NGN HESI PN EXIT EXAM V1, V2, V3, V4, V5, V6,
V7 EXAM 2026/2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
RATIONALE ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION!!|JUST RELEASED
A nurse-manager is preparing the curricula for a class for charge nurses. A staffing formula
based on what data ensures quality client care and is most cost-effective?
a. Client geographic location and age
b. Number of staff and number of clients
c. Weekend and weekday staff availability
d. Skills of staff and client acuity
Skills of staff and client acuity
When performing postural drainage on a client with Chronic Obstructive Pulmonary
Disease (COPD), which approach should the nurse use?
a. Perform the drainage immediately after meals
b. Instruct the client to breath shallow and fast
c. Obtain arterial blood gases (ABG's) prior to procedure
d. Explain that the client may be placed in five positions
1|Page
,Explain that the client may be placed in five positions
Rationale: Frequently, the client is placed in five positions (head down, prone, right
and left lateral, and sitting upright) to aid in drainage of each of the five lobes of the
lungs (D). Postural drainage should be performed before meals to prevent nausea,
vomiting and aspiration(A). The client should breath slow and exhale through pursed
lips to help keep airway open so that secretions can be drained while assuming the
various positions. C is not required
A client presents in the emergency room with right-sided facial asymmetry. The nurse asks
the client to perform a series of movements that require use of the facial muscles. What
symptoms suggest that the client has most likely experience a Bell's palsy rather than a
stroke?
a. Slow onset of facial drooping associated with headache
b. Inability to close the affected eye, raise brow, or smile
c. A flat nasolabial fold on the right resulting in facial asymmetry.
d. Drooling is present on right side of the mouth, but not on the left.
Inability to close the affected eye, raise brow, or smile
Rationale: Because the motor function controlling eye closure, brow movement and
smiling are all carried on the 7th cranial (facial) nerve, the combination of symptoms
directly relating to an impairment of all branches of the facial nerve indicate that Bell's
palsy has occurred.
The nurse is teaching a client how to perform colostomy irrigations. When observing the
client's return demonstration, which action indicated that the client understood the
teaching?
a. Turns to left the side to instill the irrigating solution into the stoma
2|Page
,b. Keeps the irrigating container less than 18 inches above the stoma
c. Instills 1,200 ml of irrigating solution to stimulate bowel evacuation
d. Inserts irrigating catheter deeper into stoma when cramping occurs
Keeps the irrigating container less than 18 inches above the stoma
Rationale: Keeping the irrigating container less than 18 inches above the stoma
permits the solution to flow slowly with little excessive peristalsis does not cause
immediate release of stool.
The nurse should teach the client to observe which precaution while taking dronedarone?
a. Stay out of direct sunlight
b. Avoid grapefruits and its juice
c. Reduce the use of herbal supplements
d. Minimize sodium intake.
b. Avoid grapefruits and its juice
Rationale: Grapefruit increase the effect of dronedarone thereby increasing the
possibility of serious side effects. A does not cause a serious effect. C may potentiate
lethal arrhythmias and should be avoided. D does not directly affect those taking
dronedarone.
A client who sustained a head injury following an automobile collision is admitted to the
hospital. The nurse include the client's risk for developing increased intracranial pressure
(ICP) in the plan of care. Which signs indicate to the nurse that ICP has increased?
a. Increased Glasgow coma scale score.
b. Nuchal rigidity and papilledema.
c. Confusion and papilledema
d. Periorbital ecchymosis.
3|Page
, Confusion and papilledema
Rationale: papilledema is always an indicator of increased ICP, and confusion is
usually the first sign of increased ICP. Other options do not necessarily reflect
increased ICP.
The nurse is caring for a client receiving continuous IV fluids through a single lumen central
venous catheter (CVC). Based on the CVC care bundle, which action should be completed
daily to reduce the risk for infection?
a. Remind staff to follow protective environment precautions
b. Gently flush the catheter lumen with sterile saline solution
c. Cleanse the site and change the transparent dressing.
d. Confirm the necessity for continued use of the CVC.
Confirm the necessity for continued use of the CVC
Rationale: Increase the length of use increase the risk for infection. The CVC care
bundle includes the review of the need for continued use of the CVC. Effective hand
hygiene and standard precautions should be maintained but protective environment
precautions are not needed. B is not needed if continuous IV fluid are infused, ad may
introduce contaminants. Use of a transparent dressing allows the site to be visualized
for any signs of infection but changing the dressing daily increases the risk for
infection.
