BSN 395 HESI Exit Exam 2026: NGN Questions with
Answers & Rationales
,
,
, QUESTIONS 1–20: FUNDAMENTALS & SAFETY
1. The LPN is caring for a client on fall precautions. Which intervention is most appropriate?
Answer: C. Keeping the call light and personal items within reach empowers the client to
call for help and reduces the urge to get up unsafely. Bed should be in the lowest position,
not highest. All four side rails are considered a restraint and increase entrapment risk. Wrist
restraints are a last resort and require a specific order.
2. A client with an indwelling urinary catheter develops cloudy urine and lower abdominal
cramping. What is the priority nursing action?
Answer: C. Cloudy urine with cramping often indicates a blocked catheter or sediment
buildup. The priority is to check for kinks and ensure flow, as obstruction can lead to bladder
distention and infection. Irrigation and cultures are secondary steps after patency is verified.
3. When performing tracheostomy suctioning, what is the maximum amount of time the
nurse should apply suction?
Answer: B. Applying suction for longer than 10 seconds can cause hypoxia, mucosal
Answers & Rationales
,
,
, QUESTIONS 1–20: FUNDAMENTALS & SAFETY
1. The LPN is caring for a client on fall precautions. Which intervention is most appropriate?
Answer: C. Keeping the call light and personal items within reach empowers the client to
call for help and reduces the urge to get up unsafely. Bed should be in the lowest position,
not highest. All four side rails are considered a restraint and increase entrapment risk. Wrist
restraints are a last resort and require a specific order.
2. A client with an indwelling urinary catheter develops cloudy urine and lower abdominal
cramping. What is the priority nursing action?
Answer: C. Cloudy urine with cramping often indicates a blocked catheter or sediment
buildup. The priority is to check for kinks and ensure flow, as obstruction can lead to bladder
distention and infection. Irrigation and cultures are secondary steps after patency is verified.
3. When performing tracheostomy suctioning, what is the maximum amount of time the
nurse should apply suction?
Answer: B. Applying suction for longer than 10 seconds can cause hypoxia, mucosal
