2026 HESI Rn Exit Exam Retake V1 with NGN Actual
exam, Questions and Verified Rationalized Answers,
100% Guarantee Pass
Q001: Type: NGN - Extended Multiple Response
Scenario Context: 58-year-old male, Mr. Rios, admitted with decompensated heart
failure, EF 30%, on continuous dobutamine, reports sudden palpitations.
Question: Which assessments require immediate follow-up to reduce risk for lethal
arrhythmia? (Select all that apply.)
Options:
A. HR 160 irregular
B. SBP 88 mmHg
C. R 24/min
D. Peripheral edema 2+
E. K⁺ 2.9 mEq/L
(Correct: A, B, E)
Rationale:
● Answer: A, B, E
● Why (2026 Rationalization):) HR 160 irregular suggests atrial fibrillation with
rapid ventricular response → risk RVR → HF decompensation; SBP <90 indicates
cardiogenic shock; K⁺ <3.0 increases ventricular ectopy and Torsades.
● Errors: C is compensatory tachypnea; D chronic finding.
,Q002: Type: NGN - Matrix
Scenario Context: Continue Mr. Rios; 0800 MAR review.
Question: Identify appropriate administration decisions. (Check “Give” or “Hold” for
each.)
Matrix:
┌──────────────────────────────┬────────┬────────┐
│ Medication │ Give │ Hold │
├──────────────────────────────┼────────┼────────┤
│ Dobutamine 5 mcg/kg/min │ ☐ │ ☐ │
│ Digoxin 0.25 mg PO │ ☐ │ ☐ │
│ Furosemide 80 mg IV │ ☐ │ ☐ │
│ Magnesium sulfate 2 g IV │ ☐ │ ☐ │
└──────────────────────────────┴────────┴────────┘
(Correct: Give dobutamine, furosemide, magnesium; Hold digoxin)
Rationale:
● Answer: Digoxin held until HR <100 and K⁺ corrected; others support perfusion
and correct hypokalemia.
● Errors: Giving digoxin with hypokalemia risks toxicity.
Q003: Type: Stand-Alone
Scenario Context: 4-hour-old newborn, 36 weeks, mother GBS+, no antibiotics.
,Question: Priority basic care action?
Options:
A. Bathe with soap
B. Initiate early breastfeeding
C. Apply cold compress
D. Provide formula
(Correct: B)
Rationale:
● Answer: B
● Why (2026 Rationalization):) Early feeding maintains glucose, provides
antibodies, promotes bonding.
● Errors: Bathing causes cold stress; cold compress inappropriate; formula delays
antibodies.
Q004: Type: NGN - Bowtie
Scenario Context: 26-year-old postpartum, receiving carboprost 250 mcg IM for
hemorrhage.
Question: Complete bowtie to ensure safe administration.
Left risk factors:
1. Temp 38.2 °C
2. Asthma history
3. BP 150/95
4. Last dose 20 min ago
Center action:
☐
, Right outcomes:
A. Hold and notify
B. Give on schedule
C. Monitor BP
(Draw line: 2 → Center → A; 1 → Center → A; 3 → Center → C)
(Correct: 2-A, 1-A, 3-C)
Rationale:
● Answer: Carboprost contraindicated asthma (bronchospasm); fever may indicate
infection; HTN monitor.
● Errors: Giving with asthma risks respiratory arrest.
Q005: Type: Stand-Alone
Scenario Context: 8-month-old, bronchiolitis, mild dehydration, respiratory rate 42.
Question: Priority comfort measure during nebulizer?
Options:
A. Offer favorite toy
B. Hold upright cuddle
C. Use high-flow setting
D. Finish in 3 min
(Correct: B)
Rationale:
● Answer: B
● Why (2026 Rationalization):) Upright positioning and skin-to-skin reduce distress
and improve airway.
● Errors: High-flow causes agitation; rushing reduces deposition.
