HESI RN EXIT EXAM NEXT
GENERATION SCREENSHOTS-
QUESTIONS & ANSWERS (NGN
HESI RN EXIT)-2025 EDITION
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for
injuries sustained from a fall. His parents are very concerned that the child has
regressed in his toileting behaviors. Which information should the nurse provide to the
parents?
A. A retraining program will need to be initiated when the child returns home.
B. Diapering will be provided since hospitalization is stressful to preschoolers
C. A potty chair should be brought from home so he can maintain his toileting skills
D. Children usually resume their toileting behaviors when they leave the hospital – ans
D. Children usually resume their toileting behaviors when they leave the hospital
A 7-year old is admitted to the hospital with persistent vomiting, and a nasogastric tube
attached to low intermittent suction is applied. Which finding is most important for the
nurse to report to the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL – ans D. Serum potassium of 3.0 mg/dL
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents prior
to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family – ans A. Instructions about how
much fluid the child should drink daily
A client asks the nurse for information about how to reduce risk factors for benign
prostatic hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test – ans B. Increase physical activity
A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of
hyperemesis gravidarum. Which action is most important for the nurse to implement?
,A. Obtain the client's 24-hour dietary recall
B. Document mucosal membrane status
C. Schedule a consult with a nutritionist
D. Initiate prescribed intravenous fluids – ans D. Initiate prescribed intravenous fluids
A client diagnosed with calcium kidney stones has a history of gout. A new prescription
for aluminum hydroxide is scheduled to begin at 0730. Which client medication should
the nurse bring to the healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose – ans B. Allopurinol
A client fell in the bathroom when left unattended by the unlicensed assistive personnel
(UAP). Which information should the nurse include in the client's health record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the left hip – ans D. The client fell sustaining a
fracture to the left hip
A client in the emergency center demonstrates rapid speech, flight of ideas, and reports
sleeping only three hours during the past 48 hours. Based on these findings, it is most
important for the nurse to review the laboratory value for which medication?
A. Lorazepam
B. Fluoxetine
C. Divalproex
D. Olanzapine – ans C. Divalproex
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in
her breasts and that her nipples sometimes leak a yellowish fluid. She has an
appointment with her healthcare provider in two weeks. What action should the nurse
take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere – ans C. Explain that
this normal secretion can be assessed at the next visit
A client is admitted with a diagnosis of urolithiasis. Which finding is most important for
the nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink – ans D. Hematuria that is beginning to turn
pink
,A vvclient vvis vvdiagnosed vvwith vvMeniere's vvdisease. vvWhich vvproblem vvshould vvthe vvnurse
vvidentify vvas vvmost vvimportant vvin vvthe vvplan vvof vvcare? vv
A. vvRisk vvfor vvineffective vvself-health vvmanagement vvrelated vvto vvdeficient vvknowledge
B. vvIneffective vvcoping vvrelated vvto vvpersonal vvvulnerability vv
C. vvRisk vvfor vvinjury vvrelated vvto vvvertigo vv
D. vvAnxiety vvrelated vvto vvdisruption vvof vvlifestyle vv– vvans vvC. vvRisk vvfor vvinjury vvrelated vvto
vv vertigo.
A vvclient vvis vvreceiving vvenoxaparin vv30mg vvsubcutaneously vvtwice vva vvday. vvIn vvassessing
vvfor vvadverse vveffects vvof vvthe vvmedication, vv which vvserum vvlaboratory vvvalue vv is vvmost
vvimportant vvfor vvthe vvnurse vvto vvmonitor? vv
A. vvGlucose vv
B. vvCalcium
C. vvPlatelet vvcount
D. vvWhite vvblood vvcell vvcount vv- vvansC. vvPlatelet vvcount
A vvclient vvis vvrecovering vvin vvthe vvcritical vvcare vvunit vvfollowing vva vvcardiac vvcatheterization.
