeks.
What actions should the nurse take?
Exam (2025) comprehensive
questions and verified answers (
detailed & elaborated) ACTUAL
EXAM 2025 TEST!! | GRADED
A+ ASSURED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive Rationales
Included
,A pt presses the call bell and requests pain medication for Ask the patient to describe the pain
a severe headache. To assess the quality of the pt. Pain,
which approach should the nurse use?
The nurse is wearing personal protective equipment while Gloves
caring for a pt. When exiting the room, which PPE should
be removed first?
An older pt is brought to the ED with a sudden onset of Increasing confusion of the pt.
confusion that occurred after experiencing a fall at home.
The daughter, who has power of attorney, has brought the
client's prescriptions. Which information should the nurse
provide first when reporting to the healthcare provider
using SBAR communication?
A pt tells the nurse about working out with a personal Ask the pt for a description of the exercise schedule that is being followed
trainer and swimming three times a week in an effort to
lose weight and sleep better. The pt states that it still is
taking hours to fall asleep at night. Which action should the
nurse implement?
2 days prior to discharge from the rehab facility, the nurse -review safe transfer strategies
is teaching a pt who is recovering from Guillain-Barre -develop a nutritional plan
syndrome about home. Which actions should the nurse -help identify community support
include when providing discharge teaching to the pt and
spouse? SATA
The nurse implements a tertiary prevention program for pt who develop disease complications promptly received rehabilitation
type 2 diabetes in a rural health clinic. Which outcome
indicates that the program was effective?
The nurse has received funding to design a health participation of community leaders in planning the program
promotion project for African American women who are at
risk for developing breast cancer. Which resource is most
important in designing this program?
A pt with multiple injuries is being treated in the burn use gown, mask, and gloves with dressing changes
trauma unit just hours after the injuries occurred. The
healthcare provider instructs the nurse to avoid auto
contamination when performing dressing changes. Which
intervention is most important for the nurse to implement?
A pt is recovering in the critical care unit following a cardiac Stimulate the pt to take deep breaths
cath. IV nitro and heparin are infusing. The pt is sedated
but responds to instructions. After changing positions, the
pt complains of pain at the right groin insertion site. What
action should the nurse implement?
Prior to obtaining a trapeze bar for a pt with limited upper body muscle strength
mobility, which pt assessment is most important for the
nurse to obtain?
While the nurse is assessing an older pt fall risk, the pt Continue to obtain pt data needed to complete the fall risk survey
reports living at home alone and never falling. Which
action should the nurse take?
The nurse is feeding an older adult who was admitted with Teach coughing and deep breathing exercises
aspiration pneumonia. The pt is weak and begins coughing
while attempting to drink through a straw. Which
intervention should the nurse implement?
,The nurse is teaching the pt about home care after surgery Empty the pouch when it is half full.
for an ileal conduit placement. When reviewing the
information, which statement should the nurse recognize
as needing additional education?
A 12 week gestation is admitted to the antepartum unit initiate prescribed IV fluids
with a dx of hyperemesis gravidarum. Which action is most
important for the nurse to implement?
A pt with dyspnea is being admitted to the medical unit. To Picture with the bed sitting up
best prepare for the pt arrival, the nurse should ensure that
the pt bed is in which position?
A pt who is scheduled for a bronchoscopy in the morning is Instruct pt to write down questions
anxious and asking the nurse numerous questions about
the procedure. In preparing the pt for the procedure, which
intervention has the highest priority?
While caring for a pt post operative dressing, the nurse culture for sensitive organisms
observes purulent drainage at the wound. Before reporting
this finding to the provider, the nurse should review which
of the pt lab values?
A pt with a lower respiratory tract infection receives a Cinnamon apple sauce
prescription for ciprofloxacin 500mg PO every 12hrs.
When the client requests an afternoon snack, which
dietary choice should the nurse provide?
