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Exam (elaborations)

2025/2026 HESI RN EXIT – 1000+ Questions Bank (NGN-Style) | Verified Answers with Rationales

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2025/2026 HESI RN EXIT – 1000+ Questions Bank (NGN-Style) | Verified Answers with Rationales

Institution
Exit Hesi 2024
Course
Exit Hesi 2024











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Written for

Institution
Exit Hesi 2024
Course
Exit Hesi 2024

Document information

Uploaded on
November 23, 2025
Number of pages
492
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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1000+ QUESTIONS BANK
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(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
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Pass the Exam, 100% Verified - PDF



This Document contains:
 1000+ Questions with Correct Answers
 Passing Score Guarantee
 multiple-choice format (A, B, C, D) with correct answers
 structured rationales.
 Next Generation NCLEX (NGN)-style.
 Some questions feature “case scenarios”
 Select All That Apply (SATA), ordering, fill-in-the-blank for dosage

,On the second postoperative day, a client who had a colon resection is starting
to eat and ambulate with assistance. Although the client has a prescription for
an oral analgesic, they request that the PCA containing morphine be continued
for one more day due to fear of pain. Which intervention is most important for
the nurse to implement?
A. Measure urinary output to ensure renal functioning.
B. Administer the oral analgesic medication an hour before discontinuing the PCA
pump.

C. Monitor for a depressed respiratory rate.

D. Teach about the need to progress to a high-fiber diet.
Correct Answer:
B. Administer the oral analgesic medication an hour before discontinuing the PCA
pump.


The nurse is triaging several children as they present to the emergency room
after a school bus accident. Which child requires the most immediate
intervention by the nurse?

A. A 12-year-old reporting neck, arm, and lower back discomfort.
B. An 8-year-old with a full leg air splint for a possible broken tibia.

C. A 6-year-old with multiple superficial lacerations of all extremities.

D. An 11-year-old with a headache, nausea, and projectile vomiting.
Correct Answer:
D. An 11-year-old with a headache, nausea, and projectile vomiting.



When the parents of a 6-year-old boy with a brain tumor are told that his
condition is terminal, the mother shouts at the father, "This is your fault! It
never would have happened if we had sought treatment sooner!" Which
intervention is best for the nurse to implement?

,A. Refer the parents to the chaplain to provide grief counseling.
B. Tell the parents that blaming each other will not change the situation

C. Assure the parents that a terminal diagnosis is inevitable.
D. Explain to the parents that anger is a common response to grief.
Correct Answer:
D. Explain to the parents that anger is a common response to grief.



When the nurse enters the room of a male client who was admitted for a
fractured femur, his cardiac monitor displays a normal sinus rhythm (NSR), but
he has no spontaneous respirations and his carotid pulse is not palpable. Which
intervention should the nurse implement?
A. Observe for swelling at the fracture site.

B. Analyze the cardiac rhythm in another lead.
C. Obtain a 12-lead electrocardiogram.

D. Begin chest compressions at 100/minute.
Correct Answer:
D. Begin chest compressions at 100/minute.


A client with persistent low back pain has received a prescription for an
electronic stimulator (TENS) unit. After the nurse applies the electrodes and
turns on the power, the client reports feeling a tingling sensation. How should
the nurse respond?
A. Remove electrodes and observe for skin redness.
B. Decrease the strength of the electrical signals.

C. Check the amount of gel coating on the electrodes.

, D. Determine if the sensation feels uncomfortable.
Correct Answer:
D. Determine if the sensation feels uncomfortable.



The nurse implements a primary prevention program for sexually transmitted
diseases in a nurse-managed health center. Which outcome Indicates that the
program was effective?
A. New screening protocols were developed, validated, and implemented.

B. Clients who incurred disease complications promptly received rehabilitation.

C. Average client scores improved on specific risk factor knowledge tests.
D. More than half of at-risk clients were diagnosed early in their disease process.
Correct Answer:
C. Average client scores improved on specific risk factor knowledge tests.


An older client is admitted to the intensive care unit unconscious after several
days of vomiting and diarrhea.
Vital Signs

Heart Rate-beats/minute- 110 Respirations - breathes/minute- 28 Blood Pressure -
mmHG- 80/60
Arterial blood gases (ABGs)

Ph- 7.34

PaCO2- 34 mmHg
HCO3- 20 mmol/L
pO2- 90 mmHg
Electrolytes Results
Sodium

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