HESI Rn Exit actual Exam Retake V1 2026 with
NGN Questions and Verified Rationalized
Answers, 100% Guarantee Pass
Q001: 001
Type: NGN – Extended Multiple Response
Scenario Context: 28-year-old G2P1 at 39 weeks, admitted in active labor, ROM 2 h ago,
clear fluid, contractions q3 min, cervix 6 cm, fetal heart baseline 165 with moderate
variability, occasional late decels.
Question: Which assessments are MOST urgent to prevent fetal compromise? Select
ALL.
A. Maternal temperature hourly
B. Fetal scalp stimulation
C. Check cervix q30 min
D. BP and pulse q15 min
E. Urine dip for protein
F. Position change to lateral
(Correct: A, B, D, F)
Rationale:
● Answer: A, B, D, F
, ● Why (2026 Rationalization): Tachysystole & late decels suggest utero-placental
insufficiency; temp tracks intra-amniotic infection; lateral improves perfusion;
vitals detect hypotension.
● Errors: C too frequent increases edema; E not acute priority.
Q002: 002
Type: Stand-Alone
Scenario Context: Same patient, late decels now every contraction.
Question: Priority nursing action?
Options:
A. Start O₂ 8 L non-rebreather
B. Increase Pitocin to augment
C. Place knee-chest position
D. Administer terbutaline 0.25 mg SQ
(Correct: D)
Rationale:
● Answer: D
● Why (2026 Rationalization): Tocolysis stops tetanic contractions causing late
decels per ACOG 2026.
● Errors: A high-flow O₂ no longer recommended; B worsens; C difficult in labor.
Q003: 003
Type: NGN – Matrix
,Scenario Context: 67-year-old COPD admission, ABG pH 7.32, PaCO₂ 58, HCO₃ 31, on 2 L
NC, RR 26, accessory muscles.
Matrix: Match intervention to evidence strength (1 = Strong, 2 = Weak, 3 = Harm).
A. Increase to 4 L NC – 3
B. Start BiPAP – 1
C. Give acetazolamide – 2
(Correct: A-3, B-1, C-2)
Rationale:
● Answer: High O₂ suppresses drive; BiPAP strong evidence; acetazolamide weak.
● Errors: Other mapping misclassifies harm.
Q004: 004
Type: NGN – Bowtie
Scenario Context: 34-year-old T1DM, insulin pump, BG 48 mg/dL, diaphoretic, can
swallow.
Bowtie: Risk – Action – Monitor.
(Correct: Risk – Severe hypoglycemia; Knot – Give 15 g glucose tabs, wait 15 min, recheck;
Right – BG q15 min until > 70, document symptoms)
Rationale:
● Answer: 2026 ADA “Rule of 15” remains standard.
● Errors: Giving juice IV or glucagon IM overtreats when PO intact.
Q005: 005
, Type: Stand-Alone
Scenario Context: BG recheck 68 mg/dL at 15 min.
Question: Next step?
Options:
A. Give 15 g more
B. Give snack with protein
C. Resume pump basal
D. Discharge from ED
(Correct: B)
Rationale:
● Answer: Complex carb + protein prevents rebound.
● Errors: A risks hyper; C too early; D unsafe.
Q006: 006
Type: NGN – Drag-and-Drop
Scenario Context: 19-year-old, new ADHD, methylphenidate 10 mg BID, reports “no
appetite.” Drag 3 priority interventions into “Teach” box.
Options:
A. Take after breakfast
B. Use calorie-dense smoothies
NGN Questions and Verified Rationalized
Answers, 100% Guarantee Pass
Q001: 001
Type: NGN – Extended Multiple Response
Scenario Context: 28-year-old G2P1 at 39 weeks, admitted in active labor, ROM 2 h ago,
clear fluid, contractions q3 min, cervix 6 cm, fetal heart baseline 165 with moderate
variability, occasional late decels.
Question: Which assessments are MOST urgent to prevent fetal compromise? Select
ALL.
A. Maternal temperature hourly
B. Fetal scalp stimulation
C. Check cervix q30 min
D. BP and pulse q15 min
E. Urine dip for protein
F. Position change to lateral
(Correct: A, B, D, F)
Rationale:
● Answer: A, B, D, F
, ● Why (2026 Rationalization): Tachysystole & late decels suggest utero-placental
insufficiency; temp tracks intra-amniotic infection; lateral improves perfusion;
vitals detect hypotension.
● Errors: C too frequent increases edema; E not acute priority.
Q002: 002
Type: Stand-Alone
Scenario Context: Same patient, late decels now every contraction.
Question: Priority nursing action?
Options:
A. Start O₂ 8 L non-rebreather
B. Increase Pitocin to augment
C. Place knee-chest position
D. Administer terbutaline 0.25 mg SQ
(Correct: D)
Rationale:
● Answer: D
● Why (2026 Rationalization): Tocolysis stops tetanic contractions causing late
decels per ACOG 2026.
● Errors: A high-flow O₂ no longer recommended; B worsens; C difficult in labor.
Q003: 003
Type: NGN – Matrix
,Scenario Context: 67-year-old COPD admission, ABG pH 7.32, PaCO₂ 58, HCO₃ 31, on 2 L
NC, RR 26, accessory muscles.
Matrix: Match intervention to evidence strength (1 = Strong, 2 = Weak, 3 = Harm).
A. Increase to 4 L NC – 3
B. Start BiPAP – 1
C. Give acetazolamide – 2
(Correct: A-3, B-1, C-2)
Rationale:
● Answer: High O₂ suppresses drive; BiPAP strong evidence; acetazolamide weak.
● Errors: Other mapping misclassifies harm.
Q004: 004
Type: NGN – Bowtie
Scenario Context: 34-year-old T1DM, insulin pump, BG 48 mg/dL, diaphoretic, can
swallow.
Bowtie: Risk – Action – Monitor.
(Correct: Risk – Severe hypoglycemia; Knot – Give 15 g glucose tabs, wait 15 min, recheck;
Right – BG q15 min until > 70, document symptoms)
Rationale:
● Answer: 2026 ADA “Rule of 15” remains standard.
● Errors: Giving juice IV or glucagon IM overtreats when PO intact.
Q005: 005
, Type: Stand-Alone
Scenario Context: BG recheck 68 mg/dL at 15 min.
Question: Next step?
Options:
A. Give 15 g more
B. Give snack with protein
C. Resume pump basal
D. Discharge from ED
(Correct: B)
Rationale:
● Answer: Complex carb + protein prevents rebound.
● Errors: A risks hyper; C too early; D unsafe.
Q006: 006
Type: NGN – Drag-and-Drop
Scenario Context: 19-year-old, new ADHD, methylphenidate 10 mg BID, reports “no
appetite.” Drag 3 priority interventions into “Teach” box.
Options:
A. Take after breakfast
B. Use calorie-dense smoothies
