EXAM (NGN) HESI RN EXIT EXAM/ HESI EXAM LATEST VERSION ALL
QUESTIONS AND ANSWERS ALREADY GRADED A+| 100% VERIFIED
SOLUTIONS
Core Domains:
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity – Basic Care and Comfort
Physiological Integrity – Pharmacological and Parenteral Therapies
Physiological Integrity – Reduction of Risk Potential
Physiological Integrity – Physiological Adaptation
Clinical Judgment and Next Generation NCLEX (NGN) Skills
Legal and Ethical Nursing Practice
Interprofessional Collaboration and Communication
,Introduction:
This comprehensive HESI RN Exit Examination is designed to evaluate the nursing student's readiness for
professional nursing practice and successful completion of the NCLEX-RN. The exam assesses essential nursing
knowledge across all core content areas, emphasizing clinical judgment, prioritization, and evidence-based
practice. Through multiple-choice questions and Next Generation NCLEX-style scenarios, students will demonstrate
their ability to analyze complex patient situations, recognize cues, prioritize interventions, and evaluate outcomes.
Emphasis is placed on critical thinking, patient safety, therapeutic communication, and the application of
professional nursing standards across diverse healthcare settings and patient populations.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a patient who is postoperative day one following a total hip replacement. Which of the
following interventions is most important to prevent venous thromboembolism?
A. Apply sequential compression devices
B. Administer oral anticoagulants as prescribed
C. Encourage early ambulation
D. All of the above
,🟢 D. All of the above
🔴 RATIONALE: Prevention of VTE requires a multimodal approach including mechanical compression,
pharmacologic prophylaxis, and early mobility. All interventions listed are appropriate and should be
implemented together for optimal prevention.
Question 2
A patient with heart failure is prescribed furosemide. Which of the following laboratory values should the nurse
monitor to evaluate the effectiveness of this medication?
A. Serum potassium
B. Serum sodium
C. Daily weight
D. Serum creatinine
🟢 C. Daily weight
🔴 RATIONALE: Daily weight is the most reliable indicator of fluid balance and diuretic effectiveness in heart
failure patients. While serum potassium (A), sodium (B), and creatinine (D) are important to monitor for side
effects, daily weight directly reflects fluid status and response to diuretic therapy.
Question 3
, A patient with chronic obstructive pulmonary disease is receiving oxygen via nasal cannula at 2 L/min. Which of
the following assessment findings indicates the patient is experiencing carbon dioxide retention?
A. Respiratory rate of 24 breaths per minute
B. Oxygen saturation of 92%
C. Drowsiness and confusion
D. Cough with clear sputum
🟢 C. Drowsiness and confusion
🔴 RATIONALE: Drowsiness and confusion in a COPD patient receiving oxygen may indicate carbon dioxide
retention (hypercapnia). This occurs when the hypoxic drive is blunted by excessive oxygen administration. A
respiratory rate of 24 (A) is elevated but not specific to CO2 retention. Oxygen saturation of 92% (B) is
acceptable for COPD patients. Cough with clear sputum (D) is not indicative of hypercapnia.
Question 4
A patient is admitted with diabetic ketoacidosis. Which of the following findings would the nurse expect to
observe?
A. Blood glucose 120 mg/dL
B. Serum pH 7.35
C. Serum potassium 5.5 mEq/L
D. Deep, rapid respirations
QUESTIONS AND ANSWERS ALREADY GRADED A+| 100% VERIFIED
SOLUTIONS
Core Domains:
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity – Basic Care and Comfort
Physiological Integrity – Pharmacological and Parenteral Therapies
Physiological Integrity – Reduction of Risk Potential
Physiological Integrity – Physiological Adaptation
Clinical Judgment and Next Generation NCLEX (NGN) Skills
Legal and Ethical Nursing Practice
Interprofessional Collaboration and Communication
,Introduction:
This comprehensive HESI RN Exit Examination is designed to evaluate the nursing student's readiness for
professional nursing practice and successful completion of the NCLEX-RN. The exam assesses essential nursing
knowledge across all core content areas, emphasizing clinical judgment, prioritization, and evidence-based
practice. Through multiple-choice questions and Next Generation NCLEX-style scenarios, students will demonstrate
their ability to analyze complex patient situations, recognize cues, prioritize interventions, and evaluate outcomes.
Emphasis is placed on critical thinking, patient safety, therapeutic communication, and the application of
professional nursing standards across diverse healthcare settings and patient populations.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a patient who is postoperative day one following a total hip replacement. Which of the
following interventions is most important to prevent venous thromboembolism?
A. Apply sequential compression devices
B. Administer oral anticoagulants as prescribed
C. Encourage early ambulation
D. All of the above
,🟢 D. All of the above
🔴 RATIONALE: Prevention of VTE requires a multimodal approach including mechanical compression,
pharmacologic prophylaxis, and early mobility. All interventions listed are appropriate and should be
implemented together for optimal prevention.
Question 2
A patient with heart failure is prescribed furosemide. Which of the following laboratory values should the nurse
monitor to evaluate the effectiveness of this medication?
A. Serum potassium
B. Serum sodium
C. Daily weight
D. Serum creatinine
🟢 C. Daily weight
🔴 RATIONALE: Daily weight is the most reliable indicator of fluid balance and diuretic effectiveness in heart
failure patients. While serum potassium (A), sodium (B), and creatinine (D) are important to monitor for side
effects, daily weight directly reflects fluid status and response to diuretic therapy.
Question 3
, A patient with chronic obstructive pulmonary disease is receiving oxygen via nasal cannula at 2 L/min. Which of
the following assessment findings indicates the patient is experiencing carbon dioxide retention?
A. Respiratory rate of 24 breaths per minute
B. Oxygen saturation of 92%
C. Drowsiness and confusion
D. Cough with clear sputum
🟢 C. Drowsiness and confusion
🔴 RATIONALE: Drowsiness and confusion in a COPD patient receiving oxygen may indicate carbon dioxide
retention (hypercapnia). This occurs when the hypoxic drive is blunted by excessive oxygen administration. A
respiratory rate of 24 (A) is elevated but not specific to CO2 retention. Oxygen saturation of 92% (B) is
acceptable for COPD patients. Cough with clear sputum (D) is not indicative of hypercapnia.
Question 4
A patient is admitted with diabetic ketoacidosis. Which of the following findings would the nurse expect to
observe?
A. Blood glucose 120 mg/dL
B. Serum pH 7.35
C. Serum potassium 5.5 mEq/L
D. Deep, rapid respirations
