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2025 HESI EXIT EXAM NEXT GENERATION (NGN) TEST BANK LATEST
2025/2026 ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+
A client presents to the emergency department with muscle aches, headache, fever, and
describes a recent loss of taste and smell. The nurse obtains a nasal swab for COVID-19
testing. Which action is most important for the nurse to take?
A. Place the nasal swab specimen for COVID-19 directly into a biohazard bag
B. Move the client to a private room, keep the door closed, and initiate droplet precautions.
C. Teach the client to wear a mask, hand wash, and social distance to prevent spreading
the virus
D. Explain to the client to inform others that they may have been potentially exposed in the
last 14 days. - ......ANSWER........A. Place the nasal swab specimen for COVID-19 directly
into a biohazard bag
A client presents to the labor and delivery unit with a report of leaking fluid that is greenish-
brown vaginal discharge. Which action should the nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring - ......ANSWER........D. Begin continuous fetal
monitoring
A client presses the call bell and requests pain medication for a severe headache. To
assess the quality of the client's pain, which approach should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale - ......ANSWER........A. Ask the client to describe the pain
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A client taking clopidogrel reports the onset of diarrhea. Which nursing action should the
nurse implement first?
A. Observe the appearance of the stool
B. Assess the elasticity of the client's skin
C. Review the client's laboratory values
D. Auscultate the client's bowel sounds - ......ANSWER........A. Observe the appearance of
the stool
A client 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 client states that it still is taking
hours to fall asleep at night. Which action should the nurse implement?
A. Advise the client that lifestyle changes often take several weeks to be effective
B. Encourage the client to exercise every day to eliminate bedtime wakefulness
C. Ask the client for a description of the exercise schedule that is being followed
D. Determine the amount of weight the client has lost since increasing activity
- ......ANSWER........C. Ask the client for a description of the exercise schedule that is being
followed
A client who experienced a cerebrovascular accident (CVA) is aphasic and has left sided
paralysis. Which nurse should be responsible for coordinating the progression of this
client's care?
A. Nurse case manager
B. Adult nurse practitioner
C. Neurology unit supervisor
D. Risk management nurse - ......ANSWER........B. Adult nurse practitioner
A client who gave birth 48 hours ago has decided to bottle feed the infant. During the
assessment, the nurse observes that both breasts are swollen, warm, and tender on
palpation. Which instruction should the nurse provide?
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A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
- ......ANSWER........A. Apply ice to the breasts for comfort
A client who is admitted for primary hypothyroidism has early signs of myxedema coma. In
assessing the client, in which sequence should the nurse complete these actions?
(descending order) - ......ANSWER........1. Observe breathing patterns
2. Assess blood pressure
3. Measure body temperature
4. Palpate for pedal edema
A client who is admitted with complications related to hypopituitarism is diaphoretic and
hypotensive. Which assessment finding warrants immediate intervention by the nurse?
- ......ANSWER........Lethargy
A client who is scheduled for a bronchoscopy in the morning is anxious and asking the
nurse numerous questions about the procedure. In preparing the client for the procedure,
which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack - ......ANSWER........C. Instruct client to write
down the questions
A client who recently received a prescription for ramelteon to treat sleep deprivation
reports experiencing several side effects since taking the drug. Which side effect should
the nurse report to the healthcare provider?
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A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism - ......ANSWER........D. Somnambulism
A client with a lower respiratory tract infection receives a prescription for ciprofloxacin
500mg PO every 12 hours. When the client requests an afternoon snack, which dietary
choice should the nurse provide?
A. Cinnamon applesauce
B. Vanilla-flavored yogurt
C. Calcium-fortified juice
D. Low-fat chocolate milk - ......ANSWER........A. Cinnamon applesauce
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of
impending death. After notifying the family of the client's status, what priority action
should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status - ......ANSWER........C. The
client's need for pain medication should be determined
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an
elevated serum amylase. Which additional information is the client most likely to report to
the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
2025 HESI EXIT EXAM NEXT GENERATION (NGN) TEST BANK LATEST
2025/2026 ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+
A client presents to the emergency department with muscle aches, headache, fever, and
describes a recent loss of taste and smell. The nurse obtains a nasal swab for COVID-19
testing. Which action is most important for the nurse to take?
