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2025 HESI EXIT EXAM NEXT GENERATION (NGN) TEST
BANK LATEST 2025/2026 ACTUAL EXAM 500
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+
When conducting diet teaching for a client who is on a post operative full liquid diet, which
foods should the nurse encouraged the client to eat? SATA.
A) Clear beef broth. B) Vanilla frozen yogurt. C) Vegetable juice. D) Creamy peanut butter.
E) Canned fruit cocktail. - ......ANSWER........A) Clear beef broth. B) Vanilla frozen yogurt. C)
Vegetable juice.
An infant born with esophageal atresia and tracheoesophageal fistula receives a
prescription for internal feedings after corrective surgery. To promote normal growth and
development of the infant, which action should the nurse include in the plan of care?
- ......ANSWER........Offer a pacifier for non-Nutritive sucking
The nurse is preparing a four-year-old client with a serum bilirubin level of 19 for discharge
from the hospital. When teaching the parents about home photo therapy, which
instruction should the nurse include in the discharge teaching plan?
A) Cover with a receiving blanket. B) Perform diaper changes under the light. C) Feed the
infant every four hours. D) Reposition the infant every two hours. - ......ANSWER........D)
Reposition the infant every two hours.
The nurse initiates the procedure to remove a client peripherally inserted central catheter
when a code blue is called for another client in the unit who collapse in the hallway while
ambulating with the unlicensed assistive personnel. Which action should the nurse take?
A) Close the room door. B) Finish the procedure. C) Respond to the code. D) Call for an
assistant. - ......ANSWER........B) Finish the procedure.
Which nursing intervention is most important for the nurse to include in the plan of care for
a client with alcohol withdrawal delirium?
,2 of 30
A) Maintain a quiet, non-stimulating environment. B) Confront the client's denial of
substance abuse. C) Force oral fluids and provide frequent small meals. D) Encourage
attendance and group participation. - ......ANSWER........A) Maintain a quiet, non-
stimulating environment.
A client arrives at the emergency department describing chest pain that began three hours
earlier which has not subsided. To assess the quality of the client's chest pain. Which
approach for the nurse use?
A) Provide a numeric pain scale. B) Ask the client to describe the pain. C) Identify effective
pain relief measures. D) Observe body language and movement. - ......ANSWER........B) Ask
the client to describe the pain.
An adolescent who was diagnosed with type one diabetes Molite us at the age of nine, is
admitted to the hospital in diabetic keto acidosis. Which occurrence is the most likely
cause of the keto acidosis?
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 while at school. - ......ANSWER........C) Had a cold and ear infection for the past two
days.
When is it most important for the nurse to assess a pregnant client's deep tendon reflexes?
A) Within the first trimester of pregnancy. B) When the client has ankle edema. C) During
admission to labor and delivery. D) If the client has an elevated blood pressure.
- ......ANSWER........D) If the client has an elevated blood pressure.
NGN: The client has returned to work at in accounting firm and has started going to a grief
support group. She reports she is seeking care from a healthcare professional because her
father is worried about her. The client says she only gets 2 to 3 hours of sleep due to
nightmares about the crash. She informed that exercising right after work helps her get
better sleep and to relax. She feels that she is "jumpy" after the accident, especially when
she is in the car. She also stated, "I feel so sad that I can't seem to feel anything at all". In
addition to her father, the client has a large family and friend support system. She denies
alcohol or drug use.
(highlight areas in the above paragraph that the nurse should...) - ......ANSWER........-she
only gets 2 to 3 hours of sleep due to nightmares about the crash. -She feels that she is
"jumpy" after the accident, especially when she is in the car.
, 3 of 30
• "I feel so sad that I can't seem to feel anything at all"
The client is a 26-year-old female who was in a car accident six months ago that killed her
mother, husband, and two-year-old son. She and her father were the only survivors of the
crash. She is seeking care for depression.
The client is exhibiting symptoms of ________________________ related to ______________
and ___________________. - ......ANSWER........Post traumatic stress disorder, experiencing
a life-threatening event, losing a loved one.
NGN: Orders, diagnosis, depression and posttraumatic stress disorder. Diphenhydramine
12.5 mg PO every night at sleep. Buspirone Hydrochloride 7.5 mg PO twice a day. (How can
the nurse build a therapeutic relationship with the client? Select all that apply)
A) The nurse can show no emotion when talking to the client. B) The nurse can be open
honest and sincere. C) The nurse can talk as much as needed to get the client talking. D)
The nurse can focus energy on the client. E) The nurse can communicate acceptance of
the client as she is F) The nurse can establish a meaningful connection.
- ......ANSWER........B) the nurse can be open, honest and sincere. E) The nurse can
communicate acceptance of the client as she is F) The nurse can establish a meaningful
connection.
NGN: The client has returned to work at in accounting firm and has started going to a grief
support group. She reports she is seeking care from a healthcare professional because her
father is worried about her. The client says she only gets 2 to 3 hours of sleep due to
nightmares about the crash. She informed that exercising right after work helps her get
better sleep and to relax. She feels that she is "jumpy" after the accident, especially when
she is in the car. She also stated, "I feel so sad that I can't seem to feel anything at all". In
addition to her father, the client has a large family and friend support system. She denies
alcohol or drug use. The client states, "I don't want to kill myself, but sometimes I wish I
had died in the crash."
The statement by the client presents _______________ and should be followed up with
_____________. - ......ANSWER........Suicidal ideation, assessment of respecters for suicide.
The client is a 26-year-old female who was in a car accident six months ago that killed her
mother, husband, and two-year-old son. She and her father were the only survivors of the
crash. She is seeking care for depression.
