HESI RN EXIT EXAM WITH NGN LATEST VERSION B
2024-2025/HESI EXIT RN NEXT GENERATION EXAM
ALL 160 QUESTIONS AND CORRECT DETAILED
ANSWERS!!
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been
soaking in hot baths at night with no relief of his discomfort. Which action should the nurse
take?
A. Encourage the client to use cooler water and apply calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
C. Suggest that the client take brief showers and apply oil-based lotion after showering
D. Explain that the symptoms are caused by liver damage and cannot be relieved -
✔✔A. Encourage the client to use cooler water and apply calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD), hypertension (HTN),
and heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The
healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide
should the nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload - ✔✔B. Reduced preload
Which intervention should the nurse include in the plan of care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light - ✔✔B. Minimize the amount of stimuli
in the room
,An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted to
the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the
ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch - ✔✔C. Had a cold and ear infection for the past two days
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 - ✔✔C. The client's need
for pain medication should be determined
Which self care measure is most important for the nurse to include in the plan of care of a
client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan - ✔✔B. Blood glucose monitoring
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?
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 - ✔✔A. Apply ice
to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to
home. Which recommendations should the nurse provide this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water - ✔✔B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
A toddler presenting with a history of intermittent skin rashes, hives, abdominal pain, and
vomiting that occurs after ingesting of milk products arrives to the clinic accompanied by
the parents. Which type of testing should the nurse provide education to the toddler's
family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge - ✔✔A. Serum immunoglobulin E (IgE)
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 - ✔✔C. Instruct client to write down
the questions
, The nurse assesses a client one hour after starting a transfusion of packed red blood cells and
determines that there are no indications of a transfusion reaction. What instruction should
the nurse provide the unlicensed assistive personnel (UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client assessment can be done
B. Continue to measure the client's vital signs every thirty minutes until the transfusion
is complete
C. Monitor the client carefully for the next three hours and report the onset of a
reaction immediately
D. Since a reaction did not occur, the priority is to maintain client comfort during the
transfusion - ✔✔B. Continue to measure the client's vital signs every thirty minutes until
the transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with multi-organ failure caused
by a ruptured appendix. Which intervention is most important for the nurse to include in the
plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output - ✔✔D. Maintain strict intake and output
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 - ✔✔A. Ask the client to describe the pain
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?
2024-2025/HESI EXIT RN NEXT GENERATION EXAM
ALL 160 QUESTIONS AND CORRECT DETAILED
ANSWERS!!
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been
soaking in hot baths at night with no relief of his discomfort. Which action should the nurse
take?
A. Encourage the client to use cooler water and apply calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
C. Suggest that the client take brief showers and apply oil-based lotion after showering
D. Explain that the symptoms are caused by liver damage and cannot be relieved -
✔✔A. Encourage the client to use cooler water and apply calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD), hypertension (HTN),
and heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The
healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide
should the nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload - ✔✔B. Reduced preload
Which intervention should the nurse include in the plan of care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light - ✔✔B. Minimize the amount of stimuli
in the room
,An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted to
the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the
ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch - ✔✔C. Had a cold and ear infection for the past two days
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 - ✔✔C. The client's need
for pain medication should be determined
Which self care measure is most important for the nurse to include in the plan of care of a
client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan - ✔✔B. Blood glucose monitoring
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?
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 - ✔✔A. Apply ice
to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to
home. Which recommendations should the nurse provide this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water - ✔✔B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
A toddler presenting with a history of intermittent skin rashes, hives, abdominal pain, and
vomiting that occurs after ingesting of milk products arrives to the clinic accompanied by
the parents. Which type of testing should the nurse provide education to the toddler's
family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge - ✔✔A. Serum immunoglobulin E (IgE)
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 - ✔✔C. Instruct client to write down
the questions
, The nurse assesses a client one hour after starting a transfusion of packed red blood cells and
determines that there are no indications of a transfusion reaction. What instruction should
the nurse provide the unlicensed assistive personnel (UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client assessment can be done
B. Continue to measure the client's vital signs every thirty minutes until the transfusion
is complete
C. Monitor the client carefully for the next three hours and report the onset of a
reaction immediately
D. Since a reaction did not occur, the priority is to maintain client comfort during the
transfusion - ✔✔B. Continue to measure the client's vital signs every thirty minutes until
the transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with multi-organ failure caused
by a ruptured appendix. Which intervention is most important for the nurse to include in the
plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output - ✔✔D. Maintain strict intake and output
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 - ✔✔A. Ask the client to describe the pain
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?