An older male reporting abd pain is admitted from a facility. Send emesis to lab
It has been 7 days since his last BM and his abd is Elevate HOB
distended, and he just vomited 150ml of dark brown complete focused assessment
emesis. In what order should the nurse implement these offers PRN pain meds
interventions?
A patient who recently received a prescription for Somnambulism
ramelteon to treat sleep deprivation reports experiencing
several side effects since taking the med. Which side
effect should the nurse report to the healthcare provider?
A pt is scheduled for a spiral CT scan with contrast to take metformin for type 2 diabetes
evaluate for pulmonary embolism. Which information in the
client's history requires follow up by the nurse?
The nurse should withhold which medication if the client's Spironolactone
serum potassium level is 6.2 mEq/?
A nurse receives a report on a pt who is four hours post- Assess for weakness or dizziness
total abdominal hysterectomy. The previous nurse reports
that it was necessary to change the client's perineal pad
hourly and that it is again saturated. The previous nurse
also reports that the client's urinary output has decreased.
Which action should the nurse implement first?
A pt who is admitted for primary hypothyroidism has early -Observe breathing patterns
signs of myxedema coma. In assessing the pt, in which -assess blood pressure
sequence should the nurse complete these actions? -measure body temp
-palpate for pedal edema
The nurse is taking the blood pressure measurement of a Blurred Vision
client with Parkinson's disease. Which information in the Flat Affect
admission assessment is relevant to the nurse's plan for frequent syncope
taking the blood pressure reading? SATA
, After administering a proton pump inhibitor, which action Ask the pt about gastrointestinal pain
should the nurse take to evaluate the effectiveness of the
medication?
A pt is receiving enoxaparin 30 mg subcutaneously twice a platelet count
day. In assessing for adverse effects of the medication,
which serum laboratory value most important for the nurse
to monitor
A pediatric client is taking the beta-adrenergic blocking Bradycardia
agent propranolol. In developing a teaching plan, the nurse
should teach the parents to report which sign of overdose?
The nurse is demonstrating correct transfer procedures to Place the pt locked wheelchair on the pt strong side next to the bed
the unlicensed assistive personnel working on a rehab
unit. The UAP asks the nurse how to safely move a
physically disabled pt from the... wheelchair to the bed.
Which action should the nurse recommend?
The nurse has completed the diet teaching of a client who A tuna fish sandwich with chips and ice cream
is being discharged following tx of a leg wound. A high
protein diet is encouraged to promote wound healing.
Which lunch choice by the pt indicates that the teaching
was effective?
When conducting diet teaching for a pt who was dx with a Fresh Turkey slices and berries
myocardial infarction, which snack foods should the nurse chick bouillon soup and toast
encourage the pt to eat? SATA raw unsalted almonds and apples
A pt taking clopidogrel reports the onset of diarrhea. Which Observe the appearance of the stool
nursing action should the nurse implement first?
A pt is dx with Meniere's disease. Which problem should Risk for injury related to vertigo
the nurse identify as most important in the plan of care?
A new nurse preparing to irrigate an IV catheter is Suggest the nurse use 20g needle
attaching a 24 gauge needle. Which action should the
charge nurse implement?
A nurse working on an Endocrine Unit should see which A pt taking corticosteroids who has become disoriented in the last two hours.
client first?
After an older pt receives tx for drug toxicity the healthcare Notify the healthcare provider of the results
provider prescribes a 24 hr creatinine clearance, the nurse
notes that the pt serum creatinine is 0.3mg. Which action
should the nurse implement?
An older adult pt with Systemic inflammatory syndrome Serum Creatinine of 2mg/dl
(SIRS) has a temp of 101.8, HR of 110, and RR of 24
breaths/min. Which additional finding is most important to
report to the healthcare provider?
A pt in the third trimester of pregnancy reports that she Explain that this is normal recreation and can be assessed at the next visit.
feels some lumpy places in her breasts and that her
nipples sometimes leak a yellowish fluid. She has an
appointment with her healthcare provider in two weeks.
What actions should the nurse take?
