HESI RN EXIT EXAM V8 NGN QUESTIONS
WITH ANSWERS AND EXPLANATIONS
Question 1.
A caregiver or client asks how to apply guidance related to Two-month developmental
expectations after hearing that young infants show increasing social engagement and
head control but still require full support. Which instruction is best?
A. Frequent feeding and skin-to-skin contact support milk production in the early days.
B. Caregivers should always supervise infants on elevated surfaces because rolling may
emerge unexpectedly.
C. Introduce developmentally appropriate foods while continuing breast milk or formula as
advised.
D. Relapse is common and should prompt renewed support rather than judgment.
Correct Answer: B. Caregivers should always supervise infants on elevated
surfaces because rolling may emerge unexpectedly.
Explanation: Clinical judgment favors this response because it targets the identified
problem rather than a secondary concern. The most important education for Two-month
developmental expectations is caregivers should always supervise infants on elevated
surfaces because rolling may emerge unexpectedly. Health-promotion care emphasizes
prevention, development, screening, immunization, anticipatory guidance, and early
recognition of warning signs. The alternative instructions can be useful for other
conditions, but they do not target the main self-management or safety need in this
scenario; teach-back should confirm that the client or caregiver can apply the instruction
and identify when additional professional help is needed.
Question 2.
A preceptor reviews Float nurse assignment with a new graduate nurse after discussing
that a float nurse should receive clients and tasks within demonstrated competence.
Which instruction best reflects safe professional practice?
A. Initial teaching and evaluation remain RN responsibilities.
B. Chart objective facts about the event without documenting that an incident report was
completed.
C. The charge nurse should provide orientation to unit-specific routines and resources.
D. Occupational-health guidance should be followed for exposure risks rather than using
blanket restrictions.
Correct Answer: C. The charge nurse should provide orientation to unit-specific
routines and resources.
Explanation: The keyed option is the most direct response to the clinical problem in the
stem. The most important education for Float nurse assignment is the charge nurse should
provide orientation to unit-specific routines and resources. Management decisions must
account for acuity, scope of practice, client rights, communication, continuity, and RN
accountability. The alternative instructions can be useful for other conditions, but they do
not target the main self-management or safety need in this scenario; teach-back should
,confirm that the client or caregiver can apply the instruction and identify when additional
professional help is needed.
Question 3.
Before discharge, the nurse reviews comfort and functional care for Communication with
visual impairment after discussing that visual impairment requires orientation to the
environment and clear verbal identification before touch or movement. Which guidance is
most appropriate?
A. Offer your arm for guidance rather than pushing or pulling the client.
B. Do not stage a moisture-associated skin injury as a pressure injury without
pressure-related findings.
C. Avoid pulling a client upward by the arms or shoulders.
D. Do not shout because it can distort speech and reduce dignity.
Correct Answer: A. Offer your arm for guidance rather than pushing or pulling
the client.
Explanation: Clinical judgment favors this response because it targets the identified
problem rather than a secondary concern. The most important education for
Communication with visual impairment is offer your arm for guidance rather than pushing
or pulling the client. Basic-care decisions should preserve function, nutrition, elimination,
mobility, skin integrity, comfort, and dignity without creating avoidable risk. The
alternative instructions can be useful for other conditions, but they do not target the main
self-management or safety need in this scenario; teach-back should confirm that the client
or caregiver can apply the instruction and identify when additional professional help is
needed.
Question 4.
Because dementia usually develops gradually with progressive cognitive decline that
interferes with function, which education statement is most appropriate for ongoing care
related to Dementia?
A. Family should know that abrupt confusion is not a normal part of aging.
B. Regular sleep exercise and limiting excess caffeine may reduce symptoms.
C. Clients need nutrition thiamine support and referral for ongoing treatment after
stabilization.
D. Simplify instructions and allow extra time rather than repeatedly testing memory.
Correct Answer: D. Simplify instructions and allow extra time rather than
repeatedly testing memory.
Explanation: The selected response is the most appropriate next step for the situation
presented. The most important education for Dementia is simplify instructions and allow
extra time rather than repeatedly testing memory. Psychosocial nursing prioritizes
immediate safety, therapeutic communication, dignity, boundaries, recovery, and the least
restrictive effective approach. The alternative instructions can be useful for other
conditions, but they do not target the main self-management or safety need in this
scenario; teach-back should confirm that the client or caregiver can apply the instruction
,and identify when additional professional help is needed.
