HESI RN EXIT EXAM V6 NGN QUESTIONS
WITH ANSWERS AND EXPLANATIONS
Question 1.
While reassessing a client, the nurse notes positioning relaxation heat cold music or
distraction may complement prescribed analgesia when appropriate. Which action is most
appropriate for Nonpharmacologic pain relief?
A. Assess pain characteristics functional impact and response before and after
interventions.
B. Include protein-rich foods or supplements when nutrition assessment shows increased
wound-healing needs.
C. Implement prompted or timed voiding based on the pattern rather than using an
indwelling catheter for convenience.
D. Offer an evidence-based comfort measure that matches the condition and client
preference.
Correct Answer: D. Offer an evidence-based comfort measure that matches the
condition and client preference.
Explanation: The selected response is the most appropriate next step for the situation
presented. For Nonpharmacologic pain relief, the priority intervention is offer an
evidence-based comfort measure that matches the condition and client preference.
Basic-care decisions should preserve function, nutrition, elimination, mobility, skin
integrity, comfort, and dignity without creating avoidable risk. The other choices may be
reasonable in different clinical contexts, but they do not address the stated problem as
directly or safely; after the intervention, the nurse should reassess the relevant
physiologic, safety, or behavioral response and escalate care if the expected improvement
does not occur.
Question 2.
The care team is managing Levothyroxine after the nurse recognizes levothyroxine
replaces thyroid hormone and excessive dosing can cause tachycardia tremor insomnia
and weight loss. Which nursing intervention has the highest priority?
A. Take consistently on an empty stomach separated from interfering supplements as
instructed.
B. Administer basal insulin at the prescribed consistent time and verify product and dose
carefully.
C. Give as ordered and taper prolonged therapy rather than stopping abruptly.
D. Have the client sit or lie down before sublingual nitroglycerin and assess blood pressure
and chest pain response.
Correct Answer: A. Take consistently on an empty stomach separated from
interfering supplements as instructed.
Explanation: The selected response is the most appropriate next step for the situation
presented. For Levothyroxine, the priority intervention is take consistently on an empty
stomach separated from interfering supplements as instructed. Medication decisions
,require attention to indication, dose, administration safety, adverse effects, interactions,
and response to therapy. The other choices may be reasonable in different clinical
contexts, but they do not address the stated problem as directly or safely; after the
intervention, the nurse should reassess the relevant physiologic, safety, or behavioral
response and escalate care if the expected improvement does not occur.
Question 3.
The nurse identifies findings consistent with Hypokalemia recognition: hypokalemia may
cause weakness ileus cramps flattened T waves U waves and increased digoxin toxicity
risk. What is the priority nursing response?
A. Place the client on cardiac monitoring and treat severe hyperkalemia promptly as
ordered.
B. Replace potassium as prescribed and monitor the ECG when the deficit is significant.
C. Stop magnesium sources and prepare calcium and supportive treatment when severe
toxicity is present.
D. Place severe symptomatic clients on seizure or cardiac precautions and give calcium as
ordered.
Correct Answer: B. Replace potassium as prescribed and monitor the ECG when
the deficit is significant.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. For Hypokalemia recognition, the priority intervention is replace
potassium as prescribed and monitor the ECG when the deficit is significant.
Risk-reduction items depend on recognizing early complications, abnormal trends,
procedure-related hazards, and the need for timely escalation. The other choices may be
reasonable in different clinical contexts, but they do not address the stated problem as
directly or safely; after the intervention, the nurse should reassess the relevant
physiologic, safety, or behavioral response and escalate care if the expected improvement
does not occur.
Question 4.
During care on an outpatient specialty clinic, a client presents with postpartum care
includes assessment of recovery mood contraception chronic disease and complications.
Which nursing action should occur first?
A. Use broad-spectrum sun protection seek shade and avoid intentional tanning.
B. Assist with repositioning and relatching when feeding is painful or shallow.
C. Arrange timely postpartum contact especially for clients with hypertension depression
or other risks.
D. Recommend completion of the age-appropriate HPV vaccine series.
Correct Answer: C. Arrange timely postpartum contact especially for clients with
hypertension depression or other risks.
