2027 HESI RN Exit Exam V5–V7 (3 Full Set Exams) –
NGN Questions, Case Studies & Verified Answers with
Rationales (Pass Guaranteed)
3 Full-Set NGN-Style Exams • Questions
Case Studies • Clinical Judgment • Answers • Rationales
Contents
Exam V5
Exam V6
Exam V7
Coverage includes adult health, pharmacology, maternal-newborn, pediatrics, mental health,
safety, leadership, prioritization, and emergency care.
EXAM V5
Directions: Select the best answer unless another response type is specified. Use clinical
judgment: recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, and
evaluate outcomes.
Case Study 1 — Sepsis
Scenario: An adult, pediatric, or maternity client is receiving care for Sepsis. During assessment,
the nurse identifies elevated lactate. The nurse must use the available findings to prioritize care
and evaluate the response.
1. [Single Best Answer] A client is being treated for Sepsis. The nurse notes elevated lactate.
Which action should the nurse take first?
A. Document the finding and reassess tomorrow
B. Encourage unrestricted activity
C. Delay all interventions until discharge
D. IV isotonic crystalloid
Answer: D
Rationale: The correct response is D. The intervention/finding is directly related to systemic
hypoperfusion in Sepsis and addresses the client's immediate clinical need.
,2. [Priority] Which intervention should the nurse anticipate for a client with Sepsis?
A. norepinephrine after adequate fluid resuscitation
B. Stop all prescribed therapy
C. Provide a high-risk intervention without assessment
D. Avoid monitoring
Answer: A
Rationale: The correct response is A. The intervention/finding is directly related to systemic
hypoperfusion in Sepsis and addresses the client's immediate clinical need.
3. [Clinical Judgment] Which finding in a client with Sepsis requires the most immediate
follow-up?
A. Comfortable resting
B. elevated lactate
C. Stable appetite
D. Normal orientation
Answer: B
Rationale: The correct response is B. The intervention/finding is directly related to systemic
hypoperfusion in Sepsis and addresses the client's immediate clinical need.
4. [Single Best Answer] Which outcome best indicates improvement in a client with Sepsis?
A. Increasing severity of the presenting problem
B. New hemodynamic instability
C. Reduced responsiveness
D. Improved physiologic status and reduced manifestations of the condition
Answer: D
Rationale: The correct response is D. The intervention/finding is directly related to systemic
hypoperfusion in Sepsis and addresses the client's immediate clinical need.
5. [Evaluation] The nurse is prioritizing care for a client with Sepsis. Which rationale best
supports the priority intervention?
A. It should replace all other care.
, B. It addresses the major risk associated with systemic hypoperfusion.
C. It eliminates the need for reassessment.
D. It is required for every client regardless of condition.
Answer: B
Rationale: The correct response is B. The intervention/finding is directly related to systemic
hypoperfusion in Sepsis and addresses the client's immediate clinical need.
Case Study 2 — ACE inhibitor therapy
Scenario: An adult, pediatric, or maternity client is receiving care for ACE inhibitor therapy. During
assessment, the nurse identifies facial/tongue swelling. The nurse must use the available findings
to prioritize care and evaluate the response.
6. [Single Best Answer] A client is being treated for ACE inhibitor therapy. The nurse notes
facial/tongue swelling. Which action should the nurse take first?
A. Document the finding and reassess tomorrow
B. Encourage unrestricted activity
C. Delay all interventions until discharge
D. monitor potassium and renal function
Answer: D
Rationale: The correct response is D. The intervention/finding is directly related to
hyperkalemia/angioedema in ACE inhibitor therapy and addresses the client's immediate
clinical need.
7. [Priority] Which intervention should the nurse anticipate for a client with ACE inhibitor
therapy?
A. Provide a high-risk intervention without assessment
B. Avoid monitoring
C. urgent evaluation for angioedema
D. Stop all prescribed therapy
Answer: C
Rationale: The correct response is C. The intervention/finding is directly related to
hyperkalemia/angioedema in ACE inhibitor therapy and addresses the client's immediate
clinical need.
, 8. [Clinical Judgment] Which finding in a client with ACE inhibitor therapy requires the
most immediate follow-up?
A. Stable appetite
B. Normal orientation
C. Comfortable resting
D. facial/tongue swelling
Answer: D
Rationale: The correct response is D. The intervention/finding is directly related to
hyperkalemia/angioedema in ACE inhibitor therapy and addresses the client's immediate
clinical need.
9. [Single Best Answer] Which outcome best indicates improvement in a client with ACE
inhibitor therapy?
A. Increasing severity of the presenting problem
B. New hemodynamic instability
C. Reduced responsiveness
D. Improved physiologic status and reduced manifestations of the condition
Answer: D
Rationale: The correct response is D. The intervention/finding is directly related to
hyperkalemia/angioedema in ACE inhibitor therapy and addresses the client's immediate
clinical need.
10. [Evaluation] The nurse is prioritizing care for a client with ACE inhibitor therapy. Which
rationale best supports the priority intervention?
A. It is required for every client regardless of condition.
B. It should replace all other care.
C. It addresses the major risk associated with hyperkalemia/angioedema.
D. It eliminates the need for reassessment.
Answer: C
Rationale: The correct response is C. The intervention/finding is directly related to
hyperkalemia/angioedema in ACE inhibitor therapy and addresses the client's immediate
clinical need.