Question 5.
Before discharge, the nurse reviews comfort and functional care for Ostomy care after
discussing that a healthy stoma is usually moist and pink to red while the peristomal skin
should remain intact. Which guidance is most appropriate?
A. Avoid antidiarrheal drugs when contraindicated such as suspected severe infectious
colitis unless prescribed.
B. Avoid forcing oral fluids in a client who cannot safely swallow.
C. Report dusky black pale or persistently bleeding stoma tissue.
D. Allow adequate time and minimize distractions during swallowing.
Correct Answer: C. Report dusky black pale or persistently bleeding stoma
tissue.
Explanation: The keyed option is the most direct response to the clinical problem in the
stem. The most important education for Ostomy care is report dusky black pale or
persistently bleeding stoma tissue. Basic-care decisions should preserve function,
nutrition, elimination, mobility, skin integrity, comfort, and dignity without creating
avoidable risk. The alternative instructions can be useful for other conditions, but they do
not target the main self-management or safety need in this scenario; teach-back should
confirm that the client or caregiver can apply the instruction and identify when additional
professional help is needed.
Question 6.
During staff education about Chain of command, the group reviews this principle:
unresolved safety concerns should be escalated through the organizational chain of
command. Which guidance should the nurse emphasize?
A. UAP should stop feeding and notify the nurse for coughing choking or new difficulty
swallowing.
B. Advocacy includes escalating concerns while communicating objectively.
C. Give clear expectations including what findings must be reported.
D. Respect for autonomy continues even when the nurse disagrees with the choice.
Correct Answer: B. Advocacy includes escalating concerns while communicating
objectively.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
The most important education for Chain of command is advocacy includes escalating
concerns while communicating objectively. Management decisions must account for
acuity, scope of practice, client rights, communication, continuity, and RN accountability.
The alternative instructions can be useful for other conditions, but they do not target the
main self-management or safety need in this scenario; teach-back should confirm that the
client or caregiver can apply the instruction and identify when additional professional help
is needed.
, Question 7.
Because mania often includes decreased need for sleep pressured speech grandiosity
impulsivity and high activity, which education statement is most appropriate for ongoing
care related to Acute mania?
A. Maintain a consistent approach and avoid lengthy power struggles.
B. Practice slow breathing and grounding strategies after the acute episode subsides.
C. Family should know that abrupt confusion is not a normal part of aging.
D. Exposure and response prevention is an effective therapy for many clients with OCD.
Correct Answer: A. Maintain a consistent approach and avoid lengthy power
struggles.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
The most important education for Acute mania is maintain a consistent approach and
avoid lengthy power struggles. Psychosocial nursing prioritizes immediate safety,
therapeutic communication, dignity, boundaries, recovery, and the least restrictive
effective approach. The alternative instructions can be useful for other conditions, but they
do not target the main self-management or safety need in this scenario; teach-back should
confirm that the client or caregiver can apply the instruction and identify when additional
professional help is needed.
Question 8.
The nurse provides education about preventing complications related to Lumbar puncture
postprocedure headache after discussing that a positional headache can occur after
lumbar puncture because of CSF leakage. Which instruction should be emphasized?
A. Teach the client to report saturating pads rapidly passing large clots dizziness or
faintness.
B. Teach the client to splint the incision when coughing and report sudden drainage or
opening.
C. Report new bleeding or painful swollen limbs that may signal thrombosis despite
therapy.
D. Lying flat may provide comfort but does not replace evaluation of severe symptoms.
Correct Answer: D. Lying flat may provide comfort but does not replace
evaluation of severe symptoms.
Explanation: Clinical judgment favors this response because it targets the identified
problem rather than a secondary concern. The most important education for Lumbar
puncture postprocedure headache is lying flat may provide comfort but does not replace
evaluation of severe symptoms. Risk-reduction items depend on recognizing early
complications, abnormal trends, procedure-related hazards, and the need for timely
escalation. The alternative instructions can be useful for other conditions, but they do not
target the main self-management or safety need in this scenario; teach-back should
confirm that the client or caregiver can apply the instruction and identify when additional
professional help is needed.