2025 HESI EXIT EXAM NEXT GENERATION (NGN) TEST
BANK LATEST 2025/2026 ACTUAL EXAM 500
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+
When conducting diet teaching for a client who is on a post operative full liquid diet, which
foods should the nurse encouraged the client to eat? SATA.
A) Clear beef broth. B) Vanilla frozen yogurt. C) Vegetable juice. D) Creamy peanut butter.
E) Canned fruit cocktail. - ......ANSWER........A) Clear beef broth. B) Vanilla frozen yogurt. C)
Vegetable juice.
An infant born with esophageal atresia and tracheoesophageal fistula receives a
prescription for internal feedings after corrective surgery. To promote normal growth and
development of the infant, which action should the nurse include in the plan of care?
- ......ANSWER........Offer a pacifier for non-Nutritive sucking
The nurse is preparing a four-year-old client with a serum bilirubin level of 19 for discharge
from the hospital. When teaching the parents about home photo therapy, which
instruction should the nurse include in the discharge teaching plan?
A) Cover with a receiving blanket. B) Perform diaper changes under the light. C) Feed the
infant every four hours. D) Reposition the infant every two hours. - ......ANSWER........D)
Reposition the infant every two hours.
The nurse initiates the procedure to remove a client peripherally inserted central catheter
when a code blue is called for another client in the unit who collapse in the hallway while
ambulating with the unlicensed assistive personnel. Which action should the nurse take?
A) Close the room door. B) Finish the procedure. C) Respond to the code. D) Call for an
assistant. - ......ANSWER........B) Finish the procedure.
Which nursing intervention is most important for the nurse to include in the plan of care for
a client with alcohol withdrawal delirium?
,2 of 30
A) Maintain a quiet, non-stimulating environment. B) Confront the client's denial of
substance abuse. C) Force oral fluids and provide frequent small meals. D) Encourage
attendance and group participation. - ......ANSWER........A) Maintain a quiet, non-
stimulating environment.
A client arrives at the emergency department describing chest pain that began three hours
earlier which has not subsided. To assess the quality of the client's chest pain. Which
approach for the nurse use?
A) Provide a numeric pain scale. B) Ask the client to describe the pain. C) Identify effective
pain relief measures. D) Observe body language and movement. - ......ANSWER........B) Ask
the client to describe the pain.
An adolescent who was diagnosed with type one diabetes Molite us at the age of nine, is
admitted to the hospital in diabetic keto acidosis. Which occurrence is the most likely
cause of the keto acidosis?
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 while at school. - ......ANSWER........C) Had a cold and ear infection for the past two
days.
When is it most important for the nurse to assess a pregnant client's deep tendon reflexes?
A) Within the first trimester of pregnancy. B) When the client has ankle edema. C) During
admission to labor and delivery. D) If the client has an elevated blood pressure.
- ......ANSWER........D) If the client has an elevated blood pressure.
NGN: The client has returned to work at in accounting firm and has started going to a grief
support group. She reports she is seeking care from a healthcare professional because her
father is worried about her. The client says she only gets 2 to 3 hours of sleep due to
nightmares about the crash. She informed that exercising right after work helps her get
better sleep and to relax. She feels that she is "jumpy" after the accident, especially when
she is in the car. She also stated, "I feel so sad that I can't seem to feel anything at all". In
addition to her father, the client has a large family and friend support system. She denies
alcohol or drug use.
(highlight areas in the above paragraph that the nurse should...) - ......ANSWER........-she
only gets 2 to 3 hours of sleep due to nightmares about the crash. -She feels that she is
"jumpy" after the accident, especially when she is in the car.
, 3 of 30
• "I feel so sad that I can't seem to feel anything at all"
The client is a 26-year-old female who was in a car accident six months ago that killed her
mother, husband, and two-year-old son. She and her father were the only survivors of the
crash. She is seeking care for depression.
The client is exhibiting symptoms of ________________________ related to ______________
and ___________________. - ......ANSWER........Post traumatic stress disorder, experiencing
a life-threatening event, losing a loved one.
NGN: Orders, diagnosis, depression and posttraumatic stress disorder. Diphenhydramine
12.5 mg PO every night at sleep. Buspirone Hydrochloride 7.5 mg PO twice a day. (How can
the nurse build a therapeutic relationship with the client? Select all that apply)
A) The nurse can show no emotion when talking to the client. B) The nurse can be open
honest and sincere. C) The nurse can talk as much as needed to get the client talking. D)
The nurse can focus energy on the client. E) The nurse can communicate acceptance of
the client as she is F) The nurse can establish a meaningful connection.
- ......ANSWER........B) the nurse can be open, honest and sincere. E) The nurse can
communicate acceptance of the client as she is F) The nurse can establish a meaningful
connection.
NGN: The client has returned to work at in accounting firm and has started going to a grief
support group. She reports she is seeking care from a healthcare professional because her
father is worried about her. The client says she only gets 2 to 3 hours of sleep due to
nightmares about the crash. She informed that exercising right after work helps her get
better sleep and to relax. She feels that she is "jumpy" after the accident, especially when
she is in the car. She also stated, "I feel so sad that I can't seem to feel anything at all". In
addition to her father, the client has a large family and friend support system. She denies
alcohol or drug use. The client states, "I don't want to kill myself, but sometimes I wish I
had died in the crash."
The statement by the client presents _______________ and should be followed up with
_____________. - ......ANSWER........Suicidal ideation, assessment of respecters for suicide.
The client is a 26-year-old female who was in a car accident six months ago that killed her
mother, husband, and two-year-old son. She and her father were the only survivors of the
crash. She is seeking care for depression.
