RN HESI Exit Exam 2026/2027 Actual
Version with NGN 200 Questions and
Answers to Pass the RN HESI Exit
Exam on First Attempt
,
,
, Question 1
The nurse is caring for a client with syndrome of
inappropriate antidiuretic hormone (SIADH). Which serum
laboratory value would the nurse expect to find?
A. Serum sodium 118 mEq/L
B. Serum potassium 5.8 mEq/L
C. Serum calcium 11.2 mg/dL
D. Serum magnesium 1.0 mEq/L
Correct Answer: A. Serum sodium 118 mEq/L
Rationale: SIADH causes excessive release of antidiuretic
hormone (ADH), leading to water retention and dilutional
hyponatremia (low serum sodium). Normal sodium is 135–145
mEq/L; a level of 118 mEq/L is critically low. The other values are
abnormal but not the hallmark finding of SIADH.
Question 2
A client who is 24 hours post-operative from a total hip
replacement reports sudden onset of shortness of breath and
chest pain. The nurse's priority action is to:
A. Administer prescribed PRN oxygen
B. Assess vital signs
C. Elevate the head of the bed
D. Notify the healthcare provider
Correct Answer: C. Elevate the head of the bed
Version with NGN 200 Questions and
Answers to Pass the RN HESI Exit
Exam on First Attempt
,
,
, Question 1
The nurse is caring for a client with syndrome of
inappropriate antidiuretic hormone (SIADH). Which serum
laboratory value would the nurse expect to find?
A. Serum sodium 118 mEq/L
B. Serum potassium 5.8 mEq/L
C. Serum calcium 11.2 mg/dL
D. Serum magnesium 1.0 mEq/L
Correct Answer: A. Serum sodium 118 mEq/L
Rationale: SIADH causes excessive release of antidiuretic
hormone (ADH), leading to water retention and dilutional
hyponatremia (low serum sodium). Normal sodium is 135–145
mEq/L; a level of 118 mEq/L is critically low. The other values are
abnormal but not the hallmark finding of SIADH.
Question 2
A client who is 24 hours post-operative from a total hip
replacement reports sudden onset of shortness of breath and
chest pain. The nurse's priority action is to:
A. Administer prescribed PRN oxygen
B. Assess vital signs
C. Elevate the head of the bed
D. Notify the healthcare provider
Correct Answer: C. Elevate the head of the bed