NGN Questions, Case Studies & Verified Answers with
Rationales (Pass Guaranteed)
3 Full-Set NGN-Style Exams • Questions
Case Studies • Clinical Judgment • Answers • Rationales
Contents
Exam V5
Exam V6
Exam V7
Coverage includes adult health, pharmacology, maternal-newborn, pediatrics, mental health,
safety, leadership, prioritization, and emergency care.
EXAM V5
Directions: Select the best answer unless another response type is specified. Use clinical
judgment: recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, and
evaluate outcomes.
Case Study 1 — Sepsis
Scenario: An adult, pediatric, or maternity client is receiving care for Sepsis. During assessment,
the nurse identifies elevated lactate. The nurse must use the available findings to prioritize care
and evaluate the response.
1. [Single Best Answer] A client is being treated for Sepsis. The nurse notes elevated lactate.
Which action should the nurse take first?
A. Document the finding and reassess tomorrow
B. Encourage unrestricted activity
C. Delay all interventions until discharge
D. IV isotonic crystalloid
Answer: D
Rationale: The correct response is D. The intervention/finding is directly related to systemic
hypoperfusion in Sepsis and addresses the client's immediate clinical need.
,2. [Priority] Which intervention should the nurse anticipate for a client with Sepsis?
A. norepinephrine after adequate fluid resuscitation
B. Stop all prescribed therapy
C. Provide a high-risk intervention without assessment
D. Avoid monitoring
Answer: A
Rationale: The correct response is A. The intervention/finding is directly related to systemic
hypoperfusion in Sepsis and addresses the client's immediate clinical need.
3. [Clinical Judgment] Which finding in a client with Sepsis requires the most immediate
follow-up?
A. Comfortable resting
B. elevated lactate
C. Stable appetite
D. Normal orientation
Answer: B
Rationale: The correct response is B. The intervention/finding is directly related to systemic
hypoperfusion in Sepsis and addresses the client's immediate clinical need.
4. [Single Best Answer] Which outcome best indicates improvement in a client with Sepsis?
A. Increasing severity of the presenting problem
B. New hemodynamic instability
C. Reduced responsiveness
D. Improved physiologic status and reduced manifestations of the condition
Answer: D
Rationale: The correct response is D. The intervention/finding is directly related to systemic
hypoperfusion in Sepsis and addresses the client's immediate clinical need.
5. [Evaluation] The nurse is prioritizing care for a client with Sepsis. Which rationale best
supports the priority intervention?
A. It should replace all other care.
, B. It addresses the major risk associated with systemic hypoperfusion.
C. It eliminates the need for reassessment.
D. It is required for every client regardless of condition.
Answer: B
Rationale: The correct response is B. The intervention/finding is directly related to systemic
hypoperfusion in Sepsis and addresses the client's immediate clinical need.
Case Study 2 — ACE inhibitor therapy
Scenario: An adult, pediatric, or maternity client is receiving care for ACE inhibitor therapy. During
assessment, the nurse identifies facial/tongue swelling. The nurse must use the available findings
to prioritize care and evaluate the response.
6. [Single Best Answer] A client is being treated for ACE inhibitor therapy. The nurse notes
facial/tongue swelling. Which action should the nurse take first?
A. Document the finding and reassess tomorrow
B. Encourage unrestricted activity
C. Delay all interventions until discharge
D. monitor potassium and renal function
Answer: D
Rationale: The correct response is D. The intervention/finding is directly related to
hyperkalemia/angioedema in ACE inhibitor therapy and addresses the client's immediate
clinical need.
7. [Priority] Which intervention should the nurse anticipate for a client with ACE inhibitor
therapy?
A. Provide a high-risk intervention without assessment
B. Avoid monitoring
C. urgent evaluation for angioedema
D. Stop all prescribed therapy
Answer: C
Rationale: The correct response is C. The intervention/finding is directly related to
hyperkalemia/angioedema in ACE inhibitor therapy and addresses the client's immediate
clinical need.
, 8. [Clinical Judgment] Which finding in a client with ACE inhibitor therapy requires the
most immediate follow-up?
A. Stable appetite
B. Normal orientation
C. Comfortable resting
D. facial/tongue swelling
Answer: D
Rationale: The correct response is D. The intervention/finding is directly related to
hyperkalemia/angioedema in ACE inhibitor therapy and addresses the client's immediate
clinical need.
9. [Single Best Answer] Which outcome best indicates improvement in a client with ACE
inhibitor therapy?
A. Increasing severity of the presenting problem
B. New hemodynamic instability
C. Reduced responsiveness
D. Improved physiologic status and reduced manifestations of the condition
Answer: D
Rationale: The correct response is D. The intervention/finding is directly related to
hyperkalemia/angioedema in ACE inhibitor therapy and addresses the client's immediate
clinical need.
10. [Evaluation] The nurse is prioritizing care for a client with ACE inhibitor therapy. Which
rationale best supports the priority intervention?
A. It is required for every client regardless of condition.
B. It should replace all other care.
C. It addresses the major risk associated with hyperkalemia/angioedema.
D. It eliminates the need for reassessment.
Answer: C
Rationale: The correct response is C. The intervention/finding is directly related to
hyperkalemia/angioedema in ACE inhibitor therapy and addresses the client's immediate
clinical need.
