Page 1 of 220
NGN HESI RN Exit Exam V1 - V6 Exam
Questions And Answers 100% Guarantee
Pass 2026-2027
Question: Which finding indicates the need to immediately
reduce oxygen flow?
A) SpO₂ increases to 92%
B) Respiratory rate decreases from 24 to 10 breaths/min
C) Patient reports less dyspnea
D) PaCO₂ decreases from 58 to 52 mmHg
Answer: B
Rationale: COPD patients with chronic hypercapnia rely on
hypoxic drive. Oxygen-induced hypoventilation occurs when
high O₂ removes hypoxic drive, causing respiratory
depression. Rate drop to 10 is dangerous.
,Page 2 of 220
Question: Which assessment finding is most important to
report to the provider immediately?
A) Urine output of 200 mL in 2 hours
B) Serum potassium 3.1 mEq/L
C) Blood pressure 110/70 mmHg
D) Weight loss of 1 kg in 24 hours
Answer: B
Rationale: Furosemide causes hypokalemia. K+ <3.5 increases
risk of digoxin toxicity and cardiac arrhythmias. Report
immediately.
Question 3 (NGN Case Study)
Scenario:
• Patient: 45-year-old female, post-op day 1 from total
abdominal hysterectomy.
,Page 3 of 220
• Vitals: HR 118, BP 98/62, RR 24, Temp 101.2°F, SpO₂
91% on room air.
• Labs: WBC 18,000, lactate 4.2.
Question Part A: What condition is most suspected?
A) Pulmonary embolism
B) Hemorrhage
C) Sepsis
D) Atelectasis
Answer: C
Rationale: Fever, tachycardia, tachypnea, elevated WBC, and
lactate >2 suggest sepsis.
Question Part B: What is the nurse’s priority action?
A) Administer antipyretic
B) Obtain blood cultures before antibiotics
C) Increase IV fluids
D) Notify provider after completing assessments
, Page 4 of 220
Answer: B
Rationale: Sepsis guidelines: obtain blood cultures before
starting broad-spectrum antibiotics within 1 hour.
Question 4
Scenario: A patient with major depressive disorder started
sertraline 2 weeks ago. Today they report feeling “more
energetic but still sad.”
Question: What is the nurse’s priority concern?
A) Serotonin syndrome
B) Increased risk of suicide
C) Non-adherence to medication
D) Need for dose increase
Answer: B
Rationale: Early in SSRI therapy, energy improves before
mood, increasing suicide risk. Priority is safety assessment.
NGN HESI RN Exit Exam V1 - V6 Exam
Questions And Answers 100% Guarantee
Pass 2026-2027
Question: Which finding indicates the need to immediately
reduce oxygen flow?
A) SpO₂ increases to 92%
B) Respiratory rate decreases from 24 to 10 breaths/min
C) Patient reports less dyspnea
D) PaCO₂ decreases from 58 to 52 mmHg
Answer: B
Rationale: COPD patients with chronic hypercapnia rely on
hypoxic drive. Oxygen-induced hypoventilation occurs when
high O₂ removes hypoxic drive, causing respiratory
depression. Rate drop to 10 is dangerous.
,Page 2 of 220
Question: Which assessment finding is most important to
report to the provider immediately?
A) Urine output of 200 mL in 2 hours
B) Serum potassium 3.1 mEq/L
C) Blood pressure 110/70 mmHg
D) Weight loss of 1 kg in 24 hours
Answer: B
Rationale: Furosemide causes hypokalemia. K+ <3.5 increases
risk of digoxin toxicity and cardiac arrhythmias. Report
immediately.
Question 3 (NGN Case Study)
Scenario:
• Patient: 45-year-old female, post-op day 1 from total
abdominal hysterectomy.
,Page 3 of 220
• Vitals: HR 118, BP 98/62, RR 24, Temp 101.2°F, SpO₂
91% on room air.
• Labs: WBC 18,000, lactate 4.2.
Question Part A: What condition is most suspected?
A) Pulmonary embolism
B) Hemorrhage
C) Sepsis
D) Atelectasis
Answer: C
Rationale: Fever, tachycardia, tachypnea, elevated WBC, and
lactate >2 suggest sepsis.
Question Part B: What is the nurse’s priority action?
A) Administer antipyretic
B) Obtain blood cultures before antibiotics
C) Increase IV fluids
D) Notify provider after completing assessments
, Page 4 of 220
Answer: B
Rationale: Sepsis guidelines: obtain blood cultures before
starting broad-spectrum antibiotics within 1 hour.
Question 4
Scenario: A patient with major depressive disorder started
sertraline 2 weeks ago. Today they report feeling “more
energetic but still sad.”
Question: What is the nurse’s priority concern?
A) Serotonin syndrome
B) Increased risk of suicide
C) Non-adherence to medication
D) Need for dose increase
Answer: B
Rationale: Early in SSRI therapy, energy improves before
mood, increasing suicide risk. Priority is safety assessment.
