HESI RN Exit Exam 200 Questions NGN
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1. Prioritization & Clinical Judgment
A nurse is caring for four clients after receiving shift report. Which
client should the nurse assess FIRST?
A. A client with pneumonia who has a temperature of 101.3°F
(38.5°C) and a productive cough.
B. A client who had a hip replacement and reports incisional pain
rated as 4/10.
C. A client with a nasogastric tube who had a decrease in drainage
output.
D. A client with a history of asthma who is wheezing and has
an oxygen saturation of 89%.
Answer: D. The client with asthma, wheezing, and hypoxia (O2 sat
89%) requires immediate assessment. Airway and breathing are
the highest priorities in the ABC (Airway, Breathing, Circulation)
framework. The other clients have stable or less urgent findings.
2. Medical-Surgical Nursing (Pharmacology)
A client with heart failure is prescribed furosemide. Which
assessment finding indicates the medication is effective?
,A. Decreased peripheral edema.
B. Increased blood pressure.
C. Jugular vein distention.
D. Crackles in lung bases.
Answer: A. Furosemide is a loop diuretic used to reduce fluid
volume overload. A decrease in peripheral edema, along with
reduced dyspnea and crackles, indicates effective diuresis. Jugular
vein distention and crackles are signs of worsening fluid overload.
3. Critical Care & Emergency Nursing
A client is receiving a blood transfusion and develops chills, fever,
and low back pain. What is the nurse's priority action?
A. Slow the transfusion rate.
B. Stop the transfusion.
C. Administer an antihistamine.
D. Notify the healthcare provider.
Answer: B. These are signs of an acute hemolytic transfusion
reaction. The priority action is to stop the transfusion immediately
to prevent further complications, then maintain IV access with
normal saline, and notify the healthcare provider.
4. Medical-Surgical Nursing (Respiratory)
A client with chronic obstructive pulmonary disease (COPD) has
an oxygen saturation of 88%. The nurse should administer oxygen
at which flow rate?
A. 1-2 L/min via nasal cannula.
B. 4-6 L/min via nasal cannula.
C. 8-10 L/min via face mask.
D. 10-15 L/min via non-rebreather mask.
, Answer: A. Clients with COPD are often chronic carbon dioxide
retainers and rely on a hypoxic drive to breathe. High-flow oxygen
can eliminate this drive and cause respiratory depression. Oxygen
should be administered at a low flow rate of 1-2 L/min via nasal
cannula to maintain a target SpO2 of 88-92%.
5. Leadership & Delegation
A practical nurse (PN) is assigned to care for four clients. Which
client should the PN assess FIRST?
A. A client with a new prescription for an antibiotic.
B. A post-operative client reporting pain of 4/10.
C. A client with diabetes whose blood glucose was 65 mg/dL
one hour ago.
D. A client who is preparing for discharge.
Answer: C. A blood glucose of 65 mg/dL indicates hypoglycemia,
which requires immediate intervention to prevent neurological
damage or loss of consciousness. This is the priority over the
other stable or routine tasks.
6. Psychiatric-Mental Health (Therapeutic Communication)
A client with schizophrenia states, "The birds are flying in the sky
to steal my thoughts." What is the best response by the nurse?
A. "Don't worry, birds cannot steal your thoughts."
B. "I understand you are frightened, but I don't see any birds
here."
C. "You are experiencing a delusion; it is not real."
D. "Let's go inside so the birds cannot get you."
, Answer: B. The best response uses therapeutic communication by
acknowledging the client's feelings (fear) and gently presenting
reality without arguing or validating the delusion .
7. Medical-Surgical (Pharmacology)
A client with heart failure is prescribed furosemide. Which
assessment finding indicates the medication is effective?
A. Decreased peripheral edema.
B. Increased blood pressure.
C. Jugular vein distention.
D. Crackles in lung bases.
Answer: A. Furosemide is a loop diuretic used to reduce fluid
volume overload. A decrease in peripheral edema, along with
reduced dyspnea and crackles, indicates effective diuresis .
8. Critical Care (Blood Transfusion)
A client receiving a blood transfusion develops chills, fever, and
low back pain. What is the nurse's priority action?
A. Slow the transfusion rate.
B. Stop the transfusion.
C. Administer an antihistamine.
D. Notify the healthcare provider.
Answer: B. These are signs of an acute hemolytic transfusion
reaction. The priority action is to stop the transfusion immediately
to prevent further complications .