vvIV vvnitroglycerin vvand vvheparin vvare vvinfusing. vvThe vvclient vv is vvsedated vvbut vvresponds vvto
vv verbal vv instructions. vvAfter vvchanging vvpositions, vvthe vvclient vvcomplains vvof vvpain vvat vvthe
vvright vvgroin vvinsertion vvsite. vvWhat vvaction vvshould vvthe vvnurse vvimplement? vv
A. vvCheck vvfemoral vvsite vvfor vvhematoma vvformation
B. vvStimulate vvthe vvclient vvto vvtake vvdeep vvbreaths
C. vvEvaluate vvthe vvintegrity vvof vvthe vvIV vvinsertion vvsite
D. vvAssess vvdistal vvlower vvextremity vvcapillary vvrefill vv- vvansB. vvStimulate vvthe vvclient vvto vvtake
vvdeep vvbreaths
A vvclient vvis vvscheduled vvfor vva vvspiral vvcomputed vvtomography vv(CT) vvscan vvwith vvcontrast
vvto vvevaluate vvfor vvpulmonary vvembolism. vvWhich vvinformation vvin vvthe vvclient's vvhistory
vvrequires vvfollow-up vvby vvthe vvnurse?
A. vvCT vvscan vvthat vvwas vvperformed vv6 vvmonths vvearlier
B. vvMetal vvhip vvprosthesis vvwas vvplaced vv20 vvyears vvago
C. vvReport vvof vvclient's vvsobriety vvfor vvthe vvlast vv5 vvyears
D. vvTakes vvmetformin vvfor vvtype vv2 vvdiabetes vvmellitus vv- vvansD. vvTakes vvmetformin vvfor
vvtype vv2 vvdiabetes vvmellitus
A vvclient vvpresents vvto vvthe vvemergency vvdepartment vvwith vvmuscle vvaches, vvheadache,
vvfever, vvand vvdescribes vva vvrecent vvloss vvof vvtaste vvand vvsmell. vvThe vvnurse vvobtains vva
vvnasal vvswab vvfor vvCOVID-19 vvtesting. vvWhich vvaction vvis vvmost vvimportant vvfor vvthe vvnurse
vvto vvtake? vv
A. vvPlace vvthe vvnasal vvswab vvspecimen vvfor vvCOVID-19 vvdirectly vvinto vva vvbiohazard vvbag
B. vvMove vvthe vvclient vvto vva vvprivate vvroom, vvkeep vvthe vvdoor vvclosed, vvand vvinitiate vvdroplet
vvprecautions. vv
C. vvTeach vvthe vvclient vvto vvwear vva vvmask, vvhand vvwash, vvand vvsocial vvdistance vvto vvprevent
vvspreading vvthe vvvirus vv
, D. vvExplain vvto vvthe vvclient vvto vvinform vvothers vvthat vvthey vvmay vvhave vvbeen vvpotentially
vvexposed vvin vvthe vvlast vv14 vvdays. vv- vvansA. vvPlace vvthe vvnasal vvswab vvspecimen vvfor
vvCOVID-19 vvdirectly vvinto vva vvbiohazard vvbag
A vvclient vvpresents vvto vvthe vvlabor vvand vvdelivery vvunit vvwith vva vvreport vvof vvleaking vvfluid vvthat
vvis vv greenish-brown vv vaginal vvdischarge. vvWhich vvaction vvshould vvthe vvnurse vvtake vvfirst?
A. vvStart vvan vvintravenous vvinfusion vv
B. vvAdminister vvoxygen vvvia vvfacemask
C. vvPerform vva vvvaginal vvexam
D. vvBegin vvcontinuous vvfetal vvmonitoring vv- vvansD. vvBegin vvcontinuous vvfetal vvmonitoring
A vvclient vvpresses vvthe vvcall vvbell vvand vvrequests vvpain vvmedication vvfor vva vvsevere
vvheadache. vvTo vvassess vvthe vvquality vvof vvthe vvclient's vvpain, vv which vvapproach vvshould vvthe
vvnurse vvuse?
A. vvAsk vvthe vvclient vvto vvdescribe vvthe vvpain
B. vvObserve vvbody vvlanguage vvand vvmovement vv
C. vvIdentify vveffective vvpain vvrelief vvmeasures
D. vvProvide vva vvnumeric vvpain vvscale vv- vvansA. vvAsk vvthe vvclient vvto vvdescribe vvthe vvpain
A vvclient vvtaking vvclopidogrel vvreports vvthe vvonset vvof vvdiarrhea. vvWhich vvnursing vvaction
vvshould vvthe vvnurse vv implement vvfirst?
