Page 1 of 130
“RN HESI MANAGEMENT NAXLEX
EXAM “ NEWEST UPDATED EXAM 2026
– 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
don't miss any practice revision materials contact me +254111429458
RN HESI Management NGN-NAXLEX
At 0200 the nurse phones the healthcare provider to request a PRN medication
for a client who is unable to sleep. The healthcare provider is awakened, and
gives the nurse a prescription for four times the normal dosage. When
questioned by the nurse, the healthcare provider responds in a sleepy voice,
"Yeah, OK," and hangs up the phone. Which action should the nurse take
first?
A. Record that the nurse questioned the prescription, and ask the supervisor
for guidance.
, Page 2 of 130
B. Notify the medical chief of staff of the situation, and request a prescription
for the client.
C.Call the healthcare provider back, and report that the dosage prescribed is
four times the normal dose.
D. Refuse to administer the medication, and write an incident report describing
the event.
Call the healthcare provider back, and report that the dosage prescribed is
four times the normal dose.
Calling the healthcare provider back to report the dosage discrepancy is important,
because it will allow the healthcare provider to correct the mistake and give a safe
prescription.
An adult client is admitted via the emergency department (ED) with a head
injury that will initially require intensive care. Which nurse should be
responsible for coordinating the progression of this client's care through
rehabilitation and discharge?
A. Risk management nurse.
B. Neurology unit supervisor.
C. Nurse case manager.
D. Adult nurse practitioner.
Nurse case manager.
The nurse case manager is specifically trained to coordinate and manage the care of
patients through the entire healthcare continuum, including rehabilitation and
discharge.
An experienced, female practical nurse (PN) is hired to work on the surgical
unit of a tertiary hospital. The first day she is working on the unit, the PN tells
the charge nurse that she has excellent wound care skills. It is a busy day and
a postoperative client needs to have a sterile dressing change. Which action is
best for the charge nurse to take?
A. Ask the PN to change the sterile dressing while the nurse is busy.
B. Review the PN's skill checklist to assess for wound care competency.
C. Tell the PN past experience does not indicate ability to perform skills.
D. Watch the PN perform sterile wound care to validate her skill level.
Watch the PN perform sterile wound care to validate her skill level.
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Watching the PN perform sterile wound care to validate her skill level is the most
direct and immediate way to ensure competency and patient safety.
The nurse manager decides to report a staff nurse to the Peer Review
Committee (PRC). Which activity merits this action?
A. Administered two medications to the same client at the wrong time.
B. Changed work assignments without prior approval from charge nurse.
C. Served a diet tray to a client who was NPO for a scheduled procedure.
D. Documented data in the clinical record before assessing client's condition.
Served a diet tray to a client who was NPO for a scheduled procedure.
Serving a diet tray to a client who is NPO is a serious error that can lead to
complications and warrants reporting to the PRC.
The nurse receives change-of-shift report from the prior nurse assigned to a
group of clients on a post-surgical unit. Which client requires the most
immediate intervention by the nurse?
A. A client who was admitted 4 hours ago with a gunshot wound and has a
dressing with 2 cm sized dark red drainage.
B. A client who fell from a ladder and has a collapsed left lower lung with 100
ml drainage in a chest tube collection container.
C. A client who is post-mastectomy 2 days ago and has 50 ml of
serosanguineous fluid in a Jackson-Pratt drain.
D. A client who had an abdominal perineal resection 3 days ago and has no
drainage on the dressing and is reporting chills.
A client who fell from a ladder and has a collapsed left lower lung with 100 ml
drainage in a chest tube collection container.
The client who fell from a ladder with a collapsed left lower lung and 100 ml drainage
in a chest tube collection container requires the most immediate intervention to
address potential respiratory distress.
A group of nurse managers is asked to engage in a needs assessment for a
piece of equipment that will be expensed to the organizations budget. Which
question is most important to consider when analyzing the cost-benefit for this
piece of equipment?
A. is the cost of equipment reasonable?
B. Can the equipment be updated each year?
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C. Will the equipment require annual repair?
D. How many departments can use this equipment?
is the cost of equipment reasonable?
Assessing whether the cost of the equipment is reasonable is crucial in determining
the financial feasibility and cost-effectiveness of the purchase.
An adult woman who had gastric bypass surgery two weeks ago is admitted
because she is exhibiting signs of anastomosis leakage. Her vital signs are:
temperature 100°F (37.8° C), blood pressure 98/50 mm Hg, heart rate 135
beats/minute, and respiratory rate 24 breaths/minute. Which intervention is
most important for the nurse to include in this client's plan of care?
A. Record the amount of daily wound drainage.
B. Replace fluids intravenously based on intake and output.
C. Assess skin condition and turgor for breakdown.
D. Turn every 2 hours around the clock from side-to-side.
Replace fluids intravenously based on intake and output.
Replacing fluids intravenously based on intake and output is crucial to address the
client's hypotension and potential dehydration.
An older adult client who was recently widowed has become increasingly
confused and disoriented. The family tells the healthcare provider's office
nurse that it is imperative for their parent to be admitted to the hospital for
medical evaluation. The client is a member of a managed healthcare plan.
Which information is best for the nurse to provide this family?
A. Managed healthcare plans do not pay for any in-hospital medical
evaluations.
B. The client is grieving normally in response to the loss of a spouse and
hospitalization is not necessary.
C. Managed care providers have mandatory precertification requirements for
hospitalization.
D. Healthcare costs are escalating because clients want to have diagnostic
testing conducted in the hospital.
Managed care providers have mandatory precertification requirements for
hospitalization.