9. Medical-Surgical (Respiratory)
A client with chronic obstructive pulmonary disease (COPD) has
2026/2027 – Complete Verified
Questions and Answers | 100% Verified |
– Pass Guaranteed – Already Graded
A+|Instant Download pdf
1. Prioritization & Clinical Judgment
A nurse is caring for four clients after receiving shift report. Which
client should the nurse assess FIRST?
A. A client with pneumonia who has a temperature of 101.3°F
(38.5°C) and a productive cough.
B. A client who had a hip replacement and reports incisional pain
rated as 4/10.
C. A client with a nasogastric tube who had a decrease in drainage
output.
D. A client with a history of asthma who is wheezing and has
an oxygen saturation of 89%.
Answer: D. The client with asthma, wheezing, and hypoxia (O2 sat
89%) requires immediate assessment. Airway and breathing are
the highest priorities in the ABC (Airway, Breathing, Circulation)
framework. The other clients have stable or less urgent findings.
2. Medical-Surgical Nursing (Pharmacology)
A client with heart failure is prescribed furosemide. Which
assessment finding indicates the medication is effective?
,A. Decreased peripheral edema.
B. Increased blood pressure.
C. Jugular vein distention.
D. Crackles in lung bases.
Answer: A. Furosemide is a loop diuretic used to reduce fluid
volume overload. A decrease in peripheral edema, along with
reduced dyspnea and crackles, indicates effective diuresis. Jugular
vein distention and crackles are signs of worsening fluid overload.
3. Critical Care & Emergency Nursing
A client is receiving a blood transfusion and develops chills, fever,
and low back pain. What is the nurse's priority action?
A. Slow the transfusion rate.
B. Stop the transfusion.
C. Administer an antihistamine.
D. Notify the healthcare provider.
Answer: B. These are signs of an acute hemolytic transfusion
reaction. The priority action is to stop the transfusion immediately
to prevent further complications, then maintain IV access with
normal saline, and notify the healthcare provider.
4. Medical-Surgical Nursing (Respiratory)
A client with chronic obstructive pulmonary disease (COPD) has
an oxygen saturation of 88%. The nurse should administer oxygen
at which flow rate?
A. 1-2 L/min via nasal cannula.
B. 4-6 L/min via nasal cannula.
C. 8-10 L/min via face mask.
D. 10-15 L/min via non-rebreather mask.
, Answer: A. Clients with COPD are often chronic carbon dioxide
retainers and rely on a hypoxic drive to breathe. High-flow oxygen
can eliminate this drive and cause respiratory depression. Oxygen
should be administered at a low flow rate of 1-2 L/min via nasal
cannula to maintain a target SpO2 of 88-92%.
5. Leadership & Delegation
A practical nurse (PN) is assigned to care for four clients. Which
client should the PN assess FIRST?
A. A client with a new prescription for an antibiotic.
B. A post-operative client reporting pain of 4/10.
C. A client with diabetes whose blood glucose was 65 mg/dL
one hour ago.
D. A client who is preparing for discharge.
Answer: C. A blood glucose of 65 mg/dL indicates hypoglycemia,
which requires immediate intervention to prevent neurological
damage or loss of consciousness. This is the priority over the
other stable or routine tasks.
6. Psychiatric-Mental Health (Therapeutic Communication)
A client with schizophrenia states, "The birds are flying in the sky
to steal my thoughts." What is the best response by the nurse?
A. "Don't worry, birds cannot steal your thoughts."
B. "I understand you are frightened, but I don't see any birds
here."
C. "You are experiencing a delusion; it is not real."
D. "Let's go inside so the birds cannot get you."
, Answer: B. The best response uses therapeutic communication by
acknowledging the client's feelings (fear) and gently presenting
reality without arguing or validating the delusion .
7. Medical-Surgical (Pharmacology)
A client with heart failure is prescribed furosemide. Which
assessment finding indicates the medication is effective?
A. Decreased peripheral edema.
B. Increased blood pressure.
C. Jugular vein distention.
D. Crackles in lung bases.
Answer: A. Furosemide is a loop diuretic used to reduce fluid
volume overload. A decrease in peripheral edema, along with
reduced dyspnea and crackles, indicates effective diuresis .
8. Critical Care (Blood Transfusion)
A client receiving a blood transfusion develops chills, fever, and
low back pain. What is the nurse's priority action?
A. Slow the transfusion rate.
B. Stop the transfusion.
C. Administer an antihistamine.
D. Notify the healthcare provider.
Answer: B. These are signs of an acute hemolytic transfusion
reaction. The priority action is to stop the transfusion immediately
to prevent further complications .
9. Medical-Surgical (Respiratory)
A client with chronic obstructive pulmonary disease (COPD) has
