HESI Exit Exam Next Generation (NGN) – Application
Questions | Fall Semester 2025/2026 | Updated
2026 Edition | Verified HESI NGN Practice Questions
with Answers & Rationales | Comprehensive Study
Guide for Nursing Students and NCLEX Preparation
1. What is the primary purpose of the HESI Exit Exam?
o A) To evaluate clinical skills
o B) To assess readiness for the NCLEX-RN
o C) To measure academic performance
o D) To provide certification
Correct Answer: B
Rationale: The HESI Exit Exam is designed to assess a nursing student's
readiness for the NCLEX-RN and their ability to apply nursing knowledge.
2. Which of the following is a key component of the Next Generation NCLEX
(NGN)?
o A) Traditional multiple-choice questions
o B) Case studies and clinical scenarios
o C) Short answer questions
o D) True/false questions
Correct Answer: B
Rationale: The NGN includes case studies and clinical scenarios to
better evaluate critical thinking and clinical judgment.
3. In the context of the NGN, what is the significance of clinical judgment?
o A) It is not relevant.
o B) It is essential for making safe nursing decisions.
o C) It only applies to advanced practice nurses.
o D) It is measured through factual recall.
Correct Answer: B
Rationale: Clinical judgment is crucial for safe nursing practice and is a
focus of the NGN assessment.
4. What type of questions can students expect on the NGN?
, o A) Only multiple-choice questions
o B) Multiple-choice, multiple select, and ordered response questions
o C) Fill-in-the-blank questions
o D) Short essay questions
Correct Answer: B
Rationale: The NGN includes various question formats to assess
different levels of understanding and application.
5. Which of the following best describes a "clinical scenario" in the NGN?
o A) A theoretical concept
o B) A realistic patient case that requires critical thinking
o C) A simple knowledge question
o D) A historical nursing fact
Correct Answer: B
Rationale: Clinical scenarios are designed to mimic real-life situations
that nurses encounter, requiring critical analysis and decision-making.
6. What is an important strategy for success on the HESI Exit Exam?
o A) Cramming the night before
o B) Consistent review and practice of nursing concepts
o C) Focusing only on weak subjects
o D) Ignoring practice questions
Correct Answer: B
Rationale: Regular review and practice help reinforce nursing knowledge
and improve test performance.
7. What role does prioritization play in the NGN?
o A) It is not assessed.
o B) It is essential for determining patient care priorities.
o C) It only applies to advanced practice settings.
o D) It is measured through factual knowledge.
Correct Answer: B
, Rationale: Prioritization is a key component of safe and effective nursing
care, evaluated through clinical scenarios.
8. How does the NGN assess critical thinking skills?
o A) Through memorization of facts
o B) By presenting complex patient scenarios requiring analysis
o C) By asking straightforward questions
o D) Through multiple-choice questions only
Correct Answer: B
Rationale: The NGN assesses critical thinking by challenging students
with scenarios that require evaluation and decision-making.
9. What is the importance of understanding nursing concepts for the HESI Exit
Exam?
o A) It is optional.
o B) It is crucial for applying knowledge to clinical scenarios.
o C) It only pertains to theoretical knowledge.
o D) It is less important than clinical skills.
Correct Answer: B
Rationale: A strong grasp of nursing concepts is essential for
successfully navigating clinical scenarios on the exam.
10. What is a key feature of the NGN that distinguishes it from previous versions
of the NCLEX?
o A) Increased number of questions
o B) Incorporation of innovative item types
o C) Focus solely on pharmacology
o D) Elimination of case studies
Correct Answer: B
Rationale: The NGN includes innovative item types designed to better
assess clinical judgment and decision-making.
11. Which of the following question types is unique to the NGN?
, o A) True/false questions
o B) Ordered response questions
o C) Fill-in-the-blank questions
o D) Short answer questions
Correct Answer: B
Rationale: Ordered response questions are designed to assess a
candidate's ability to prioritize care effectively.
12. What is the primary focus of the HESI Exit Exam?
o A) Knowledge retention
o B) Application of nursing knowledge in clinical scenarios
o C) Technical skills assessment
o D) Theoretical understanding
Correct Answer: B
Rationale: The exam focuses on applying nursing knowledge to real-
world situations, reflecting the NGN's emphasis on clinical judgment.
13. How can practice exams benefit students preparing for the HESI Exit Exam?
o A) They are not useful.
o B) They help familiarize students with exam format and content.
o C) They guarantee passing the exam.
o D) They replace the need for studying.
Correct Answer: B
Rationale: Practice exams provide valuable experience with the exam
format and identify areas needing improvement.
