2023 NGN HESI PN EXIT EXAM V3 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
Core Domains
Fundamentals of Nursing Practice
Medical-Surgical Nursing
Maternal and Newborn Health
Pediatric Nursing
Pharmacology and Medication Administration
Mental Health Nursing
Community and Population Health
Leadership and Delegation
Infection Control and Safety
Clinical Judgment and Next Generation NCLEX Standards
Introduction
This comprehensive examination assesses the clinical judgment,
nursing knowledge, and decision-making skills required of practical
nursing graduates preparing for entry into professional practice.
The assessment evaluates proficiency in fundamentals, medical-
surgical nursing, maternal-newborn care, pediatrics, pharmacology,
and mental health nursing. Items are presented in multiple-choice
and scenario-based formats designed to simulate realistic clinical
situations. Emphasis is placed on prioritization, delegation, safety,
infection control, and evidence-based nursing interventions. The
examination challenges candidates to integrate pathophysiology,
clinical reasoning, and professional standards to deliver safe and
effective patient-centered care.
Section One: Questions 1–100
1. A patient presses the call bell and requests pain medication for
a severe headache. To assess the quality of the patient's pain,
, which approach should the nurse use?
A. Ask the patient to describe the pain
B. Administer the prescribed pain medication immediately
C. Check the patient's blood pressure first
D. Ask the patient to rate the pain on a scale of 1 to 10
🟢 A. Ask the patient to describe the pain
🔴 RATIONALE: Assessing the quality of pain requires asking the
patient to describe the characteristics of the pain, such as whether
it is sharp, dull, throbbing, or burning. This subjective information
guides appropriate intervention.
2. The nurse is wearing personal protective equipment while
caring for a patient. When exiting the room, which PPE should
be removed first?
A. Gloves
B. Mask
C. Gown
D. Goggles
🟢 A. Gloves
🔴 RATIONALE: Gloves are the most contaminated piece of PPE
and should be removed first to prevent contamination of other
body areas or equipment during doffing.
3. An older patient is brought to the emergency department with
a sudden onset of confusion that occurred after experiencing a
fall at home. The daughter, who has power of attorney, has
brought the client's prescriptions. Which information should
the nurse provide first when reporting to the healthcare
provider using SBAR communication?
,A. Increasing confusion of the patient
B. The patient's medication list
C. The patient's fall history
D. The daughter's contact information
🟢 A. Increasing confusion of the patient
🔴 RATIONALE: In SBAR communication, the "Situation"
component should be reported first. The most urgent and
significant change in the patient's status is the sudden onset of
confusion, which requires immediate attention.
4. A patient tells the nurse about working out with a personal
trainer and swimming three times a week in an effort to lose
weight and sleep better. The patient states that it still is taking
hours to fall asleep at night. Which action should the nurse
implement?
A. Ask the patient for a description of the exercise schedule that is
being followed
B. Recommend a sleep study
C. Suggest the patient stop exercising in the evening
D. Administer a prescribed sleep aid
🟢 A. Ask the patient for a description of the exercise schedule
that is being followed
🔴 RATIONALE: The nurse should first assess the timing of the
patient's exercise routine. Exercising too close to bedtime can
interfere with sleep onset. Gathering more information is the
appropriate first step.
5. Two days prior to discharge from the rehabilitation facility, the
nurse is teaching a patient recovering from Guillain-Barré
syndrome about home care. Which actions should the nurse
, include when providing discharge teaching to the patient and
spouse? Select all that apply.
A. Review safe transfer strategies
B. Develop a nutritional plan
C. Help identify community support
D. Encourage the patient to ambulate independently without
assistance
E. Instruct the patient to avoid all physical activity
🟢 A, B, C
🔴 RATIONALE: Safe transfer strategies, nutritional planning, and
identifying community support are essential for home
management of Guillain-Barré syndrome. Independent
ambulation without assistance is unsafe due to weakness and fall
risk.
6. The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that
the program is effective?
A. Reduced incidence of diabetes in the community
B. Improved glycemic control and reduced complications in
patients with diabetes
C. Increased screening rates for diabetes
D. Increased awareness of diabetes risk factors
🟢 B. Improved glycemic control and reduced complications in
patients with diabetes
🔴 RATIONALE: Tertiary prevention focuses on managing existing
disease to prevent complications and improve quality of life.
Improved glycemic control and reduced complications indicate
program effectiveness.