A. vvObserve vvthe vvappearance vvof vvthe vvstool
B. vvAssess vvthe vvelasticity vvof vvthe vvclient's vvskin
C. vvReview vvthe vvclient's vvlaboratory vvvalues
D. vvAuscultate vvthe vvclient's vvbowel vvsounds vv- vvansA. vvObserve vvthe vvappearance vvof vvthe
vvstool
A vvclient vvtells vvthe vvnurse vvabout vvworking vvout vvwith vva vvpersonal vvtrainer vvand vvswimming
vvthree vvtimes vva vv week vvin vvan vveffort vvto vvlose vv weight vvand vvsleep vvbetter. vvThe vvclient
vvstates vvthat vvit vvstill vvis vvtaking vvhours vvto vvfall vvasleep vvat vvnight. vvWhich vvaction vvshould vvthe
vvnurse vvimplement?
A. vvAdvise vvthe vvclient vvthat vvlifestyle vvchanges vvoften vvtake vvseveral vvweeks vvto vvbe
vveffective
B. vvEncourage vvthe vvclient vvto vvexercise vveveryday vvto vveliminate vvbedtime vvwakefulness
C. vvAsk vvthe vvclient vvfor vva vvdescription vvof vvthe vvexercise vvschedule vvthat vvis vvbeing vvfollowed
D. vvDetermine vvthe vvamount vvof vvweight vvthe vvclient vvhas vvlost vvsince vvincreasing vvactivity vv-
vvansC. vvAsk vvthe vvclient vvfor vva vvdescription vvof vvthe vvexercise vvschedule vvthat vvis vvbeing
vvfollowed
A vvclient vvwho vvexperienced vva vvcerebrovascular vvaccident vv(CVA) vvis vvaphasic vvand vvhas
vvleft vvsided vvparalysis. vvWhich vvnurse vvshould vvbe vvresponsible vvfor vvcoordinating vvthe
vvprogression vvof vvthis vvclient's vvcare? vv
A. vvNurse vvcase vvmanager
B. vvAdult vvnurse vvpractitioner
C. vvNeurology vvunit vvsupervisor vv
D. vvRisk vvmanagement vvnurse vv- vvansB. vvAdult vvnurse vvpractitioner
GENERATION SCREENSHOTS-
QUESTIONS & ANSWERS (NGN
HESI RN EXIT)-2025 EDITION
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for
injuries sustained from a fall. His parents are very concerned that the child has
regressed in his toileting behaviors. Which information should the nurse provide to the
parents?
A. A retraining program will need to be initiated when the child returns home.
B. Diapering will be provided since hospitalization is stressful to preschoolers
C. A potty chair should be brought from home so he can maintain his toileting skills
D. Children usually resume their toileting behaviors when they leave the hospital – ans
D. Children usually resume their toileting behaviors when they leave the hospital
A 7-year old is admitted to the hospital with persistent vomiting, and a nasogastric tube
attached to low intermittent suction is applied. Which finding is most important for the
nurse to report to the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL – ans D. Serum potassium of 3.0 mg/dL
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents prior
to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family – ans A. Instructions about how
much fluid the child should drink daily
A client asks the nurse for information about how to reduce risk factors for benign
prostatic hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test – ans B. Increase physical activity
A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of
hyperemesis gravidarum. Which action is most important for the nurse to implement?
,A. Obtain the client's 24-hour dietary recall
B. Document mucosal membrane status
C. Schedule a consult with a nutritionist
D. Initiate prescribed intravenous fluids – ans D. Initiate prescribed intravenous fluids
A client diagnosed with calcium kidney stones has a history of gout. A new prescription
for aluminum hydroxide is scheduled to begin at 0730. Which client medication should
the nurse bring to the healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose – ans B. Allopurinol
A client fell in the bathroom when left unattended by the unlicensed assistive personnel
(UAP). Which information should the nurse include in the client's health record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the left hip – ans D. The client fell sustaining a
fracture to the left hip
A client in the emergency center demonstrates rapid speech, flight of ideas, and reports
sleeping only three hours during the past 48 hours. Based on these findings, it is most
important for the nurse to review the laboratory value for which medication?
