2024|25 HESI RN EXIT EXAM NEXT
GENERATION SCREENSHOTS-QUESTIONS &
ANSWERS (NGN HESI RN EXIT) BRAND NEW!!!
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for
injuries sustained from a fall. His parents are very concerned that the child has
regressed in his toileting behaviors. Which information should the nurse provide to the
parents?
A. A retraining program will need to be initiated when the child returns home.
B. Diapering will be provided since hospitalization is stressful to preschoolers
C. A potty chair should be brought from home so he can maintain his toileting skills
D. Children usually resume their toileting behaviors when they leave the hospital – ans
D. Children usually resume their toileting behaviors when they leave the hospital
A 7-year old is admitted to the hospital with persistent vomiting, and a nasogastric tube
attached to low intermittent suction is applied. Which finding is most important for the
nurse to report to the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL – ans D. Serum potassium of 3.0 mg/dL
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents prior
to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family – ans A. Instructions about how
much fluid the child should drink daily
A client asks the nurse for information about how to reduce risk factors for benign
prostatic hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test – ans B. Increase physical activity
A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of
hyperemesis gravidarum. Which action is most important for the nurse to implement?
A. Obtain the client's 24-hour dietary recall
B. Document mucosal membrane status
,C. Schedule a consult with a nutritionist
D. Initiate prescribed intravenous fluids – ans D. Initiate prescribed intravenous fluids
A client diagnosed with calcium kidney stones has a history of gout. A new prescription
for aluminum hydroxide is scheduled to begin at 0730. Which client medication should
the nurse bring to the healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose – ans B. Allopurinol
A client fell in the bathroom when left unattended by the unlicensed assistive personnel
(UAP). Which information should the nurse include in the client's health record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the left hip – ans D. The client fell sustaining a
fracture to the left hip
A client in the emergency center demonstrates rapid speech, flight of ideas, and reports
sleeping only three hours during the past 48 hours. Based on these findings, it is most
important for the nurse to review the laboratory value for which medication?
A. Lorazepam
B. Fluoxetine
C. Divalproex
D. Olanzapine – ans C. Divalproex
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in
her breasts and that her nipples sometimes leak a yellowish fluid. She has an
appointment with her healthcare provider in two weeks. What action should the nurse
take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere – ans C. Explain that
this normal secretion can be assessed at the next visit
A client is admitted with a diagnosis of urolithiasis. Which finding is most important for
the nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink – ans D. Hematuria that is beginning to turn
pink
,A mclient mis mdiagnosed mwith mMeniere's mdisease. mWhich mproblem mshould mthe mnurse
midentify mas mmost mimportant min mthe mplan mof mcare? m
A. mRisk mfor mineffective mself-health mmanagement mrelated mto mdeficient mknowledge
B. mIneffective mcoping mrelated mto mpersonal mvulnerability m
C. mRisk mfor minjury mrelated mto mvertigo m
D. mAnxiety mrelated mto mdisruption mof mlifestyle m– mans mC. mRisk mfor minjury mrelated mto
mvertigo.
A mclient mis mreceiving menoxaparin m30mg msubcutaneously mtwice ma mday. mIn massessing mfor
madverse meffects mof mthe mmedication, mwhich mserum mlaboratory mvalue mis mmost mimportant
mfor mthe mnurse mto mmonitor? m
A. mGlucose m
B. mCalcium
C. mPlatelet mcount
D. mWhite mblood mcell mcount m- mansC. mPlatelet mcount
A mclient mis mrecovering min mthe mcritical mcare munit mfollowing ma mcardiac mcatheterization. mIV
mnitroglycerin mand mheparin mare minfusing. mThe mclient mis msedated mbut mresponds mto mverbal
minstructions. mAfter mchanging mpositions, mthe mclient mcomplains mof mpain mat mthe mright mgroin
minsertion msite. mWhat maction mshould mthe mnurse mimplement? m
A. mCheck mfemoral msite mfor mhematoma mformation
B. mStimulate mthe mclient mto mtake mdeep mbreaths
C. mEvaluate mthe mintegrity mof mthe mIV minsertion msite
D. mAssess mdistal mlower mextremity mcapillary mrefill m- mansB. mStimulate mthe mclient mto mtake
mdeep mbreaths
A mclient mis mscheduled mfor ma mspiral mcomputed mtomography m(CT) mscan mwith mcontrast mto
mevaluate mfor mpulmonary membolism. mWhich minformation min mthe mclient's mhistory mrequires
mfollow-up mby mthe mnurse?
