HESI RN EXIT EXAM WITH NGN LATEST VERSION B 2026/HESI EXIT RN NEXT
GENERATION EXAM ALL 160 QUESTIONS AND CORRECT DETAILED ANSWERS
The nurse is completing the admission assessment of a 3-
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year old who is admitted with bacterial meningitis and hydrocephalus. Which assess
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ment finding is evidence that the child is experiencing increased intracranial pressur
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e (ICP)?
ma
A. Tachycardia and tachypnea
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B. Sluggish and unequal pupillary responses
ma ma ma ma ma
C. Increased head circumference and bulging fontanels
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D. Blood pressure fluctuations and syncope
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B. Sluggish and unequal pupillary responses
ma ma ma ma ma
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an
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elevated serum amylase. Which additional information is the client most likely to report t
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o the nurse?
ma ma
A. Abdominal pain decreases when lying supine
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B. Pain lasts an hour and leaves the abdomen tender
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C. Right upper quadrant pain refers to right scapula
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D. Drinks alcohol until intoxicated at least twice weekly.
ma ma ma ma ma ma ma ma
A. Abdominal pain decreases when lying supine
ma ma ma ma ma ma
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hosp
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ital. Which information is most important for the nurse to provide the parents prior to di
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scharge?
A. Instructions about how much fluid the child should drink daily.
ma ma ma ma ma ma ma ma ma ma
B. Signs of addiction to opioid pain medications
ma ma ma ma ma ma ma
C. Information about non-pharmaceutical pain relief measures
ma ma ma ma ma ma
D. Referral for social services for the child and family
ma ma ma ma ma ma ma ma ma
A. Instructions about how much fluid the child should drink daily
ma ma ma ma ma ma ma ma ma ma
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select
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the location on the image with a red dot).
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I placed the red dot on the base of the neck on the right side
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,After receiving report on an inpatient acute care unit, which client should the nurse assess
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first?
ma
A. The client with an obstruction of the large intestine who is experiencing abdominal dist
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ention
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
bowel sounds ma
C. The client with a small bowel obstruction who has a nasogastric tube that is draining g
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
reenish fluid ma
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal ri
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
gidity
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidit
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
y
A teenager presents to the emergency department with palpitations after vaping at a part
ma ma ma ma ma ma ma ma ma ma ma ma ma
y.
The client is anxious, fearful, and hyperventilating. The nurse anticipates the client develo
ma ma ma ma ma ma ma ma ma ma ma ma
ping which acid base imbalance?
ma ma ma ma
A. Respiratory acidosis
ma ma
B. Metabolic alkalosis
ma ma
C. Metabolic acidosis
ma ma
D. Respiratory alkalosis
ma ma
D. Respiratory alkalosis
ma ma
A client with dyspnea is being admitted to the medical unit. To best prepare for the client'
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
s arrival, the nurse should ensure that the client's bed is in which position?
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A. Supine
B. supine; feet elevated higher than head ma ma ma ma ma
C. supine; head elevated higher than feet ma ma ma ma ma
D. Fowlers
Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disea
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se. Which information in the client's admission assessment is relevant to the nurse's pla
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n for taking the blood pressure reading? (Select all the apply)
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A. Frequent syncope ma
,B. Occasional nocturia ma
C. Flat affect ma
D. Blurred vision ma
E. Frequent drooling ma
A. Frequent syncope ma
C. Flat affect ma
D. Blurred vision ma
While caring for a client's postoperative dressing, the nurse observes purulent drainage
ma ma ma ma ma ma ma ma ma ma ma ma
at the wound. Before reporting this finding to the healthcare provider, the nurse should
ma ma ma ma ma ma ma ma ma ma ma ma ma
review which of the client's laboratory values?
ma ma ma ma ma ma ma
A. Serum albumin ma
B. Culture for sensitive organisms ma ma ma
C. Serum blood glucose level ma ma ma
D. Creatinine level ma
B. Culture for sensitive organisms ma ma ma
A preschool-aged boy is admitted to the pediatric unit following successful resuscitation
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from a near- ma ma
drowning incident. While providing care to the child, the nurse begins talking with his p
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
readolescent brother who rescued the child from the swimming pool and initiated resuscit
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ation. The nurse notices the older boy becomes withdrawn when asked about what happ
ma ma ma ma ma ma ma ma ma ma ma ma ma
ened. Which action should the nurse take?
ma ma ma ma ma ma
A. Develop a water safety teaching plan for the family
ma ma ma ma ma ma ma ma
B. Ask the older brother how he felt during the incident
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C. Tell the older brother that he seems depressed
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D. Commend the older brother for his heroic actions ma ma ma ma ma ma ma
B. Ask the older brother how he felt during the incident
ma ma ma ma ma ma ma ma ma ma
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has bee
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
n soaking in hot baths at night with no relief of his discomfort. Which action should the n
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
urse take? ma
A. Encourage the client to use cooler water and apply calamine lotion after soaking
ma ma ma ma ma ma ma ma ma ma ma ma ma
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
, C. Suggest that the client take brief showers and apply oil-based lotion after showering
ma ma ma ma ma ma ma ma ma ma ma ma ma
D. Explain that the symptoms are caused by liver damage and cannot be relieved
ma ma ma ma ma ma ma ma ma ma ma ma ma
A. Encourage the client to use cooler water and apply calamine lotion after soaking
ma ma ma ma ma ma ma ma ma ma ma ma ma
An older client with a long history of coronary artery disease (CAD), hypertension (HTN)
ma ma ma ma ma ma ma ma ma ma ma ma ma
, and heart failure (HF) arrives in the Emergency Department (ED) in respiratory distre
ma ma ma ma ma ma ma ma ma ma ma ma ma
ss.
