NGN HESI RN EXAMINATION TEST 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ The charge nurse is making assignments for one practical nurse and
three registered nurses who are caring for neurologically compromised
clients. Which client with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to
170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed
from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
Answer: B) Viral meningitis whose temperature change from 101 S to
102F.
◉ The nurse is caring for a client with pneumonia who now develops
initial signs of septic shock and multi organ failure. The healthcare
provider prescribes a sepsis protocol. Which intervention is most
important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
,C) Excess warmth of extremities.
D) Monitor blood glucose level. Answer: A) Maintain strict intake and
output.
◉ And adolescent client is admitted to the hospital because of writing a
suicide note to a teacher at school. On the second day of hospitalization,
the nurse asked the client to meet with the treatment team. After the
team meeting, the client leaves in tears and goes to their room. Which
nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. Answer: D) Go to the
clients room and ask what happened.
◉ The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The
medication is available and 25,000 units per milliliter vial. How many
milliliters should the nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.). Answer: 0.6
◉ NGN: The client is a 49-year-old male who reports flu like symptoms
including fever and chest congestion for four days. He came to the
emergency department last night when he was having more difficulty
,breathing he has a history of 1/2 pack a day cigarette smoking for 20
years. He has no significant medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. Answer: B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
◉ NGN: 0330: place the client on a cardio respiratory monitor, NPO,
sputum culture, start a peripheral IV infusion, start oxygen 3 L per
minute via nasal cannula, begin 0.9% sodium chloride IV infusion at 150
mL per hour, acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items should the nurse
collects from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
, D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. Answer: D) Nasal cannula.
E) Flow meter.
◉ NGN: states, I am feeling extremely anxious right now. The client has
decreased breath sounds in the left lower low. His mucus membranes are
dry. He has a productive cough with thick, yellow secretions. His
capillary refill is four seconds. Vital signs, temperature 100.2. Heart rate
101 bpm, respiratory rate 28 breaths per minute, blood pressure 145/89,
oxygen saturation 90% on room air.
(for each body system click to specify the assessment findings that
indicates hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood
pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28
bpm, productive cough. Answer: Cardiovascular: capillary refill for
seconds, blood pressure 145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28
bpm.
QUESTIONS WITH ANSWERS GRADED A+
◉ The charge nurse is making assignments for one practical nurse and
three registered nurses who are caring for neurologically compromised
clients. Which client with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to
170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed
from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
Answer: B) Viral meningitis whose temperature change from 101 S to
102F.
◉ The nurse is caring for a client with pneumonia who now develops
initial signs of septic shock and multi organ failure. The healthcare
provider prescribes a sepsis protocol. Which intervention is most
important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
,C) Excess warmth of extremities.
D) Monitor blood glucose level. Answer: A) Maintain strict intake and
output.
◉ And adolescent client is admitted to the hospital because of writing a
suicide note to a teacher at school. On the second day of hospitalization,
the nurse asked the client to meet with the treatment team. After the
team meeting, the client leaves in tears and goes to their room. Which
nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. Answer: D) Go to the
clients room and ask what happened.
◉ The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The
medication is available and 25,000 units per milliliter vial. How many
milliliters should the nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.). Answer: 0.6
◉ NGN: The client is a 49-year-old male who reports flu like symptoms
including fever and chest congestion for four days. He came to the
emergency department last night when he was having more difficulty
,breathing he has a history of 1/2 pack a day cigarette smoking for 20
years. He has no significant medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. Answer: B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
◉ NGN: 0330: place the client on a cardio respiratory monitor, NPO,
sputum culture, start a peripheral IV infusion, start oxygen 3 L per
minute via nasal cannula, begin 0.9% sodium chloride IV infusion at 150
mL per hour, acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items should the nurse
collects from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
, D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. Answer: D) Nasal cannula.
E) Flow meter.
◉ NGN: states, I am feeling extremely anxious right now. The client has
decreased breath sounds in the left lower low. His mucus membranes are
dry. He has a productive cough with thick, yellow secretions. His
capillary refill is four seconds. Vital signs, temperature 100.2. Heart rate
101 bpm, respiratory rate 28 breaths per minute, blood pressure 145/89,
oxygen saturation 90% on room air.
(for each body system click to specify the assessment findings that
indicates hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood
pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28
bpm, productive cough. Answer: Cardiovascular: capillary refill for
seconds, blood pressure 145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28
bpm.