Explanation: The keyed option is the most direct response to the clinical problem in the
stem. For Postpartum follow-up, the priority intervention is arrange timely postpartum
contact especially for clients with hypertension depression or other risks. Health-promotion
,care emphasizes prevention, development, screening, immunization, anticipatory
guidance, and early recognition of warning signs. The other choices may be reasonable in
different clinical contexts, but they do not address the stated problem as directly or safely;
after the intervention, the nurse should reassess the relevant physiologic, safety, or
behavioral response and escalate care if the expected improvement does not occur.
Question 5.
During care on an acute-care medical-surgical unit, a client presents with a bag containing
25000 units in 500 mL has a concentration of 50 units/mL. Which nursing action should
occur first?
A. Measure and administer 7.5 mL when 375 mg is prescribed from a 250 mg per 5 mL
liquid.
B. Stop or reduce oxytocin and reposition the client for tachysystole with a concerning
fetal heart pattern.
C. Calculate 400 mg for a 25 mg/kg dose in a 16-kg child and verify that it is within the
safe range.
D. For an order of 1200 units/hr from a 50 units/mL solution set the pump to 24 mL/hr.
Correct Answer: D. For an order of 1200 units/hr from a 50 units/mL solution set
the pump to 24 mL/hr.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
For Heparin infusion-rate calculation, the priority intervention is for an order of 1200
units/hr from a 50 units/mL solution set the pump to 24 mL/hr. Medication decisions
require attention to indication, dose, administration safety, adverse effects, interactions,
and response to therapy. The other choices may be reasonable in different clinical
contexts, but they do not address the stated problem as directly or safely; after the
intervention, the nurse should reassess the relevant physiologic, safety, or behavioral
response and escalate care if the expected improvement does not occur.
Question 6.
The nurse identifies findings consistent with Infusion-pump safety: smart-pump guardrails
and independent calculation checks reduce infusion errors. What is the priority nursing
response?
A. Remove sharps cords belts medications and other hazards and maintain the prescribed
level of observation.
B. Verify concentration dose rate line tracing and pump channel before starting the
infusion.
C. Use identification measures secure exits according to policy and address triggers such
as toileting or pain.
D. Activate safety devices and discard sharps immediately without recapping when
possible.
Correct Answer: B. Verify concentration dose rate line tracing and pump channel
before starting the infusion.
, Explanation: The correct option most specifically addresses the safety or physiologic
issue described. For Infusion-pump safety, the priority intervention is verify concentration
dose rate line tracing and pump channel before starting the infusion. Safety decisions
should interrupt exposure or injury risk while preserving appropriate infection-control and
surveillance measures. The other choices may be reasonable in different clinical contexts,
but they do not address the stated problem as directly or safely; after the intervention, the
nurse should reassess the relevant physiologic, safety, or behavioral response and
escalate care if the expected improvement does not occur.
Question 7.
While reassessing a client, the nurse notes respiratory alkalosis commonly results from
excessive ventilation with low carbon dioxide and elevated pH. Which action is most
appropriate for Respiratory alkalosis?
A. Treat the cause of hyperventilation such as pain anxiety hypoxemia or ventilator
settings.
B. Apply pressure for active bleeding and assess distal pulses color temperature and
sensation.
C. Review nephrotoxic exposures volume status and medication dosing when creatinine
acutely increases.
D. Avoid IM injections rectal procedures and unnecessary trauma and report active
bleeding.
Correct Answer: A. Treat the cause of hyperventilation such as pain anxiety
hypoxemia or ventilator settings.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
For Respiratory alkalosis, the priority intervention is treat the cause of hyperventilation
such as pain anxiety hypoxemia or ventilator settings. Risk-reduction items depend on
recognizing early complications, abnormal trends, procedure-related hazards, and the
need for timely escalation. The other choices may be reasonable in different clinical
contexts, but they do not address the stated problem as directly or safely; after the
intervention, the nurse should reassess the relevant physiologic, safety, or behavioral
response and escalate care if the expected improvement does not occur.
Question 8.
The nurse identifies findings consistent with Oxygen fire safety: oxygen supports
combustion even though it is not itself flammable. What is the priority nursing response?
A. Verify concentration dose rate line tracing and pump channel before starting the
infusion.
B. Remove defective equipment from service and report it according to biomedical or
facility policy.
C. Keep oxygen away from flames sparks petroleum products and smoking materials.
D. Remove people in immediate danger before attempting to fight a fire.
Correct Answer: C. Keep oxygen away from flames sparks petroleum products
and smoking materials.