A. Lorazepam
B. Fluoxetine
C. Divalproex
D. Olanzapine – ans C. Divalproex
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in
her breasts and that her nipples sometimes leak a yellowish fluid. She has an
appointment with her healthcare provider in two weeks. What action should the nurse
take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere – ans C. Explain that
this normal secretion can be assessed at the next visit
A client is admitted with a diagnosis of urolithiasis. Which finding is most important for
the nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink – ans D. Hematuria that is beginning to turn
pink
,A vvclient vvis vvdiagnosed vvwith vvMeniere's vvdisease. vvWhich vvproblem vvshould vvthe vvnurse
vvidentify vvas vvmost vvimportant vvin vvthe vvplan vvof vvcare? vv
A. vvRisk vvfor vvineffective vvself-health vvmanagement vvrelated vvto vvdeficient vvknowledge
B. vvIneffective vvcoping vvrelated vvto vvpersonal vvvulnerability vv
C. vvRisk vvfor vvinjury vvrelated vvto vvvertigo vv
D. vvAnxiety vvrelated vvto vvdisruption vvof vvlifestyle vv– vvans vvC. vvRisk vvfor vvinjury vvrelated vvto
vv vertigo.
A vvclient vvis vvreceiving vvenoxaparin vv30mg vvsubcutaneously vvtwice vva vvday. vvIn vvassessing
vvfor vvadverse vveffects vvof vvthe vvmedication, vv which vvserum vvlaboratory vvvalue vv is vvmost
vvimportant vvfor vvthe vvnurse vvto vvmonitor? vv
A. vvGlucose vv
B. vvCalcium
C. vvPlatelet vvcount
D. vvWhite vvblood vvcell vvcount vv- vvansC. vvPlatelet vvcount
A vvclient vvis vvrecovering vvin vvthe vvcritical vvcare vvunit vvfollowing vva vvcardiac vvcatheterization.
vvIV vvnitroglycerin vvand vvheparin vvare vvinfusing. vvThe vvclient vv is vvsedated vvbut vvresponds vvto
vv verbal vv instructions. vvAfter vvchanging vvpositions, vvthe vvclient vvcomplains vvof vvpain vvat vvthe
vvright vvgroin vvinsertion vvsite. vvWhat vvaction vvshould vvthe vvnurse vvimplement? vv
A. vvCheck vvfemoral vvsite vvfor vvhematoma vvformation
B. vvStimulate vvthe vvclient vvto vvtake vvdeep vvbreaths
C. vvEvaluate vvthe vvintegrity vvof vvthe vvIV vvinsertion vvsite
D. vvAssess vvdistal vvlower vvextremity vvcapillary vvrefill vv- vvansB. vvStimulate vvthe vvclient vvto vvtake
vvdeep vvbreaths
A vvclient vvis vvscheduled vvfor vva vvspiral vvcomputed vvtomography vv(CT) vvscan vvwith vvcontrast
vvto vvevaluate vvfor vvpulmonary vvembolism. vvWhich vvinformation vvin vvthe vvclient's vvhistory
vvrequires vvfollow-up vvby vvthe vvnurse?
A. vvCT vvscan vvthat vvwas vvperformed vv6 vvmonths vvearlier
B. vvMetal vvhip vvprosthesis vvwas vvplaced vv20 vvyears vvago
C. vvReport vvof vvclient's vvsobriety vvfor vvthe vvlast vv5 vvyears
D. vvTakes vvmetformin vvfor vvtype vv2 vvdiabetes vvmellitus vv- vvansD. vvTakes vvmetformin vvfor
vvtype vv2 vvdiabetes vvmellitus
A vvclient vvpresents vvto vvthe vvemergency vvdepartment vvwith vvmuscle vvaches, vvheadache,
vvfever, vvand vvdescribes vva vvrecent vvloss vvof vvtaste vvand vvsmell. vvThe vvnurse vvobtains vva
vvnasal vvswab vvfor vvCOVID-19 vvtesting. vvWhich vvaction vvis vvmost vvimportant vvfor vvthe vvnurse
vvto vvtake? vv
A. vvPlace vvthe vvnasal vvswab vvspecimen vvfor vvCOVID-19 vvdirectly vvinto vva vvbiohazard vvbag
B. vvMove vvthe vvclient vvto vva vvprivate vvroom, vvkeep vvthe vvdoor vvclosed, vvand vvinitiate vvdroplet
vvprecautions. vv
C. vvTeach vvthe vvclient vvto vvwear vva vvmask, vvhand vvwash, vvand vvsocial vvdistance vvto vvprevent
vvspreading vvthe vvvirus vv
, D. vvExplain vvto vvthe vvclient vvto vvinform vvothers vvthat vvthey vvmay vvhave vvbeen vvpotentially
vvexposed vvin vvthe vvlast vv14 vvdays. vv- vvansA. vvPlace vvthe vvnasal vvswab vvspecimen vvfor
vvCOVID-19 vvdirectly vvinto vva vvbiohazard vvbag
A vvclient vvpresents vvto vvthe vvlabor vvand vvdelivery vvunit vvwith vva vvreport vvof vvleaking vvfluid vvthat
vvis vv greenish-brown vv vaginal vvdischarge. vvWhich vvaction vvshould vvthe vvnurse vvtake vvfirst?