WITH ANSWERS AND EXPLANATIONS
Question 1.
A caregiver or client asks how to apply guidance related to Two-month developmental
expectations after hearing that young infants show increasing social engagement and
head control but still require full support. Which instruction is best?
A. Frequent feeding and skin-to-skin contact support milk production in the early days.
B. Caregivers should always supervise infants on elevated surfaces because rolling may
emerge unexpectedly.
C. Introduce developmentally appropriate foods while continuing breast milk or formula as
advised.
D. Relapse is common and should prompt renewed support rather than judgment.
Correct Answer: B. Caregivers should always supervise infants on elevated
surfaces because rolling may emerge unexpectedly.
Explanation: Clinical judgment favors this response because it targets the identified
problem rather than a secondary concern. The most important education for Two-month
developmental expectations is caregivers should always supervise infants on elevated
surfaces because rolling may emerge unexpectedly. Health-promotion care emphasizes
prevention, development, screening, immunization, anticipatory guidance, and early
recognition of warning signs. The alternative instructions can be useful for other
conditions, but they do not target the main self-management or safety need in this
scenario; teach-back should confirm that the client or caregiver can apply the instruction
and identify when additional professional help is needed.
Question 2.
A preceptor reviews Float nurse assignment with a new graduate nurse after discussing
that a float nurse should receive clients and tasks within demonstrated competence.
Which instruction best reflects safe professional practice?
A. Initial teaching and evaluation remain RN responsibilities.
B. Chart objective facts about the event without documenting that an incident report was
completed.
C. The charge nurse should provide orientation to unit-specific routines and resources.
D. Occupational-health guidance should be followed for exposure risks rather than using
blanket restrictions.
Correct Answer: C. The charge nurse should provide orientation to unit-specific
routines and resources.
Explanation: The keyed option is the most direct response to the clinical problem in the
stem. The most important education for Float nurse assignment is the charge nurse should
provide orientation to unit-specific routines and resources. Management decisions must
account for acuity, scope of practice, client rights, communication, continuity, and RN
accountability. The alternative instructions can be useful for other conditions, but they do
not target the main self-management or safety need in this scenario; teach-back should
,confirm that the client or caregiver can apply the instruction and identify when additional
professional help is needed.
Question 3.
Before discharge, the nurse reviews comfort and functional care for Communication with
visual impairment after discussing that visual impairment requires orientation to the
environment and clear verbal identification before touch or movement. Which guidance is
most appropriate?
A. Offer your arm for guidance rather than pushing or pulling the client.
B. Do not stage a moisture-associated skin injury as a pressure injury without
pressure-related findings.
C. Avoid pulling a client upward by the arms or shoulders.
D. Do not shout because it can distort speech and reduce dignity.
Correct Answer: A. Offer your arm for guidance rather than pushing or pulling
the client.
Explanation: Clinical judgment favors this response because it targets the identified
problem rather than a secondary concern. The most important education for
Communication with visual impairment is offer your arm for guidance rather than pushing
or pulling the client. Basic-care decisions should preserve function, nutrition, elimination,
mobility, skin integrity, comfort, and dignity without creating avoidable risk. The
alternative instructions can be useful for other conditions, but they do not target the main
self-management or safety need in this scenario; teach-back should confirm that the client
or caregiver can apply the instruction and identify when additional professional help is
needed.
Question 4.
Because dementia usually develops gradually with progressive cognitive decline that
interferes with function, which education statement is most appropriate for ongoing care
related to Dementia?
A. Family should know that abrupt confusion is not a normal part of aging.
B. Regular sleep exercise and limiting excess caffeine may reduce symptoms.
C. Clients need nutrition thiamine support and referral for ongoing treatment after
stabilization.
D. Simplify instructions and allow extra time rather than repeatedly testing memory.
Correct Answer: D. Simplify instructions and allow extra time rather than
repeatedly testing memory.
Explanation: The selected response is the most appropriate next step for the situation
presented. The most important education for Dementia is simplify instructions and allow
extra time rather than repeatedly testing memory. Psychosocial nursing prioritizes
immediate safety, therapeutic communication, dignity, boundaries, recovery, and the least
restrictive effective approach. The alternative instructions can be useful for other
conditions, but they do not target the main self-management or safety need in this
scenario; teach-back should confirm that the client or caregiver can apply the instruction
,and identify when additional professional help is needed.