The healthcare provider prescribes furosemide IV. Which therapeutic response to furosemi
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de should the nurse expected in the client with acute HF?
ma ma ma ma ma ma ma ma ma ma
A. Increased cardiac contractility
ma ma ma
B. Reduced preload
ma ma
C. Relaxed vascular tone
ma ma ma
D. Decreased afterload
ma ma
B. Reduced preload
ma ma
Which intervention should the nurse include in the plan of care for a child with tetanus?
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
A. Encourage coughing and deep breathing
ma ma ma ma ma
B. Minimize the amount of stimuli in the room
ma ma ma ma ma ma ma ma
C. Reposition from side to side every hour
ma ma ma ma ma ma ma
D. Open window shades to provide natural light
ma ma ma ma ma ma ma
B. Minimize the amount of stimuli in the room
ma ma ma ma ma ma ma ma
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitt
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ed to the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
the ketoacidosis?
ma
A. Ate an extra peanut butter sandwich before gym class
ma ma ma ma ma ma ma ma ma
B. incorrectly administered too much insulin
ma ma ma ma ma
C. Had a cold and ear infection for the past two days
ma ma ma ma ma ma ma ma ma ma ma
D. Skipped eating lunch
ma ma ma
C. Had a cold and ear infection for the past two days
ma ma ma ma ma ma ma ma ma ma ma
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
of impending death. After notifying the family of the client's status, what priority a
ma ma ma ma ma ma ma ma ma ma ma ma ma
ction should the nurse implement?
ma ma ma ma
GENERATION EXAM ALL 160 QUESTIONS AND CORRECT DETAILED ANSWERS
The nurse is completing the admission assessment of a 3-
ma ma ma ma ma ma ma ma ma
year old who is admitted with bacterial meningitis and hydrocephalus. Which assess
ma ma ma ma ma ma ma ma ma ma ma
ment finding is evidence that the child is experiencing increased intracranial pressur
ma ma ma ma ma ma ma ma ma ma ma
e (ICP)?
ma
A. Tachycardia and tachypnea
ma ma ma
B. Sluggish and unequal pupillary responses
ma ma ma ma ma
C. Increased head circumference and bulging fontanels
ma ma ma ma ma ma
D. Blood pressure fluctuations and syncope
ma ma ma ma ma
B. Sluggish and unequal pupillary responses
ma ma ma ma ma
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
elevated serum amylase. Which additional information is the client most likely to report t
ma ma ma ma ma ma ma ma ma ma ma ma ma
o the nurse?
ma ma
A. Abdominal pain decreases when lying supine
ma ma ma ma ma ma
B. Pain lasts an hour and leaves the abdomen tender
ma ma ma ma ma ma ma ma ma
C. Right upper quadrant pain refers to right scapula
ma ma ma ma ma ma ma ma
D. Drinks alcohol until intoxicated at least twice weekly.
ma ma ma ma ma ma ma ma
A. Abdominal pain decreases when lying supine
ma ma ma ma ma ma
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hosp
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ital. Which information is most important for the nurse to provide the parents prior to di
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
scharge?
A. Instructions about how much fluid the child should drink daily.
ma ma ma ma ma ma ma ma ma ma
B. Signs of addiction to opioid pain medications
ma ma ma ma ma ma ma
C. Information about non-pharmaceutical pain relief measures
ma ma ma ma ma ma
D. Referral for social services for the child and family
ma ma ma ma ma ma ma ma ma
A. Instructions about how much fluid the child should drink daily
ma ma ma ma ma ma ma ma ma ma
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select
ma ma ma ma ma ma ma ma ma ma ma ma ma ma m
the location on the image with a red dot).
a ma ma ma ma ma ma ma ma
I placed the red dot on the base of the neck on the right side
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
,After receiving report on an inpatient acute care unit, which client should the nurse assess
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
first?
ma
A. The client with an obstruction of the large intestine who is experiencing abdominal dist
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ention
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
bowel sounds ma
C. The client with a small bowel obstruction who has a nasogastric tube that is draining g
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
reenish fluid ma
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal ri
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
gidity
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidit
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
y
A teenager presents to the emergency department with palpitations after vaping at a part
ma ma ma ma ma ma ma ma ma ma ma ma ma
y.