A. mCT mscan mthat mwas mperformed m6 mmonths mearlier
B. mMetal mhip mprosthesis mwas mplaced m20 myears mago
C. mReport mof mclient's msobriety mfor mthe mlast m5 myears
D. mTakes mmetformin mfor mtype m2 mdiabetes mmellitus m- mansD. mTakes mmetformin mfor mtype
m2 mdiabetes mmellitus
A mclient mpresents mto mthe memergency mdepartment mwith mmuscle maches, mheadache,
mfever, mand mdescribes ma mrecent mloss mof mtaste mand msmell. mThe mnurse mobtains ma mnasal
mswab mfor mCOVID-19 mtesting. mWhich maction mis mmost mimportant mfor mthe mnurse mto mtake?
m
A. mPlace mthe mnasal mswab mspecimen mfor mCOVID-19 mdirectly minto ma mbiohazard mbag
B. mMove mthe mclient mto ma mprivate mroom, mkeep mthe mdoor mclosed, mand minitiate mdroplet
mprecautions. m
C. mTeach mthe mclient mto mwear ma mmask, mhand mwash, mand msocial mdistance mto mprevent
mspreading mthe mvirus m
D. mExplain mto mthe mclient mto minform mothers mthat mthey mmay mhave mbeen mpotentially
mexposed min mthe mlast m14 mdays. m- mansA. mPlace mthe mnasal mswab mspecimen mfor mCOVID-
19 mdirectly minto ma mbiohazard mbag
, A mclient mpresents mto mthe mlabor mand mdelivery munit mwith ma mreport mof mleaking mfluid mthat mis
mgreenish-brown mvaginal mdischarge. mWhich maction mshould mthe mnurse mtake mfirst?
A. mStart man mintravenous minfusion m
B. mAdminister moxygen mvia mfacemask
C. mPerform ma mvaginal mexam
D. mBegin mcontinuous mfetal mmonitoring m- mansD. mBegin mcontinuous mfetal mmonitoring
A mclient mpresses mthe mcall mbell mand mrequests mpain mmedication mfor ma msevere mheadache.
mTo massess mthe mquality mof mthe mclient's mpain, mwhich mapproach mshould mthe mnurse muse?
A. mAsk mthe mclient mto mdescribe mthe mpain
B. mObserve mbody mlanguage mand mmovement m
C. mIdentify meffective mpain mrelief mmeasures
D. mProvide ma mnumeric mpain mscale m- mansA. mAsk mthe mclient mto mdescribe mthe mpain
A mclient mtaking mclopidogrel mreports mthe monset mof mdiarrhea. mWhich mnursing maction
mshould mthe mnurse mimplement mfirst?
A. mObserve mthe mappearance mof mthe mstool
B. mAssess mthe melasticity mof mthe mclient's mskin
C. mReview mthe mclient's mlaboratory mvalues
D. mAuscultate mthe mclient's mbowel msounds m- mansA. mObserve mthe mappearance mof mthe
mstool
A mclient mtells mthe mnurse mabout mworking mout mwith ma mpersonal mtrainer mand mswimming
mthree mtimes ma mweek min man meffort mto mlose mweight mand msleep mbetter. mThe mclient mstates
mthat mit mstill mis mtaking mhours mto mfall masleep mat mnight. mWhich maction mshould mthe mnurse
mimplement?
A. mAdvise mthe mclient mthat mlifestyle mchanges moften mtake mseveral mweeks mto mbe meffective
B. mEncourage mthe mclient mto mexercise meveryday mto meliminate mbedtime mwakefulness
C. mAsk mthe mclient mfor ma mdescription mof mthe mexercise mschedule mthat mis mbeing mfollowed
D. mDetermine mthe mamount mof mweight mthe mclient mhas mlost msince mincreasing mactivity m-
mansC. mAsk mthe mclient mfor ma mdescription mof mthe mexercise mschedule mthat m is mbeing
mfollowed
A mclient mwho mexperienced ma mcerebrovascular maccident m(CVA) mis maphasic mand mhas mleft
msided mparalysis. mWhich mnurse mshould mbe mresponsible mfor mcoordinating mthe
mprogression mof mthis mclient's mcare? m
A. mNurse mcase mmanager
B. mAdult mnurse mpractitioner
C. mNeurology munit msupervisor m
D. mRisk mmanagement mnurse m- mansB. mAdult mnurse mpractitioner
A mclient mwho mgave mbirth m48 mhours mago mhas mdecided mto mbottle mfeed mthe minfant. mDuring
mthe massessment, mthe mnurse mobserves mthat mboth mbreasts mare mswollen, m warm, mand
mtender mon mpalpation. mWhich minstruction mshould mthe mnurse mprovide?