A. vvStart vvan vvintravenous vvinfusion vv
B. vvAdminister vvoxygen vvvia vvfacemask
C. vvPerform vva vvvaginal vvexam
D. vvBegin vvcontinuous vvfetal vvmonitoring vv- vvansD. vvBegin vvcontinuous vvfetal vvmonitoring
A vvclient vvpresses vvthe vvcall vvbell vvand vvrequests vvpain vvmedication vvfor vva vvsevere
vvheadache. vvTo vvassess vvthe vvquality vvof vvthe vvclient's vvpain, vv which vvapproach vvshould vvthe
vvnurse vvuse?
A. vvAsk vvthe vvclient vvto vvdescribe vvthe vvpain
B. vvObserve vvbody vvlanguage vvand vvmovement vv
C. vvIdentify vveffective vvpain vvrelief vvmeasures
D. vvProvide vva vvnumeric vvpain vvscale vv- vvansA. vvAsk vvthe vvclient vvto vvdescribe vvthe vvpain
A vvclient vvtaking vvclopidogrel vvreports vvthe vvonset vvof vvdiarrhea. vvWhich vvnursing vvaction
vvshould vvthe vvnurse vv implement vvfirst?
A. vvObserve vvthe vvappearance vvof vvthe vvstool
B. vvAssess vvthe vvelasticity vvof vvthe vvclient's vvskin
C. vvReview vvthe vvclient's vvlaboratory vvvalues
D. vvAuscultate vvthe vvclient's vvbowel vvsounds vv- vvansA. vvObserve vvthe vvappearance vvof vvthe
vvstool
A vvclient vvtells vvthe vvnurse vvabout vvworking vvout vvwith vva vvpersonal vvtrainer vvand vvswimming
vvthree vvtimes vva vv week vvin vvan vveffort vvto vvlose vv weight vvand vvsleep vvbetter. vvThe vvclient
vvstates vvthat vvit vvstill vvis vvtaking vvhours vvto vvfall vvasleep vvat vvnight. vvWhich vvaction vvshould vvthe
vvnurse vvimplement?
A. vvAdvise vvthe vvclient vvthat vvlifestyle vvchanges vvoften vvtake vvseveral vvweeks vvto vvbe
vveffective
B. vvEncourage vvthe vvclient vvto vvexercise vveveryday vvto vveliminate vvbedtime vvwakefulness
C. vvAsk vvthe vvclient vvfor vva vvdescription vvof vvthe vvexercise vvschedule vvthat vvis vvbeing vvfollowed
D. vvDetermine vvthe vvamount vvof vvweight vvthe vvclient vvhas vvlost vvsince vvincreasing vvactivity vv-
vvansC. vvAsk vvthe vvclient vvfor vva vvdescription vvof vvthe vvexercise vvschedule vvthat vvis vvbeing
vvfollowed
A vvclient vvwho vvexperienced vva vvcerebrovascular vvaccident vv(CVA) vvis vvaphasic vvand vvhas
vvleft vvsided vvparalysis. vvWhich vvnurse vvshould vvbe vvresponsible vvfor vvcoordinating vvthe
vvprogression vvof vvthis vvclient's vvcare? vv
A. vvNurse vvcase vvmanager
B. vvAdult vvnurse vvpractitioner
C. vvNeurology vvunit vvsupervisor vv
D. vvRisk vvmanagement vvnurse vv- vvansB. vvAdult vvnurse vvpractitioner
