NGN RN HESI Exit Exam V1 | 160 Brand-
New Questions and Verified Answers with
Explanations | Updated 2025/2026 |
Guaranteed Pass A+
1.The nurse from the postpartum unit has been temporarily assigned to the medical
surgical unit. It would be most appropriate to assign this nurse to the client
who*
(a) has returned from right total hip replacement surgery four hours ago
(b)is being observed for increased intracranial pressure
(c)had surgery two hours ago to remove the appendix
(d)is two weeks post partum being maintained on a mechanical
ventilator for respiratory failure
3. The nurse should intervene if the nurse notes a staff member
(a)obtaining a clients consent prior to their operative procedure after receiving
Ativan (lorazepam)
(b)placing a client on the affected side following surgical repair of
a retinal detachment
(c)handling a wet cast with the palms of the hands
(d)using a broad base of support while transferring a client
4. The community health nurse is caring for the following clients. It would be
a
priority for the nurse to initiate a multidisciplinary conference for the client
who is (a) 12 years old with Autism who is starting a new school and
recently had a
, URI (upper respiratory tract infection)
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had
a recent Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed
Mestinon (pyridostigmine) and employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing
non threatening voices.
The nurse is reviewing medical prescriptions for newly admitted clients. It
would be a priority for the nurse to follow up with the physician if a client with
(b) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed
(c) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol
(acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
5.The nurse in a well baby clinic has assessed several children today. It would be a
priority for the nurse to suggest follow up for the child who is (a) 2 months old
with a positive babinski refl ex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating
6. The nurse is caring for a mechanically ventilated client who was declared
brain dead. An Advance Directive is not documented on the medical record. It
would be most appropriate to obtain consent for organ donation from the
(a)client‘s primary care provider
(b)client‘s nurse manager
(c)closest living family member
(d)hospital‘s ethics committee
7. The nurse has received report on four clients. The nurse should fi rst assess
the client who has*
(a)Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry
reading of 90%
(b)Parkinson‘s Disease and is demanding to leave the hospital against
medical advice (AMA)
, 2026 NGN RN HESI EXIT EXAM A+
(c)been admitted with suspected Guillian-Barre´ Syndrome and
has begun plasmapheresis therapy
(d)Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+) 8.
It would be appropriate to assign which of these tasks to the CNA?
(a)Feeding a client who is experiencing dysphagia
(b)One-on-one client observation for safety
(c)Removal of an indwelling catheter
(d)Performing a simple dressing change
2026
9. The nurse is preparing a staff presentation on legal and ethical issues in nursing.
The nurse would be correct to include which of the following examples?
(a)Putting a client in a geriatric chair with the lap tray in front of the client in the day
room to watch television is false imprisonment
(b)Telling a client that you will put in a feeding tube if the client does not eat is
an example of battery
(c)Telling a client with bipolar disorder who is suicidal that they have a right to
refuse to take their medications is an example of malpractice
(d)Placing hands on a client who says―do not touch me‖is an example of assault
10. The nurse from the pediatric unit has been temporarily assigned to the
Emergency Department. It would be most appropriate to assign that nurse to the
client who*
(a)reports epigastric pain that ―feels like indigestion‖
(b)has back pain and a pulsating abdominal mass
(c)is HIV+ reporting vomiting and diarrhea
(d)presents with lower abdominal pain and is six weeks pregnant
11. Four clients recently returned to the unit following invasive diagnostic testing.
The nurse should immediately intervene if one of the clients
(a)reports blood tinged sputum following a bronchoscopy
(b)has decreased abdominal girth following paracentesis
(c)reports a headache following a lumbar puncture
(d)is observed flexing and extending the legs two hours after cardiac catheterization
, 12. The nurse is made aware of the following situations. The nurse should fi rst
check the client who
(a)had a transurethral prostatectomy (TURP) and is reporting urinary dribbling
two hours after the indwelling catheter is removed
(b)has cervical traction and is moving the legs by fl exing and extending the feet
(c)has Alzheimer‘s disease (stage 1) and was returned to the room after being
found wandering in the hallway
(d)has a history of partial seizures and is sitting in the bed picking at the clothing
and smacking the lips
9. The nurse should intervene if a staff member is observed
(a)discussing a client‘s diagnosis with visiting family members
(b)collaborating with another nurse to review a prescription for blood transfusion
(c)interrupting other staff members discussing a client in the cafeteria
(d)reviewing a clients lab values with the nutritionist
10. The nurse in a community health clinic is talking with the parent of a child
with Celiac Disease. Which of the following statements would require
follow-up
3
by the nurseforadditionalteaching? (a) ―This weekend we are going to a seafood
restaurant.‖
(b)―I can feed my child oatmeal and eggs for breakfast.‖
(c)―My child loves to eat rice and chicken for dinner. ‖
(d)―Last night we ate fi shwith corn for dinner. ‖
11. The charge nurse is observing a Licensed Practical Nurse (LPN) performing
carefor assigned clients. Follow up will be required if the LPN*: (a) assesses a
client‘s apical pulse before administering Digoxin (lanoxin) (b)elevates the
client‘s stump on a pillow eight hours after amputation
(c)dons a clean glove on the dominant hand before tracheal suctioning
(d)positions a client on the operative side following a pneumonectomy
The nurse at a health promotion fair has taught a group of parents about car
16.
