NGN HESI RN EXIT EXAM V1 EXAM Q&A 2026
STUDY GUIDE WITH VERIFIED ANSWERS
ALREADY PASSED
◉ The healthcare provider prescribes acarbose, an alpha-
glucosidase inhibitor, for a client with type two diabetes. Which
information provides the best indicator of the drugs effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%. Answer: D) Hemoglobin
A1c readings less than 7%.
◉ After receiving report on an inpatient acute care unit which client
should the nurse assess first?
A) The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric
tube that is draining greenish fluid.
C) The client with an obstruction of the large intestine who is
experiencing abdominal distention.
,D) The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity.. Answer: D) The client with a bowel
obstruction due to a volvulus who is experiencing abdominal
rigidity.
◉ Client presents at the emergency department reporting a raspy
voice, cold intolerance, and fatigue. Laboratory tests indicate an
elevated thyroid stimulating hormone and a low T3 and T4 levels.
After the client is admitted to the telemetary unit, which
intervention is most appropriate for the nurse to implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema.. Answer: A)
administer prescribed dose of level thyroxine.
◉ While caring for a client post operative dressing, the nurse
observes purulent wound drainage. Previously, the wound was
inflamed and tender but without drainage. Which is the most
important action for the nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
C) Monitor the clients white blood cell count.
,D) Request a culture and sensitivity of the wound.. Answer: D)
Request a culture and sensitivity of the wound.
◉ The school nurse is screening students for scoliosis and notes that
one student has lordosis. Which finding should the nurse document
in the student screening record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
C) Excessive concave curvature of the lumbar spine.
D) Rounded spine from head to hips without concave curbs..
Answer: C) Excessive concave curvature of the lumbar spine.
◉ The nurse is assigned to care for for surgical clients. After
receiving report, which client should the nurse see first?
A) An older client who is receiving packed red blood cells on the
third day post operative for colon resection.
B) An older client with continuous bladder irrigation who is two
days post operative for bladder surgery.
C) An adult who is in bucks traction, and scheduled for hip
arthroplasty within the just 12 hours.
D) An adult one day post operative laparoscopic cholecystectomy
requesting pain medication.. Answer: A) An older client who is
, receiving packed red blood cells on the third day post operative for
colon resection.
◉ The nurse is providing education to a client who experiences
recurrent levels of moderate anxiety to situation and perceived
stress. In addition to information about prescribe medication and
administration, which instruction should the nurse include in the
teaching?
A) Think about reasons the episodes occur.
B) Center attention on positive upbeat music.
C) Practice using muscle relaxation techniques.
D) Find outlets for more social interaction.. Answer: C) Practice
using muscle relaxation techniques.
◉ The nurse is preparing a client who had a below the knee
amputation for discharge to home. Which recommendations should
the nurse provide this client? SATA.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
C) Apply alcohol to the residual limb after bathing.
D) Wash the residual limb with soap and water.
STUDY GUIDE WITH VERIFIED ANSWERS
ALREADY PASSED
◉ The healthcare provider prescribes acarbose, an alpha-
glucosidase inhibitor, for a client with type two diabetes. Which
information provides the best indicator of the drugs effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%. Answer: D) Hemoglobin
A1c readings less than 7%.
◉ After receiving report on an inpatient acute care unit which client
should the nurse assess first?
A) The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric
tube that is draining greenish fluid.
C) The client with an obstruction of the large intestine who is
experiencing abdominal distention.
,D) The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity.. Answer: D) The client with a bowel
obstruction due to a volvulus who is experiencing abdominal
rigidity.
◉ Client presents at the emergency department reporting a raspy
voice, cold intolerance, and fatigue. Laboratory tests indicate an
elevated thyroid stimulating hormone and a low T3 and T4 levels.
After the client is admitted to the telemetary unit, which
intervention is most appropriate for the nurse to implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema.. Answer: A)
administer prescribed dose of level thyroxine.
◉ While caring for a client post operative dressing, the nurse
observes purulent wound drainage. Previously, the wound was
inflamed and tender but without drainage. Which is the most
important action for the nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
C) Monitor the clients white blood cell count.
,D) Request a culture and sensitivity of the wound.. Answer: D)
Request a culture and sensitivity of the wound.
◉ The school nurse is screening students for scoliosis and notes that
one student has lordosis. Which finding should the nurse document
in the student screening record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
C) Excessive concave curvature of the lumbar spine.
D) Rounded spine from head to hips without concave curbs..
Answer: C) Excessive concave curvature of the lumbar spine.
◉ The nurse is assigned to care for for surgical clients. After
receiving report, which client should the nurse see first?
A) An older client who is receiving packed red blood cells on the
third day post operative for colon resection.
B) An older client with continuous bladder irrigation who is two
days post operative for bladder surgery.
C) An adult who is in bucks traction, and scheduled for hip
arthroplasty within the just 12 hours.
D) An adult one day post operative laparoscopic cholecystectomy
requesting pain medication.. Answer: A) An older client who is
, receiving packed red blood cells on the third day post operative for
colon resection.
◉ The nurse is providing education to a client who experiences
recurrent levels of moderate anxiety to situation and perceived
stress. In addition to information about prescribe medication and
administration, which instruction should the nurse include in the
teaching?
A) Think about reasons the episodes occur.
B) Center attention on positive upbeat music.
C) Practice using muscle relaxation techniques.
D) Find outlets for more social interaction.. Answer: C) Practice
using muscle relaxation techniques.
◉ The nurse is preparing a client who had a below the knee
amputation for discharge to home. Which recommendations should
the nurse provide this client? SATA.
A) Use a residual limb shrinker.
B) Inspect skin for redness.
C) Apply alcohol to the residual limb after bathing.
D) Wash the residual limb with soap and water.