14. What is an important factor to consider when answering NGN questions?
o A) Rushing through to finish
o B) Analyzing each scenario carefully before selecting an answer
o C) Guessing if unsure
o D) Skipping difficult questions
Correct Answer: B
Questions | Fall Semester 2025/2026 | Updated
2026 Edition | Verified HESI NGN Practice Questions
with Answers & Rationales | Comprehensive Study
Guide for Nursing Students and NCLEX Preparation
1. What is the primary purpose of the HESI Exit Exam?
o A) To evaluate clinical skills
o B) To assess readiness for the NCLEX-RN
o C) To measure academic performance
o D) To provide certification
Correct Answer: B
Rationale: The HESI Exit Exam is designed to assess a nursing student's
readiness for the NCLEX-RN and their ability to apply nursing knowledge.
2. Which of the following is a key component of the Next Generation NCLEX
(NGN)?
o A) Traditional multiple-choice questions
o B) Case studies and clinical scenarios
o C) Short answer questions
o D) True/false questions
Correct Answer: B
Rationale: The NGN includes case studies and clinical scenarios to
better evaluate critical thinking and clinical judgment.
3. In the context of the NGN, what is the significance of clinical judgment?
o A) It is not relevant.
o B) It is essential for making safe nursing decisions.
o C) It only applies to advanced practice nurses.
o D) It is measured through factual recall.
Correct Answer: B
Rationale: Clinical judgment is crucial for safe nursing practice and is a
focus of the NGN assessment.
4. What type of questions can students expect on the NGN?
, o A) Only multiple-choice questions
o B) Multiple-choice, multiple select, and ordered response questions
o C) Fill-in-the-blank questions
o D) Short essay questions
Correct Answer: B
Rationale: The NGN includes various question formats to assess
different levels of understanding and application.
5. Which of the following best describes a "clinical scenario" in the NGN?
o A) A theoretical concept
o B) A realistic patient case that requires critical thinking
o C) A simple knowledge question
o D) A historical nursing fact
Correct Answer: B
Rationale: Clinical scenarios are designed to mimic real-life situations
that nurses encounter, requiring critical analysis and decision-making.
6. What is an important strategy for success on the HESI Exit Exam?
o A) Cramming the night before
o B) Consistent review and practice of nursing concepts
o C) Focusing only on weak subjects
o D) Ignoring practice questions
Correct Answer: B
Rationale: Regular review and practice help reinforce nursing knowledge
and improve test performance.
7. What role does prioritization play in the NGN?
o A) It is not assessed.
o B) It is essential for determining patient care priorities.
o C) It only applies to advanced practice settings.
o D) It is measured through factual knowledge.
Correct Answer: B
, Rationale: Prioritization is a key component of safe and effective nursing
care, evaluated through clinical scenarios.
8. How does the NGN assess critical thinking skills?
o A) Through memorization of facts
o B) By presenting complex patient scenarios requiring analysis
o C) By asking straightforward questions
o D) Through multiple-choice questions only
Correct Answer: B
Rationale: The NGN assesses critical thinking by challenging students
with scenarios that require evaluation and decision-making.
9. What is the importance of understanding nursing concepts for the HESI Exit
Exam?
o A) It is optional.
o B) It is crucial for applying knowledge to clinical scenarios.
o C) It only pertains to theoretical knowledge.
o D) It is less important than clinical skills.
Correct Answer: B
Rationale: A strong grasp of nursing concepts is essential for
successfully navigating clinical scenarios on the exam.
10. What is a key feature of the NGN that distinguishes it from previous versions
of the NCLEX?
o A) Increased number of questions
o B) Incorporation of innovative item types
o C) Focus solely on pharmacology
o D) Elimination of case studies
Correct Answer: B
Rationale: The NGN includes innovative item types designed to better
assess clinical judgment and decision-making.
11. Which of the following question types is unique to the NGN?
, o A) True/false questions
o B) Ordered response questions
o C) Fill-in-the-blank questions
o D) Short answer questions
Correct Answer: B
Rationale: Ordered response questions are designed to assess a
candidate's ability to prioritize care effectively.
12. What is the primary focus of the HESI Exit Exam?
o A) Knowledge retention
o B) Application of nursing knowledge in clinical scenarios
o C) Technical skills assessment
o D) Theoretical understanding
Correct Answer: B
Rationale: The exam focuses on applying nursing knowledge to real-
world situations, reflecting the NGN's emphasis on clinical judgment.
13. How can practice exams benefit students preparing for the HESI Exit Exam?
o A) They are not useful.
o B) They help familiarize students with exam format and content.
o C) They guarantee passing the exam.
o D) They replace the need for studying.
Correct Answer: B
Rationale: Practice exams provide valuable experience with the exam
format and identify areas needing improvement.
14. What is an important factor to consider when answering NGN questions?
o A) Rushing through to finish
o B) Analyzing each scenario carefully before selecting an answer
o C) Guessing if unsure
o D) Skipping difficult questions
Correct Answer: B