WITH ANSWERS AND EXPLANATIONS
Question 1.
While reassessing a client, the nurse notes positioning relaxation heat cold music or
distraction may complement prescribed analgesia when appropriate. Which action is most
appropriate for Nonpharmacologic pain relief?
A. Assess pain characteristics functional impact and response before and after
interventions.
B. Include protein-rich foods or supplements when nutrition assessment shows increased
wound-healing needs.
C. Implement prompted or timed voiding based on the pattern rather than using an
indwelling catheter for convenience.
D. Offer an evidence-based comfort measure that matches the condition and client
preference.
Correct Answer: D. Offer an evidence-based comfort measure that matches the
condition and client preference.
Explanation: The selected response is the most appropriate next step for the situation
presented. For Nonpharmacologic pain relief, the priority intervention is offer an
evidence-based comfort measure that matches the condition and client preference.
Basic-care decisions should preserve function, nutrition, elimination, mobility, skin
integrity, comfort, and dignity without creating avoidable risk. The other choices may be
reasonable in different clinical contexts, but they do not address the stated problem as
directly or safely; after the intervention, the nurse should reassess the relevant
physiologic, safety, or behavioral response and escalate care if the expected improvement
does not occur.
Question 2.
The care team is managing Levothyroxine after the nurse recognizes levothyroxine
replaces thyroid hormone and excessive dosing can cause tachycardia tremor insomnia
and weight loss. Which nursing intervention has the highest priority?
A. Take consistently on an empty stomach separated from interfering supplements as
instructed.
B. Administer basal insulin at the prescribed consistent time and verify product and dose
carefully.
C. Give as ordered and taper prolonged therapy rather than stopping abruptly.
D. Have the client sit or lie down before sublingual nitroglycerin and assess blood pressure
and chest pain response.
Correct Answer: A. Take consistently on an empty stomach separated from
interfering supplements as instructed.
Explanation: The selected response is the most appropriate next step for the situation
presented. For Levothyroxine, the priority intervention is take consistently on an empty
stomach separated from interfering supplements as instructed. Medication decisions
,require attention to indication, dose, administration safety, adverse effects, interactions,
and response to therapy. The other choices may be reasonable in different clinical
contexts, but they do not address the stated problem as directly or safely; after the
intervention, the nurse should reassess the relevant physiologic, safety, or behavioral
response and escalate care if the expected improvement does not occur.
Question 3.
The nurse identifies findings consistent with Hypokalemia recognition: hypokalemia may
cause weakness ileus cramps flattened T waves U waves and increased digoxin toxicity
risk. What is the priority nursing response?
A. Place the client on cardiac monitoring and treat severe hyperkalemia promptly as
ordered.
B. Replace potassium as prescribed and monitor the ECG when the deficit is significant.
C. Stop magnesium sources and prepare calcium and supportive treatment when severe
toxicity is present.
D. Place severe symptomatic clients on seizure or cardiac precautions and give calcium as
ordered.
Correct Answer: B. Replace potassium as prescribed and monitor the ECG when
the deficit is significant.
Explanation: The correct option most specifically addresses the safety or physiologic
issue described. For Hypokalemia recognition, the priority intervention is replace
potassium as prescribed and monitor the ECG when the deficit is significant.
Risk-reduction items depend on recognizing early complications, abnormal trends,
procedure-related hazards, and the need for timely escalation. The other choices may be
reasonable in different clinical contexts, but they do not address the stated problem as
directly or safely; after the intervention, the nurse should reassess the relevant
physiologic, safety, or behavioral response and escalate care if the expected improvement
does not occur.
Question 4.
During care on an outpatient specialty clinic, a client presents with postpartum care
includes assessment of recovery mood contraception chronic disease and complications.
Which nursing action should occur first?
A. Use broad-spectrum sun protection seek shade and avoid intentional tanning.
B. Assist with repositioning and relatching when feeding is painful or shallow.
C. Arrange timely postpartum contact especially for clients with hypertension depression
or other risks.
D. Recommend completion of the age-appropriate HPV vaccine series.
Correct Answer: C. Arrange timely postpartum contact especially for clients with
hypertension depression or other risks.