The client is anxious, fearful, and hyperventilating. The nurse anticipates the client develo
ma ma ma ma ma ma ma ma ma ma ma ma
ping which acid base imbalance?
ma ma ma ma
A. Respiratory acidosis
ma ma
B. Metabolic alkalosis
ma ma
C. Metabolic acidosis
ma ma
D. Respiratory alkalosis
ma ma
D. Respiratory alkalosis
ma ma
A client with dyspnea is being admitted to the medical unit. To best prepare for the client'
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
s arrival, the nurse should ensure that the client's bed is in which position?
ma ma ma ma ma ma ma ma ma ma ma ma ma
A. Supine
B. supine; feet elevated higher than head ma ma ma ma ma
C. supine; head elevated higher than feet ma ma ma ma ma
D. Fowlers
Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disea
ma ma ma ma ma ma ma ma ma ma ma ma ma
se. Which information in the client's admission assessment is relevant to the nurse's pla
ma ma ma ma ma ma ma ma ma ma ma ma ma
n for taking the blood pressure reading? (Select all the apply)
ma ma ma ma ma ma ma ma ma ma
A. Frequent syncope ma
,B. Occasional nocturia ma
C. Flat affect ma
D. Blurred vision ma
E. Frequent drooling ma
A. Frequent syncope ma
C. Flat affect ma
D. Blurred vision ma
While caring for a client's postoperative dressing, the nurse observes purulent drainage
ma ma ma ma ma ma ma ma ma ma ma ma
at the wound. Before reporting this finding to the healthcare provider, the nurse should
ma ma ma ma ma ma ma ma ma ma ma ma ma
review which of the client's laboratory values?
ma ma ma ma ma ma ma
A. Serum albumin ma
B. Culture for sensitive organisms ma ma ma
C. Serum blood glucose level ma ma ma
D. Creatinine level ma
B. Culture for sensitive organisms ma ma ma
A preschool-aged boy is admitted to the pediatric unit following successful resuscitation
ma ma ma ma ma ma ma ma ma ma ma
from a near- ma ma
drowning incident. While providing care to the child, the nurse begins talking with his p
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
readolescent brother who rescued the child from the swimming pool and initiated resuscit
ma ma ma ma ma ma ma ma ma ma ma ma
ation. The nurse notices the older boy becomes withdrawn when asked about what happ
ma ma ma ma ma ma ma ma ma ma ma ma ma
ened. Which action should the nurse take?
ma ma ma ma ma ma
A. Develop a water safety teaching plan for the family
ma ma ma ma ma ma ma ma
B. Ask the older brother how he felt during the incident
ma ma ma ma ma ma ma ma ma
C. Tell the older brother that he seems depressed
ma ma ma ma ma ma ma
D. Commend the older brother for his heroic actions ma ma ma ma ma ma ma
B. Ask the older brother how he felt during the incident
ma ma ma ma ma ma ma ma ma ma
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has bee
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
n soaking in hot baths at night with no relief of his discomfort. Which action should the n
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
urse take? ma
A. Encourage the client to use cooler water and apply calamine lotion after soaking
ma ma ma ma ma ma ma ma ma ma ma ma ma
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
, C. Suggest that the client take brief showers and apply oil-based lotion after showering
ma ma ma ma ma ma ma ma ma ma ma ma ma
D. Explain that the symptoms are caused by liver damage and cannot be relieved
ma ma ma ma ma ma ma ma ma ma ma ma ma
A. Encourage the client to use cooler water and apply calamine lotion after soaking
ma ma ma ma ma ma ma ma ma ma ma ma ma
An older client with a long history of coronary artery disease (CAD), hypertension (HTN)
ma ma ma ma ma ma ma ma ma ma ma ma ma
, and heart failure (HF) arrives in the Emergency Department (ED) in respiratory distre
ma ma ma ma ma ma ma ma ma ma ma ma ma
ss.
The healthcare provider prescribes furosemide IV. Which therapeutic response to furosemi
ma ma ma ma ma ma ma ma ma ma
de should the nurse expected in the client with acute HF?
ma ma ma ma ma ma ma ma ma ma
A. Increased cardiac contractility
ma ma ma
B. Reduced preload
ma ma
C. Relaxed vascular tone
ma ma ma
D. Decreased afterload
ma ma
B. Reduced preload
ma ma
Which intervention should the nurse include in the plan of care for a child with tetanus?
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
A. Encourage coughing and deep breathing
ma ma ma ma ma
B. Minimize the amount of stimuli in the room
ma ma ma ma ma ma ma ma
C. Reposition from side to side every hour
ma ma ma ma ma ma ma
D. Open window shades to provide natural light
ma ma ma ma ma ma ma
B. Minimize the amount of stimuli in the room
ma ma ma ma ma ma ma ma
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitt
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ed to the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
the ketoacidosis?
ma
A. Ate an extra peanut butter sandwich before gym class
ma ma ma ma ma ma ma ma ma
B. incorrectly administered too much insulin
ma ma ma ma ma
C. Had a cold and ear infection for the past two days
ma ma ma ma ma ma ma ma ma ma ma
D. Skipped eating lunch
ma ma ma
C. Had a cold and ear infection for the past two days
ma ma ma ma ma ma ma ma ma ma ma
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
of impending death. After notifying the family of the client's status, what priority a
ma ma ma ma ma ma ma ma ma ma ma ma ma
ction should the nurse implement?
ma ma ma ma