During an annual physical examination, an older woman's fasting blood sugar (FBS) is
determined to be 140 mg/dl or 7.8 mmol/L (SI). Which additional finding obtained during a
follow-up visit 2 weeks later is most indicative that the client has diabetes mellitus (DM)?
a. An increased thirst with frequent urination
b. Blood glucose range during past two weeks was 110 to 125 mg/dl or 6.1 to 7.0 mmol/L(SI)
4|Page
V7 EXAM 2026/2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
RATIONALE ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION!!|JUST RELEASED
A nurse-manager is preparing the curricula for a class for charge nurses. A staffing formula
based on what data ensures quality client care and is most cost-effective?
a. Client geographic location and age
b. Number of staff and number of clients
c. Weekend and weekday staff availability
d. Skills of staff and client acuity
Skills of staff and client acuity
When performing postural drainage on a client with Chronic Obstructive Pulmonary
Disease (COPD), which approach should the nurse use?
a. Perform the drainage immediately after meals
b. Instruct the client to breath shallow and fast
c. Obtain arterial blood gases (ABG's) prior to procedure
d. Explain that the client may be placed in five positions
1|Page
,Explain that the client may be placed in five positions
Rationale: Frequently, the client is placed in five positions (head down, prone, right
and left lateral, and sitting upright) to aid in drainage of each of the five lobes of the
lungs (D). Postural drainage should be performed before meals to prevent nausea,
vomiting and aspiration(A). The client should breath slow and exhale through pursed
lips to help keep airway open so that secretions can be drained while assuming the
various positions. C is not required
A client presents in the emergency room with right-sided facial asymmetry. The nurse asks
the client to perform a series of movements that require use of the facial muscles. What
symptoms suggest that the client has most likely experience a Bell's palsy rather than a
stroke?
a. Slow onset of facial drooping associated with headache
b. Inability to close the affected eye, raise brow, or smile
c. A flat nasolabial fold on the right resulting in facial asymmetry.
d. Drooling is present on right side of the mouth, but not on the left.
Inability to close the affected eye, raise brow, or smile
Rationale: Because the motor function controlling eye closure, brow movement and
smiling are all carried on the 7th cranial (facial) nerve, the combination of symptoms
directly relating to an impairment of all branches of the facial nerve indicate that Bell's
palsy has occurred.
The nurse is teaching a client how to perform colostomy irrigations. When observing the
client's return demonstration, which action indicated that the client understood the
teaching?
a. Turns to left the side to instill the irrigating solution into the stoma
2|Page
,b. Keeps the irrigating container less than 18 inches above the stoma
c. Instills 1,200 ml of irrigating solution to stimulate bowel evacuation
d. Inserts irrigating catheter deeper into stoma when cramping occurs
Keeps the irrigating container less than 18 inches above the stoma
Rationale: Keeping the irrigating container less than 18 inches above the stoma
permits the solution to flow slowly with little excessive peristalsis does not cause
immediate release of stool.
The nurse should teach the client to observe which precaution while taking dronedarone?
a. Stay out of direct sunlight
b. Avoid grapefruits and its juice
c. Reduce the use of herbal supplements
d. Minimize sodium intake.
b. Avoid grapefruits and its juice
Rationale: Grapefruit increase the effect of dronedarone thereby increasing the
possibility of serious side effects. A does not cause a serious effect. C may potentiate
lethal arrhythmias and should be avoided. D does not directly affect those taking
dronedarone.
A client who sustained a head injury following an automobile collision is admitted to the
hospital. The nurse include the client's risk for developing increased intracranial pressure
(ICP) in the plan of care. Which signs indicate to the nurse that ICP has increased?
a. Increased Glasgow coma scale score.
b. Nuchal rigidity and papilledema.
c. Confusion and papilledema
d. Periorbital ecchymosis.
3|Page
, Confusion and papilledema
Rationale: papilledema is always an indicator of increased ICP, and confusion is
usually the first sign of increased ICP. Other options do not necessarily reflect
increased ICP.
The nurse is caring for a client receiving continuous IV fluids through a single lumen central
venous catheter (CVC). Based on the CVC care bundle, which action should be completed
daily to reduce the risk for infection?
a. Remind staff to follow protective environment precautions
b. Gently flush the catheter lumen with sterile saline solution
c. Cleanse the site and change the transparent dressing.
d. Confirm the necessity for continued use of the CVC.
Confirm the necessity for continued use of the CVC
Rationale: Increase the length of use increase the risk for infection. The CVC care
bundle includes the review of the need for continued use of the CVC. Effective hand
hygiene and standard precautions should be maintained but protective environment
precautions are not needed. B is not needed if continuous IV fluid are infused, ad may
introduce contaminants. Use of a transparent dressing allows the site to be visualized
for any signs of infection but changing the dressing daily increases the risk for
infection.
During an annual physical examination, an older woman's fasting blood sugar (FBS) is
determined to be 140 mg/dl or 7.8 mmol/L (SI). Which additional finding obtained during a
follow-up visit 2 weeks later is most indicative that the client has diabetes mellitus (DM)?
a. An increased thirst with frequent urination
b. Blood glucose range during past two weeks was 110 to 125 mg/dl or 6.1 to 7.0 mmol/L(SI)
4|Page