New Questions and Verified Answers with
Explanations | Updated 2025/2026 |
Guaranteed Pass A+
1.The nurse from the postpartum unit has been temporarily assigned to the medical
surgical unit. It would be most appropriate to assign this nurse to the client
who*
(a) has returned from right total hip replacement surgery four hours ago
(b)is being observed for increased intracranial pressure
(c)had surgery two hours ago to remove the appendix
(d)is two weeks post partum being maintained on a mechanical
ventilator for respiratory failure
3. The nurse should intervene if the nurse notes a staff member
(a)obtaining a clients consent prior to their operative procedure after receiving
Ativan (lorazepam)
(b)placing a client on the affected side following surgical repair of
a retinal detachment
(c)handling a wet cast with the palms of the hands
(d)using a broad base of support while transferring a client
4. The community health nurse is caring for the following clients. It would be
a
priority for the nurse to initiate a multidisciplinary conference for the client
who is (a) 12 years old with Autism who is starting a new school and
recently had a
, URI (upper respiratory tract infection)
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had
a recent Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed
Mestinon (pyridostigmine) and employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing
non threatening voices.
The nurse is reviewing medical prescriptions for newly admitted clients. It
would be a priority for the nurse to follow up with the physician if a client with
(b) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed
(c) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol
(acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
5.The nurse in a well baby clinic has assessed several children today. It would be a
priority for the nurse to suggest follow up for the child who is (a) 2 months old
with a positive babinski refl ex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating
6. The nurse is caring for a mechanically ventilated client who was declared
brain dead. An Advance Directive is not documented on the medical record. It
would be most appropriate to obtain consent for organ donation from the
(a)client‘s primary care provider
(b)client‘s nurse manager
(c)closest living family member
(d)hospital‘s ethics committee
7. The nurse has received report on four clients. The nurse should fi rst assess
the client who has*
(a)Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry
reading of 90%
(b)Parkinson‘s Disease and is demanding to leave the hospital against
medical advice (AMA)
, 2026 NGN RN HESI EXIT EXAM A+
(c)been admitted with suspected Guillian-Barre´ Syndrome and
has begun plasmapheresis therapy
(d)Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+) 8.
It would be appropriate to assign which of these tasks to the CNA?
(a)Feeding a client who is experiencing dysphagia
(b)One-on-one client observation for safety
(c)Removal of an indwelling catheter
(d)Performing a simple dressing change
2026
9. The nurse is preparing a staff presentation on legal and ethical issues in nursing.
The nurse would be correct to include which of the following examples?
(a)Putting a client in a geriatric chair with the lap tray in front of the client in the day
room to watch television is false imprisonment
(b)Telling a client that you will put in a feeding tube if the client does not eat is
an example of battery
(c)Telling a client with bipolar disorder who is suicidal that they have a right to
refuse to take their medications is an example of malpractice
(d)Placing hands on a client who says―do not touch me‖is an example of assault
10. The nurse from the pediatric unit has been temporarily assigned to the
Emergency Department. It would be most appropriate to assign that nurse to the
client who*
(a)reports epigastric pain that ―feels like indigestion‖
(b)has back pain and a pulsating abdominal mass
(c)is HIV+ reporting vomiting and diarrhea
(d)presents with lower abdominal pain and is six weeks pregnant
11. Four clients recently returned to the unit following invasive diagnostic testing.
The nurse should immediately intervene if one of the clients
(a)reports blood tinged sputum following a bronchoscopy
(b)has decreased abdominal girth following paracentesis
(c)reports a headache following a lumbar puncture
(d)is observed flexing and extending the legs two hours after cardiac catheterization
, 12. The nurse is made aware of the following situations. The nurse should fi rst
check the client who
(a)had a transurethral prostatectomy (TURP) and is reporting urinary dribbling
two hours after the indwelling catheter is removed
(b)has cervical traction and is moving the legs by fl exing and extending the feet
(c)has Alzheimer‘s disease (stage 1) and was returned to the room after being
found wandering in the hallway
(d)has a history of partial seizures and is sitting in the bed picking at the clothing
and smacking the lips
9. The nurse should intervene if a staff member is observed
(a)discussing a client‘s diagnosis with visiting family members
(b)collaborating with another nurse to review a prescription for blood transfusion
(c)interrupting other staff members discussing a client in the cafeteria
(d)reviewing a clients lab values with the nutritionist
10. The nurse in a community health clinic is talking with the parent of a child
with Celiac Disease. Which of the following statements would require
follow-up
3
by the nurseforadditionalteaching? (a) ―This weekend we are going to a seafood
restaurant.‖
(b)―I can feed my child oatmeal and eggs for breakfast.‖
(c)―My child loves to eat rice and chicken for dinner. ‖
(d)―Last night we ate fi shwith corn for dinner. ‖
11. The charge nurse is observing a Licensed Practical Nurse (LPN) performing
carefor assigned clients. Follow up will be required if the LPN*: (a) assesses a
client‘s apical pulse before administering Digoxin (lanoxin) (b)elevates the
client‘s stump on a pillow eight hours after amputation
(c)dons a clean glove on the dominant hand before tracheal suctioning
(d)positions a client on the operative side following a pneumonectomy
The nurse at a health promotion fair has taught a group of parents about car
16.
