2026 HESI RN EXIT
V1 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
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1. A homeless client presents at a community psychiatric clinic for a
scheduled medication administration. When you prepare to give the
prescribed dose, the client says the usual dose taken is different
from what you have drawn up. Which action should the nurse take?
,Expert-Verified Explanation:
A. Tell the client they can refuse the medication.
B. Withhold the medication until the dose can be verified.
C. Explain that the dosage change is probably correct.
D. Instruct the client to take the medication now and verify later.
CORRECT ANSWER: B. Withhold the medication until the dose can
be verified.
Explanation:
The nurse should withhold the medication and verify the discrepancy
before administration. A difference between the prescribed dose and
the dose the client reports taking represents a potential medication error.
The nurse should compare the medication order with the medication
administration record, available medication history, and other reliable
sources and contact the appropriate healthcare provider or pharmacy
when clarification is needed. Administering a questionable dose before
verification could expose the client to an incorrect dose and possible
adverse effects. Medication safety requires resolving discrepancies
before administration.
, Expert-Verified Explanation:
2. You are the charge nurse making assignments for one Practical
Nurse (PN) and three RNs on a neuro unit. Which client change in
status is best to assign to the PN?
A. A client with a subdural hematoma whose BP changed from 150/80
mmHg to 170/60 mmHg.
B. A client with viral meningitis whose temperature changed from
101.5°F to 102°F.
C. A client with diabetic ketoacidosis whose GCS changed from 10 to 7.
D. A client with myxedema whose BP changed from 80/50 mmHg to
70/40 mmHg.
CORRECT ANSWER: B. A client with viral meningitis whose
temperature changed from 101.5°F to 102°F.
Explanation:
The relatively small temperature increase in a client with viral
meningitis represents a change that can generally be monitored and
reported by a PN within the scope of practice and assignment. The
other clients have potentially unstable or rapidly deteriorating
conditions. A significant blood-pressure change in a client with a
subdural hematoma may indicate neurological or intracranial
V1 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
───────────────────────────────────────────────────────
─
1. A homeless client presents at a community psychiatric clinic for a
scheduled medication administration. When you prepare to give the
prescribed dose, the client says the usual dose taken is different
from what you have drawn up. Which action should the nurse take?
,Expert-Verified Explanation:
A. Tell the client they can refuse the medication.
B. Withhold the medication until the dose can be verified.
C. Explain that the dosage change is probably correct.
D. Instruct the client to take the medication now and verify later.
CORRECT ANSWER: B. Withhold the medication until the dose can
be verified.
Explanation:
The nurse should withhold the medication and verify the discrepancy
before administration. A difference between the prescribed dose and
the dose the client reports taking represents a potential medication error.
The nurse should compare the medication order with the medication
administration record, available medication history, and other reliable
sources and contact the appropriate healthcare provider or pharmacy
when clarification is needed. Administering a questionable dose before
verification could expose the client to an incorrect dose and possible
adverse effects. Medication safety requires resolving discrepancies
before administration.
, Expert-Verified Explanation:
2. You are the charge nurse making assignments for one Practical
Nurse (PN) and three RNs on a neuro unit. Which client change in
status is best to assign to the PN?
A. A client with a subdural hematoma whose BP changed from 150/80
mmHg to 170/60 mmHg.
B. A client with viral meningitis whose temperature changed from
101.5°F to 102°F.
C. A client with diabetic ketoacidosis whose GCS changed from 10 to 7.
D. A client with myxedema whose BP changed from 80/50 mmHg to
70/40 mmHg.
CORRECT ANSWER: B. A client with viral meningitis whose
temperature changed from 101.5°F to 102°F.
Explanation:
The relatively small temperature increase in a client with viral
meningitis represents a change that can generally be monitored and
reported by a PN within the scope of practice and assignment. The
other clients have potentially unstable or rapidly deteriorating
conditions. A significant blood-pressure change in a client with a
subdural hematoma may indicate neurological or intracranial
