HESI EXIT NGN, HESI RN Exit Exam (2026)
comprehensive 250 questions and verified answers (
detailed & elaborated) ACTUAL EXAM 2026 TEST!!
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering
from Guillain-Barre syndrome about home. Which actions should the nurse include when
providing discharge teaching to the pt and spouse? SATA - CORRECT ANSWER: -review safe
transfer strategies
-develop a nutritional plan
-help identify community support
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries
sustained from a fall. His parents are very concerned that the child has regressed in his toileting
behaviors. Which information should the nurse provide to the parents?
A. A retraining program will need to be initiated when the child returns home.
B. Diapering will be provided since hospitalization is stressful to preschoolers
C. A potty chair should be brought from home so he can maintain his toileting skills
D. Children usually resume their toileting behaviors when they leave the hospital - CORRECT
ANSWER: D. Children usually resume their toileting behaviors when they leave the hospital
A 7-year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached
to low intermittent suction is applied. Which finding is most important for the nurse to report to
the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL - CORRECT ANSWER: D. Serum potassium of 3.0 mg/dL
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum.
Which action is most important for the nurse to implement? - CORRECT ANSWER: initiate
prescribed IV fluids
,A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
Which information is most important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - CORRECT ANSWER: A. Instructions
about how much fluid the child should drink daily
A client asks the nurse for information about how to reduce risk factors for benign prostatic
hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test - CORRECT ANSWER: B. Increase
physical activity
A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of hyperemesis
gravidarum. Which action is most important for the nurse to implement?
A. Obtain the client's 24-hour dietary recall
B. Document mucosal membrane status
C. Schedule a consult with a nutritionist
D. Initiate prescribed intravenous fluids - CORRECT ANSWER: D. Initiate prescribed
intravenous fluids
A client diagnosed with calcium kidney stones has a history of gout. A new prescription for
aluminum hydroxide is scheduled to begin at 0730. Which client medication should the nurse
bring to the healthcare provider's attention?
A. Esinapril
B. Allopurinol
,C. Furosemide
D. Aspirin, low dose - CORRECT ANSWER: B. Allopurinol
A client fell in the bathroom when left unattended by the UAP. Which information should the
nurse include in the pt health record? - CORRECT ANSWER: The pt fell sustaining a fracture to
the left hip
A client fell in the bathroom when left unattended by the unlicensed assistive personnel (UAP).
Which information should the nurse include in the client's health record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the left hip - CORRECT ANSWER: D. The client fell
sustaining a fracture to the left hip
A client in the emergency center demonstrates rapid speech, flight of ideas, and reports sleeping
only three hours during the past 48 hours. Based on these findings, it is most important for the
nurse to review the laboratory value for which medication?
A. Lorazepam
B. Fluoxetine
C. Divalproex
D. Olanzapine - CORRECT ANSWER: C. Divalproex
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in her
breasts and that her nipples sometimes leak a yellowish fluid. She has an appointment with her
healthcare provider in two weeks. What action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
, D. Recommend that the client start wearing a supportive brassiere - CORRECT ANSWER: C.
Explain that this normal secretion can be assessed at the next visit
A client is admitted with a diagnosis of urolithiasis. Which finding is most important for the
nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink - CORRECT ANSWER: D. Hematuria that is
beginning to turn pink
A client is diagnosed with Meniere's disease. Which problem should the nurse identify as most
important in the plan of care?
A. Risk for ineffective self-health management related to deficient knowledge
B. Ineffective coping related to personal vulnerability
C. Risk for injury related to vertigo
D. Anxiety related to disruption of lifestyle - CORRECT ANSWER: C. Risk for injury related to
vertigo.
A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for adverse
effects of the medication, which serum laboratory value is most important for the nurse to
monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - CORRECT ANSWER: C. Platelet count
A client is recovering in the critical care unit following a cardiac catheterization. IV nitroglycerin
and heparin are infusing. The client is sedated but responds to verbal instructions. After changing
comprehensive 250 questions and verified answers (
detailed & elaborated) ACTUAL EXAM 2026 TEST!!