A. mApply mice mto mthe mbreasts mfor mcomfort
GENERATION SCREENSHOTS-QUESTIONS &
ANSWERS (NGN HESI RN EXIT) BRAND NEW!!!
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for
injuries sustained from a fall. His parents are very concerned that the child has
regressed in his toileting behaviors. Which information should the nurse provide to the
parents?
A. A retraining program will need to be initiated when the child returns home.
B. Diapering will be provided since hospitalization is stressful to preschoolers
C. A potty chair should be brought from home so he can maintain his toileting skills
D. Children usually resume their toileting behaviors when they leave the hospital – ans
D. Children usually resume their toileting behaviors when they leave the hospital
A 7-year old is admitted to the hospital with persistent vomiting, and a nasogastric tube
attached to low intermittent suction is applied. Which finding is most important for the
nurse to report to the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL – ans D. Serum potassium of 3.0 mg/dL
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents prior
to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family – ans A. Instructions about how
much fluid the child should drink daily
A client asks the nurse for information about how to reduce risk factors for benign
prostatic hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test – ans B. Increase physical activity
A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of
hyperemesis gravidarum. Which action is most important for the nurse to implement?
A. Obtain the client's 24-hour dietary recall
B. Document mucosal membrane status
,C. Schedule a consult with a nutritionist
D. Initiate prescribed intravenous fluids – ans D. Initiate prescribed intravenous fluids
A client diagnosed with calcium kidney stones has a history of gout. A new prescription
for aluminum hydroxide is scheduled to begin at 0730. Which client medication should
the nurse bring to the healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose – ans B. Allopurinol
A client fell in the bathroom when left unattended by the unlicensed assistive personnel
(UAP). Which information should the nurse include in the client's health record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the left hip – ans D. The client fell sustaining a
fracture to the left hip
A client in the emergency center demonstrates rapid speech, flight of ideas, and reports
sleeping only three hours during the past 48 hours. Based on these findings, it is most
important for the nurse to review the laboratory value for which medication?
A. Lorazepam
B. Fluoxetine
C. Divalproex
D. Olanzapine – ans C. Divalproex
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in
her breasts and that her nipples sometimes leak a yellowish fluid. She has an
appointment with her healthcare provider in two weeks. What action should the nurse
take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere – ans C. Explain that
this normal secretion can be assessed at the next visit
A client is admitted with a diagnosis of urolithiasis. Which finding is most important for
the nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink – ans D. Hematuria that is beginning to turn
pink
,A mclient mis mdiagnosed mwith mMeniere's mdisease. mWhich mproblem mshould mthe mnurse
midentify mas mmost mimportant min mthe mplan mof mcare? m
A. mRisk mfor mineffective mself-health mmanagement mrelated mto mdeficient mknowledge
B. mIneffective mcoping mrelated mto mpersonal mvulnerability m
C. mRisk mfor minjury mrelated mto mvertigo m
D. mAnxiety mrelated mto mdisruption mof mlifestyle m– mans mC. mRisk mfor minjury mrelated mto
mvertigo.
A mclient mis mreceiving menoxaparin m30mg msubcutaneously mtwice ma mday. mIn massessing mfor
madverse meffects mof mthe mmedication, mwhich mserum mlaboratory mvalue mis mmost mimportant
mfor mthe mnurse mto mmonitor? m
A. mGlucose m
B. mCalcium
C. mPlatelet mcount
D. mWhite mblood mcell mcount m- mansC. mPlatelet mcount
A mclient mis mrecovering min mthe mcritical mcare munit mfollowing ma mcardiac mcatheterization. mIV
mnitroglycerin mand mheparin mare minfusing. mThe mclient mis msedated mbut mresponds mto mverbal
minstructions. mAfter mchanging mpositions, mthe mclient mcomplains mof mpain mat mthe mright mgroin
minsertion msite. mWhat maction mshould mthe mnurse mimplement? m
A. mCheck mfemoral msite mfor mhematoma mformation
B. mStimulate mthe mclient mto mtake mdeep mbreaths
C. mEvaluate mthe mintegrity mof mthe mIV minsertion msite
D. mAssess mdistal mlower mextremity mcapillary mrefill m- mansB. mStimulate mthe mclient mto mtake
mdeep mbreaths
A mclient mis mscheduled mfor ma mspiral mcomputed mtomography m(CT) mscan mwith mcontrast mto
mevaluate mfor mpulmonary membolism. mWhich minformation min mthe mclient's mhistory mrequires
mfollow-up mby mthe mnurse?