Question 5.
Before discharge, the nurse reviews comfort and functional care for Ostomy care after
discussing that a healthy stoma is usually moist and pink to red while the peristomal skin
should remain intact. Which guidance is most appropriate?
A. Avoid antidiarrheal drugs when contraindicated such as suspected severe infectious
colitis unless prescribed.
B. Avoid forcing oral fluids in a client who cannot safely swallow.
C. Report dusky black pale or persistently bleeding stoma tissue.
D. Allow adequate time and minimize distractions during swallowing.
Correct Answer: C. Report dusky black pale or persistently bleeding stoma
tissue.
Explanation: The keyed option is the most direct response to the clinical problem in the
stem. The most important education for Ostomy care is report dusky black pale or
persistently bleeding stoma tissue. Basic-care decisions should preserve function,
nutrition, elimination, mobility, skin integrity, comfort, and dignity without creating
avoidable risk. The alternative instructions can be useful for other conditions, but they do
not target the main self-management or safety need in this scenario; teach-back should
confirm that the client or caregiver can apply the instruction and identify when additional
professional help is needed.
Question 6.
During staff education about Chain of command, the group reviews this principle:
unresolved safety concerns should be escalated through the organizational chain of
command. Which guidance should the nurse emphasize?
A. UAP should stop feeding and notify the nurse for coughing choking or new difficulty
swallowing.
B. Advocacy includes escalating concerns while communicating objectively.
C. Give clear expectations including what findings must be reported.
D. Respect for autonomy continues even when the nurse disagrees with the choice.
Correct Answer: B. Advocacy includes escalating concerns while communicating
objectively.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
The most important education for Chain of command is advocacy includes escalating
concerns while communicating objectively. Management decisions must account for
acuity, scope of practice, client rights, communication, continuity, and RN accountability.
The alternative instructions can be useful for other conditions, but they do not target the
main self-management or safety need in this scenario; teach-back should confirm that the
client or caregiver can apply the instruction and identify when additional professional help
is needed.
, Question 7.
Because mania often includes decreased need for sleep pressured speech grandiosity
impulsivity and high activity, which education statement is most appropriate for ongoing
care related to Acute mania?
A. Maintain a consistent approach and avoid lengthy power struggles.
B. Practice slow breathing and grounding strategies after the acute episode subsides.
C. Family should know that abrupt confusion is not a normal part of aging.
D. Exposure and response prevention is an effective therapy for many clients with OCD.
Correct Answer: A. Maintain a consistent approach and avoid lengthy power
struggles.
Explanation: This choice best fits the cue pattern and the nursing priority being tested.
The most important education for Acute mania is maintain a consistent approach and
avoid lengthy power struggles. Psychosocial nursing prioritizes immediate safety,
therapeutic communication, dignity, boundaries, recovery, and the least restrictive
effective approach. The alternative instructions can be useful for other conditions, but they
do not target the main self-management or safety need in this scenario; teach-back should
confirm that the client or caregiver can apply the instruction and identify when additional
professional help is needed.
Question 8.
The nurse provides education about preventing complications related to Lumbar puncture
postprocedure headache after discussing that a positional headache can occur after
lumbar puncture because of CSF leakage. Which instruction should be emphasized?
A. Teach the client to report saturating pads rapidly passing large clots dizziness or
faintness.
B. Teach the client to splint the incision when coughing and report sudden drainage or
opening.
C. Report new bleeding or painful swollen limbs that may signal thrombosis despite
therapy.
D. Lying flat may provide comfort but does not replace evaluation of severe symptoms.
Correct Answer: D. Lying flat may provide comfort but does not replace
evaluation of severe symptoms.
Explanation: Clinical judgment favors this response because it targets the identified
problem rather than a secondary concern. The most important education for Lumbar
puncture postprocedure headache is lying flat may provide comfort but does not replace
evaluation of severe symptoms. Risk-reduction items depend on recognizing early
complications, abnormal trends, procedure-related hazards, and the need for timely
escalation. The alternative instructions can be useful for other conditions, but they do not
target the main self-management or safety need in this scenario; teach-back should
confirm that the client or caregiver can apply the instruction and identify when additional
professional help is needed.