Q006: Type: NGN - Drag-and-Drop
exam, Questions and Verified Rationalized Answers,
100% Guarantee Pass
Q001: Type: NGN - Extended Multiple Response
Scenario Context: 58-year-old male, Mr. Rios, admitted with decompensated heart
failure, EF 30%, on continuous dobutamine, reports sudden palpitations.
Question: Which assessments require immediate follow-up to reduce risk for lethal
arrhythmia? (Select all that apply.)
Options:
A. HR 160 irregular
B. SBP 88 mmHg
C. R 24/min
D. Peripheral edema 2+
E. K⁺ 2.9 mEq/L
(Correct: A, B, E)
Rationale:
● Answer: A, B, E
● Why (2026 Rationalization):) HR 160 irregular suggests atrial fibrillation with
rapid ventricular response → risk RVR → HF decompensation; SBP <90 indicates
cardiogenic shock; K⁺ <3.0 increases ventricular ectopy and Torsades.
● Errors: C is compensatory tachypnea; D chronic finding.
,Q002: Type: NGN - Matrix
Scenario Context: Continue Mr. Rios; 0800 MAR review.
Question: Identify appropriate administration decisions. (Check “Give” or “Hold” for
each.)
Matrix:
┌──────────────────────────────┬────────┬────────┐
│ Medication │ Give │ Hold │
├──────────────────────────────┼────────┼────────┤
│ Dobutamine 5 mcg/kg/min │ ☐ │ ☐ │
│ Digoxin 0.25 mg PO │ ☐ │ ☐ │
│ Furosemide 80 mg IV │ ☐ │ ☐ │
│ Magnesium sulfate 2 g IV │ ☐ │ ☐ │
└──────────────────────────────┴────────┴────────┘
(Correct: Give dobutamine, furosemide, magnesium; Hold digoxin)
Rationale:
● Answer: Digoxin held until HR <100 and K⁺ corrected; others support perfusion
and correct hypokalemia.
● Errors: Giving digoxin with hypokalemia risks toxicity.
Q003: Type: Stand-Alone
Scenario Context: 4-hour-old newborn, 36 weeks, mother GBS+, no antibiotics.
,Question: Priority basic care action?
Options:
A. Bathe with soap
B. Initiate early breastfeeding
C. Apply cold compress
D. Provide formula
(Correct: B)
Rationale:
● Answer: B
● Why (2026 Rationalization):) Early feeding maintains glucose, provides
antibodies, promotes bonding.
● Errors: Bathing causes cold stress; cold compress inappropriate; formula delays
antibodies.
Q004: Type: NGN - Bowtie
Scenario Context: 26-year-old postpartum, receiving carboprost 250 mcg IM for
hemorrhage.
Question: Complete bowtie to ensure safe administration.
Left risk factors:
1. Temp 38.2 °C
2. Asthma history
3. BP 150/95
4. Last dose 20 min ago
Center action:
☐
, Right outcomes:
A. Hold and notify
B. Give on schedule
C. Monitor BP
(Draw line: 2 → Center → A; 1 → Center → A; 3 → Center → C)
(Correct: 2-A, 1-A, 3-C)
Rationale:
● Answer: Carboprost contraindicated asthma (bronchospasm); fever may indicate
infection; HTN monitor.
● Errors: Giving with asthma risks respiratory arrest.
Q005: Type: Stand-Alone
Scenario Context: 8-month-old, bronchiolitis, mild dehydration, respiratory rate 42.
Question: Priority comfort measure during nebulizer?
Options:
A. Offer favorite toy
B. Hold upright cuddle
C. Use high-flow setting
D. Finish in 3 min
(Correct: B)
Rationale:
● Answer: B
● Why (2026 Rationalization):) Upright positioning and skin-to-skin reduce distress
and improve airway.
● Errors: High-flow causes agitation; rushing reduces deposition.
Q006: Type: NGN - Drag-and-Drop
