HESI RN EXIT EXAM 2025/2026 |ALL
VERSIONS V1-V5 NCLEX NGN STYLE
COMPLETE QUESTIONS AND ANSWERS
AND STUDY GUIDE |EXPERTLY
VERIFIED FOR GUARANTEED A+ //
LATEST UPDATE
A male client with cirrhosis has jaundice and pruritus. He
tells the nurse that he has been soaking in hot baths at
night with no relief of his discomfort. Which action should
the nurse take?
A. Encourage the client to use cooler water and apply
calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the
client can use for symptom relief
C. Suggest that the client take brief showers and apply oil-
based lotion after showering
D. Explain that the symptoms are caused by liver damage
and cannot be relieved - ....ANSWER...A. Encourage the
client to use cooler water and apply calamine lotion after
soaking
1
,An older client with a long history of coronary artery
disease (CAD), hypertension (HTN), and heart failure
(HF) arrives in the Emergency Department (ED) in
respiratory distress. The healthcare provider prescribes
furosemide IV. Which therapeutic response to furosemide
should the nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload - ....ANSWER...B. Reduced
preload
Which intervention should the nurse include in the plan of
care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light -
....ANSWER...B. Minimize the amount of stimuli in the
room
An adolescent who was diagnosed with diabetes mellitus
2
,Type 1 at the age of 9, is admitted to the hospital in
diabetic ketoacidosis. Which occurrence is the most likely
cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch - ....ANSWER...C. Had a cold
and ear infection for the past two days
A client with a prescription for "do not resuscitate" (DNR)
begins to manifest signs of impending death. After
notifying the family of the client's status, what priority
action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be
determined
D. The nurse manager should be updated on the client's
status - ....ANSWER...C. The client's need for pain
medication should be determined
Which self care measure is most important for the nurse to
include in the plan of care of a client recently diagnosed
3
, with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan - ....ANSWER...B. Blood
glucose monitoring
A client with acute pancreatitis is admitted with severe,
piercing abdominal pain and an elevated serum amylase.
Which additional information is the client most likely to
report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. -
....ANSWER...A. Abdominal pain decreases when lying
supine
4
VERSIONS V1-V5 NCLEX NGN STYLE
COMPLETE QUESTIONS AND ANSWERS
AND STUDY GUIDE |EXPERTLY
VERIFIED FOR GUARANTEED A+ //
LATEST UPDATE
A male client with cirrhosis has jaundice and pruritus. He
tells the nurse that he has been soaking in hot baths at
night with no relief of his discomfort. Which action should
the nurse take?
A. Encourage the client to use cooler water and apply
calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the
client can use for symptom relief
C. Suggest that the client take brief showers and apply oil-
based lotion after showering
D. Explain that the symptoms are caused by liver damage
and cannot be relieved - ....ANSWER...A. Encourage the
client to use cooler water and apply calamine lotion after
soaking
1
,An older client with a long history of coronary artery
disease (CAD), hypertension (HTN), and heart failure
(HF) arrives in the Emergency Department (ED) in
respiratory distress. The healthcare provider prescribes
furosemide IV. Which therapeutic response to furosemide
should the nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload - ....ANSWER...B. Reduced
preload
Which intervention should the nurse include in the plan of
care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light -
....ANSWER...B. Minimize the amount of stimuli in the
room
An adolescent who was diagnosed with diabetes mellitus
2
,Type 1 at the age of 9, is admitted to the hospital in
diabetic ketoacidosis. Which occurrence is the most likely
cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch - ....ANSWER...C. Had a cold
and ear infection for the past two days
A client with a prescription for "do not resuscitate" (DNR)
begins to manifest signs of impending death. After
notifying the family of the client's status, what priority
action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be
determined
D. The nurse manager should be updated on the client's
status - ....ANSWER...C. The client's need for pain
medication should be determined
Which self care measure is most important for the nurse to
include in the plan of care of a client recently diagnosed
3
, with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan - ....ANSWER...B. Blood
glucose monitoring
A client with acute pancreatitis is admitted with severe,
piercing abdominal pain and an elevated serum amylase.
Which additional information is the client most likely to
report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. -
....ANSWER...A. Abdominal pain decreases when lying
supine
4
