2025 HESI RN Exit Exam Test Bank (V1–V7) |
Verified NGN Questions & Answers with Rationales
| Includes Case Studies | Grade A+ | Instant PDF
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,V1
1. A nurse is preparing to administer digoxin to an adult client. Which finding
should cause the nurse to withhold the dose?
A. Heart rate 92 bpm
B. Blood pressure 128/76 mm Hg
C. Heart rate 52 bpm
D. Potassium level 4.2 mEq/L
Rationale: Digoxin should be withheld for an adult heart rate below 60 bpm
because of the risk of bradycardia.
2. A nurse is teaching a client taking warfarin. Which statement indicates
correct understanding?
A. “I will increase my vitamin K intake suddenly.”
B. “I will take aspirin for headaches without asking.”
C. “I will report unusual bleeding or bruising.”
D. “I will stop the medication when I feel better.”
Rationale: Warfarin increases bleeding risk, so clients should report signs of
bleeding or bruising.
3. A nurse suspects internal bleeding in a postoperative client. Which finding
supports this suspicion?
A. Blood pressure 118/70 mm Hg
B. Heart rate 68 bpm
C. Heart rate 122 bpm and blood pressure 88/54 mm Hg
D. Urine output 50 mL/hr
, Rationale: Tachycardia and hypotension are early signs of hypovolemia from
internal bleeding.
4. A nurse is teaching a client with heart failure about daily weights. Which
instruction is correct?
A. Weigh every other day.
B. Weigh at the same time each morning after voiding.
C. Weigh after meals.
D. Weigh only when edema is present.
Rationale: Daily weights should be obtained at the same time, on the same
scale, after voiding to detect fluid retention.
5. A nurse is reviewing insulin onset times. Which insulin has an onset of
approximately 30 minutes?
A. Insulin glargine
B. Insulin detemir
C. Regular insulin
D. Insulin aspart
Rationale: Regular insulin has an onset of about 30 minutes, while rapid-
acting insulins have an onset of 10–15 minutes.
6. A nurse is assessing a client in the immediate postpartum period. Which
finding requires immediate intervention?
A. Fundus firm at the umbilicus
B. Lochia rubra with small clots
C. Saturation of a perineal pad in 15 minutes
D. Blood pressure 118/72 mm Hg
, Rationale: Saturating a perineal pad in 15 minutes indicates excessive
postpartum bleeding.
7. A nurse is caring for a child with increased intracranial pressure. Which
action should the nurse take first?
A. Suction the airway frequently
B. Elevate the head of the bed to 30 degrees
C. Perform a lumbar puncture
D. Administer a bolus of hypotonic fluids
Rationale: Elevating the head of the bed promotes venous drainage and
helps reduce intracranial pressure.
8. A nurse is caring for a client experiencing acute alcohol withdrawal. Which
medication should the nurse anticipate administering?
A. Haloperidol
B. Lorazepam
C. Fluoxetine
D. Bupropion
Rationale: Benzodiazepines such as lorazepam are used to manage alcohol
withdrawal and prevent seizures.
9. A nurse is delegating tasks. Which task is appropriate to delegate to
unlicensed assistive personnel?
A. Administering oral medications
B. Obtaining routine vital signs on a stable client
C. Assessing a new postoperative client
D. Teaching a client about insulin
Verified NGN Questions & Answers with Rationales
| Includes Case Studies | Grade A+ | Instant PDF
Download
,V1
1. A nurse is preparing to administer digoxin to an adult client. Which finding
should cause the nurse to withhold the dose?
A. Heart rate 92 bpm
B. Blood pressure 128/76 mm Hg
C. Heart rate 52 bpm
D. Potassium level 4.2 mEq/L
Rationale: Digoxin should be withheld for an adult heart rate below 60 bpm
because of the risk of bradycardia.
2. A nurse is teaching a client taking warfarin. Which statement indicates
correct understanding?
A. “I will increase my vitamin K intake suddenly.”
B. “I will take aspirin for headaches without asking.”
C. “I will report unusual bleeding or bruising.”
D. “I will stop the medication when I feel better.”
Rationale: Warfarin increases bleeding risk, so clients should report signs of
bleeding or bruising.
3. A nurse suspects internal bleeding in a postoperative client. Which finding
supports this suspicion?
A. Blood pressure 118/70 mm Hg
B. Heart rate 68 bpm
C. Heart rate 122 bpm and blood pressure 88/54 mm Hg
D. Urine output 50 mL/hr
, Rationale: Tachycardia and hypotension are early signs of hypovolemia from
internal bleeding.
4. A nurse is teaching a client with heart failure about daily weights. Which
instruction is correct?
A. Weigh every other day.
B. Weigh at the same time each morning after voiding.
C. Weigh after meals.
D. Weigh only when edema is present.
Rationale: Daily weights should be obtained at the same time, on the same
scale, after voiding to detect fluid retention.
5. A nurse is reviewing insulin onset times. Which insulin has an onset of
approximately 30 minutes?
A. Insulin glargine
B. Insulin detemir
C. Regular insulin
D. Insulin aspart
Rationale: Regular insulin has an onset of about 30 minutes, while rapid-
acting insulins have an onset of 10–15 minutes.
6. A nurse is assessing a client in the immediate postpartum period. Which
finding requires immediate intervention?
A. Fundus firm at the umbilicus
B. Lochia rubra with small clots
C. Saturation of a perineal pad in 15 minutes
D. Blood pressure 118/72 mm Hg
, Rationale: Saturating a perineal pad in 15 minutes indicates excessive
postpartum bleeding.
7. A nurse is caring for a child with increased intracranial pressure. Which
action should the nurse take first?
A. Suction the airway frequently
B. Elevate the head of the bed to 30 degrees
C. Perform a lumbar puncture
D. Administer a bolus of hypotonic fluids
Rationale: Elevating the head of the bed promotes venous drainage and
helps reduce intracranial pressure.
8. A nurse is caring for a client experiencing acute alcohol withdrawal. Which
medication should the nurse anticipate administering?
A. Haloperidol
B. Lorazepam
C. Fluoxetine
D. Bupropion
Rationale: Benzodiazepines such as lorazepam are used to manage alcohol
withdrawal and prevent seizures.
9. A nurse is delegating tasks. Which task is appropriate to delegate to
unlicensed assistive personnel?
A. Administering oral medications
B. Obtaining routine vital signs on a stable client
C. Assessing a new postoperative client
D. Teaching a client about insulin