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
Core Domains
Fundamentals of Nursing Practice
Medical-Surgical Nursing
Maternal and Newborn Health
Pediatric Nursing
Pharmacology and Medication Administration
Mental Health Nursing
Community and Population Health
Leadership and Delegation
Infection Control and Safety
Clinical Judgment and Next Generation NCLEX Standards
Introduction
This comprehensive examination assesses the clinical judgment,
nursing knowledge, and decision-making skills required of practical
nursing graduates preparing for entry into professional practice.
The assessment evaluates proficiency in fundamentals, medical-
surgical nursing, maternal-newborn care, pediatrics, pharmacology,
and mental health nursing. Items are presented in multiple-choice
and scenario-based formats designed to simulate realistic clinical
situations. Emphasis is placed on prioritization, delegation, safety,
infection control, and evidence-based nursing interventions. The
examination challenges candidates to integrate pathophysiology,
clinical reasoning, and professional standards to deliver safe and
effective patient-centered care.
Section One: Questions 1–100
1. A patient presses the call bell and requests pain medication for
a severe headache. To assess the quality of the patient's pain,
, which approach should the nurse use?
A. Ask the patient to describe the pain
B. Administer the prescribed pain medication immediately
C. Check the patient's blood pressure first
D. Ask the patient to rate the pain on a scale of 1 to 10
🟢 A. Ask the patient to describe the pain
🔴 RATIONALE: Assessing the quality of pain requires asking the
patient to describe the characteristics of the pain, such as whether
it is sharp, dull, throbbing, or burning. This subjective information
guides appropriate intervention.
2. The nurse is wearing personal protective equipment while
caring for a patient. When exiting the room, which PPE should
be removed first?
A. Gloves
B. Mask
C. Gown
D. Goggles
🟢 A. Gloves
🔴 RATIONALE: Gloves are the most contaminated piece of PPE
and should be removed first to prevent contamination of other
body areas or equipment during doffing.
3. An older patient is brought to the emergency department with
a sudden onset of confusion that occurred after experiencing a
fall at home. The daughter, who has power of attorney, has
brought the client's prescriptions. Which information should
the nurse provide first when reporting to the healthcare
provider using SBAR communication?
,A. Increasing confusion of the patient
B. The patient's medication list
C. The patient's fall history
D. The daughter's contact information
🟢 A. Increasing confusion of the patient
🔴 RATIONALE: In SBAR communication, the "Situation"
component should be reported first. The most urgent and
significant change in the patient's status is the sudden onset of
confusion, which requires immediate attention.
4. A patient tells the nurse about working out with a personal
trainer and swimming three times a week in an effort to lose
weight and sleep better. The patient states that it still is taking
hours to fall asleep at night. Which action should the nurse
implement?
A. Ask the patient for a description of the exercise schedule that is
being followed
B. Recommend a sleep study
C. Suggest the patient stop exercising in the evening
D. Administer a prescribed sleep aid
🟢 A. Ask the patient for a description of the exercise schedule
that is being followed
🔴 RATIONALE: The nurse should first assess the timing of the
patient's exercise routine. Exercising too close to bedtime can
interfere with sleep onset. Gathering more information is the
appropriate first step.
5. Two days prior to discharge from the rehabilitation facility, the
nurse is teaching a patient recovering from Guillain-Barré
syndrome about home care. Which actions should the nurse
, include when providing discharge teaching to the patient and
spouse? Select all that apply.
A. Review safe transfer strategies
B. Develop a nutritional plan
C. Help identify community support
D. Encourage the patient to ambulate independently without
assistance
E. Instruct the patient to avoid all physical activity
🟢 A, B, C
🔴 RATIONALE: Safe transfer strategies, nutritional planning, and
identifying community support are essential for home
management of Guillain-Barré syndrome. Independent
ambulation without assistance is unsafe due to weakness and fall
risk.
6. The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that
the program is effective?
A. Reduced incidence of diabetes in the community
B. Improved glycemic control and reduced complications in
patients with diabetes
C. Increased screening rates for diabetes
D. Increased awareness of diabetes risk factors
🟢 B. Improved glycemic control and reduced complications in
patients with diabetes
🔴 RATIONALE: Tertiary prevention focuses on managing existing
disease to prevent complications and improve quality of life.
Improved glycemic control and reduced complications indicate
program effectiveness.