Explanation: The keyed option is the most direct response to the clinical problem in the
stem. For Postpartum follow-up, the priority intervention is arrange timely postpartum
contact especially for clients with hypertension depression or other risks. Health-promotion
,care emphasizes prevention, development, screening, immunization, anticipatory
guidance, and early recognition of warning signs. The other choices may be reasonable in
different clinical contexts, but they do not address the stated problem as directly or safely;
after the intervention, the nurse should reassess the relevant physiologic, safety, or
behavioral response and escalate care if the expected improvement does not occur.
Question 5.
During care on an acute-care medical-surgical unit, a client presents with a bag containing
25000 units in 500 mL has a concentration of 50 units/mL. Which nursing action should
occur first?
A. Measure and administer 7.5 mL when 375 mg is prescribed from a 250 mg per 5 mL
liquid.
B. Stop or reduce oxytocin and reposition the client for tachysystole with a concerning
fetal heart pattern.
C. Calculate 400 mg for a 25 mg/kg dose in a 16-kg child and verify that it is within the
safe range.
D. For an order of 1200 units/hr from a 50 units/mL solution set the pump to 24 mL/hr.
Correct Answer: D. For an order of 1200 units/hr from a 50 units/mL solution set
the pump to 24 mL/hr.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
For Heparin infusion-rate calculation, the priority intervention is for an order of 1200
units/hr from a 50 units/mL solution set the pump to 24 mL/hr. Medication decisions
require attention to indication, dose, administration safety, adverse effects, interactions,
and response to therapy. The other choices may be reasonable in different clinical
contexts, but they do not address the stated problem as directly or safely; after the
intervention, the nurse should reassess the relevant physiologic, safety, or behavioral
response and escalate care if the expected improvement does not occur.
Question 6.
The nurse identifies findings consistent with Infusion-pump safety: smart-pump guardrails
and independent calculation checks reduce infusion errors. What is the priority nursing
response?
A. Remove sharps cords belts medications and other hazards and maintain the prescribed
level of observation.
B. Verify concentration dose rate line tracing and pump channel before starting the
infusion.
C. Use identification measures secure exits according to policy and address triggers such
as toileting or pain.
D. Activate safety devices and discard sharps immediately without recapping when
possible.
Correct Answer: B. Verify concentration dose rate line tracing and pump channel
before starting the infusion.
, Explanation: The correct option most specifically addresses the safety or physiologic
issue described. For Infusion-pump safety, the priority intervention is verify concentration
dose rate line tracing and pump channel before starting the infusion. Safety decisions
should interrupt exposure or injury risk while preserving appropriate infection-control and
surveillance measures. The other choices may be reasonable in different clinical contexts,
but they do not address the stated problem as directly or safely; after the intervention, the
nurse should reassess the relevant physiologic, safety, or behavioral response and
escalate care if the expected improvement does not occur.
Question 7.
While reassessing a client, the nurse notes respiratory alkalosis commonly results from
excessive ventilation with low carbon dioxide and elevated pH. Which action is most
appropriate for Respiratory alkalosis?
A. Treat the cause of hyperventilation such as pain anxiety hypoxemia or ventilator
settings.
B. Apply pressure for active bleeding and assess distal pulses color temperature and
sensation.
C. Review nephrotoxic exposures volume status and medication dosing when creatinine
acutely increases.
D. Avoid IM injections rectal procedures and unnecessary trauma and report active
bleeding.
Correct Answer: A. Treat the cause of hyperventilation such as pain anxiety
hypoxemia or ventilator settings.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
For Respiratory alkalosis, the priority intervention is treat the cause of hyperventilation
such as pain anxiety hypoxemia or ventilator settings. Risk-reduction items depend on
recognizing early complications, abnormal trends, procedure-related hazards, and the
need for timely escalation. The other choices may be reasonable in different clinical
contexts, but they do not address the stated problem as directly or safely; after the
intervention, the nurse should reassess the relevant physiologic, safety, or behavioral
response and escalate care if the expected improvement does not occur.
Question 8.
The nurse identifies findings consistent with Oxygen fire safety: oxygen supports
combustion even though it is not itself flammable. What is the priority nursing response?
A. Verify concentration dose rate line tracing and pump channel before starting the
infusion.
B. Remove defective equipment from service and report it according to biomedical or
facility policy.
C. Keep oxygen away from flames sparks petroleum products and smoking materials.
D. Remove people in immediate danger before attempting to fight a fire.
Correct Answer: C. Keep oxygen away from flames sparks petroleum products
and smoking materials.