“RN HESI MANAGEMENT NAXLEX
EXAM “ NEWEST UPDATED EXAM 2026
– 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
don't miss any practice revision materials contact me +254111429458
RN HESI Management NGN-NAXLEX
At 0200 the nurse phones the healthcare provider to request a PRN medication
for a client who is unable to sleep. The healthcare provider is awakened, and
gives the nurse a prescription for four times the normal dosage. When
questioned by the nurse, the healthcare provider responds in a sleepy voice,
"Yeah, OK," and hangs up the phone. Which action should the nurse take
first?
A. Record that the nurse questioned the prescription, and ask the supervisor
for guidance.
, Page 2 of 130
B. Notify the medical chief of staff of the situation, and request a prescription
for the client.
C.Call the healthcare provider back, and report that the dosage prescribed is
four times the normal dose.
D. Refuse to administer the medication, and write an incident report describing
the event.
Call the healthcare provider back, and report that the dosage prescribed is
four times the normal dose.
Calling the healthcare provider back to report the dosage discrepancy is important,
because it will allow the healthcare provider to correct the mistake and give a safe
prescription.
An adult client is admitted via the emergency department (ED) with a head
injury that will initially require intensive care. Which nurse should be
responsible for coordinating the progression of this client's care through
rehabilitation and discharge?
A. Risk management nurse.
B. Neurology unit supervisor.
C. Nurse case manager.
D. Adult nurse practitioner.
Nurse case manager.
The nurse case manager is specifically trained to coordinate and manage the care of
patients through the entire healthcare continuum, including rehabilitation and
discharge.
An experienced, female practical nurse (PN) is hired to work on the surgical
unit of a tertiary hospital. The first day she is working on the unit, the PN tells
the charge nurse that she has excellent wound care skills. It is a busy day and
a postoperative client needs to have a sterile dressing change. Which action is
best for the charge nurse to take?
A. Ask the PN to change the sterile dressing while the nurse is busy.
B. Review the PN's skill checklist to assess for wound care competency.
C. Tell the PN past experience does not indicate ability to perform skills.
D. Watch the PN perform sterile wound care to validate her skill level.
Watch the PN perform sterile wound care to validate her skill level.
, Page 3 of 130
Watching the PN perform sterile wound care to validate her skill level is the most
direct and immediate way to ensure competency and patient safety.
The nurse manager decides to report a staff nurse to the Peer Review
Committee (PRC). Which activity merits this action?
A. Administered two medications to the same client at the wrong time.
B. Changed work assignments without prior approval from charge nurse.
C. Served a diet tray to a client who was NPO for a scheduled procedure.
D. Documented data in the clinical record before assessing client's condition.
Served a diet tray to a client who was NPO for a scheduled procedure.
Serving a diet tray to a client who is NPO is a serious error that can lead to
complications and warrants reporting to the PRC.
The nurse receives change-of-shift report from the prior nurse assigned to a
group of clients on a post-surgical unit. Which client requires the most
immediate intervention by the nurse?
A. A client who was admitted 4 hours ago with a gunshot wound and has a
dressing with 2 cm sized dark red drainage.
B. A client who fell from a ladder and has a collapsed left lower lung with 100
ml drainage in a chest tube collection container.
C. A client who is post-mastectomy 2 days ago and has 50 ml of
serosanguineous fluid in a Jackson-Pratt drain.
D. A client who had an abdominal perineal resection 3 days ago and has no
drainage on the dressing and is reporting chills.
A client who fell from a ladder and has a collapsed left lower lung with 100 ml
drainage in a chest tube collection container.
The client who fell from a ladder with a collapsed left lower lung and 100 ml drainage
in a chest tube collection container requires the most immediate intervention to
address potential respiratory distress.
A group of nurse managers is asked to engage in a needs assessment for a
piece of equipment that will be expensed to the organizations budget. Which
question is most important to consider when analyzing the cost-benefit for this
piece of equipment?
A. is the cost of equipment reasonable?
B. Can the equipment be updated each year?
, Page 4 of 130
C. Will the equipment require annual repair?
D. How many departments can use this equipment?
is the cost of equipment reasonable?
Assessing whether the cost of the equipment is reasonable is crucial in determining
the financial feasibility and cost-effectiveness of the purchase.
An adult woman who had gastric bypass surgery two weeks ago is admitted
because she is exhibiting signs of anastomosis leakage. Her vital signs are:
temperature 100°F (37.8° C), blood pressure 98/50 mm Hg, heart rate 135
beats/minute, and respiratory rate 24 breaths/minute. Which intervention is
most important for the nurse to include in this client's plan of care?
A. Record the amount of daily wound drainage.
B. Replace fluids intravenously based on intake and output.
C. Assess skin condition and turgor for breakdown.
D. Turn every 2 hours around the clock from side-to-side.
Replace fluids intravenously based on intake and output.
Replacing fluids intravenously based on intake and output is crucial to address the
client's hypotension and potential dehydration.
An older adult client who was recently widowed has become increasingly
confused and disoriented. The family tells the healthcare provider's office
nurse that it is imperative for their parent to be admitted to the hospital for
medical evaluation. The client is a member of a managed healthcare plan.
Which information is best for the nurse to provide this family?
A. Managed healthcare plans do not pay for any in-hospital medical
evaluations.
B. The client is grieving normally in response to the loss of a spouse and
hospitalization is not necessary.
C. Managed care providers have mandatory precertification requirements for
hospitalization.
D. Healthcare costs are escalating because clients want to have diagnostic
testing conducted in the hospital.
Managed care providers have mandatory precertification requirements for
hospitalization.