A. mCT mscan mthat mwas mperformed m6 mmonths mearlier
B. mMetal mhip mprosthesis mwas mplaced m20 myears mago
C. mReport mof mclient's msobriety mfor mthe mlast m5 myears
D. mTakes mmetformin mfor mtype m2 mdiabetes mmellitus m- mansD. mTakes mmetformin mfor mtype
m2 mdiabetes mmellitus
A mclient mpresents mto mthe memergency mdepartment mwith mmuscle maches, mheadache,
mfever, mand mdescribes ma mrecent mloss mof mtaste mand msmell. mThe mnurse mobtains ma mnasal
mswab mfor mCOVID-19 mtesting. mWhich maction mis mmost mimportant mfor mthe mnurse mto mtake?
m
A. mPlace mthe mnasal mswab mspecimen mfor mCOVID-19 mdirectly minto ma mbiohazard mbag
B. mMove mthe mclient mto ma mprivate mroom, mkeep mthe mdoor mclosed, mand minitiate mdroplet
mprecautions. m
C. mTeach mthe mclient mto mwear ma mmask, mhand mwash, mand msocial mdistance mto mprevent
mspreading mthe mvirus m
D. mExplain mto mthe mclient mto minform mothers mthat mthey mmay mhave mbeen mpotentially
mexposed min mthe mlast m14 mdays. m- mansA. mPlace mthe mnasal mswab mspecimen mfor mCOVID-
19 mdirectly minto ma mbiohazard mbag
, A mclient mpresents mto mthe mlabor mand mdelivery munit mwith ma mreport mof mleaking mfluid mthat mis
mgreenish-brown mvaginal mdischarge. mWhich maction mshould mthe mnurse mtake mfirst?
A. mStart man mintravenous minfusion m
B. mAdminister moxygen mvia mfacemask
C. mPerform ma mvaginal mexam
D. mBegin mcontinuous mfetal mmonitoring m- mansD. mBegin mcontinuous mfetal mmonitoring
A mclient mpresses mthe mcall mbell mand mrequests mpain mmedication mfor ma msevere mheadache.
mTo massess mthe mquality mof mthe mclient's mpain, mwhich mapproach mshould mthe mnurse muse?
A. mAsk mthe mclient mto mdescribe mthe mpain
B. mObserve mbody mlanguage mand mmovement m
C. mIdentify meffective mpain mrelief mmeasures
D. mProvide ma mnumeric mpain mscale m- mansA. mAsk mthe mclient mto mdescribe mthe mpain
A mclient mtaking mclopidogrel mreports mthe monset mof mdiarrhea. mWhich mnursing maction
mshould mthe mnurse mimplement mfirst?
A. mObserve mthe mappearance mof mthe mstool
B. mAssess mthe melasticity mof mthe mclient's mskin
C. mReview mthe mclient's mlaboratory mvalues
D. mAuscultate mthe mclient's mbowel msounds m- mansA. mObserve mthe mappearance mof mthe
mstool
A mclient mtells mthe mnurse mabout mworking mout mwith ma mpersonal mtrainer mand mswimming
mthree mtimes ma mweek min man meffort mto mlose mweight mand msleep mbetter. mThe mclient mstates
mthat mit mstill mis mtaking mhours mto mfall masleep mat mnight. mWhich maction mshould mthe mnurse
mimplement?
A. mAdvise mthe mclient mthat mlifestyle mchanges moften mtake mseveral mweeks mto mbe meffective
B. mEncourage mthe mclient mto mexercise meveryday mto meliminate mbedtime mwakefulness
C. mAsk mthe mclient mfor ma mdescription mof mthe mexercise mschedule mthat mis mbeing mfollowed
D. mDetermine mthe mamount mof mweight mthe mclient mhas mlost msince mincreasing mactivity m-
mansC. mAsk mthe mclient mfor ma mdescription mof mthe mexercise mschedule mthat m is mbeing
mfollowed
A mclient mwho mexperienced ma mcerebrovascular maccident m(CVA) mis maphasic mand mhas mleft
msided mparalysis. mWhich mnurse mshould mbe mresponsible mfor mcoordinating mthe
mprogression mof mthis mclient's mcare? m
A. mNurse mcase mmanager
B. mAdult mnurse mpractitioner
C. mNeurology munit msupervisor m
D. mRisk mmanagement mnurse m- mansB. mAdult mnurse mpractitioner
A mclient mwho mgave mbirth m48 mhours mago mhas mdecided mto mbottle mfeed mthe minfant. mDuring
mthe massessment, mthe mnurse mobserves mthat mboth mbreasts mare mswollen, m warm, mand
mtender mon mpalpation. mWhich minstruction mshould mthe mnurse mprovide?
A. mApply mice mto mthe mbreasts mfor mcomfort