A. Place the nasal swab specimen for COVID-19 directly into a biohazard bag
B. Move the client to a private room, keep the door closed, and initiate droplet precautions.
C. Teach the client to wear a mask, hand wash, and social distance to prevent spreading
the virus
D. Explain to the client to inform others that they may have been potentially exposed in the
last 14 days. - ......ANSWER........A. Place the nasal swab specimen for COVID-19 directly
into a biohazard bag
A client presents to the labor and delivery unit with a report of leaking fluid that is greenish-
brown vaginal discharge. Which action should the nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring - ......ANSWER........D. Begin continuous fetal
monitoring
A client presses the call bell and requests pain medication for a severe headache. To
assess the quality of the client's pain, which approach should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale - ......ANSWER........A. Ask the client to describe the pain
,2 of 51
A client taking clopidogrel reports the onset of diarrhea. Which nursing action should the
nurse implement first?
A. Observe the appearance of the stool
B. Assess the elasticity of the client's skin
C. Review the client's laboratory values
D. Auscultate the client's bowel sounds - ......ANSWER........A. Observe the appearance of
the stool
A client 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 client states that it still is taking
hours to fall asleep at night. Which action should the nurse implement?
A. Advise the client that lifestyle changes often take several weeks to be effective
B. Encourage the client to exercise every day to eliminate bedtime wakefulness
C. Ask the client for a description of the exercise schedule that is being followed
D. Determine the amount of weight the client has lost since increasing activity
- ......ANSWER........C. Ask the client for a description of the exercise schedule that is being
followed
A client who experienced a cerebrovascular accident (CVA) is aphasic and has left sided
paralysis. Which nurse should be responsible for coordinating the progression of this
client's care?
A. Nurse case manager
B. Adult nurse practitioner
C. Neurology unit supervisor
D. Risk management nurse - ......ANSWER........B. Adult nurse practitioner
A client who gave birth 48 hours ago has decided to bottle feed the infant. During the
assessment, the nurse observes that both breasts are swollen, warm, and tender on
palpation. Which instruction should the nurse provide?
,3 of 51
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
- ......ANSWER........A. Apply ice to the breasts for comfort
A client who is admitted for primary hypothyroidism has early signs of myxedema coma. In
assessing the client, in which sequence should the nurse complete these actions?
(descending order) - ......ANSWER........1. Observe breathing patterns
2. Assess blood pressure
3. Measure body temperature
4. Palpate for pedal edema
A client who is admitted with complications related to hypopituitarism is diaphoretic and
hypotensive. Which assessment finding warrants immediate intervention by the nurse?
- ......ANSWER........Lethargy
A client who is scheduled for a bronchoscopy in the morning is anxious and asking the
nurse numerous questions about the procedure. In preparing the client for the procedure,
which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack - ......ANSWER........C. Instruct client to write
down the questions
A client who recently received a prescription for ramelteon to treat sleep deprivation
reports experiencing several side effects since taking the drug. Which side effect should
the nurse report to the healthcare provider?
, 4 of 51
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism - ......ANSWER........D. Somnambulism
A client with a lower respiratory tract infection receives a prescription for ciprofloxacin
500mg PO every 12 hours. When the client requests an afternoon snack, which dietary
choice should the nurse provide?
A. Cinnamon applesauce
B. Vanilla-flavored yogurt
C. Calcium-fortified juice
D. Low-fat chocolate milk - ......ANSWER........A. Cinnamon applesauce
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of
impending death. After notifying the family of the client's status, what priority action
should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status - ......ANSWER........C. The
client's need for pain medication should be determined
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an
elevated serum amylase. Which additional information is the client most likely to report to
the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
