HESI RN Exit NGN Full Mock Exam 2026 | Trusted
Questions & Answers
1. What is the recommended assessment tool for evaluating developmental
delays in toddlers?
Ages and Stages Questionnaire (ASQ)
Denver Developmental Screening Test
Vineland Adaptive Behavior Scales
Child Behavior Checklist
2. What is the primary purpose of a return demonstration in nursing education?
To assess the student's understanding and ability to perform a skill.
To evaluate the student's written communication skills.
To provide feedback on the student's theoretical knowledge.
To determine the student's ability to work in a team.
3. If a postpartum patient presents with heavy vaginal bleeding and uterine
atony is suspected, what should be the immediate nursing intervention?
Perform a manual examination of the uterus.
Increase the patient's fluid intake.
Administer uterotonics as prescribed.
Schedule a follow-up appointment for the next day.
4. A patient presents with anxiety and rapid breathing after using a stimulant.
What assessment findings would support a diagnosis of respiratory alkalosis?
, Increased carbon dioxide levels and normal pH in arterial blood gas
results.
Increased carbon dioxide levels and decreased pH in arterial blood
gas results.
Decreased carbon dioxide levels and increased pH in arterial blood
gas results.
Normal carbon dioxide levels and normal pH in arterial blood gas
results.
5. What is a key indicator that diet teaching was effective for a patient being
discharged after leg wound treatment?
The patient expresses confusion about dietary restrictions.
The patient asks for more information about wound care.
The patient chooses a healthy lunch option.
The patient refuses to eat lunch.
6. A client with acute gastritis is admitted to the emergency department for GI
bleeding. The nurse would anticipate the client's history will include
alcohol abuse.
high-carbohydrate, high-fat diet.
recent use of oral penicillin.
anorexia.
7. Which electrolyte imbalance would be the nurse's priority concern in the
burn client?
Hypoalbuminemia
Hypermagnesemia
, Hypernatremia
Hyperkalemia
8. A 2-year-old toddler presents to the pediatrician's office for a well-child visit.
The child's parent reports that the child has been less talkative over the past
month and no longer uses 2- to 3-word sentences to express oneself, now
using just 1 word or only points to things. The parent also reports that the
child prefers to sit by oneself and does not like to cuddle like before. When
asked, the parent denies the family has experienced any recent major
changes. Which is the nurse's most appropriate next step?
Use the Ages and Stages Questionnaire to assess for appropriate
growth and development.
Screen for autism spectrum disorder using the Modified Checklist
for Autism in Toddlers.
Reassure the parent that toddlers often exhibit regressive behavior.
Make a referral for the child to an early intervention program.
9. A nurse is preparing to take the blood pressure of a patient with Parkinson's
disease who reports frequent syncope. What additional precautions should
the nurse take during this procedure?
Measure the blood pressure only once to save time.
Take the blood pressure while the patient is standing to get an
accurate reading.
Ask the patient to hold their breath during the measurement.
Ensure the patient is seated comfortably and monitor for signs of
dizziness during the measurement.
, 10. A 24-hour old newborn has a pink papular rash with vesicles superimposed
on the thorax, back and abdomen. What action should the nurse implement?
obtain a culture of the vesicles
document the finding in the infant's record
move the newborn to an isolation nursery
notify the healthcare provider
11. Which of the following symptoms should a nurse consider when assessing a
patient with Parkinson's disease for blood pressure measurement? (Select all
that apply)
Increased appetite, Weight loss
Nausea, Vomiting
Blurred Vision, Flat Affect, Frequent syncope
High blood pressure, Anxiety
12. What is the primary reason for a patient to experience phantom limb pain
after an amputation?
The patient is experiencing muscle cramps.
The patient has an infection in the surgical site.
The patient is dehydrated.
Nerve endings in the residual limb continue to send signals to the
brain.
Questions & Answers
1. What is the recommended assessment tool for evaluating developmental
delays in toddlers?
Ages and Stages Questionnaire (ASQ)
Denver Developmental Screening Test
Vineland Adaptive Behavior Scales
Child Behavior Checklist
2. What is the primary purpose of a return demonstration in nursing education?
To assess the student's understanding and ability to perform a skill.
To evaluate the student's written communication skills.
To provide feedback on the student's theoretical knowledge.
To determine the student's ability to work in a team.
3. If a postpartum patient presents with heavy vaginal bleeding and uterine
atony is suspected, what should be the immediate nursing intervention?
Perform a manual examination of the uterus.
Increase the patient's fluid intake.
Administer uterotonics as prescribed.
Schedule a follow-up appointment for the next day.
4. A patient presents with anxiety and rapid breathing after using a stimulant.
What assessment findings would support a diagnosis of respiratory alkalosis?
, Increased carbon dioxide levels and normal pH in arterial blood gas
results.
Increased carbon dioxide levels and decreased pH in arterial blood
gas results.
Decreased carbon dioxide levels and increased pH in arterial blood
gas results.
Normal carbon dioxide levels and normal pH in arterial blood gas
results.
5. What is a key indicator that diet teaching was effective for a patient being
discharged after leg wound treatment?
The patient expresses confusion about dietary restrictions.
The patient asks for more information about wound care.
The patient chooses a healthy lunch option.
The patient refuses to eat lunch.
6. A client with acute gastritis is admitted to the emergency department for GI
bleeding. The nurse would anticipate the client's history will include
alcohol abuse.
high-carbohydrate, high-fat diet.
recent use of oral penicillin.
anorexia.
7. Which electrolyte imbalance would be the nurse's priority concern in the
burn client?
Hypoalbuminemia
Hypermagnesemia
, Hypernatremia
Hyperkalemia
8. A 2-year-old toddler presents to the pediatrician's office for a well-child visit.
The child's parent reports that the child has been less talkative over the past
month and no longer uses 2- to 3-word sentences to express oneself, now
using just 1 word or only points to things. The parent also reports that the
child prefers to sit by oneself and does not like to cuddle like before. When
asked, the parent denies the family has experienced any recent major
changes. Which is the nurse's most appropriate next step?
Use the Ages and Stages Questionnaire to assess for appropriate
growth and development.
Screen for autism spectrum disorder using the Modified Checklist
for Autism in Toddlers.
Reassure the parent that toddlers often exhibit regressive behavior.
Make a referral for the child to an early intervention program.
9. A nurse is preparing to take the blood pressure of a patient with Parkinson's
disease who reports frequent syncope. What additional precautions should
the nurse take during this procedure?
Measure the blood pressure only once to save time.
Take the blood pressure while the patient is standing to get an
accurate reading.
Ask the patient to hold their breath during the measurement.
Ensure the patient is seated comfortably and monitor for signs of
dizziness during the measurement.
, 10. A 24-hour old newborn has a pink papular rash with vesicles superimposed
on the thorax, back and abdomen. What action should the nurse implement?
obtain a culture of the vesicles
document the finding in the infant's record
move the newborn to an isolation nursery
notify the healthcare provider
11. Which of the following symptoms should a nurse consider when assessing a
patient with Parkinson's disease for blood pressure measurement? (Select all
that apply)
Increased appetite, Weight loss
Nausea, Vomiting
Blurred Vision, Flat Affect, Frequent syncope
High blood pressure, Anxiety
12. What is the primary reason for a patient to experience phantom limb pain
after an amputation?
The patient is experiencing muscle cramps.
The patient has an infection in the surgical site.
The patient is dehydrated.
Nerve endings in the residual limb continue to send signals to the
brain.
