BSN HESI 366 RN EXIT With NGN Test Bank Actual Exam Newest 2025/2026 With
Complete 450 Questions And Correct Answers |Already Graded A+
1. Key Content Areas to Master
The HESI RN Exit Exam heavily tests these domains:
| Domain | Weight | Key Topics |
|--------|--------|------------|
| Safe & Effective Care Environment | ~35% | Management of care, safety, infection control,
delegation, legal/ethical issues |
| Health Promotion & Maintenance | ~15% | Growth & development, disease prevention,
patient education |
| Psychosocial Integrity | ~12% | Coping mechanisms, therapeutic communication, mental
health disorders |
| Physiological Integrity | ~38% | Basic care, pharmacology, reduction of risk, physiological
adaptation, fluid/electrolytes |
2. High-Yield Practice Questions with Rationales
Here are 15 representative NGN-style questions to help you practice:
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1. A nurse is caring for a patient with heart failure who has gained 2.2 lb (1 kg) in 24 hours.
Which action should the nurse take first?
A) Assess lung sounds
B) Restrict oral fluids to 1,500 mL/day
, C) Notify the healthcare provider
D) Weigh the patient again in 4 hours
Answer: A) Assess lung sounds
Rationale: Weight gain of 2.2 lb (1 kg) in 24 hours indicates fluid retention. The nurse must
first assess for signs of fluid overload (crackles, dyspnea, edema) before notifying the
provider or implementing interventions.
---
2. A patient with type 2 diabetes is prescribed metformin. Which laboratory value requires
the nurse to hold the medication and notify the provider?
A) Hemoglobin A1c 7.2%
B) Serum creatinine 1.9 mg/dL
C) Fasting blood glucose 180 mg/dL
D) BUN 20 mg/dL
Answer: B) Serum creatinine 1.9 mg/dL
Rationale: Metformin is contraindicated in significant renal impairment (creatinine ≥1.5
mg/dL in males, ≥1.4 mg/dL in females) due to risk of lactic acidosis. Normal creatinine is
0.6-1.2 mg/dL; 1.9 mg/dL warrants holding the medication.
---
Complete 450 Questions And Correct Answers |Already Graded A+
1. Key Content Areas to Master
The HESI RN Exit Exam heavily tests these domains:
| Domain | Weight | Key Topics |
|--------|--------|------------|
| Safe & Effective Care Environment | ~35% | Management of care, safety, infection control,
delegation, legal/ethical issues |
| Health Promotion & Maintenance | ~15% | Growth & development, disease prevention,
patient education |
| Psychosocial Integrity | ~12% | Coping mechanisms, therapeutic communication, mental
health disorders |
| Physiological Integrity | ~38% | Basic care, pharmacology, reduction of risk, physiological
adaptation, fluid/electrolytes |
2. High-Yield Practice Questions with Rationales
Here are 15 representative NGN-style questions to help you practice:
---
1. A nurse is caring for a patient with heart failure who has gained 2.2 lb (1 kg) in 24 hours.
Which action should the nurse take first?
A) Assess lung sounds
B) Restrict oral fluids to 1,500 mL/day
, C) Notify the healthcare provider
D) Weigh the patient again in 4 hours
Answer: A) Assess lung sounds
Rationale: Weight gain of 2.2 lb (1 kg) in 24 hours indicates fluid retention. The nurse must
first assess for signs of fluid overload (crackles, dyspnea, edema) before notifying the
provider or implementing interventions.
---
2. A patient with type 2 diabetes is prescribed metformin. Which laboratory value requires
the nurse to hold the medication and notify the provider?
A) Hemoglobin A1c 7.2%
B) Serum creatinine 1.9 mg/dL
C) Fasting blood glucose 180 mg/dL
D) BUN 20 mg/dL
Answer: B) Serum creatinine 1.9 mg/dL
Rationale: Metformin is contraindicated in significant renal impairment (creatinine ≥1.5
mg/dL in males, ≥1.4 mg/dL in females) due to risk of lactic acidosis. Normal creatinine is
0.6-1.2 mg/dL; 1.9 mg/dL warrants holding the medication.
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