HESI RN Exit Exam 2024/2025 – 160 NGN Practice
Questions with Verified Answers & Detailed Rationales
| Complete NCLEX-RN Readiness Test Bank
,Management of Care
1. A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client scheduled for discharge teaching
B. A client reporting new shortness of breath
C. A client requesting pain medication
D. A client awaiting a dietary consult
B. A client reporting new shortness of breath
Rationale: New shortness of breath indicates possible airway or
oxygenation compromise, which is the highest priority.
2. A nurse is delegating tasks to unlicensed assistive personnel.
Which task is appropriate to delegate?
A. Administering oral medications
B. Teaching a client about a new diet
C. Obtaining a client’s vital signs
D. Assessing a postoperative wound
C. Obtaining a client’s vital signs
Rationale: Vital sign measurement is a standard task that can be
delegated to UAP; assessment and teaching cannot.
3. A client refuses a prescribed blood transfusion. Which action
should the nurse take first?
, A. Administer the transfusion anyway
B. Notify the provider and document the refusal
C. Ask the family to convince the client
D. Discharge the client immediately
B. Notify the provider and document the refusal
Rationale: The client has the right to refuse treatment; the nurse
must notify the provider and document the refusal.
4. A nurse is reviewing advance directives. Which statement
indicates understanding?
A. “Advance directives must be signed by the family.”
B. “A living will applies only after death.”
C. “A durable power of attorney for health care names a decision-
maker.”
D. “Advance directives cannot be changed once signed.”
C. “A durable power of attorney for health care names a
decision-maker.”
Rationale: A durable power of attorney for health care designates
someone to make health care decisions if the client cannot.
5. A nurse is prioritizing care after receiving handoff. Which client
should the nurse see second?
A. A client with a new onset of chest pain
, B. A client with a blood glucose of 58 mg/dL and diaphoresis
C. A client with an oxygen saturation of 88%
D. A client with a blood pressure of 90/60 mm Hg and dizziness
D. A client with a blood pressure of 90/60 mm Hg and dizziness
Rationale: After the most acute airway or chest pain client,
hypotension with dizziness indicates instability requiring rapid
assessment.
6. A nurse is preparing to obtain informed consent. Which action is
correct?
A. Have the client sign before the provider explains the procedure
B. Witness the client’s signature after the provider explains the
procedure
C. Explain the risks and benefits to the client
D. Sign the consent on behalf of the client
B. Witness the client’s signature after the provider explains the
procedure
Rationale: The provider obtains informed consent; the nurse
witnesses the signature and ensures understanding.
7. A nurse is acting as a client advocate. Which action best
demonstrates advocacy?
A. Making decisions for the client
Questions with Verified Answers & Detailed Rationales
| Complete NCLEX-RN Readiness Test Bank
,Management of Care
1. A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client scheduled for discharge teaching
B. A client reporting new shortness of breath
C. A client requesting pain medication
D. A client awaiting a dietary consult
B. A client reporting new shortness of breath
Rationale: New shortness of breath indicates possible airway or
oxygenation compromise, which is the highest priority.
2. A nurse is delegating tasks to unlicensed assistive personnel.
Which task is appropriate to delegate?
A. Administering oral medications
B. Teaching a client about a new diet
C. Obtaining a client’s vital signs
D. Assessing a postoperative wound
C. Obtaining a client’s vital signs
Rationale: Vital sign measurement is a standard task that can be
delegated to UAP; assessment and teaching cannot.
3. A client refuses a prescribed blood transfusion. Which action
should the nurse take first?
, A. Administer the transfusion anyway
B. Notify the provider and document the refusal
C. Ask the family to convince the client
D. Discharge the client immediately
B. Notify the provider and document the refusal
Rationale: The client has the right to refuse treatment; the nurse
must notify the provider and document the refusal.
4. A nurse is reviewing advance directives. Which statement
indicates understanding?
A. “Advance directives must be signed by the family.”
B. “A living will applies only after death.”
C. “A durable power of attorney for health care names a decision-
maker.”
D. “Advance directives cannot be changed once signed.”
C. “A durable power of attorney for health care names a
decision-maker.”
Rationale: A durable power of attorney for health care designates
someone to make health care decisions if the client cannot.
5. A nurse is prioritizing care after receiving handoff. Which client
should the nurse see second?
A. A client with a new onset of chest pain
, B. A client with a blood glucose of 58 mg/dL and diaphoresis
C. A client with an oxygen saturation of 88%
D. A client with a blood pressure of 90/60 mm Hg and dizziness
D. A client with a blood pressure of 90/60 mm Hg and dizziness
Rationale: After the most acute airway or chest pain client,
hypotension with dizziness indicates instability requiring rapid
assessment.
6. A nurse is preparing to obtain informed consent. Which action is
correct?
A. Have the client sign before the provider explains the procedure
B. Witness the client’s signature after the provider explains the
procedure
C. Explain the risks and benefits to the client
D. Sign the consent on behalf of the client
B. Witness the client’s signature after the provider explains the
procedure
Rationale: The provider obtains informed consent; the nurse
witnesses the signature and ensures understanding.
7. A nurse is acting as a client advocate. Which action best
demonstrates advocacy?
A. Making decisions for the client