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering
from Guillain-Barre syndrome about home. Which actions should the nurse include when
providing discharge teaching to the pt and spouse? SATA - CORRECT ANSWER: -review safe
transfer strategies
-develop a nutritional plan
-help identify community support
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries
sustained from a fall. His parents are very concerned that the child has regressed in his toileting
behaviors. Which information should the nurse provide to the parents?
A. A retraining program will need to be initiated when the child returns home.
B. Diapering will be provided since hospitalization is stressful to preschoolers
C. A potty chair should be brought from home so he can maintain his toileting skills
D. Children usually resume their toileting behaviors when they leave the hospital - CORRECT
ANSWER: D. Children usually resume their toileting behaviors when they leave the hospital
A 7-year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached
to low intermittent suction is applied. Which finding is most important for the nurse to report to
the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL - CORRECT ANSWER: D. Serum potassium of 3.0 mg/dL
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum.
Which action is most important for the nurse to implement? - CORRECT ANSWER: initiate
prescribed IV fluids
,A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
Which information is most important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - CORRECT ANSWER: A. Instructions
about how much fluid the child should drink daily
A client asks the nurse for information about how to reduce risk factors for benign prostatic
hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test - CORRECT ANSWER: B. Increase
physical activity
A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of hyperemesis
gravidarum. Which action is most important for the nurse to implement?
A. Obtain the client's 24-hour dietary recall
B. Document mucosal membrane status
C. Schedule a consult with a nutritionist
D. Initiate prescribed intravenous fluids - CORRECT ANSWER: D. Initiate prescribed
intravenous fluids
A client diagnosed with calcium kidney stones has a history of gout. A new prescription for
aluminum hydroxide is scheduled to begin at 0730. Which client medication should the nurse
bring to the healthcare provider's attention?
A. Esinapril
B. Allopurinol
,C. Furosemide
D. Aspirin, low dose - CORRECT ANSWER: B. Allopurinol
A client fell in the bathroom when left unattended by the UAP. Which information should the
nurse include in the pt health record? - CORRECT ANSWER: The pt fell sustaining a fracture to
the left hip
A client fell in the bathroom when left unattended by the unlicensed assistive personnel (UAP).
Which information should the nurse include in the client's health record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the left hip - CORRECT ANSWER: D. The client fell
sustaining a fracture to the left hip
A client in the emergency center demonstrates rapid speech, flight of ideas, and reports sleeping
only three hours during the past 48 hours. Based on these findings, it is most important for the
nurse to review the laboratory value for which medication?
A. Lorazepam
B. Fluoxetine
C. Divalproex
D. Olanzapine - CORRECT ANSWER: C. Divalproex
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in her
breasts and that her nipples sometimes leak a yellowish fluid. She has an appointment with her
healthcare provider in two weeks. What action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
, D. Recommend that the client start wearing a supportive brassiere - CORRECT ANSWER: C.
Explain that this normal secretion can be assessed at the next visit
A client is admitted with a diagnosis of urolithiasis. Which finding is most important for the
nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink - CORRECT ANSWER: D. Hematuria that is
beginning to turn pink
A client is diagnosed with Meniere's disease. Which problem should the nurse identify as most
important in the plan of care?
A. Risk for ineffective self-health management related to deficient knowledge
B. Ineffective coping related to personal vulnerability
C. Risk for injury related to vertigo
D. Anxiety related to disruption of lifestyle - CORRECT ANSWER: C. Risk for injury related to
vertigo.
A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for adverse
effects of the medication, which serum laboratory value is most important for the nurse to
monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - CORRECT ANSWER: C. Platelet count
A client is recovering in the critical care unit following a cardiac catheterization. IV nitroglycerin
and heparin are infusing. The client is sedated but responds to verbal instructions. After changing
